Why do people with dementia start cleaning surfaces obsessively

People with dementia often exhibit behaviors that seem unusual or puzzling, and one such behavior is the obsessive cleaning of surfaces. This behavior can be both fascinating and concerning for family members and caregivers. To understand why this happens, it’s essential to delve into the complexities of dementia and how it affects the brain.

Dementia is a broad term that describes a decline in cognitive function, including memory loss, difficulty with communication, problem-solving, and other thinking abilities. It can result from various conditions, such as Alzheimer’s disease, vascular dementia, or even alcoholic dementia, which is caused by long-term excessive alcohol consumption. In all these forms, dementia impacts the brain’s ability to process information and control behaviors.

One of the key factors behind obsessive behaviors in dementia, including excessive cleaning, is the way the condition affects the brain’s structure and function. Dementia can lead to changes in areas of the brain responsible for controlling impulses and managing repetitive behaviors. This is similar to what happens in conditions like obsessive-compulsive disorder (OCD), where individuals feel compelled to perform certain actions repeatedly.

In the case of surface cleaning, individuals with dementia might find comfort or a sense of control in this repetitive activity. It could also be a way for them to cope with anxiety or stress, as the act of cleaning provides a clear, tangible task that they can focus on. Additionally, the repetitive nature of cleaning can be soothing, offering a sense of routine and familiarity in a world that may otherwise seem confusing or overwhelming.

Another aspect to consider is the emotional and psychological attachment people with dementia might have to cleanliness. In some cases, cleanliness was a significant part of their life before dementia, and this behavior is a residual habit that persists even as other cognitive functions decline.

It’s also important to recognize that while these behaviors can be challenging for caregivers, they are often a manifestation of the person’s attempt to maintain some level of autonomy and purpose. Therefore, rather than simply trying to stop the behavior, it might be more beneficial to understand its underlying causes and find ways to support and redirect it in a positive manner.

In summary, the obsessive cleaning of surfaces by people with dementia is a complex behavior influenced by changes in the brain, emotional needs, and past habits. By understanding these factors, caregivers can provide more empathetic and effective support, helping individuals with dementia to maintain their dignity and well-being.