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storyteller Jacqui with her husband John and their family all sitting together

Starting conversations about dementia

We explain why talking about dementia is so important and ways that you can start a conversation about dementia with family and friends.

Conversations around dementia may not be easy, but they are incredibly important. Whether you’re a carer or living with dementia yourself, knowing you’re not alone in what you’re experiencing can make a huge difference. And if you know someone who cares for a loved one with dementia, giving them opportunities to talk can take some of the weight off their shoulders.

Why is it important to talk about dementia?

There is often stigma surrounding dementia, which may make it challenging to talk to others about the condition. People may assume that someone living with dementia can’t maintain a normal conversation, or that they don’t want to talk about their diagnosis. And therefore, the relationship trails off.

“One difficult thing I’ve had to deal with since my diagnosis is people dropping off due to them not really knowing how to handle me or my condition. People carry preconceptions on what a diagnosis of dementia will do to someone, and out of fear, worry or another reason, they slowly (or sometimes quickly) withdraw from your life.”

Julie, who is living with young onset dementia

For carers too, relationships can fall by the wayside when loved ones don’t know how to talk or hear about the impact dementia is having on their life.

“I didn’t talk to any of my friends about what was going on – partly because I didn’t really know how to talk about it, but also because I just wanted to be treated normally.”

Elliott, whose dad had young onset Alzheimer’s disease

Talking with other people about dementia can help to break this stigma.

If you have a family member or friend who is living with dementia or caring for someone with the condition, simply checking in on them can help them feel less alone. It lets them know that you’re there for them, to offer practical help or a listening ear if they need it.

“Ask what you can do. It might just be doing the shopping or collecting the children from school. It might be cooking the family dinner once a week or giving them some respite, if that’s possible.”

Catherine, whose friend’s husband has young onset dementia

While it’s not always possible to talk in person with family and friends, there are alternatives, such as having a phone or video call. Dementia support groups and cafés can also be a great opportunity to share experiences with people affected by dementia.

In this video, Tommy, who lives with dementia, talks to Andrew, who cares for his mum, about how his friends don’t mention his diagnosis.

Watch the full conversation between Tommy and Andrew

Ways to start a conversation about dementia

It can be difficult to know how to start a conversation about dementia with a family member or friend who is living with or caring for someone with the condition. Here are some example sentences that you could try:

  • “I’ve not seen you for a while. Do you fancy a cuppa and catch-up?”
  • “Caring can be tough sometimes. Are you managing to take some time for yourself?”
  • “I’m here if you ever want to talk about how you’ve been since your dementia diagnosis”
  • “You have a lot to juggle at the moment. Is there anything I can help you with?”
  • “Let’s go for a walk and you can tell me what’s been happening with you”
  • “I’m here if you ever need to chat things through”
  • “I know you support someone affected by dementia. How are you doing?”

Jacqui’s husband, John, lives with Alzheimer’s disease. She shares her advice after planning a party with family and friends who had not seen him in a while.

“To help people in their approaches to John, I sent an email in advance saying, ‘If you have known John for a long time, you will have a common history to talk about. If not, you will probably have to remind him who you are, and there are some conversation topics you could try out.’

“I listed various significant events in his life, such as where he grew up and went to school, where he and I got married, his job and interests — all subjects that I knew he would happily talk about."

Jacqui, who's husband John, lives with Alzheimer's disease

“Several people thanked me for this, saying that it meant they could approach John with confidence and start a conversation with him without worrying about how he (or they) would cope.

storyteller Jacqui with her husband John and their family all sitting together

Jacqui with her husband John and their family all sitting together.

“Every time I looked at him during the party, he was engaging with someone and laughing, so I knew that he was enjoying himself. I was also able to enjoy myself because I could relax and socialise without feeling the need to constantly hover.”

Advice for children and young people

Children and young people may feel unsure about how to handle conversations with a person with dementia. While there is no guidebook to this, it’s important for them to feel relaxed and talk about the things they enjoyed talking about in the past, even if the person with dementia doesn’t respond as they did previously.

Here are some suggestions for conversation starters:

  • “What was your first day at school like?”
  • “Which subjects did you enjoy the most and least at school?”
  • “Who were your closest friends in school?”
  • “Do you have a favourite singer or band?”
  • “What’s the most fascinating place you’ve visited?”
  • “Is there a place you’ve always dreamed of going to?”
  • “What’s the best and worst job you’ve had?”
  • “What would your dream job be?”

Admiral Nurse support

Our dementia specialist Admiral Nurses are here for you if you need advice or support about any aspect of dementia, or just want to talk to someone who understands. Please contact an Admiral Nurse on our free Helpline, book a virtual clinic appointment or schedule a face-to-face appointment at a Nationwide branch.