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How Carers Can Manage Challenging Dementia-Related Behaviours

Caring for someone with dementia presents real challenges. One of the most difficult parts can be managing behaviours that seem confusing or upsetting — especially when the person you’re caring for no longer acts like the one you’ve always known.

If you’re a family member or a professional carer, you’re not alone in this. Challenging dementia-related behaviours are common, and while they can be distressing, they’re often ways for someone to express unmet needs or confusion. With patience, understanding, and the right tools, you can help create a calmer, more comforting environment for everyone involved.

Why Do These Behaviours Happen?

Dementia affects the brain in many ways — memory, reasoning, emotions, and even how someone sees or hears the world. When the brain struggles to make sense of things, behaviour is one of the first signs of change.

Often, these behaviours aren’t intentional. They might be caused by:

Confusion about time or place
Feeling overwhelmed or scared
Pain, discomfort, or a medical issue
A change in routine or environment
Difficulty communicating a need or emotion

It’s important to remember: the behaviour is a symptom, not the person.

Common Behaviours and What They Might Be Telling Us

Aggression or Agitation

This could be verbal outbursts or physical actions. Often, it’s a sign that someone is scared, in pain, or feeling misunderstood.

Wandering

Some people with dementia walk with purpose but don’t know where they’re going. They might be looking for something familiar or simply responding to restlessness.

Sundowning

As the day goes on, some people become more confused or anxious. This is known as “sundowning” and may be linked to fatigue, lighting, or even unmet needs like hunger or thirst.

Repetition

Repeating the same question or story can be frustrating, but it’s often a way of seeking comfort. They may not remember they’ve just said it — but the need behind it is real.

Hallucinations or Paranoia

Sometimes, people with dementia see or believe things that aren’t there. This can be distressing for everyone involved, but staying calm and reassuring helps.

Resistance to Personal Care

Refusing help with washing or dressing may be a response to embarrassment, confusion, or fear. They may not understand what’s happening — or feel that their independence is slipping away.

What Can Carers Do to Help?

While there isn’t a single solution that works for everyone, here are some strategies that can significantly impact the situation:

Stay calm and gentle. Speak softly and avoid raising your voice, even if things feel tense. Your mood sets the tone.

Use reassurance. A kind tone, eye contact, or a familiar song can go a long way in easing anxiety.

Stick to routines. Familiar patterns and environments help reduce confusion.

Redirect gently. If something is upsetting them, try changing the subject or guiding them to another activity.

Watch for pain or discomfort. Sometimes a headache, full bladder, or hunger is the real problem — even if they can’t say so.

Keep communication simple. Short sentences and one-step instructions are easier to process.

Be mindful of triggers. Loud noises, clutter, or unfamiliar people can sometimes lead to distress.

The Power of a Person-Centred Approach

When we take time to understand someone’s personal history, likes, dislikes, and daily rhythms, we can respond in ways that feel respectful and meaningful.

Maybe they were a keen gardener — could a few minutes outside with some flowers bring calm? Perhaps music played a big part in their life — a familiar tune might work wonders.

It’s about seeing the person behind the diagnosis and helping them feel safe, connected, and valued.

Caring for the Carer Matters Too

Managing these behaviours can be exhausting, especially if you’re doing it day after day. Whether you’re a relative or a live-in carer, your emotional wellbeing is just as important.

Take short breaks when you can
Talk to someone you trust
Don’t be afraid to ask for help
Remember that you’re doing your best — and that’s enough

At Eximius Support, we believe no one should have to face this alone. We’re here to support both the individual and those who care for them.

How Eximius Support Can Help

Our experienced live-in carers are specially trained to support people with dementia in a compassionate, respectful way. We build care plans around each person’s needs, helping to reduce distress and create moments of joy.

Whether it’s maintaining routines, providing reassurance, or just being a friendly face day after day, our carers bring calm and confidence into the home.

In Summary

Challenging behaviours are one of the hardest parts of caring for someone with dementia — but they can be managed with patience, empathy, and the right support.

If you’re feeling overwhelmed or unsure, don’t struggle on your own. Whether you need advice, respite, or full-time care, Eximius Support is here to walk beside you — every step of the way. Contact us today to find out how we can support you and your loved one.