Dealing With Dementia Behaviors

Families Start Here

Finding a caregiver for your loved one with dementia can feel overwhelming — but you’re not alone.

At AllStageCare™, we’ve walked this journey ourselves. That’s why we built a place where compassion and clarity meet.

Understanding Dementia Can Help You To  Navigate this Trying Journey

Stages 1–3: When We First Noticed Something Was Wrong

At first, it was just little things. My mom didn’t like driving anymore — she kept “getting turned around.” So I drove the four hours for doctor visits. Then came stories about her neighbor running water at weird times “just to mess with her.” Odd, but she’s my mom — maybe she’s right?

Then she called from the bank. A young couple offered her a lot of money — if she gave them $200 first. She almost did it. She told me “something told her not to.” That was my wake-up call.

She asked to move in with me. “I won’t be driving anymore,” she said. I brought her home. But she couldn’t go for walks anymore — she’d get lost. Her style faded. Her memory skipped. Her tone changed.

Eventually, we moved her near my sister — but her trust in us began to fade, especially when she told us there were people watching her through a crack in the closet ceiling. We didn’t see them — and to her, that meant we were with them. Her trust shattered.

What Helped (or Would’ve Helped) in Stages 1–3

1. Avoid confrontation.

Say: “I believe you’re really feeling that. I want you to feel safe.”
Don’t try to prove them wrong — try to make them feel heard.

Don’t wait for a crisis. Trust the pattern. Step in early when safety is at stake.

Add bank alerts, spending limits, and call filters to block scams.

Say: “I believe you’re really feeling that. I want you to feel safe.”
Don’t try to prove them wrong — try to make them feel heard.

Quietly and consistently track changes — it helps with doctor visits and planning ahead.

Let them fold linens, sort paper, or help prep meals. It’s not about what gets done — it’s about helping them feel useful.

You’re not imagining it. They may not know what’s changing — but you’re seeing it for a reason.

Stage 4 — When the Hallucinations Took Over and She Turned on Us

This stage changed everything.

She wasn’t just confused — she was terrified. She believed people were attacking her. Stealing her things. Watching her through the ceiling. She’d wake up angry. Go to bed angry. Start swinging if we tried to help.

One day, she cut up her photo albums — every picture of her children, grandkids, husband — gone. It was painful to witness. She wasn’t trying to hurt anyone. She was trying to protect herself from something she believed was very real.

And when we told her we didn’t see what she saw? That broke something. She stopped trusting us. Sometimes she shoved us. Once, she raised a fist. She wasn’t just paranoid — she was focused on escaping. She was convinced that if she could just get to her childhood home, or find her mother (long deceased), she’d be safe. In her mind, she wasn’t “wandering” — she was trying to rescue herself.

This wasn’t early dementia anymore. It was a storm. And we were standing in it with no umbrella.

What Helped (or Would’ve Helped) in Stage 4

1. Stop Arguing. You Won’t Win.

If they say people are in the room, say:
“That sounds scary. I’m here now, and I’ll keep you safe.”
Never say: “There’s no one here.” That deepens the panic and distrust.

They might not recognize you — even if they did five minutes ago.
– Approach slowly, from the front
– Say your name: “Hi Mom, it’s me, Connie.”
– Keep your hands visible and your voice low

– Don’t grab their arms suddenly — it feels like an attack
– Back up. Give space. Say: “Okay. I’m going to give you a little room right now.”
– Quietly remove any sharp or breakable items

If they’re hitting with their dominant hand:
– Offer them something to hold (towel, stuffed object, cup)
– This shifts brain activity and interrupts escalation

– Turn off TV (especially the news)
– Dim bright lights
– Play calming music — gospel, soft jazz, gentle piano

– Leave for 30 seconds
– Return like it’s a fresh moment
– Say something simple like, “Let’s sit and have tea,” or bring a soft blanket

This is not them — it’s the disease. They’re not trying to hurt you. They’re trying to protect themselves from an imagined threat. Don’t take it personally. But do get help.

This is the stage where wandering begins. They may try to “go home” to a place that no longer exists — or find a long-lost parent they believe is waiting for them.
Install simple door chimes or sensor alerts. Not to trap them — but to protect them.

Stage 5 — When the Fire Fades and the Tenderness Begins

At this stage, something shifts.

The fear, the fire, the fighting of Stage 4… it fades. And in its place: softness. Your loved one might smile again. Laugh again. Dance a little. The wild paranoia may have lifted, but their words don’t always land. Some days they make perfect sense — especially in sleep — and other days, their speech drifts, repeats, or vanishes entirely.

