You’re standing in the shower crying because you were up half the night, because your loved one saw things that weren’t there. No matter what you said, they wouldn’t calm down or see reason.
Hallucinations are a symptom of an underlying issue and can happen for many reasons. Hallucinations feel real to the person experiencing them. Avoid arguing with them about their hallucination. It won’t work.
The next time your loved one experiences a hallucination try these steps:
1️⃣ Let them know you believe them.
2️⃣ Acknowledge that you cannot see or hear what they perceive by saying something noncommittal like, “I can’t see what you’re seeing, but I know it must be very scary.”
3️⃣ Ask them to point to out the danger.
4️⃣ Act on it:
➡️ Move them to a safe space, this could include a short drive around the block. Put on soft music, wrap them in a blanket and offer them something warm to eat or drink. It may solve the problem.
➡️ If not, let them know you will take care it.
➡️ Report back.
For example, they say they are seeing snakes slithering on the floor of their room. After they are in “the safe space,” go into their room with a pillowcase in hand. Once inside, close the door. Look for shadows, glare, flickering light, mirrors, anything on the floor or new changes to their room that could cause confusion. Fix the issue.
If there are none, put some socks in the pillowcase. Show them the evidence and tell them you have taken care of the snakes. “Get rid of the snakes.”
When they are calm, give them a hug. Smile, place your hand on the small of the back. Hold their dominant hand, gently squeeze the base of their thumb, guide them back to their room.
💡 The more you join them in their reality, the better the outcome.
If there are immediate safety concerns, call 911. If there are no immediate safety concerns, contact your loved one’s physician to identify the source of the hallucinations. Common sources of hallucinations are delirium, Lewy Body Dementia, and medications.
Keep in mind, not every odd thing they says is a delusion or hallucination. It could be a clue to something else.
@tracycramperkin — author of Dementia Home Care, How to Prepare Before, During and After.