Truth, Lies & Alzheimer's

Understanding Aphasia — When Words Get Lost


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In this episode, Lisa explores one of the most challenging and misunderstood symptoms of Alzheimer’s disease — aphasia, the loss of language and communication abilities that often accompanies dementia.

Through a touching real-life story from her book Truth, Lies & Alzheimer’s – Its Secret Faces, Lisa introduces us to Harvey in “The Pill Box Story.” Harvey’s daughter believed her father could no longer understand or care for himself. But when Lisa visits, she discovers that while Harvey struggles to find the right words, his mind and awareness are far more intact than anyone realized.

This powerful story illustrates how aphasia affects speech, understanding, reading, and writing, and how these challenges can easily be mistaken for cognitive decline. Lisa explains why communication difficulties don’t always mean loss of comprehension — and how loved ones can learn to see the difference.

Listeners will gain insight into:

  • What aphasia really is and how it progresses in dementia
  • How families often misinterpret communication loss as a total cognitive decline
  • Ways to support and engage loved ones living with aphasia
  • Practical communication tips for caregivers to reduce frustration and improve connection

Key Takeaway:

Even when words are lost, understanding and emotion remain. People living with Alzheimer’s and related dementias often know far more than they can express — and with patience, empathy, and awareness, we can still connect deeply.

Resources Mentioned:

Truth, Lies & Alzheimer’s – Its Secret Faces by Lisa Skinner

Listen to more episodes at truthliesalzheimers.com

About the Host:

Author Lisa Skinner is a behavioral specialist with expertise in Alzheimer’s disease and related dementia. In her 30+year career working with family members and caregivers, Lisa has taught them how to successfully navigate the many challenges that accompany this heartbreaking disease. Lisa is both a Certified Dementia Practitioner and is also a certified dementia care trainer through the Alzheimer’s Association. She also holds a degree in Human Behavior.

Her latest book, “Truth, Lies & Alzheimer’s – Its Secret Faces” continues Lisa’s quest of working with dementia-related illnesses and teaching families and caregivers how to better understand the daunting challenges of brain disease. Her #1 Best-seller book “Not All Who Wander Need Be Lost,” was written at their urging. As someone who has had eight family members diagnosed with dementia, Lisa Skinner has found her calling in helping others through the struggle so they can have a better-quality relationship with their loved ones through education and through her workshops on counter-intuitive solutions and tools to help people effectively manage the symptoms of brain disease. Lisa Skinner has appeared on many national and regional media broadcasts. Lisa helps explain behaviors caused by dementia, encourages those who feel burdened, and gives practical advice for how to respond.

So many people today are heavily impacted by Alzheimer's disease and related dementia. The Alzheimer's Association and the World Health Organization have projected that the number of people who will develop Alzheimer's disease by the year 2050 worldwide will triple if a treatment or cure is not found. Society is not prepared to care for the projected increase of people who will develop this devastating disease. In her 30 years of working with family members and caregivers who suffer from dementia, Lisa has recognized how little people really understand the complexities of what living with this disease is really like. For Lisa, it starts with knowledge, education, and training.

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