You still miss who they were. But something gentle lives in who they are now. And if you slow down, you’ll find joy here too.

You made it through the hardest chapter. Now comes the most tender one — if you choose to stay present.

✅ What Helps in Stage 5: Safety, Love, and Compassionate Care

1. Lock the Windows. Add Alarms.

Your loved one may still try to leave — not to run away, but to “go home” or find someone.
Even a second-story window may seem like a doorway to safety in their mind.
Use wedge locks, window stops, and motion sensors. It’s not about trapping — it’s about protecting.

Some caregivers sit glued to their phones with one eye on your person. That’s not presence.
You need someone who understands dementia is a language. A rhythm. A dance.
If a caregiver can’t feel that — train them, or release them.

Let caregivers shadow you. Let them watch how you interpret your mom’s expressions, her tone, her humor, her needs.
Teach them to honor her — not just “watch” her.
Let them see the whole human in front of them, not just the diagnosis.

Hugs matter more now than ever.
Even if she forgets moments later — she still felt it.
Without your touch, she might leave this world without the feeling of being embraced. Don’t let that happen.

Just like she once read your cries, you now read her eyes.
You’ll learn when she’s scared. When she’s making a joke. When she needs the toilet.
Her language is emotional now — not verbal. Learn it.

If she asks the same thing 20 times, that’s okay.
Say: “Let’s talk about it again.” Or just nod and smile.
The goal isn’t new conversation. It’s comfort.

Play music she loves — even if she doesn’t know the lyrics.
Dance with her in the living room.
Take videos of her smiling and send them to family.
Don’t miss the light because you’re grieving the past.

She’s not childish, but she may be childlike now.
Let her eat with her fingers.
Let her chatter without correction.
Let her be simple, silly, even nonsensical.
She is still herself — just in a different form. Don’t try to bring her “back.” Love who she is now.

 
Stage 4 — When the Hallucinations Took Over and She Turned on Us

This stage changed everything.

She wasn’t just confused — she was terrified. She believed people were attacking her. Stealing her things. Watching her through the ceiling. She’d wake up angry. Go to bed angry. Start swinging if we tried to help.

One day, she cut up her photo albums — every picture of her children, grandkids, husband — gone. It was painful to witness. She wasn’t trying to hurt anyone. She was trying to protect herself from something she believed was very real.

And when we told her we didn’t see what she saw? That broke something. She stopped trusting us. Sometimes she shoved us. Once, she raised a fist. She wasn’t just paranoid — she was focused on escaping. She was convinced that if she could just get to her childhood home, or find her mother (long deceased), she’d be safe. In her mind, she wasn’t “wandering” — she was trying to rescue herself.

This wasn’t early dementia anymore. It was a storm. And we were standing in it with no umbrella.

What Helped (or Would Have Helped) in Stage 4 — Especially With Combative Behavior

1. Stop Arguing. You Won’t Win.
If they say people are in the room, say:
“That sounds scary. I’m here now, and I’ll keep you safe.”
Never say: “There’s no one here.” That deepens the panic and distrust.

2. Don’t Approach Fast or From Behind.
They might not recognize you — even if they did five minutes ago.
– Approach slowly, from the front
– Say your name: “Hi Mom, it’s me, Connie.”
– Keep your hands visible and your voice low

3. If They Get Physically Aggressive:
– Don’t grab their arms suddenly — it feels like an attack
– Back up. Give space. Say: “Okay. I’m going to give you a little room right now.”
– Quietly remove any sharp or breakable items

4. Try the “Switch-Hands Trick.”
If they’re hitting with their dominant hand:
– Offer them something to hold (towel, stuffed object, cup)
– This shifts brain activity and interrupts escalation

5. Lower the Stimulation:
– Turn off TV (especially the news)
– Dim bright lights
– Play calming music — gospel, soft jazz, gentle piano

6. Reset the Room.
– Leave for 30 seconds
– Return like it’s a fresh moment
– Say something simple like, “Let’s sit and have tea,” or bring a soft blanket

7. Separate the Person from the Behavior.
This is not them — it’s the disease. They’re not trying to hurt you. They’re trying to protect themselves from an imagined threat. Don’t take it personally. But do get help.

8. Install Door Alarms or Motion Sensors.
This is the stage where wandering begins. They may try to “go home” to a place that no longer exists — or find a long-lost parent they believe is waiting for them.
Install simple door chimes or sensor alerts. Not to trap them — but to protect them.

