Some dementia patients may start exhibiting aggressive behavior as the disease progresses. There are different causes for behavioral changes in dementia which don’t necessarily revolve around the disease itself. For example, behavioral changes may be associated with some sort of difficulty brought on by dementia, side effects of medications, changes in environment, social interactions, habits, and mental and physical health.
Aggressive behavior can be verbal or physical. In verbal aggressive behavior, patients may swear, scream, shout, or make threats. Physical aggressive behavior is when the patient hits, pinches, scratches, bites, or pulls hair.
Aggressive behavior may stem from the patient’s behavior prior to diagnosis, or it can develop as the disease progresses even if the patient wasn’t aggressive before.
Dealing with aggressive behavior can be quite challenging for a caregiver and at times scary because they may feel threatened or worry about their own and the patient’s safety.
Some dementia patients have trouble revealing or understanding their needs or wants, so in order to express themselves, they may exhibit aggressive behavior. Causes of aggressive behavior may be biological, social, or psychological.
Biological causes of aggressive behavior include:
Social causes of aggressive behavior include:
Psychological causes of aggressive behavior include:
The first step in managing and preventing aggressive behavior in dementia is to try and understand the patient’s needs or wants and ensure they are being taken care of. This means responding to hunger, thirst, tiredness, boredom, or other frustrations the patient may have. Here are some tips to help caregivers prevent and manage aggressive behavior.
If these tips are unsuccessful and you are finding that the aggressive behavior is worsening, you may want to speak with the patient’s doctor with regards to medications that can help control the behavior.