BLOG

6 Tips for Dealing Personality Changes In Older Adults with Alzheimer's

Peter Brissette • September 19, 2021

Alzheimer's Disease (AD) is a progressive neurodegenerative condition, which affects memory and learning ability to such a degree that the affected person can no longer perform daily tasks independently. The disease attacks neurons in the brain that control memory and intellectual functions. AD is typically characterized by plaques and tangles in a person's brain and their mental deterioration due to AD.


Alzheimer's disease is one of the most common forms of dementia and is a heartbreaking disease that affects a person's personality. The changes of the brain cause your loved one to change in personality and temperament, they may become more irritable or anxious, and it is common for them to lash out. Considering that the disease progresses over the years, it is essential to know how to cope with changes in personality so you and people at home can help take care of your loved one with Alzheimer's disease.


Suppose you wonder how to better serve a family member with Alzheimer's disease. First, you must take note of the common personality changes in adults living with the disease. Your loved one may have already shown the changes you may see from the lists; however, the other common changes included here are possible to happen in the future. So as someone who looks after your loved one with Alzheimer's. You must be open and ready to embrace these changes and take steps to manage them best.

Common Personality Changes In Older Adults with Alzheimer's

1. Loss of memory

The disease takes away your loved one’s ability to remember things due to its progressive nature. People with Alzheimer’s may forget the words they want to say or may even forget your name. Therefore, you must be wise in choosing appropriate times to talk with them and not upsetting them more.


2. Misplacing Things and Getting Lost

Over time, your loved one may tend to misplace things such as keys, wallet, and phone. It is because of their incapability to remember where they put their stuff. They may also get lost when you take them out on a walk or go out with them on a trip.


3. Inability to Communicate

AD often takes away your loved one’s ability to communicate on a personal level on purpose or unintentionally. As a result, it may cause them to feel lonely because they cannot communicate with people around them in a meaningful way.


4. Depression

Your loved one may become reclusive and withdrawn because of the hopelessness and loneliness of living with a deadly disease such as Alzheimer's disease. They might think that they cannot cope with it alone, which leads to depression or feeling helpless.


5. Aggressiveness

As the disease progresses, you may notice that your loved one is getting mean or moody. It is a common symptom of Alzheimer's disease. It is usually triggered by certain situations such as feeling lost, disoriented, and difficulty doing daily tasks. It leads to frustration and anger on the part of the person living with Alzheimer's disease.


6. Imagining Things That Aren't Real

AD patients may appear to hallucinate or imagine things that aren't there. It is because their condition makes it hard for them to distinguish reality from illusion. So you may see your loved one thinking that they are somewhere else when in fact, they are at home. They may also think that someone is talking to them when in fact, no one is there.


7. Repetitive Behavior

People with Alzheimer's may be stuck in a routine and tend to repeat the same tasks and activities repeatedly without variation. For example, you may notice that your loved one has a habit of moving the same things repeatedly from one place to another place. It is called perseveration. Moreover, they may even ask the same questions repeatedly.


These are common personality changes that you encounter and will encounter in your loved one suffering the disease. But you must not worry because it is normal for personality changes to happen in older people with AD. Some changes may be temporary, while some may be more enduring. You must prepare yourself for the condition and work with people around you to provide help and support for your loved one so he can continue living comfortably despite the disease.


A duty of care is an act that will allow you to take care of your loved one better in case Alzheimer's disease progresses. To give you better ideas on how you can deal with your loved one's changing behavior, here are some tips to help you.

6 Tips for Dealing with Personality Changes in Older Adults with Alzheimer's

The first thing you will need to do is extend your patience when dealing with your aging parents with Alzheimer's, as most parents are reluctant to accept help and care because they will claim that there is nothing wrong with them. But, aside from that, these are the things you can do to deal with your loved ones changing personalities.


1. Explain the Changes to Them

Since it is rare to find a person living with Alzheimer's disease who understands his illness, you must explain the changes you notice in plain language without being judgmental or blaming them. You can also tell stories about other people living with the same condition, so they know how their behaviors are not unusual for people living with Alzheimer’s disease.


