What should you do if a person with dementia is experiencing compulsive re-evaluating
When a person with dementia is experiencing compulsive re-evaluating—meaning they repeatedly question or doubt decisions, memories, or situations—it can be distressing both for them and their caregivers. This behavior often stems from the cognitive challenges dementia causes, such as difficulties with memory, problem-solving, and decision-making.
Here’s what you should do to help:
**Stay Calm and Patient**
Understand that compulsive re-evaluating is part of the illness. The person isn’t trying to be difficult; their brain is struggling to process information normally. Respond calmly without showing frustration or impatience.
**Provide Reassurance**
Offer gentle reassurance rather than arguing or trying to convince them they are wrong. Simple statements like “It’s okay” or “You’re safe” can help ease anxiety.
**Limit Choices When Possible**
Too many options can overwhelm someone with dementia. Simplify decisions by offering limited choices (e.g., “Would you like tea or water?” instead of open-ended questions). This reduces confusion and the need for repeated checking.
**Use Clear and Simple Communication**
Speak slowly using short sentences. Avoid complex explanations that might increase uncertainty. Visual cues like pictures or written notes may also support understanding.
**Create a Routine and Familiar Environment**
A predictable daily routine helps reduce anxiety about decisions because it provides structure. Keeping important items in consistent places prevents unnecessary searching and questioning.
**Distract Gently When Appropriate**
If repetitive questioning becomes intense, gently redirect attention to another activity they enjoy—like listening to music, looking at photos, or going for a walk—to break the cycle of worry.
**Check for Underlying Causes of Anxiety or Discomfort**
Sometimes compulsive behaviors arise from physical discomfort (pain, hunger) or emotional distress (fear). Make sure basic needs are met and consider consulting healthcare professionals if needed.
In summary, supporting someone who compulsively re-evaluates requires patience, reassurance, clear communication, simplification of choices, routine establishment, gentle distraction techniques—and always empathy toward their experience as part of dementia’s effects on thinking[1][2][4].
