Your father’s belief that he’s the mayor of the house is likely due to a common symptom of dementia called delusions. Delusions are false beliefs that seem very real to the person experiencing them, even when there’s clear evidence that they’re not true[1][5].
In dementia, the brain undergoes changes that can affect how a person perceives reality. These changes can lead to confusion about roles and responsibilities, especially in familiar settings like home[2]. Your father might feel a strong need to be in control or to have an important role, and in his mind, being the “mayor” of the house fulfills that need.
This type of delusion is often harmless and might even give your father a sense of purpose or importance. It’s his brain’s way of making sense of his surroundings and his place in them as the disease progresses[4].
It’s important to remember that arguing with someone who has dementia about their delusions usually doesn’t help and can cause distress. Instead, try to respond to the emotions behind the belief. If your father seems happy or content in his role as “mayor,” it might be best to play along to some extent, as long as it’s not causing any harm[1].
However, if the delusion is causing distress or leading to unsafe behavior, it’s crucial to consult with his doctor. They might be able to suggest strategies to manage the delusion or adjust his medication if needed[7].
Remember, this behavior is a symptom of the disease, not a choice your father is making. Treating him with patience and understanding can help maintain a positive relationship and reduce any anxiety he might be feeling[14].
