Caring for someone with dementia often comes with challenges, especially when it comes to behavioural and mood changes. These changes, such as aggression, accusations, or emotional outbursts, can be challenging, but understanding their causes and responding with empathy can make a significant difference. Here are some tips tailored to Indian family settings, where close-knit bonds and cultural values play a vital role in caregiving.
1. Dealing with Physical Aggression
Aggression can stem from frustration, confusion, or even physical discomfort. It’s important to prioritise safety for both you and your loved one.
Tips:
- Stay Calm and Keep Your Distance: If angry or physically acting out, step back to give them space. If necessary, position yourself near an exit for safety.
- Remove Dangerous Items: Quietly secure sharp or heavy objects that could pose a risk.
- Use a Soothing Voice: Reassure them with phrases like, “I know this is hard, but I’m here to help.”
- Seek Help if Necessary: If the situation escalates, involve a neighbour, family member, or caregiver support. In emergencies, don’t hesitate to call for professional help.
If your loved one becomes upset during a family gathering, calmly lead them to a quieter space and speak softly, “I understand it’s overwhelming; let’s take a break together.”
2. Responding to Accusations
Accusations, such as being accused of stealing or betrayal, can be distressing for caregivers. These behaviours often reflect confusion or memory loss rather than actual suspicion.
Tips:
- Don’t Argue or Defend: Gently reassure them instead of trying to prove your innocence.
- Maintain Calm Body Language: Avoid crossing your arms or using a harsh tone. Keep your posture open and welcoming.
- Separate the Behavior from the Person: Remind yourself that these accusations are part of the condition, not a reflection of their true feelings about you.
If they accuse you of hiding their keys, respond calmly: “Let’s look for them together. Maybe they’re in a spot we forgot to check.”
3. Handling Emotional Outbursts or Meltdowns
Outbursts often occur when someone feels overstimulated or unable to express their emotions. Creating a calm environment and using distractions can help diffuse these moments.
Tips:
- Create a Calm Space: Reduce noise, clutter, or any overwhelming activity around them.
- Control Your Emotions: They may mirror your mood, so staying calm and composed is essential.
- Distract and Soothe: Use familiar items like a favourite song, family photo, or comforting touch to redirect their focus.
- Set Realistic Expectations: Avoid tasks or interactions that could lead to frustration. Opt for simple, manageable activities.
If they start yelling while watching TV, turn it off, sit beside them, and say, “Let’s take a moment to relax together,” while holding their hand.
Why these tips matter?
Behavioural and mood changes in dementia are often beyond the person’s control and require a compassionate response. By recognising these changes as symptoms of the condition, caregivers can approach each situation with patience and empathy, creating a safer and more supportive environment for their loved ones.
When to seek support?
Caring for someone with dementia can be overwhelming, so it’s crucial to seek help when needed. In India, the Dementia Care Helpline at +91 9811 133 218 offers guidance and emotional support for caregivers.
Takeaway: Remember, the key to managing these changes is patience, understanding, and adaptability. With the right strategies, you can help your loved one feel supported and improve their quality of life.
It might be due to confusion, frustration, or discomfort. Staying calm and trying to identify the cause can help.
Avoid correcting them and gently redirect their attention to something calming or engaging.
This happens because of memory loss and confusion. Reassure them calmly and help look for the “missing” item.
Offer smaller portions, serve their favorite foods, or provide softer textures that are easier to eat.
Mix medicine with food if it’s safe, or consult their doctor for easier alternatives.
Establish a bedtime routine, create a calming environment, and ensure safety with door locks or alarms.
Gently guide them back, keep doors locked, and ensure they wear an ID or tracking device for safety.
Stay calm, reduce background noise, and offer comforting items like a blanket or family photo.
Apathy or withdrawal can be common. Encourage simple, familiar activities they enjoy.
Take breaks, seek support from family, and contact support groups or helplines for guidance.
Reach out to the Dementia Care Helpline at +91 9811 133 218. You’re not alone.
