Why is my aunt with dementia convinced she is inside a movie?

Your aunt with dementia may believe she’s inside a movie due to a symptom called “ideas of reference.” This happens when someone mistakenly thinks that events or things around them have special meaning or are directed at them personally[1].

For people with dementia, the line between reality and fiction can become blurred. Their brain may struggle to process information correctly, leading to confusion about what’s real and what’s not[2]. The familiar sights and sounds of movies might feel more real to them than their actual surroundings.

Dementia can also affect memory and perception. Your aunt might mix up memories of movies she’s seen with her current experiences, making her feel like she’s part of the movie itself[2]. This confusion can be heightened if she’s in an unfamiliar environment, like a hospital or care facility.

Sometimes, people with dementia experience hallucinations or delusions. These false beliefs or sensory experiences can make them think they’re in a different place or situation, like being inside a movie[3].

It’s important to remember that arguing with someone who has dementia about their beliefs usually doesn’t help. Instead, try to understand their feelings and provide reassurance. Engaging them in familiar activities or reminiscing about happy memories can help ground them in reality[2].

If your aunt’s symptoms are causing distress, it’s best to consult with her doctor. They can assess if any treatments or adjustments to her care plan might help manage these symptoms[3]. Remember, your aunt isn’t choosing to believe these things – it’s a result of how dementia is affecting her brain.