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August 8
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A myALZteam Member

I cannot speak with their doctor due to HIPPA

August 8
myALZteam

What can you do when a parent with Alzheimer's resists care due to paranoia? This is one of the most heartbreaking challenges caregivers face, and you're definitely not alone in it.

It's important to understand that their suspicion isn't personal — their brain is filling in memory gaps with false explanations that feel Show Full Answer

What can you do when a parent with Alzheimer's resists care due to paranoia? This is one of the most heartbreaking challenges caregivers face, and you're definitely not alone in it.

It's important to understand that their suspicion isn't personal — their brain is filling in memory gaps with false explanations that feel completely real to them. The fear and emotions they experience are genuine, even if the beliefs aren't. Here are some approaches that can help:

- Stay calm — avoid arguing, raising your voice, or sudden movements
- Validate their feelings — let them know you hear their concerns and take them seriously
- Gently offer reassurance — remind them they are safe and loved
- Use "therapeutic fibbing" — kindly going along with their version of reality to ease distress (e.g., reassuring them their belongings are safe)
- Redirect their attention — help them focus on something comforting
- Address triggers — poor lighting, background noise, dehydration, or loneliness can worsen paranoia
- Focus on small steps — rather than pushing for full involvement, address specific concerns as they come up It's also worth speaking with their doctor. In some cases, medications may help manage paranoia, though these carry risks and should be carefully discussed with their healthcare provider.

Take care of yourself too — this situation is emotionally exhausting, and reaching out for support from others who understand can make a real difference.

August 8

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Palm Desert, CA