2. Change Your Loved One's Environment

Sometimes change in the environment can help to manage AD'S changes in behavior. Changing your loved one's environment may include moving them from house to a new residence or perhaps adding a dog-walker to their daily routine for walks. If you do not want your loved one alone in a room, consider getting companionship support for them or hiring an Alzheimer's care assistant if they need help washing, eating, and dressing.


3. Encourage Your Loved One to Talk

Often, people with AD are reluctant to talk or don't know what to say. To encourage your loved ones to talk, sit them down and ask them questions—avoid asking about the past, which can be confusing because they may not remember. Instead, ask them what they are feeling now, what you should be doing together today, and even your favorite topic of conversation.


4. Manage Stress

Stress is known as an exacerbator of Alzheimer's disease changes in behavior. It elevates the stress hormone cortisol levels, which can lead to more agitation and agitated behavior in your loved one that may affect many things such as their mood, ad libitum requests, stuttering, and even hypersomnia. You can manage their stress by increasing your loved one's activity level, like engaging them in physical activities such as walking, dancing, and gardening. It will help to improve their overall health and functioning.


5. Remind Them of Their Passion

If your loved one used to be a passionate person, such as a golfer, musician, or artist, you should remind them of their passion because it will remind them who they are. Remind them of what they used to do, especially if they have done it for many years. For example, if your loved one used to play the piano for 30 years, show them pictures or videos of their past performance and encourage them to talk about the topic. You must be wise in choosing appropriate times to talk with your loved ones so you can avoid upsetting them more. You might also consider spending time with him doing something he enjoys to feel less lonely and experience less stress.


6. Respect Their Wishes

People with AD may become confused and experience delusions or hallucinations. It can affect their ability to make their own decisions. However, you must remember that it is a part of the disease and will not change the way they think—stubbornness, argumentativeness, and difficulty are common in people with AD. Do not be shocked when your loved one tells you something untrue or something they do not want to do.


The more prepared you are in dealing with the behavioral changes of your loved one with Alzheimer's disease, the better it will be for both of you. You must never be afraid to talk openly about these changes because doing so will help your loved one feel more confident and comfortable with himself despite his diagnosis.


Author Bio I'm Andrea Gibbs, Born, raised, and still living in New York. I'm a work-at-home mom with a background in business development, strategy, and social media marketing. I'm a blog contributor at Serenity Senior care to motivate other parents about how they can enhance their elderly loved ones quality of life.

