Coping with Violent Behaviour in a Loved One with Dementia

An elderly gentleman's hands holding a walking stick.

Caring for a family member, loved one, or friend with dementia can be incredibly rewarding, but it also comes with unique challenges. One of these challenges is dealing with violent behaviour that may arise due to the cognitive changes associated with dementia. In this article, we will explore effective strategies to manage and respond to violent behaviour while prioritising safety and understanding.

Understanding the Triggers

Violent behaviour in individuals with dementia often stems from feelings of confusion, frustration, fear, or even physical discomfort. It’s crucial to understand the triggers that lead to these outbursts. Pay attention to patterns and situations that provoke such behaviour. This understanding can help you anticipate and prevent potential triggers, reducing the likelihood of violent episodes.

Maintain a Calm and Reassuring Environment

Creating a calm and reassuring environment is essential to prevent escalation of violent behaviour. Maintain a consistent daily routine, as changes in routine can cause confusion and anxiety. Use soothing and familiar objects, pictures, or music that can provide comfort and reassurance. Speak in a gentle tone and offer simple explanations when needed.

Effective Communication

Clear and concise communication can significantly reduce misunderstandings and frustration. Use short sentences, simple words, and a calm tone when communicating with your loved one. Avoid arguing or correcting them if they’re confused, as this can lead to heightened agitation. Listen actively and respond to their feelings rather than focusing on the accuracy of their statements.

Redirect and Distract

When you notice signs of agitation or potential violent behaviour, try redirecting their attention to a different activity. Engaging in a calming activity or talking about a positive memory can help shift their focus away from the triggering situation. Offering a favourite snack or engaging in a soothing sensory activity can also be effective.

Monitor Personal Comfort

Physical discomfort, such as pain or hunger, can contribute to irritability and aggression. Regularly check if your loved one is comfortable, well-rested, and not experiencing any pain. Make sure they’re properly hydrated and have access to bathroom facilities. Addressing these basic needs can have a positive impact on their behaviour.

Seek Professional Guidance

If violent behaviour becomes a consistent challenge, consider seeking help from healthcare professionals who specialise in dementia care. Your loved one’s healthcare provider can assess their condition, recommend appropriate interventions, and potentially adjust their medications if necessary. Consulting with a dementia specialist or a geriatric psychiatrist can provide valuable insights and strategies.

Be Patient

Dealing with violent behaviour in a family member, loved one, or friend with dementia requires patience, empathy, and a proactive approach. By understanding triggers, creating a calming environment, communicating effectively, and redirecting their attention, you can manage and prevent violent outbursts. Prioritise your loved one’s safety and well-being, and don’t hesitate to seek professional guidance when needed. With the right strategies in place, you can provide the support and care your loved one deserves during this challenging time.