The Silent Symptoms of Parkinson’s: Voice, Speech & Connection

If you’ve noticed a loved one with Parkinson’s becoming quieter, harder to hear, or struggling to find words, you’re not alone. Up to 90% of people with Parkinson’s disease experience changes in their speech and communication abilities.

As a caregiver, these changes can feel isolating — for both of you. But with the right understanding and support, communication is still possible — and meaningful.

🧠 Why does Parkinson’s affect speech?

Parkinson’s disease affects the basal ganglia, an area of the brain responsible for movement coordination — and that includes the fine motor control needed for speech.

You might notice:

• A softer or hoarser voice
• Slurred or monotone speech
• Difficulty starting or continuing conversations
• Less facial expression (“masked face”)
• Slower thinking or word-finding difficulties

These symptoms are sometimes subtle — or mistaken for memory loss or disinterest. But often, they want to speak — they just physically struggle to.

💬 How to support communication at home

Here’s how you can help:

1. Encourage face-to-face conversation

Seeing each other’s facial expressions and mouth movements makes communication easier and more engaging.

2. Be patient — and allow time

Don’t rush. Give your loved one time to find the words, and show that you’re willing to wait.

3. Use yes/no questions or choices

Rather than open-ended questions, offer simple choices to help them participate (e.g. “Would you like tea or soup?”)

4. Reduce background noise

Turn off the TV or fan during conversations to help them concentrate on speaking and hearing.

5. Work with a speech-language pathologist (SLP)

An SLP trained in LSVT LOUD® or other voice therapy techniques can help strengthen their voice and improve clarity.

🗣️ Pro tip: It’s never too early to get an SLP involved — early therapy often leads to better outcomes.

💡 Did You Know?

A study published in Parkinsonism & Related Disorders found that individuals who participated in speech therapy (like LSVT LOUD®) showed significant improvement in vocal loudness and clarity — and many reported feeling more confident in conversations.

👩⚕️ Need support from a speech therapist?

Our GentleCare speech-language pathologist (SLP) offers in-home and community-based speech therapy for adults with Parkinson’s and other neurological conditions.

We focus on:
✔️ Improving vocal strength and clarity
✔️ Supporting communication strategies for the whole family
✔️ Addressing speech and swallowing changes with compassion

📞 Reach out today to learn how our SLP can help your loved one speak with confidence again. Find out more at GentleCare website