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Featured Article
Paranoia and Dementia: They Often Go Hand-In-Hand
treasures she is convinced that thieves have entered during the night and stolen them.
John W. was in charge of the family finances from the day he married more than 50 years ago. John doesn't realize it, but he has a dementing illness, and his wife has taken over the household affairs. Until she took a Post Office box, John regulary rummaged through the mail, moving, losing or throwing away vital paperwork. John is losing interest now, but for quite a while he was angry with the mailman for losing his mail.
Is it a wonder that people with Alzheimer's Disease or another dementia might become paranoid and lose trust in their environment and the people who care for them?
Things That May Help:
Don't Argue - Arguing with a confused person's "fact" may increase agitation and anger, and may lead to a catastrophic reaction. Instead, acknowledge the feeling: "I know it's frightening when you can't find your _______. I'll help you look for it."
Make a List of Favorite Hiding Places - Never throw out the trash without first checking for hidden items.
Try Distraction - A new activity in a different room may divert attention from the anxiety of the moment. This rarely works if emotions have escalated, however.
Keep Spares - If certain items are disappearing time after time, keep extras on hand to use until you find the "lost" item. Buy in pairs or even triples if possible.
Try to Keep Caregivers Consistent - New faces may be targets for suspicion because the explanation of who they are and why they are there is forgotten.
Avoid Unnecessarily Announcing Appointments or Events - If your elder worries excessively about missing an appointment, wait until it's time to get ready to go.
Reduce or Eliminate Clutter - Remove excess items from closets, cupboards and drawers. "Lost" items stashed in a shoe are easier to find if there are only two pair to check.
Remove or Lock Up Valuables - This will protect aides and family members from suspicion.
Advise Family Members and Home Workers About Typical Behaviors - Let them know that they may be accused and that they should not take accusations personally.
Schedule a Medical Check-Up - Rule out other medical and psychiatric problems or the possible side-effects of medications already prescribed. In some cases where paranoid behavior is causing major problems additional drug treatment may be appropriate.
Listen Carefully - If your elder with dementia has a new behavior or a new concern, listen. Sometimes things really are stolen. Sometimes abuse is real.
Author Bio: Molly Shomer
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