Abstract
A housewife suffering from semantic dementia received occupational therapy to offer shopping support. When the patient started to use the day-care center, she had difficulty understanding and expressing language because of dysfunctional listening comprehension, spontaneous speech, writing, and reading. However, she could go shopping with a shopping list, and occupational therapy consisted of drawing pictures and practicing understanding and expressing words needed for shopping with pictures that she drew. We also gathered information from her family and taught them how to cope with the situation. As a result, one year after the initial assessment, language symptoms worsened. Nevertheless, she could continue shopping with a shopping list and pictures. Finding compensatory strategies and holding rehabilitation conferences may have a positive effect on cases of semantic dementia.