Hoarding behaviors in individuals with dementia, like your aunt’s habit of keeping dirty tissues, are not uncommon. This tendency often stems from the cognitive changes associated with dementia, which can affect memory, decision-making, and emotional processing[1][3].
As dementia progresses, your aunt may struggle to differentiate between items that are valuable and those that should be discarded. Tissues, even when used, might hold significance to her that isn’t apparent to others. She may forget that she’s already used them or believe they still have a purpose[1].
The urge to hoard can also be a response to feelings of insecurity or loss of control that often accompany dementia. Keeping items, including tissues, might provide a sense of comfort or familiarity in an increasingly confusing world[3].
Additionally, your aunt may have difficulty with executive functions like organizing and disposing of items. What seems like a simple task to others can be overwhelming for someone with dementia[1][3].
It’s important to approach this behavior with patience and understanding. Forcibly removing hoarded items can cause distress. Instead, work with her healthcare providers to develop strategies that ensure her living environment remains safe and hygienic while respecting her need for comfort and control[3].
Remember, this behavior is a symptom of her condition, not a choice. With compassionate care and appropriate interventions, it’s possible to manage hoarding tendencies while maintaining your aunt’s dignity and well-being.
