Communication with a Speech Impaired Person 

Although everyone’s situation is different, whether they have soft speech, distorted speech, or use an AAC device; there are several techniques you can use to make the communication experience more successful for both parties involved.  

First, try to find a position directly in front of, and at eye level with, the person speaking.  If the person is in a wheelchair or a bed, this will prevent their neck from getting soar from looking up, but more importantly, it will not foster the inevitable sub-conscious feelings of inferiority that set in when you are a disabled person, always looking up at the world.  This also makes it easier to hear the person, and allows you to easily read the part of the conversation that is coming through their eyes. 

Second, slow down.  As a person loses their ability to communicate effortlessly, they must break their speech into short phrases or even individual words to be understood.  This requires a more complex mental process for the person trying to express themselves.  The pace of the conversation is necessarily slower than you are used to. Believe it or not, this disruption of ordinary conversation flow makes it much more difficult for the speaker to keep their place.  If the speaker feels rushed, it only makes it worse. 

Finally, ask the person whether they would rather you finish their sentences or allow them to finish.  It usually provides a sense of accomplishment to complete a sentence or idea, especially when using an AAC device.  This is not always true however.   If the situation requires a quick response, or if the speaker is getting frustrated with the process, they may prefer your help. 

Communication is often the most trying part of living with ALS.   Your attempts to make the situation easier will be appreciated.