Recognising Depression and Anxiety in Dementia

How to Spot Signs of Depression and Anxiety in People with Dementia

Recognising depression and anxiety in dementia can be difficult because some symptoms overlap. People with dementia may not always express their feelings clearly. As a caregiver or learner, it is important to know the common signs so you can provide better emotional support.

Depression and anxiety affect mental wellbeing. When not noticed early, they can make dementia symptoms worse and reduce the quality of life.

Common Signs of Depression

• Feeling sad or tearful more often than usual
• Loss of interest in activities they once enjoyed
• Changes in appetite or weight
• Sleeping too much or too little
• Lack of energy or feeling tired all the time
• Withdrawing from social contact or becoming isolated
• Expressions of hopelessness or worthlessness
• Increased confusion or difficulty concentrating

Common Signs of Anxiety

• Restlessness or pacing
• Excessive worrying or feeling “on edge”
• Agitation or irritability
• Physical symptoms such as sweating, trembling, or rapid heartbeat
• Sleep problems, like trouble falling asleep or frequent waking
• Avoiding situations that cause stress or fear
• Repeating questions or statements due to worry

People with dementia might not be able to describe their feelings clearly, so watch behaviour closely. Changes in mood or daily habits are often the first clues.

Remember, these signs can also result from dementia itself or other health issues. Always consider the whole situation and look for patterns over time.

What to Do When You Recognise These Signs

If you suspect that a person with dementia is experiencing depression or anxiety, it is important to:

1. Speak gently and listen to their concerns.
2. Create a calm and safe environment.
3. Encourage regular daily routines and activities suited to their abilities.
4. Support social interaction but respect when they need quiet time.
5. Inform healthcare professionals for proper assessment and treatment.

Early help can make a big difference. Treatment may include counselling, medication, or simple lifestyle changes.

Understanding these emotional difficulties helps you provide better care and improve the person’s emotional wellbeing.