How to Talk to a Loved One About Memory Loss: Tips for a Compassionate Conversation

Discussing memory concerns can be difficult, especially during Alzheimer’s & Brain Awareness Month. With over 7 million Americans living with Alzheimer’s in 2025—and that number expected to triple by 2050—it’s more important than ever to recognize the signs and talk to loved ones about seeking help (alz.org). Here’s how to approach this sensitive conversation with compassion and clarity.

Recognizing Early-Stage Alzheimer’s (Mild Dementia)

In the early stage of Alzheimer’s, individuals may still function independently, but subtle changes begin to appear. They might have occasional memory lapses, like forgetting familiar words or misplacing everyday items, or experience slight challenges with planning or organizing tasks (alz.org). Recognizing these changes early can help families seek care sooner and plan for the future.

• Occasional memory lapses, such as forgetting familiar words or misplaced items

• Trouble remembering the names of objects or people

• Slight difficulty with planning or organizing tasks

• Subtle effects on judgment and problem-solving

10 Early Signs to Watch For

The Alzheimer’s Association outlines 10 early warning signs that can help families identify when it’s time to talk to a doctor (alz.org). If you notice one or more of these signs, it’s important to start a conversation.

• Memory loss that disrupts daily life

• Difficulty planning or solving problems

• Trouble completing familiar tasks

• Confusion with time or place

• Visual and spatial challenges

• Language difficulties—finding the right words

• Misplacing items and inability to retrace steps

• Reduced judgment

• Social withdrawal

• Mood and personality shifts

Choosing the Right Time, Setting & Spokesperson

Timing and environment can shape how the conversation unfolds. The Alzheimer’s Association recommends a quiet, private setting to make your loved one feel respected and comfortable (alz.org). Having someone they trust—like a close family member—lead the conversation can make it easier for them to open up about their concerns.

• Choose a calm, private setting

• Pick a trusted family member to lead the conversation

• Ensure the environment is relaxed and supportive

Approach with Empathy—Not Accusation

How you frame the conversation is key. Using gentle, supportive language can reduce defensiveness and encourage openness. For example, instead of saying, “You keep forgetting things,” try, “I’ve noticed some changes that worry me. Have you felt the same way?” (alz.org). This approach helps build trust and sets a positive tone.

• Use “I” statements to express concern, not blame

• Avoid labeling or criticizing

• Focus on sharing observations rather than making accusations

Be Prepared for Resistance

It’s normal for people to resist or deny memory concerns. According to Alz.org, multiple gentle conversations may be needed (alz.org). If your loved one is defensive, try again later or involve another trusted person. The key is to remain patient and supportive.

• Expect initial denial or defensiveness

• Allow time for them to process the conversation

• Consider involving another supportive person if needed

Emphasize the Value of Early Diagnosis

Early detection offers important benefits for both patients and families. It allows access to treatments that may slow progression (such as donanemab and lecanemab), provides opportunities to join clinical trials, and gives families time to make legal, financial, and care plans while their loved one can still participate (alz.org).

• Access to disease-modifying treatments

• Opportunity to participate in clinical trials

• Time for financial, legal, and care planning

• Support for lifestyle changes like exercise, mental activities, and social engagement

Offer Unwavering Support

Your loved one needs to know they’re not alone. Offer to help schedule medical appointments, accompany them to visits, and assist with daily activities (alz.org). Your support can make a meaningful difference in their quality of life and overall well-being.

• Offer to help with medical appointments

• Attend doctor visits with them

• Support daily activities and routines

Talking about memory loss is hard, but it’s an essential first step toward getting help. With early detection, families can plan ahead, explore treatment options, and ensure their loved one has the care they need at every stage. During Alzheimer’s & Brain Awareness Month, let’s raise awareness and support families facing this journey together.

At Onyx Home Care, our dementia-trained care team is here for your family. Contact us today to learn how we can help you navigate Alzheimer’s with compassion and dignity.