Communicating When Words Are Difficult
Words can become difficult during overwhelm, shutdown, anxiety, fatigue, pain, sensory overload or intense emotion. A person may know what they want to say but be unable to organise it, speak it or respond quickly. This does not mean they are rude, refusing to engage or unable to understand.
This fuller five-page booklet offers compassionate, practical support for people whose access to spoken language changes. It explains common triggers and early signs, encourages reducing demands before requesting more speech, and presents a range of valid alternatives including writing, gesture, picture choices, communication cards, text-to-speech and support from a trusted person.
The booklet includes:
- Understanding why spoken words may become inaccessible
- Recognising personal triggers and early warning signs
- Reducing sensory, social and processing demands
- Six alternative ways to communicate
- Eight ready-to-use phrases for difficult moments
- Guidance for family members, colleagues and supporters
- A personal communication support card to complete
- Encouragement that speech is not the only meaningful form of communication
This resource may be particularly helpful for autistic and otherwise neurodivergent people, but it is suitable for anyone who experiences difficulty speaking during stress, illness, pain, fatigue or emotional overload. It can be saved to a phone, printed or shared with trusted people at home, work, education or healthcare appointments.
Please note: A sudden new difficulty with speaking or understanding language may require urgent medical assessment. This booklet provides general coaching and wellbeing information and does not replace medical, speech and language, or mental health support.













