In Alzheimer's disease, the effect of cognitive changes on language and the ability to communicate and interact with others is profound. 2. Communication difficulties are a common problem identified by caregivers of demented individuals. Breakdown of communication can be frustrating and overwhelming for both patient and caregiver. 3. The deterioration of different linguistic features of language occurs at different rates, making it harder to identify deficits in the early phases of the disease. Mental status testing can give some objective measure of deficits. 4. Research is identifying explicit changes that occur in the language of Alzheimer's disease victims. Knowledge of these changes suggests strategies that can enhance communication.