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Paranoia and the Alzheimer's Patient

By: Brian T. Willie


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The paranoia and suspicion of a person with Alzheimer's can be one of the most difficult behaviors for their caregiver to handle. As the Alzheimer's develops and targets your loved ones memory, they'll gradually become more confused and perceive things they would have once though normal, in new ways.

This is not only due to their inability to remember certain people, but also places and things, and the fact that they can't remember themselves as well.

People with Alzheimer's will often confront their loved ones, accusing them of theft, improper behavior or even infidelity. They may be misinterpreting what they are seeing or hearing. It is often the case that their feelings have come up from the past and are causing them to now feel this way again.

An Alzheimer's patient confuses people, events and times and can associate an event with the wrong person. For example, maybe their ex-husband had an affair so now they believe their current spouse is doing the same.

The key to responding to your loved ones paranoid behavior is patience and understanding. Though it's easy to become offended by their suspicions, keep in mind that it's not personal and they're probably just as confused and hurt as you are. Listen carefully to what they are saying and try to understand their reality.

Don't argue or try to convince them that they're wrong, just let them know that you care about what they're feeling and are very sorry that they're feeling that way. Let your loved one express their ideas and acknowledge their opinions before offering a simple answer. Keep your response short and easy to understand.

You an take their mind off their suspicions by suggesting a different activity that focuses on keeping them occupied. You might even think about buying them two of each item that they often lose, such as a handbag or wallet. This will help keep them from being suspicious that you stole it.

Remember that this behavior will pass, but it's most important for you to just remain calm and understanding. Never get worked up, because your loved one will feed off of this energy and become more paranoid.

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