How To Manage The Early Signs Of Alzheimer's Anger In Loved Ones

According to research published in 2024, approximately 6.9 million adults aged 65 and over are living with Alzheimer’s disease in the United States. Alzheimer's disease can be a challenging journey, not just for those diagnosed but also for their loved ones. One of the most difficult early signs to look out for can be anger. This anger often comes from frustration and confusion as a person experiences difficulty remembering things, communicating, or completing everyday tasks. It can appear suddenly and seem out of character.

If someone you care about is showing these behaviors, know that you’re not alone. Many resources and support systems are available to help both individuals facing Alzheimer's and their caregivers. Anger management strategies, mental health support, and community resources can offer relief and guidance.

The emotional challenges of Alzheimer’s can be taxing

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Alzheimer's disease and its impact on life

Alzheimer's disease can affect every part of a person's daily life. Memory loss typically becomes more severe with time, making it hard for them to remember names, places, and even their own history. They might get lost in places that used to be familiar. As a result, they may become frustrated and scared, which may lead to anger and confusion.

As the disease progresses, people might have difficulty everyday tasks, such as cooking, cleaning, or even getting dressed. They can become easily overwhelmed by these once-simple activities. Other people may start to notice these changes before a person with Alzheimer’s does, which can add to the tension and difficulties of the disease.

In the later stages, a person with Alzheimer's disease may become unable to communicate effectively. They may start repeating themselves or have trouble finding the right words, which can make conversations frustrating. A breakdown in communication can cause emotional pain and loneliness for both the person with Alzheimer's and their friends and family.

Changes in behavior may also be frequent. People might develop new habits or lose interest in activities they once enjoyed. These changes can be confusing and disappointing for both the individual and their family. 

Other types of dementia 

Alzheimer’s disease is the most common type of dementia. However, dementia comes in various forms with different characteristics and challenges.

Vascular dementia

Vascular dementia typically happens when blood flow to parts of the brain is blocked or reduced. This can be due to strokes or other blood vessel issues. People with this type might experience confusion, difficulty concentrating, or trouble organizing thoughts.

Lewy body dementia

Lewy body dementia typically involves abnormal protein deposits in the brain. This type can cause memory loss, sleep disturbances, and vivid hallucinations. Movement problems, similar to those of Parkinson's disease, might also appear.

Frontotemporal dementia

Frontotemporal dementia typically affects the frontal and temporal lobes of the brain. It tends to occur at younger ages than other types of dementia, and it can change personality, behavior, and language skills. Symptoms of frontotemporal dementia may include impulsive actions, inappropriate behavior, and difficulties in speech.

Mixed dementia

Mixed dementia can occur when someone has more than one type of dementia, commonly Alzheimer's and vascular dementia. Symptoms may vary depending on the mix but often include memory problems, confusion, and difficulties with problem-solving.

Recognizing these types of dementia may help provide better care and support for those affected.

Memory loss and behavioral changes in a person with dementia

Memory loss is often one of the first signs people notice in dementia. A person with Alzheimer's might forget recent events or conversations but remember things from long ago. This short-term memory loss can be frustrating for both the person and their loved ones. They might observe repeated questions or a tendency to lose track of dates and places.

Behavioral changes can also be common in dementia. People with dementia can become easily confused or suspicious of others. They might experience mood swings, going from calm to angry quickly. Increased anxiety and depression can also be common. These changes often cause the person to withdraw from social activities they once enjoyed.

Some people also may notice changes in personality in a person with dementia. Someone who was once outgoing might become withdrawn. Conversely, a shy person might become more outspoken. These shifts can be challenging for family and friends to understand and come to terms with.

The connection between Alzheimer's and anger 

Individuals with Alzheimer's may experience anger or act aggressively for various reasons. For example, they might feel overwhelmed because they can't understand what's happening around them. Simple tasks can become frustrating, which may cause early signs of Alzheimer's anger.

Changes in the brain can also cause aggression. The areas of the brain affected by Alzheimer's may control emotions and impulses. Damage in these areas, such as the amygdala and prefrontal cortex, can lead to aggressive behaviors, even in those who were once calm and patient.

Symptoms like apraxia (loss of motor skills), agnosia (inability to recognize things), and aphasia (trouble speaking) may also contribute to anger. The frustration from these symptoms can cause sudden emotional outbursts. Angry behavior may include verbally aggressive outbursts, such as yelling or using hurtful language.

Coping strategies for managing anger in people with dementia

Managing anger in people with dementia may require various techniques to help calm them and prevent escalation. These strategies can include engaging activities and sensory experiences that provide comfort. 

Deep breathing exercises

Deep breathing exercises may also be helpful in calming someone with dementia. When the person starts to get agitated, you might encourage them to take slow, deep breaths. This simple act may help reduce stress and anxiety.