September 30, 2025
Adult daycare programs have emerged as vital components in the continuum of care for older adults. These programs offer structured, daytime support, allowing seniors to engage in social, therapeutic, and health-related activities while returning to their homes in the evening. Adult daycare provides a flexible and supportive solution for families balancing caregiving responsibilities with other commitments. Understanding the multifaceted benefits of these programs is essential for making informed care decisions.​ The demand for adult day care services is growing, reflecting the needs of an aging population seeking alternatives to full-time residential care. According to the CDC , over 5,100 adult day services centers in the United States serve approximately 182,000 participants daily. These centers cater to individuals with varying levels of physical and cognitive abilities and provide personalized care plans. Exploring the specific advantages of adult day care can illuminate its role in promoting senior well-being and family support.​ How Adult Day Care Programs Improve Social Engagement Social isolation is a significant concern among older adults, often leading to adverse health outcomes. Adult day care programs address this issue by fostering a community environment where seniors can interact with peers. Engaging in group activities , such as art classes, music sessions, and games, encourages socialization and reduces feelings of loneliness. Regular participation in these programs can lead to improved mood and cognitive function.​ The structured nature of adult day care ensures that participants have access to consistent social opportunities. Centers often organize events and outings, providing variety and stimulation. These activities are designed to be inclusive, accommodating different interests and abilities. Such engagement is crucial for maintaining a sense of purpose and belonging among seniors.​ 
September 25, 2025
Maintaining strong connections with loved ones in assisted living is vital for their emotional and psychological well-being. Regular, meaningful interactions can significantly enhance a resident's quality of life, providing comfort and a sense of belonging. Understanding the best ways to spend quality time together fosters these benefits.​ Assisted living communities offer various opportunities for families to connect with residents through structured and informal activities. These environments are designed to support social engagement, making it easier for loved ones to participate in residents' daily lives. From communal events to personalized visits, numerous ways exist to create meaningful experiences. Exploring these options can help families make the most of their time together.​  Engage in Shared Activities in Assisted Living Participating in activities together can be a fulfilling way to spend time with loved ones in assisted living. Simple actions like reading a book aloud, working on a puzzle, or watching a favorite movie can provide comfort and enjoyment. These shared experiences can evoke positive memories and foster a sense of normalcy. Such activities can also stimulate emotion, conversation, and connection.​ Creative pursuits like painting, knitting, or crafting can be therapeutic and enjoyable. These activities allow residents to express themselves and can be a source of pride and accomplishment. Family members participating in these creative endeavors can strengthen their bond with the resident. Additionally, displaying completed projects can boost the resident's self-esteem and provide conversation starters.​
September 23, 2025
The holiday season brings joy, togetherness, and an abundance of delicious meals. For a senior, it's a time to celebrate with loved ones while being mindful of their health. Maintaining a balanced diet during festive gatherings is essential to ensure overall well-being. Assisted living communities are crucial in supporting seniors who enjoy holiday feasts without compromising their health.​ Assisted living facilities recognize the importance of nutrition in senior health. They provide tailored meal plans catering to individual dietary needs, ensuring seniors receive the necessary nutrients. These communities also offer educational programs to promote healthy eating habits among residents. Focusing on nutritional awareness helps seniors make informed choices during the holiday season.​ Understanding Nutritional Needs During the Holidays As people age, their nutritional requirements change , necessitating diet adjustments. Seniors often need fewer calories but more of certain nutrients like calcium, vitamin D, and fiber. During the holidays, indulging in calorie-dense foods that lack essential nutrients is easy. Assisted living communities address this by offering festive and nutritionally balanced meals.​ Protein intake is vital for senior health, helping maintain muscle mass and strength. Holiday meals can be tailored to include lean proteins such as turkey or plant-based alternatives. Incorporating these options helps seniors meet their protein needs without excessive saturated fats. Assisted living facilities ensure that holiday menus are designed with these considerations.​ Fiber is another crucial component of a senior's diet, aiding in digestion and preventing constipation. Holiday dishes can be modified to include whole grains, fruits, and fiber-rich vegetables. Seniors can enjoy traditional meals while supporting their digestive health. Assisted living communities prioritize these dietary adjustments during festive seasons.​ Hydration is often overlooked but is essential for seniors, especially during the holidays when alcohol and caffeinated beverages are prevalent. Encouraging water intake and offering hydrating foods like soups and fruits can help maintain proper hydration levels. Assisted living facilities monitor residents' fluid intake to prevent dehydration. Managing Chronic Senior Health Conditions with Holiday Foods Many seniors manage chronic conditions such as diabetes, hypertension, or kidney disease, which require specific dietary considerations. Holiday meals can be adapted to accommodate these needs without sacrificing flavor. Assisted living communities work closely with dietitians to create menus that align with senior residents’ health requirements. Controlling carbohydrate intake is crucial to managing blood sugar levels for seniors with diabetes. To reduce glycemic impact, holiday dishes can be prepared with whole grains and natural sweeteners. Assisted living facilities provide alternatives that allow diabetic residents to enjoy desserts in moderation. Thoughtful substitutions make holiday meals inclusive for all.​
