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Home Home Care Can Hoarding Be a Sign of Dementia?
a dementia old woman collecting old things

Can Hoarding Be a Sign of Dementia?

June 11, 2024Assisting Hands

Summary: Yes, hoarding can be a symptom of dementia because it involves cognitive decline. As dementia progresses, people often have trouble with memory, decision-making, and organization. The anxiety and confusion from dementia can make hoarding worse, creating challenges for caregivers and family members.

Hoarding is a mental disorder characterized by the accumulation of items and difficulty in discarding them, often linked to underlying psychological conditions like anxiety and depression. Recent studies indicate a potential connection between hoarding and dementia, a group of disorders marked by cognitive decline that affects daily activities. Hoarding can present significant health and safety risks for individuals with dementia. Understanding the relationship between hoarding and dementia is crucial for providing appropriate care and intervention.

a dementia old woman collecting old things

What is the Connection Between Hoarding and Dementia?

Individuals with dementia or Alzheimer’s disease may exhibit hoarding behaviors due to impaired decision-making, memory loss, and increased anxiety. As dementia progresses, individuals face cognitive and emotional changes that can lead to hoarding behaviors.

These changes can cause an individual to hoard items for several reasons:

  • Memory Loss – People with dementia may have trouble remembering what items they own, which can result in them acquiring duplicates or keeping things they don’t need.
  • Difficulties with Decision-Making – Dementia can impact decision-making regarding belongings, leading to the hoarding of possessions.
  • Anxiety and Security – Hoarding items can be a response to feelings of anxiety to make an individual feel more secure in a complex world.
  • Emotional Attachment – Individuals with dementia may develop strong emotional attachments to items and feel as though they are important or hold a strong significance.
  • Compulsive Behaviors – Dementia may present with obsessive-compulsive tendencies, such as hoarding behaviors.

Understanding these connections helps family members and healthcare professionals develop effective strategies to address hoarding behaviors in individuals with dementia. When aiding individuals with dementia who show hoarding behaviors, it is essential to create a safe and supportive environment for them.

How Can You Differentiate Hoarding Disorder and Hoarding as a Symptom of Dementia?

Determining whether hoarding is a separate disorder, or a symptom of dementia requires analyzing factors such as the individual’s age, cognitive function, behavior, awareness, and response to interventions. The onset of hoarding disorder typically occurs during adolescence or early adulthood and is fueled by emotional attachments, perfectionism, and anxiety, without any noticeable cognitive decline. On the other hand, dementia-related hoarding typically begins in later stages of life, accompanied by cognitive impairments such as memory loss and challenges with decision making, and may stem from confusion or a desire for security. Individuals with hoarding disorder may be aware of their behavior, whereas individuals with dementia typically lack this insight.

Treatment approaches vary depending on the type of hoarding disorder. Cognitive behavioral therapy has been shown to be effective for individuals with hoarding disorders, whereas managing dementia symptoms and ensuring a safe environment is crucial for dementia-related hoarding. While evaluating these factors is important for family members to determine the appropriate care needed, it is also crucial for hoarding cleanup services to provide effective interventions tailored to the individual’s specific needs.

Tips for Helping Individuals with Dementia Who Hoard

senior man donating his old items to clean the clutter

It is important to handle individuals with dementia and hoarding behaviors with care and sensitivity for various reasons. Hoarding can create health and safety risks, including fire hazards, falls, and unsanitary conditions, especially for those dealing with cognitive decline. Interventions that are abrupt or insensitive could lead to increased distress and resistance, worsening the situation and straining relationships with caregivers or family members.

Individuals with dementia may have difficulty recognizing their condition, so it is essential to use gentle and supportive approaches to build cooperation and trust. Having effective intervention strategies in mind will allow the individual to feel safe.

Establish Trust and Understanding

Building trust and understanding is essential when working with individuals who have dementia and hoarding tendencies. This involves treating the individual with empathy, patience, and respect for their autonomy. It is important to take the time to listen to their concerns and preferences, while reassuring them that you are here to provide support without judgment or criticism.

Take Small Steps

Beginning with small steps can prevent feelings of overwhelm and distress. Start by choosing a specific area to declutter, like a drawer, closet, or shelf. Breaking down tasks into smaller steps can help make them more manageable for individuals, reducing feelings of intimidation. Starting with items that are less emotionally significant or used less often can help make the decluttering process easier.

Provide Gentle Guidance

When helping those with dementia and hoarding tendencies, it is important to offer gentle guidance to support their dignity and independence while making positive progress. Provide encouragement and reminders during the decluttering process rather than forcefully removing items. Offering suggestions allows individuals to feel empowered and in control of the process.

Prioritize Safety

Ensuring safety is vital when assisting individuals with dementia and hoarding behaviors. Hoarding can lead to blocked pathways and fire hazards which should especially be avoided by individuals with dementia. Ensure that pathways are clear, and that the individual has easy access to essential items. Offer open communication about safety concerns and involve the individual in making decisions regarding hazard mitigation.

Assisting Hands Home Care For Dementia Individuals

home care services for dementia seniors

At Assisting Hands Home Care, we specialize in providing compassionate, professional support for individuals with dementia, ensuring they receive the best care in the comfort of their own homes. Our trained caregivers are skilled in addressing the unique challenges that come with dementia. They create a safe, nurturing environment that promotes the well-being and dignity of each client.

Our caregivers assist with daily activities such as bathing, dressing, and meal preparation, and provide medication management to ensure clients adhere to their prescribed treatments. They also offer companionship and mental stimulation, engaging clients in activities that can help maintain cognitive function and improve quality of life.

In addition to these personalized homecare services, our caregivers are vigilant about maintaining a safe home environment. For clients dealing with hoarding, our team takes special care to clean up the space, removing potential fire and mold hazards. They collaborate with reputable hoarding cleanup services to ensure thorough and professional cleaning, creating a safer living space for our clients.

Our dementia care services are available in Palos Heights, Lockport, Romeoville, Homer Glen, Orland Park, Tinley Park, Crest Hill and the surrounding areas of Illinois. Call to inquire about our senior home care services today at (773) 207-3767.

Tags: Alzheimer's and dementia care, dementia symptoms, hoarding disorder
Previous post What Causes Hand Shaking in Elderly? Next post How-To Guide for Pureeing Food for the Elderly

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