Stage 5 — What Helps in Stage 5: Safety, Love, and Compassionate Care

1. Lock the Windows. Add Alarms.
Your loved one may still try to leave — not to run away, but to “go home” or find someone.
Even a second-story window may seem like a doorway to safety in their mind.
Use wedge locks, window stops, and motion sensors. It’s not about trapping — it’s about protecting.

2. Don’t Assume Care = Connection.
Some caregivers sit glued to their phones with one eye on your person. That’s not presence.
You need someone who understands dementia is a language. A rhythm. A dance.
If a caregiver can’t feel that — train them, or release them.

3. Train the Ones Who Stay.
Let caregivers shadow you. Let them watch how you interpret your mom’s expressions, her tone, her humor, her needs.
Teach them to honor her — not just “watch” her.
Let them see the whole human in front of them, not just the diagnosis.

4. Embrace Daily.
Hugs matter more now than ever.
Even if she forgets moments later — she still felt it.
Without your touch, she might leave this world without the feeling of being embraced. Don’t let that happen.

5. Read Her Without Words.
Just like she once read your cries, you now read her eyes.
You’ll learn when she’s scared. When she’s making a joke. When she needs the toilet.
Her language is emotional now — not verbal. Learn it.

6. Let the Repetition Be Okay.
If she asks the same thing 20 times, that’s okay.
Say: “Let’s talk about it again.” Or just nod and smile.
The goal isn’t new conversation. It’s comfort.

7. Make Space for Joy.
Play music she loves — even if she doesn’t know the lyrics.
Dance with her in the living room.
Take videos of her smiling and send them to family.
Don’t miss the light because you’re grieving the past.

8. Accept the New Form.
She’s not childish, but she may be childlike now.
Let her eat with her fingers.
Let her chatter without correction.
Let her be simple, silly, even nonsensical.
She is still herself — just in a different form. Don’t try to bring her “back.” Love who she is now.

You are doing sacred work. This is not babysitting. It’s not survival. It’s companionship at the edge of forgetting.
You’re not just keeping her alive.
You’re keeping her seen.

Stage 5 — When the Fire Fades and the Tenderness Begins

At this stage, something shifts.

The fear, the fire, the fighting of Stage 4… it fades. And in its place: softness. Your loved one might smile again. Laugh again. Dance a little. The wild paranoia may have lifted, but their words don’t always land. Some days they make perfect sense — especially in sleep — and other days, their speech drifts, repeats, or vanishes entirely.

You still miss who they were. But something gentle lives in who they are now. And if you slow down, you’ll find joy here too.

You made it through the hardest chapter. Now comes the most tender one — if you choose to stay present.

✅ What Helps in Stage 5: Safety, Love, and Compassionate Care

1. Lock the Windows. Add Alarms.
Your loved one may still try to leave — not to run away, but to “go home” or find someone.
Even a second-story window may seem like a doorway to safety in their mind.
Use wedge locks, window stops, and motion sensors. It’s not about trapping — it’s about protecting.

2. Don’t Assume Care = Connection.
Some caregivers sit glued to their phones with one eye on your person. That’s not presence.
You need someone who understands dementia is a language. A rhythm. A dance.
If a caregiver can’t feel that — train them, or release them.

3. Train the Ones Who Stay.
Let caregivers shadow you. Let them watch how you interpret your mom’s expressions, her tone, her humor, her needs.
Teach them to honor her — not just “watch” her.
Let them see the whole human in front of them, not just the diagnosis.

4. Embrace Daily.
Hugs matter more now than ever.
Even if she forgets moments later — she still felt it.
Without your touch, she might leave this world without the feeling of being embraced. Don’t let that happen.

5. Read Her Without Words.
Just like she once read your cries, you now read her eyes.
You’ll learn when she’s scared. When she’s making a joke. When she needs the toilet.
Her language is emotional now — not verbal. Learn it.

6. Let the Repetition Be Okay.
If she asks the same thing 20 times, that’s okay.
Say: “Let’s talk about it again.” Or just nod and smile.
The goal isn’t new conversation. It’s comfort.

7. Make Space for Joy.
Play music she loves — even if she doesn’t know the lyrics.
Dance with her in the living room.
Take videos of her smiling and send them to family.
Don’t miss the light because you’re grieving the past.

8. Accept the New Form.
She’s not childish, but she may be childlike now.
Let her eat with her fingers.
Let her chatter without correction.
Let her be simple, silly, even nonsensical.
She is still herself — just in a different form. Don’t try to bring her “back.” Love who she is now.

You are doing sacred work.
This is not babysitting. It’s not survival. It’s companionship at the edge of forgetting.

You’re not just keeping her alive.
You’re keeping her seen.

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