September 18, 2025
The holiday season often evokes feelings of joy, togetherness, and celebration. However, for seniors who have experienced the loss of a loved one, this time can be particularly challenging. Memories of past holidays may intensify grief and loneliness, making it difficult to engage in festivities. Recognizing and addressing these emotions is crucial for the well-being of grieving seniors.​ Emotional support during the holidays is essential for seniors coping with loss. Providing a compassionate environment where they can express their feelings helps heal. Understanding the unique challenges grieving seniors face allows caregivers and family members to offer appropriate support. Understanding Holiday Grief in Seniors  Holiday grief in seniors is a multifaceted experience influenced by personal loss, societal expectations, and seasonal changes. The contrast between festive surroundings and internal sorrow can exacerbate feelings of isolation. Seniors may struggle with participating in traditions that once brought joy but now serve as reminders of their loss. Acknowledging these complexities is the first step in providing adequate support.​ Research indicates that nearly 95% of individuals who have experienced loss report at least one symptom of physical or mental distress during the holidays. These symptoms can include depression, anxiety, and sleep disturbances, which may be more pronounced in older adults. Understanding the prevalence of these issues underscores the importance of proactive emotional support. Caregivers should be vigilant in recognizing signs of holiday grief so they can intervene appropriately.​
September 17, 2025
Seniors hold a wealth of life experience that must be documented and shared. Their stories reflect unique perspectives on history, family, resilience, and personal growth. Telling senior life stories helps them connect to others and reaffirm their identity. Life review is an essential part of emotional well-being in assisted living communities. Senior life stories provide a powerful sense of purpose. Creating space for storytelling allows residents to reflect on meaningful moments that shaped who they are. It also strengthens their relationships with family members and caregivers. In assisted living environments, this process can be transformative for both the storyteller and the listener. Creating a Supportive Space for Storytelling A calm, comfortable environment is essential for encouraging residents to open up. Seniors often feel more secure sharing memories in familiar and nonjudgmental spaces. Thoughtful design, familiar objects, and caring staff help create the right setting. Quiet areas with soft lighting and personal touches can foster better memory recall . Caregivers and staff should ask open-ended questions that guide seniors into their memories. Instead of yes-or-no inquiries, questions like “What was your first job?” or “What holidays meant the most to your family?” open doors to rich conversation. Allowing time for thoughtful responses reduces pressure and increases comfort. Gentle prompting paired with genuine curiosity builds trust. 
By Paul Trusik September 12, 2025
Reminiscence therapy, which encourages seniors in assisted living to revisit memories and share personal life stories, can offer profound emotional benefits. Cognitive abilities might change as people age, but memories often remain vivid, offering a powerful connection to their past and sense of identity. Reminiscence therapy allows seniors to process their experiences and emotions, improving their emotional well-being and quality of life. Additionally, it allows seniors to build connections with others, strengthening their social bonds.  Many assisted living communities have recognized the positive impacts of reminiscence therapy. Not only does it help with emotional expression, but it also improves cognitive function and strengthens mental resilience. Revisiting memories brings joy, stimulates mental activity, and creates a greater sense of purpose among seniors. The Impact of Reminiscence Therapy on Cognitive Health Cognitive health can improve significantly through reminiscence therapy. Studies suggest that reflecting on past experiences enhances memory and helps individuals maintain mental clarity. This process allows seniors to practice recalling essential events, names, and faces, which keeps their cognitive faculties sharp. Regular engagement with this therapeutic practice reduces the risk of cognitive decline and may delay the progression of Alzheimer's disease or dementia.
Woman giving a gift to an older woman with a happy expression, seated indoors with a window in the background.
September 9, 2025
Discover how assisted living communities create meaningful holiday traditions—blending family, culture, and joy—to keep seniors connected and engaged.
September 5, 2025
Protect seniors from flu and pneumonia complications. Vaccinations in assisted living reduce hospitalizations, boost safety, and improve quality of life.
September 5, 2025
Learn key fall risks and practical fixes—exercise, meds, lighting, footwear—to keep seniors safe. Proactive, personalized care in assisted living.
July 25, 2025
Helping a loved one transition to assisted living requires emotional support, planning, and more. Learn practical tips to ease the adjustment.