My mother-in-law (pre-diagnosis for probable dementia) now quite regularly starts sentences in her first language of Italian, despite living in England for 45 years. When I ask her to say it in English, she finds it very difficult to translate and just repeats in Italian. This is mainly when she is tired or anxious. She has no problem understanding English when it is spoken to her. Has anyone got any experience of this, or anything which might help? I know this is only going to get worse, and although she understands English perfectly well, I'm worried about a time when she can only answer or start conversations in Italian and I won't know what she's trying to tell me. Taking Italian lessons or moving to Italy are the only solutions I can think of at the moment!