When a parent with dementia starts picking at invisible things, it can be confusing and concerning for family members. This behavior, known as phantom picking or plucking, is actually quite common in people with dementia.
There are a few reasons why this might happen. As dementia progresses, it can affect a person’s visual perception and ability to process sensory information. They may see things that aren’t really there, like threads or bugs on their skin or clothing. Their brain might be misinterpreting normal sensations as something that needs to be picked off.
Sometimes, this picking behavior is a way for the person to self-soothe or occupy themselves when they’re feeling anxious, bored, or understimulated. It can become a repetitive habit that gives them something to focus on.
In other cases, it may be related to delusions or hallucinations that are common in some types of dementia. The person might truly believe there are things on their skin that need to be removed, even if others can’t see them.
Certain medications can also cause itching or tingling sensations that prompt picking behaviors. It’s worth checking with their doctor to rule out any medication side effects or skin conditions that could be contributing.
While it’s usually harmless, excessive picking can sometimes lead to skin damage. You can try gently redirecting your parent to another activity when you notice the behavior. Providing sensory objects to handle or fidget with may help satisfy the urge to pick in a safer way.
Most importantly, try not to scold or argue with them about what they’re seeing or feeling. Their perception is very real to them, even if it doesn’t match reality. Staying calm and offering reassurance can help reduce any anxiety around these phantom sensations.
If the behavior seems to be causing distress or becomes obsessive, it’s a good idea to mention it to their doctor. They may be able to suggest additional strategies or treatments to help manage it.
Remember, this picking behavior isn’t something your parent can control. It’s just another way that dementia affects the brain. With patience and understanding, you can help them feel more comfortable and secure[1][2][5].
