March 1, 2017

Managing Challenging Behaviors: Suspicion

Our 5-part blog series on managing challenging behaviors continues with another distressing habitude: suspicion. A person with Alzheimer's may become suspicious of those around them, even accusing others of theft, infidelity or other unacceptable behaviors. While accusations can be hurtful, we must always try to remember that the disease is causing these behaviors and to not take offense.

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Suspicion and delusions (firmly held beliefs in things that are not real) occur more commonly in mid- to late-stage Alzheimer's. Confusion and memory loss can actually contribute to these untrue beliefs. A person with Alzheimer's may believe a family member is stealing his or her possessions or that he or she is being followed by the police. Although not grounded in reality, the situation is very real to the person with dementia. Keep in mind that a person with dementia is trying to make sense of the world around them using compromised and declining cognitive function.

It can be very upsetting to see a loved one experiencing suspicions, delusions and paranoia. While incredibly challenging to deal with, these are all fairly common symptoms of dementia. In fact, about 40% of dementia patients experience suspicion and delusions.

When someone you’re caring for is acting suspicious, the Alzheimer’s Association offers the following suggestions:

1. Don’t take offense.

2. Listen to what is troubling the person, and try to understand that reality. Then be reassuring, and let the person know you care.

3. Don’t argue or try to convince.

4. Allow the individual to express ideas. Acknowledge his or her opinions.

5. Offer a simple answer. Share your thoughts with the individual, but keep it simple. 

6. Switch the focus to another activity, such as a pastime they enjoy, or ask for help with a chore. 

7. If the person is often searching for a specific item, have several available. For example, if the individual is always looking for his or her wallet, purchase two of the same kind.

 

This blog post is Part 4 of a 5-part series on managing challenging behaviors.