Changes people notice
Changes can be subtle at first:
- A softer, hoarse or breathy voice that others ask you to repeat
- Slurred or rushed speech, or repeating words and phrases
- Less facial expression, so you may look less engaged than you feel
- Searching for words, or taking longer to get to the point
- Losing track when several people talk at once or there is background noise
- Finding complex sentences or long instructions harder to follow
Slower communication is sometimes mistaken for low mood or disinterest. An evaluation helps separate voice, language and thinking changes, since each needs a different approach.
Keeping your voice and conversation strong
Therapy adapts as your needs change:
- Voice and clarity
- Exercises and techniques for a louder, clearer voice.
- Conversation strategies
- Breaking information into smaller pieces, cutting background noise and planning for busier settings.
- Word-finding
- Strategies that make it easier to retrieve words and stay on topic.
- Communication aids
- Alternatives to lean on if speech becomes less reliable.
- Family
- Coaching care partners in ways to support conversation at home.
Parkinson’s and Lewy body dementia
Some people with Parkinson’s also develop Lewy body dementia (Parkinson’s disease dementia), usually later in the disease. Attention, memory and planning can change, which affects conversation. Learn more on our dementia page.
Related movement disorders
Other conditions that affect movement can also change speech and thinking:
- Progressive supranuclear palsy (PSP)
- Speech is often slowed, slurred or monotone, usually earlier than in Parkinson’s.
- Huntington’s disease
- Speech can become irregular and hard to control, and attention and planning can change.