New problems with words in speaking or writing. Depending on a variety of circumstances, many of us may have trouble finding the right word to say or, at times of greater stress, might be at a loss for words completely. For people with Alzheimer’s, everyday communication can be very difficult and might involve frequent repetition, inability to follow a conversation, skipping from one subject to another without a common thread, and misspeaking or using the wrong word to describe an ordinary object.