How do you Respond to Hallucinations in Seniors with Dementia?

Donna Nichols • February 13, 2023
A group of people are walking down a tunnel in a black and white photo.

Did you know that dementia can cause someone to hallucinate? They can see, feel, taste, or hear something that is not there, but to them it is very real. Not all of these hallucinations are scary or bad, sometimes they are pleasant; maybe they see a loved one who passed and are communicating with them again.



No matter what the hallucination may be, do not discredit it; remember, it is very real to them. Validate the hallucination, respond accordingly to their feelings and most importantly, keep them safe.


How should you respond when someone you love is having hallucinations? Let’s see if some of our tips can help you out.


1.     Figure out if you need to respond to the hallucination. If it is a pleasant one, you may need not interfere. However, if it is a disturbing hallucination, you may need to intervene and clam them down, or try a different activity to get their mind off of it.


2.     Keep explanations about what is happening short. If you give them a long, drawn-out explanation, they won’t understand. Remember, their brain doesn’t work like it used to and they cannot comprehend things anymore. Keep it short and simple.


3.     Stay calm and provide reassurance. You must remain calm during the hallucination and don’t argue with them, telling them it is a hallucination and they area imagining it. This will only enrage them. Remember, the hallucination is very real to them and you need to go along with it.


4.     Check for triggers. There can be many triggers in the house that can cause hallucinations. If the television or radio is on, this can cause them to believe other people are in the house. If the room is dark and you have a dim light on, this can sometimes make it look like shadows are in the room and can cause fear. Mirrors are not good in the house for someone with dementia or Alzheimer’s (refer to our blog, The Challenges of Mirrors for Someone with Alzheimer’s). Remove all possible triggers.


5.     Look for patterns in the hallucinations. Does your loved one hallucinate around the same time each day? Is it when you are watching tv or listening to the news? Is it when you are talking on the phone? Keep a log of when these hallucinations happen to try and figure out what can be triggering them if it not apparent.


6.     Have a conversation with them. If they are hearing voices, try chatting with them. They cannot hear the voices if you are speaking to them. If they’re seeing visions, get to their eye level and start chatting, they won’t be able to concentrate on the vision with you in their line of sight.


7.      Talk to their doctor. Hallucinations could be a result of a medical condition such as, a head injury, dehydration, a urinary tract infection, or maybe a kidney infection. Seek help immediately if you think the hallucinations could be caused from a medical condition.


8.     Get support for yourself. Caring for someone is very stressful, adding the fact that they are having hallucinations increases YOUR stress level. Join an Alzheimer’s caregiver support group. Assisted Living Made Simple holds four such groups a month in Volusia County. PLEASE seek help, you are not alone!


A bird is sitting on a cane in front of a head with a bird flying out of it.
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Aging isn’t about slowing down—it’s about living more deliberately. As people age, their priorities shift from chasing time to cherishing it. So, what do seniors truly want? The answer is as diverse as the individuals themselves, but some clear themes emerge when we listen closely. 1. Connection and Community One of the most important things seniors crave is connection. Meaningful relationships bring joy and purpose, whether with family, old friends, or new acquaintances. Many seek social opportunities through clubs, senior centers, classes, or online communities. Loneliness can be a silent struggle, so companionship is a deeply valued part of life. 2. Respect and Independence Seniors want to be seen for who they are: individuals with a lifetime of experience, knowledge, and stories. Being treated with dignity and not being "talked down to" matters. So does having the freedom to make choices about their own lives. Maintaining a sense of autonomy is key when deciding how to spend their day, what to eat, or where to live. 3. Health and Wellness Staying healthy is more than just avoiding illness—it’s about having the energy to enjoy life. Seniors are increasingly proactive about fitness, mental health, and nutrition. Access to quality healthcare, fitness programs tailored to their needs, and mental stimulation are all top priorities. 4. Purpose and Meaning Retirement doesn’t mean retiring from life. Many seniors want to stay active through volunteering, mentoring, or even starting new ventures. Purpose drives fulfillment, whether taking care of grandchildren, learning a new skill, or contributing to a cause they care about. 5. Security and Peace of Mind Financial stability, safe housing, and access to reliable services give seniors peace of mind. Many are concerned about outliving their savings, dealing with unexpected health issues, or navigating complex systems. Clear information, supportive resources, and a sense of safety help ease these worries. 6. Fun and Adventure Yes—seniors still want fun! Travel, hobbies, music, food, and laughter never go out of style. Joy is ageless, whether it's a road trip, gardening, or dancing to old tunes. Seniors want to experience life, not just watch it pass by. Start by Listening Ultimately, the best way to understand what seniors want is simple: ask them. Every person, no matter their age, has unique preferences, needs, and dreams. When we listen with empathy and engage with respect, we create a world where aging is celebrated, not feared. Let’s build that world together. Call us to help each other enrich the lives of our seniors. 386-847-2322.
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