You can guide them through the process by having them inhale slowly through the nose for a count of four, hold their breath for a count of four, and then exhale slowly through the mouth for a count of four. Consistent practice of these exercises may help them manage their anger more effectively in the long run.

Listening to calming music

Music may have a powerful impact on emotions and can be particularly soothing for people with dementia. You might choose gentle, melodic tunes that the person enjoys or finds relaxing. It may be best to avoid loud noises or chaotic sounds that could make things worse in regard to angry emotions. 

Playing music softly in the background during stressful moments may help improve mood. This may be especially helpful during everyday tasks that might cause frustration, like taking a bath or getting dressed.

Using aromatherapy

Aromatherapy may have a calming effect on people with dementia. Scents like lavender, chamomile, and sandalwood are known for their soothing properties. You can use a diffuser to spread the scent around the room, which may help create a calming environment. 

If you want to apply essential oils to the skin, it may be best to mix them with a carrier oil first to avoid irritation. You might try to avoid strong scents that could be overwhelming. Choosing soothing scents may also help caregivers manage stressful moments more easily.

Creating a calm environment

Creating a calm and tidy environment may help reduce anger and even improve cognitive skills in people with dementia. Keeping noise to a minimum, like turning off the TV or radio, may help make the space feel more peaceful and less frustrating. 

It may also help to maintain a comfortable temperature and give the person enough personal space so that they don’t feel trapped. Simple changes, such as organizing the room or reducing clutter, may improve mood and behavior. These small adjustments may create a better atmosphere for everyone.

Memory loss activities

Doing activities that align with a person's interests and abilities may help reduce anger and frustration. These activities can create a sense of achievement and joy, allowing them to focus on something positive. 

Some potential options may include simple puzzles or games, art projects like coloring or painting, and gardening or other hands-on tasks. These activities may take their mind off what might be bothering them and lower the chances of getting angry.

Maintaining a routine

For people with dementia, having a regular routine can be helpful. It may allow them to feel safe and help reduce confusion. To create a routine, you might set specific times for meals, activities, and sleep. 

You can try to keep daily schedules as predictable as possible and avoid sudden changes that could upset them. A structured routine may help reduce the stress that often contributes to anger and agitation.

Using simple communication

Effective communication can be key when interacting with someone who has dementia. Using simple and clear language may help reduce confusion and prevent frustration. 

It may also help to speak slowly and clearly, use short and simple sentences, and repeat information as needed while being patient. You might also avoid complex instructions or too many details to make it easier for them to understand.

Not every technique will work for everyone. You might need to try out different strategies or mix a few together to see what helps best.

When to seek professional help for Alzheimer's symptoms

Recognizing when to get professional help for Alzheimer's may improve life for both patients and their families. Mental health professionals, support groups, and other resources are often available for support. 

Mental health and medical professionals

Mental health and medical professionals can help people with Alzheimer's disease in various ways. For example, psychiatrists can prescribe medicine to help with symptoms, while neurologists can perform tests to understand how the brain is functioning. Therapists and counselors can provide support through therapy sessions, teaching patients how to manage anger and frustration. 

Support groups for a person with dementia

Support groups can be valuable for patients and caregivers, providing a place to share experiences and support one another. In-person meetings and online workshops often give helpful tips on managing health and improving daily life. Being part of these groups may help people feel less alone and give caregivers a supportive community with practical advice for everyday challenges.

Resources for other types of dementia

Alzheimer's is the most common type of dementia, but there are other forms, such as vascular dementia, Lewy body dementia, and frontotemporal dementia. Each type may have different symptoms and may need specific care. Educational materials like pamphlets and online articles can help families learn about these conditions. 

Online therapy for anger and other mental health challenges

Online therapy platforms may be helpful for managing anger and other mental health challenges. It may also be helpful for caregivers, who often have a busy schedule and may not have time to commute to a therapist’s office. Online therapy also allows individuals to choose from a diverse pool of therapists with specific areas of expertise.

Is online therapy effective for Alzheimer’s disease caregivers?

Research has shown that online therapy may be beneficial for managing mental health problems in caregivers of people with Alzheimer's disease. One study published in 2020 found that internet-based interventions for caregivers of individuals with dementia improved depressive symptoms, anxiety, perceived stress, and self-efficacy.  

Takeaway

Anger can be an early sign of Alzheimer’s disease, often caused by confusion and frustration from memory loss. It can be challenging for both individuals with Alzheimer’s and their loved ones. To help someone with Alzheimer’s manage anger, it may be helpful to use strategies like creating a calm environment, leading the person in deep breathing exercises, and playing soothing music. If anger becomes overwhelming, professional support such as therapy or support groups can help. Caregivers may also want to seek resources to cope with the emotional challenges of caring for someone with Alzheimer’s. 

If you have a loved one living with Alzheimer’s, know that you’re not alone. Take the first step toward getting support and reach out to BetterHelp today.