Understanding Aggression and Behavioural Issues in Dementia

Aggression and behavioural problems are common among individuals with dementia and can stem from confusion, fear, or physical discomfort. As cognitive functions decline, patients may struggle to communicate their needs, leading to frustration, anxiety, and anger. At Antara, we approach such situations with patience and expertise to help manage these challenges effectively.

Some of the most common behavioural issues in dementia that require attentive Dementia Care in India include:

• Physical aggression: Hitting, kicking, pushing, or other violent behaviours.
• Verbal aggression: Yelling, swearing, or making threatening statements.
• Agitation and restlessness: Pacing, fidgeting, or inability to remain still.
• Paranoia or delusions: Believing others have stolen from them or are trying to cause harm.
• Sleep disturbances: Waking frequently at night and experiencing irritability or confusion.

At Antara, we believe in addressing the root causes of aggression and disruptive behaviours with compassion and specialized strategies, helping residents regain control, comfort, and dignity, for which we rely more on non-pharmacological measures than pharmacological measures. This includes understanding Dementia-related aggression and supporting families through the right interventions.

If you are looking for compassionate and specialised dementia support, Antara can be the right place. We provide personalised care options for your loved ones.

Antara’s Approach to Managing Aggression and Behavioural Challenges

Individualized Care Plans

Every dementia patient is unique, and so are their needs. This is especially important given the rising demand for personalised Dementia Care in India. At Antara, we develop personalized care plans that address the physical, emotional, and behavioural well-being of each resident. Our caregivers work closely with families to gather insights into the resident’s history, preferences, and specific triggers that may lead to aggression. Regular evaluations help refine these care plans to ensure their effectiveness.

By identifying triggers—whether they stem from physical discomfort, environmental stressors, or emotional distress—we tailor interventions to minimize behavioural issues and improve residents’ overall well-being. This process supports our core efforts to Manage Aggression in Dementia Care with a structured, patient-centric approach.

Creating a Calm and Reassuring Environment

A noisy, cluttered, or overstimulating environment can exacerbate agitation and aggression in dementia patients. At Antara, we have designed our care homes to be peaceful, relaxing, and sensory-friendly to foster a sense of security.

• Soft lighting and minimal noise help reduce stress levels.
• Familiar objects and personalized spaces create comfort.
• Secure, accessible surroundings prevent wandering and accidents.
• Colour-coded doors to help identify rooms better.
• Caregivers are trained to communicate in a calm and reassuring manner to de-escalate potential outbursts.

By maintaining a structured and respectful atmosphere, we significantly reduce aggressive episodes and create a harmonious living environment for our residents. Our environment is often suited for families looking for the best dementia care homes for long-term comfort and safety.  

Therapeutic Activities for Engagement and Distraction

Engaging in therapeutic activities is an effective way to redirect aggression and promote emotional well-being. At Antara, we offer a variety of activities tailored to each resident’s abilities and interests, ensuring mental stimulation and fulfilment.
Some of the key activities include:

• Art & Music Therapy: Drawing, painting, and listening to soothing music help residents express emotions and find relaxation.
• Exercise & Physical Therapy: Gentle physical activities like stretching, chair yoga, and light walks enhance mobility, release endorphins, and reduce frustration.
• Reminiscence Therapy: Encouraging residents to recall memories using photographs and meaningful conversations fosters emotional security and minimizes anxiety.

These activities not only mitigate aggression but also enhance cognitive function, emotional resilience, and a sense of purpose among our residents.

Medical & Psychological Support

In certain cases, aggression and behavioural issues may have underlying medical or psychological causes. At Antara, we collaborate with expert neurologists, psychiatrists, and psychologists to provide a holistic approach to care.

• Non-pharmacological interventions are prioritized to manage symptoms naturally.
• Medications are used only when necessary and under strict supervision.
• Regular psychological evaluations ensure emotional well-being, with counselling and therapy offered as needed.

Our comprehensive, team-based approach ensures that residents receive the best possible care and dementia treatment while maintaining their dignity and independence.

Schedule a visit to Antara to understand how our safe environment and expert team can help your loved one live with comfort, dignity and meaningful engagement. 

Conclusion

To Manage Aggression in Dementia care, there is a need for expertise, patience, and a nurturing environment. At Antara Assisted Living, we are committed to providing individualized, empathetic care that prioritizes the well-being of our residents. Our focus on personalized care plans, a calming environment, engaging activities, and professional medical support ensures a safe, secure, and compassionate space where individuals with dementia can thrive.

At Antara, we don’t just care—we create a home filled with understanding, respect, and comfort for our residents because we believe in expert care – Apno Jaisi.

FAQs

How to deal with a dementia patient who is constantly aggressive? 

You have to keep yourself calm and identify triggers for aggression in dementia patients (pain, confusion or environmental stress). Talk to them in a mild tone, maintain routines and create a peaceful environment (with objects familiar to them). Professional dementia care at home services give you access to specialists who develop strategies best suited to your loved one with dementia (including therapeutic activities & environmental modifications) to reduce aggressive episodes effectively. 

How long does the aggressive stage of dementia last? 

Aggressive behaviours peak most commonly during middle to late stages of dementia (but may vary from one individual to other). Some experience episodes for months while others may experience it for years with duration depending on underlying causes, care quality and individual factors. But with professional assessment & care plans you can manage and reduce aggressive phases. 

How do you know what stage of dementia someone is in? 

Doctors assess dementia stages through comprehensive evaluations (cognitive testing, medical history & behavioural observations). In the early stages patients may have mild memory issues, increased confusion and behavioural changes in the middle stages while late stages require complete care assistance. Professional in-home assessments can determine appropriate care levels. 

What are 3 things to never do with your loved one with dementia? 

Never argue with their reality or correct false beliefs (as this increases agitation). Do not ask “Do you remember?”. It highlights their memory loss. Avoid using complex sentences or rushing them during tasks. Instead understand them, use simple language and maintain patience (while providing gentle guidance and reassurance). 

What is the best way to care for a dementia patient? 

Person-centered care at home provided by trusted service providers like Antara is among the best ways as it maintains familiar surroundings and routines. Professional in-home dementia care provides certified specialists, personalised care plans, environmental safety modifications and family support. This approach combines medical expertise with the comfort of home, reducing confusion while ensuring comprehensive care and monitoring.