Paranoia in the elderly is usually a symptom of other underlying health issues. It can be stressful to deal with, and caregivers often feel unsure about how to help. It’s estimated that anywhere from 16% to 23% of elderly adults experience these episodes, for a variety of reasons.
Paranoia in the Elderly
Paranoia is a disconnect between reality and perception. Seniors dealing with paranoia believe that others want to hurt them or cause them harm. They could believe they’re in danger, or that someone is stealing from them or plotting against them. As you might imagine, this fear causes additional stress. It can even lead to them lashing out at caregivers or family members, believing they need to protect themselves.
What Causes Extreme Paranoia in the Elderly?
Paranoia in the elderly can be caused by a variety of conditions, including:
- Dementia
- Alzheimer’s disease
- Schizophrenia
- Certain medications
- Alcohol or drugs
- Mood disorders
- Bipolar disorder
- Brain conditions
If an elderly loved one is suddenly showing signs of paranoia, it’s important to schedule an appointment with their doctor. There is usually an underlying medical issue, and the sooner they can be diagnosed, the sooner they can get the treatment they need.
The Symptoms of Elderly Paranoia
Paranoia can take many forms. Some paranoid responses in seniors are mild and intermittent, and some may be more stressful both for them and for their families.
The symptoms can include:
- Extreme, unexplained agitation or stress.
- Making false accusations.
- Feeling that they’re being treated unfairly.
- Hearing noises they can’t explain.
- Seeing things that aren’t there.
- Delusions.
- Confused speech that doesn’t make sense.
How to Support Someone with Paranoia
Above all, it’s important to stay calm and comforting. Patience can be challenging, but it’s essential to avoid making their anxiety worse by arguing or becoming emotional.
Here are a few things you can do when your family member is experiencing paranoia:
- Listen with empathy. Not only can this help them calm down, but you’ll get a deeper idea of what they’re experiencing, and this will be important when talking to their doctor.
- Don’t argue or try to convince them that whatever they’re paranoid about isn’t real. This can feed into their paranoia and make it worse.
- Be aware of your body language. Try to sit if they’re sitting or get closer to their eye level when speaking. If they’re already feeling threatened, standing over them can exacerbate the situation.
- Try to keep their surroundings quiet and calm.
Get support for yourself as well. It can be difficult for a family member when their loved one is experiencing paranoia. Consider seeking respite care services so you can take much-needed breaks.
When to Get Help
It’s a good idea to schedule a doctor's appointment as soon as you notice signs of paranoia. As noted above, paranoia is often a symptom of other underlying health issues. For example, the strong connection between paranoia and dementia is well documented. The sooner your loved one can get diagnosed, the better.
It may be a challenge to convince your loved one to go to the doctor, especially when they’re dealing with paranoia. Have the discussion calmly and patiently. Call in reinforcements if it can be done in a way that won’t trigger additional paranoia. This is also a case where a neutral party, such as a caregiver, can help. Services like those featured in our Total Care Solutions program provide virtual visits and other assistance to support you and help your loved one get the care they need.
Get the Extra Support You Need from Homewatch CareGivers
It helps to have someone to rely on when you need a break or some backup with your loved one’s day-to-day care needs. Our professional, compassionate caregivers can help, and you do not have to handle it alone. Get in touch with us online or call 888-404-5191 for a free consultation.
