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5 Ways to Talk to a Loved One About Dementia

February 01, 2026

You’ve noticed your mom keeps misplacing daily items, missing appointments and falling behind on things that used to be routine, and honestly, you’re worried. But how do you bring it up without upsetting her or damaging your relationship?

Talking about dementia can be emotional and sometimes uncomfortable. Still, starting the conversation early is one of the most important gifts you can give a loved one.

“People are often afraid of hurting family relationships or upsetting someone they care about,” says Angela Christie, dementia specialist at Hartford HealthCare Center for Healthy Aging. “But, addressing concerns early helps everyone. When you know what you’re dealing with, you can plan together and the person with dementia can have a voice in what happens next.”

Here are five ways you can approach the conversation.

1. Acknowledge it

Your loved one may feel defensive, confused, or even angry. It can be hard, but try not to push.

If emotions run high, you can always take a break and revisit the conversation later.

“You know you have good intentions, but your parent may not be open or willing to discuss the changes you have noticed,” Angela explains. “Don’t force the conversation. Take a break and revisit it later. If they still refuse help, contact a medical professional for support.”

> Related: What’s the Difference Between Alzheimer’s Disease and Dementia?

2. Talk about things early

Waiting may feel easier, but it can make things harder later.

“When you see the signs, say something as early as possible,” Angela recommends. “It’s best to have this conversation while cognitive functioning is at its highest.”

Early discussion means better planning, more meaningful involvement from your loved one and earlier access to care and resources.

> Related: Alzheimer’s Disease Can Cause These 7 Communication Challenges

3. Lead with reassurance

It’s important to let your loved one know you’re on their side and that you’ll be there to support them, including during doctor visits and next steps.

Small statements like “You’re not alone in this” or “We’ll figure this out together” make a powerful difference.

4. Plan what to say

Going in prepared can help the conversation feel calmer and less intimidating. Try using open-ended questions that invite your loved one to share their experiences and feelings rather than yes-or-no answers.

Gentle conversation starters may include:

• “What changes have you noticed in yourself lately?”
• “How would you like me to approach you if I’m concerned about your health?”
• “How have you been feeling day-to-day, both physically and emotionally?”

> Related: 9 Signs You (or Mom) Could Benefit From Assisted Living

5. Understand they may not recognize what’s happening

Not everyone experiencing early dementia recognizes what is happening. That can be part of the disease process.

“Be prepared for confusion, denial, or withdrawal,” Angela explains. “Your loved one may not recognize the symptoms in themselves.”

While dementia can bring uncertainty, talking about it early empowers families to prepare, seek help and stay connected. Taking that first step gently and thoughtfully can make a meaningful difference for both the person living with dementia and the care partner.