Katelyn Ailes, M.A., CCC-SLP
Speech-Language Pathologist
Duncan Lake Speech Therapy, LLC
The holidays can be a special time for connection, tradition, and togetherness, but for adults living with cognitive linguistic deficits, this season can also bring challenges. Changes in routine, increased noise, travel, and large gatherings may lead to confusion, fatigue, or overwhelm. The good news? With thoughtful planning and support, families can help their loved ones participate meaningfully and comfortably in holiday celebrations.
Here at Duncan Lake Speech Therapy, we often help families navigate communication and cognitive barriers that appear more prominently during busy seasons. Here are some practical, evidence based strategies to make the holidays more enjoyable for adults with cognitive deficits, and for the people who love them too.
1. Keep Routines Consistent When Possible
We are all human, and humans love routine! Familiarity also provides comfort. Try to maintain:
- Regular wake and sleep times
- Usual meal schedules
- Daily medications and hydration
- Familiar activities (morning coffee, afternoon walk, favorite TV show)
If holiday plans require changes, prepare your loved one with gentle reminders and visual supports such as calendars or written schedules.
2. Choose Thoughtfully Planned Gatherings
Large, loud celebrations can feel overwhelming. You may consider:
- Hosting smaller gatherings
- Spreading visits throughout the week instead of one big event
- Choosing quieter spaces with good lighting
- Offering a calm “break room” if they become overstimulated
Quality of interaction is more valuable than quantity.
3. Prioritize Clear, Supportive Communication
Holiday conversations can move quickly. Help your loved one stay included by:
- Speaking slowly and clearly
- Using short sentences
- Offering yes/no choices instead of open-ended questions
- Making eye contact before speaking
- Reducing background noise when possible
If your loved one uses memory books, visual cues, or communication boards, keep them accessible during gatherings. Also encourage others to utilize these tools for increased success and to prevent communication breakdown and add frustration.
4. Prepare Memory-Friendly Activities
Traditions can be adapted to meet cognitive needs while still honoring the spirit of the season. Try:
- Looking through old photo albums
- Listening to familiar holiday music
- Baking simple and familiar recipes together
- Watching classic holiday movies
- Decorating with sensory-friendly items (soft lights, familiar scents)
These activities can spark reminiscence, connection, and joy.
5. Involve Them in Meaningful Roles
Adults with dementia often feel frustrated when they can’t contribute in the ways they used to. Offer roles that support autonomy:
- Folding napkins
- Stirring ingredients
- Placing ornaments or decorations
- Setting out cards
- Sorting holiday ribbons or gift bags
Small tasks empower them to remain part of the tradition.
6. Prepare Visitors in Advance
Family and friends may not know how to effectively communicate with those who are affected by cognitive deficits.. A friendly, proactive message can make all the difference:
- Remind guests to speak calmly
- Encourage patience and allowing extra time for responses
- Suggest using names (“Hi Mom, it’s Anna”)
- Share helpful communication strategies
This sets the tone for supportive, positive interactions.
How Speech-Language Pathologists Can Help
SLPs play an important role in supporting adults with cognitive deficits and their families during the holiday season by providing:
- Strategies for communication success
- Training on memory and cognitive supports
- Personalized recommendations based on severity and daily needs
- Education for family members and caregivers
If you feel your loved one is struggling more with communication, memory, or social engagement, we here at Duncan Lake Speech Therapy are here to help! Holidays may look different after a significant event or diagnosis, but they can still be meaningful, warm and connected. Wishing you and your loved ones a wonderful holiday season!
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