Violence & Agitation

A person with Alzheimer’s may feel anxious or agitated. He or she may become restless, causing a need to move around or pace, or become upset in certain places or when focused on specific details.

Alzheimer’s Association: https://www.alz.org/help-support/caregiving/stages-behaviors/anxiety-agitation

Senior Woman Comforting Man With Depression At Home
How do you reduce agitation?
  • Create a calm, quiet, and comfortable environment.
  • Decrease stressors, such as loud televisions, screaming children, and unfamiliar visitors. Monitor room temperature, light level, and glare.
  • Eliminate caffeine and alcohol.
  • Obtain a hearing and vision check to make certain hearing aid and eyeglass prescriptions are adequate.
  • Review medication side effects. Many medications, including those used for allergy and sleep, can be mind-altering.
  • Help your loved one engage in activities that are soothing and give him or her pleasure and comfort – like walking a favorite dog, listening to a favorite type of music, or watching a favorite sport on television.
  • Offer a security object such as a pillow, stuffed animal, or small blanket in association with soothing rituals like gentle touch.
  • Monitor personal comfort by checking for: pain, hunger, thirst, constipation, full bladder, fatigue, infections, and skin irritation.
  • Be sensitive to fears, misperceived threats, and frustration. Simplify tasks and routines.
  • Be attentive but avoid overwhelming your loved one with questions and conversation.
  • Provide an opportunity for exercise: go for a walk, garden together, or put on music and dance.
What if my loved one gets violent? 

Violence is not a frequent part of this disease, but hallucinations and paranoia are common. Because Alzheimer’s disease can affect a person’s judgment and perception, it is wise to keep dangerous instruments, such as guns and knives, locked away.

Are there medications for agitation and aggression?

Medication classes frequently tried include antidepressants, sedative/hypnotics, and antipsychotics. FDA approved research trials are also available.