Learning About Dementia-Related Hallucinations and Delusions
What are dementia-related hallucinations and delusions?
Hallucinations and delusions can happen in people who are living with dementia. When someone
hallucinates, they see, hear, or smell something that isn't there. Delusions are false beliefs or
ideas. For example, a person may believe that a longtime neighbor is now a spy sent to watch them.
What causes dementia-related hallucinations and delusions?
A number of things can play a role. They include:
How can you care for someone who is having dementia-related hallucinations or
delusions?
When someone with dementia starts having delusions or hallucinations, it can be concerning or even
upsetting at times. You may not always know how best to support them. And while every person's needs
will be different, these tips can help.
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Be sure what they're describing is in fact false. For example, it's pretty unlikely a
longtime neighbor has suddenly become a spy. But if someone lives in a long-term care facility
and they claim they are being hurt or stolen from, those claims should be thoroughly looked
into.
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Get treatment for all hearing and vision needs. Vision or hearing changes can worsen
hallucinations.
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Watch for patterns. Pay attention to the times that hallucinations or delusions happen.
This can sometimes help you find triggers or help you anticipate them.
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Be patient. It can be uncomfortable or even upsetting when someone is having
hallucinations or delusions. But remember that what they're seeing and hearing feels real to
them.
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Acknowledge the person's experience. For example, you can let them know that you believe
they are seeing what they say they are. And you can gently tell them that you aren't seeing the
same thing.
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Reassure. When hallucinations or delusions are upsetting, stay calm and reassure the
person that they're safe.
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Gently redirect. Try to shift the person's focus to something else, especially something
they enjoy. It could be an activity, a television show, or a walk outdoors.
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Avoid big changes in surroundings. Don't move furniture around or redecorate rooms. And
if you can, avoid frequent travel.
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Keep daily routines as consistent as possible. Changes in routine can cause stress and
confusion, which can increase delusions and hallucinations.
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Work with the person's doctor. Make sure the doctor knows about the hallucinations or
delusions. Sometimes adding new medicines or adjusting current medicines can help. And notify
the doctor if the person's hallucinations or delusions get worse.
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If you're a caregiver, take care of yourself too. It might be hard to remember to put
yourself first sometimes, but it's important. Make time for activities that give you rest or
help you feel recharged.
Current as of: July 31, 2024
Content Version: 14.5
Care instructions adapted under license by
your healthcare professional. If you have questions about a medical condition or this
instruction, always ask your healthcare professional. Ignite Healthwise, LLC, disclaims any
warranty or liability for your use of this information.