Many people with PMLD do not use formal communication, such as speech, symbols or signs. Instead they tend to rely on facial expressions, vocal sounds, body language and behaviour to communicate. Some people with PMLD may not have reached the stage of using intentional communication, and they may rely on others to interpret their reactions to events and people.
She has an advocate who spends time with her learning how she communicates and the things she likes.
It is important that those who support people with PMLD spend time getting to know their means of communication and finding effective ways to interact with them. There are different non-formal techniques and approaches which can be used to help interpret the needs and choices of people with PMLD, which staff and family members should be supported to use.