Dementia

» Find a counsellor or psychotherapist dealing with Dementia

It can be very difficult to come to terms with the diagnosis of dementia - for both the sufferer and their family and friends. It may not be physically painful and it may not affect appearance or mobility, but over time, dementia can change an individual's personality unrecognisably and - sadly, irreversibly.

The most common change associated with dementia is memory loss, which can become so severe that sufferers need daily care to do basic things like eat, wash and go to the toilet. People with dementia are vulnerable to rapid mood changes, anxiety, depression and even bouts of aggression. This is because memory loss can be scary and disorientating. This in turn can be very sad and frustrating for friends and relatives, who must learn to cope with massive changes in their lives.

Many people in Britain live with dementia. In 2012 The Alzheimer's Society estimated there were around 800,000 people in the UK with varying types and stages of the disease. Worryingly that number is expected to double over the next 40 years. Although dementia is most common in older people, younger people can also develop it.

Although dementia cannot be cured or reversed, it can be managed. In recent years, more attention has been given to counselling as a way of helping dementia sufferers and their families deal with the diagnosis. Counselling is recognised as an effective tool for helping make life as normal as possible for people in the early stages of dementia. It is also an excellent support line for carers struggling to cope with big changes and new responsibilities. For more information about specific support available for carers, please visit our Carer Support page.

What is dementia?

Dementia itself is not a disease, but a collection of symptoms caused by one of a large number of possible brain diseases. The most common disease that causes dementia is Alzheimer's disease, a condition that damages and kills brain cells. Dementia can change the way a person thinks, feels, functions and communicates. The most noticeable symptoms of dementia are severe memory loss, behaviour changes, mood swings and disorientation. Dementia is a progressive condition, which means that it gradually gets worse over time.

Types of dementia

There are 100 different types of dementia, and each type is caused by something slightly different. According to The BBC, the four most common types of dementia are:

Alzheimer's disease - caused by a build up of tissue in the brain (62% of dementia cases).
Vascular dementia - caused by blocked arteries leading to the brain (17% of dementia cases).
Mixed dementia - a combination of Alzheimer's and vascular (10% of dementia cases).
Lewy body dementia - a build up of protein deposits in nerve cells (4% of dementia cases).

Alzheimer's disease is the most common cause of dementia. Less common causes of dementia include:

HIV
chronic heavy alcohol abuse
Huntington's disease
multiple sclerosis
motor neurone disease.

What does it feel like to have dementia?

Caring for a loved-one who has dementia can at times be very frustrating; it's often difficult to know what they want, or what's going on in their minds because they themselves do not know. Without a functioning memory, how are they supposed to make sense of the world, or even their own thoughts and feelings?

Think about your own memory for a moment. 'Memory' is not just remembering what you had for dinner yesterday, or recalling that pair of shoes you used to love when you were a teenager. Memory stores everything. Without memory, how would you be reading these words? Reading is one of those basic skills we hardly give any thought to - just like speaking, knowing when to cross a road, and telling the time. In fact, everything we do in life requires a certain amount of skill and prior knowledge. People with dementia often struggle to recall these vital memories, meaning they lose their grasp on reality, find it difficult to carry out basic tasks and eventually even lose their sense of 'self'.

One U.S. psychologist, P.K. Beville, PhD, drew on his 20 years of experience working with dementia patients to develop the 'Virtual Dementia Tour™' - a simulation that allows healthy people to see the world through the eyes of a person with dementia. This tour is used in a number of dementia care centres across America to help carers understand what their patients are going through.

The experience involves participants having their senses muffled with certain props, including red-tinted goggles, shoes filled with corn and binding around two or three fingers. They are then asked to complete five simple tasks including pairing up socks, putting toothpaste on a toothbrush and putting a belt through a pair of trousers. According to one journal, 146 participants who tried the simulation came away with a stronger sense of empathy and a new understanding of the plight faced by dementia sufferers.

How to recognise signs of dementia

Recognising signs of dementia early on means a quick diagnosis can be made. Once a diagnosis has been made, it is possible to start making plans for the future - e.g. getting the right medication, seeking counselling to support everyone affected and putting money aside for future care.

If you're worried, you can look out for these 10 warning signs of dementia:

1. Memory loss

Most of us have probably walked into a room and forgotten what we went in there for. Forgetfulness is a common trait - especially in a fast-paced world full of stresses and pressures. However, when forgetfulness starts to affect the ability to lead a normal life, a visit to the GP is recommended.

2. Difficulty with day-to-day tasks

Memory loss can make it very difficult to do what most of us see as basic tasks, like cooking dinner, washing and cleaning the house.

3. Problems with language

People with dementia often forget words and lose track of what they are saying.

4. Confusion over time and place

It is not uncommon for dementia sufferers to get lost in their own street even if they've taken the same route for years.

5. Inability to make judgements

Making good judgements - such as whether or not it is safe to cross a road - requires quick thinking and common sense, both of which can be obscured by dementia.

6. Problems with abstract thinking

Sometimes in order to understand something - like how to use a phone, we have to be able to remember other rules first - such as what numbers mean. In reality, numbers are just little squiggles. It is only because we learn what they mean at a young age that we can decipher them as adults.

7. Losing things

People with dementia frequently put objects in places they clearly don't belong (e.g. books in the fridge, dishes in the wardrobe etc.). This makes it very easy for important things to become lost and adds to the confusion and frustration of dementia.

8. Mood changes

Living in a world where nothing seems to make sense can be extremely distressing. With everything changing and shifting around you - how are you supposed to know what to believe? People with dementia often experience great surges of emotion, such as anger and sadness, which can lead to emotional outbursts.

9. Personality changes

People suffering from dementia often lose a grip on who they used to be. Dementia can also result in a loss of inhibitions, leading to socially inappropriate/overfamiliar behaviour.

10. Loss of motivation

People with dementia often become passive and lose interest in things that they used to enjoy.

How can counselling help people with dementia?

Counselling is an effective way of helping people with dementia - and their families - come to terms with a traumatic and life-changing diagnosis.

There is plenty of advice available for families dealing with dementia. The problem with advice found in books, leaflets and on the Internet, is that it is very general. How do you know that it will apply to you? Dementia is inconsistent by nature - what works one day might not work the next. For this reason, it can be very beneficial to have an expert work with you to get to grips with the unique patterns of your or your loved one's disease.

Counselling does not claim to be able to treat or cure dementia, but it can effectively manage it. Counselling can help sufferers and families together...

find ways to make life as normal as possible
understand the nature of the condition
come to terms with changing roles within the family
learn to get to grips with everybody's emotions
address deeper questions, such as identity loss and social stigma
come to accept a new identity
find a pathway through the health system.

Making life as normal as possible

When a family member gets diagnosed with dementia, life does change. Whatever your role in the family - whether spouse, child, or even if you are the person diagnosed with dementia, then you'll probably be keen to make life as normal as possible for everyone affected. Counsellors work with families to make life as normal as possible by talking about the following:

Taking care of hygiene - ensuring the person with dementia doesn't forget to do important things like clean their teeth, wash and go to the toilet.
Looking after the house - there are lots of things to remember that most of us don't even think twice about e.g. taking out the bins, putting the dishes away in the right places, dusting and so on. If these things are not done for a long time, the house can become a messy and dangerous place.
Eating properly - are they remembering to have breakfast? Are they eating the right things?

A counsellor will help families affected by dementia work out ways of dealing with these everyday challenges. This might involve assigning care duties to different members of the family on different days, inventing a 'prompt system' to remind the patient to do certain things, and developing a structured, simple routine to make life feel as normal as possible.

Communication

Dementia is a scary, inconsistent condition. It can hurt a lot to see someone you know and love deteriorate in such a way. Although their body is there and they look the same, you may feel like the person inside is gone.

Part of dealing with dementia is learning to accept the new identity of your loved one and to get to grips with their new behaviour. One of the biggest challenges will be to communicate effectively with them. People with dementia often have trouble finding the right words to use and sometimes use substitutes that make no sense. Your counsellor will work with you to develop better ways of communicating, which may include:

Using your posture, facial expressions and body language to convey meaning - often dementia sufferers can pick up on emotional cues and get agitated if they sense negativity.
Speaking clearly and slowly.
Waiting a moment and repeat if there is no response.
Using miming gestures to act out what you mean.

You can also learn to interpret how your loved one is feeling and what they need by paying closer attention to their behaviours.

Mental health

Dementia doesn't just affect the person experiencing it. It can also impact the mental health of their friends and family. The responsibility of being a carer, the grief of losing a loved one and the fear and anxiety of a future infinitely different to the one you imagined, can lead to a number of mental health problems including:

Follow the links to find out more about each of these conditions and how counselling can help.

With the right counsellor, you could vastly improve the quality of your own life and in turn, the quality of care received by the sufferer. For those with very early signs of dementia, counselling can help deal with any fear and anxiety, and help sufferers put measures in place to ensure they get the right care and support in the future.

Further help

» Find a counsellor or psychotherapist dealing with Dementia

» Back to Top

All content displayed on Counselling Directory is provided for general information purposes only, and should not be treated as a substitute for advice given by your GP or any other healthcare professional.

Whilst we endeavor to ensure all information is accurate, Counselling Directory make no representations or warranties of any kind, whether express or implied, as to the accuracy of the information included within the website. Any dependence you place on such information is therefore strictly at your own risk.