Understanding Why Parents with Dementia Refuse Help & How to Respond

A younger adult voices their concerns to an older adult who looks uninterested

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Caring for a parent with dementia can be an emotional and challenging journey, especially when they resist the help they so desperately need. It’s a situation many families face, leaving loved ones feeling frustrated, helpless, and unsure of how to proceed. 

Understanding the reasons behind this refusal and learning how to respond with empathy and patience can make a significant difference in supporting their well-being and maintaining a positive relationship.

There are several reasons why parents with dementia may refuse help from their children or caregivers. Some of these reasons include:

  • Fear and anxiety
  • Lack of insight
  • Denial
  • Communication difficulties
  • Loss of independence
  • Past trauma or negative experiences
  • Lack of trust
  • Stigma and shame
  • Wanting to protect loved ones

Reasons Why Your Parent with Dementia May Refuse Help

Knowing when to ask for help can be difficult for anyone—regardless of their age or health status. Living with dementia can make this even more complicated due to reasons such as:

Fear & Anxiety

One of the primary reasons for refusal is fear and anxiety. Dementia can cause individuals to experience heightened emotions, leading to feelings of confusion, mistrust, and fear. They may feel overwhelmed by the changes happening in their minds and bodies, making them resistant to accepting help from others.

Lack of Insight

Dementia can also impact an individual’s ability to perceive their limitations or needs accurately. This lack of insight may lead them to believe that they do not require assistance or can still manage tasks independently.

Denial

Some parents with dementia may refuse help because they are in denial about their condition. Admitting that they need assistance can be challenging and may cause them to feel a loss of control or independence.

Communication Difficulties

As dementia progresses, communication can become increasingly difficult, making it hard for people to express their needs and desires accurately. This struggle with communication can lead to misinterpretations, misunderstandings, and ultimately refusal of help.

Loss of Independence

For many older adults, maintaining independence is incredibly important. As dementia progresses, individuals may feel as though accepting help means giving up their autonomy. This loss of independence can be distressing and lead to resistance to receiving aid.

Past Trauma or Negative Experiences

Refusal of help can also stem from past traumatic events or negative experiences. For some individuals, asking for assistance may evoke memories of previous instances where they were let down or did not receive the support they needed.

Lack of Trust

A younger adult and an older adult sitting apart on a couch, both looking frustrated and distant after a tense conversation.

People with dementia may also struggle to trust others, especially if they are experiencing paranoia or delusions. This lack of trust can make it challenging for them to accept help from family members, caregivers, or medical professionals.

Stigma & Shame

Unfortunately, there is still a stigma surrounding mental health conditions like dementia. This stigma can lead individuals to feel ashamed of their diagnosis and avoid seeking assistance out of fear of judgment or discrimination.

Wanting to Protect Loved Ones

Individuals with dementia may also refuse help to protect their loved ones. They may not want to burden family members or worry about becoming a burden. In these cases, seeking support from outside sources such as respite care or memory care communities can alleviate some of the pressure on both the person and their loved ones.

How to Respond to & Empower People Living with Dementia

It is essential to recognize that refusing help does not necessarily mean an individual with dementia is being difficult or uncooperative. It is vital to respect their autonomy and allow them to make decisions for themselves whenever possible. 

However, it is also crucial to find ways to empower people living with dementia and involve them in decision-making processes related to their care. Some ways you can respond to your loved one’s refusal to accept help include:

  • Listen Actively: Take the time to really hear their concerns and feelings about accepting help, showing that you value their perspective. 
  • Express Understanding: Acknowledge their desire for independence and reassure them that seeking help doesn’t mean they are weak or incapable. 
  • Offer Options: Present different forms of assistance that maintain their autonomy, such as flexible scheduling, or letting them choose what type of help they prefer.
  • Share Personal Experiences: Open up about times when you or someone you know accepted help, emphasizing the positive outcomes that resulted from it.

How Memory Care Can Help

Memory care communities are specifically designed to provide support and assistance for people with dementia. They offer a safe and secure environment, specialized programs and activities, and trained staff to meet the unique needs of those with memory impairments. 

Memory care can provide peace of mind for both individuals with dementia and their loved ones by offering comprehensive care and support.

Discover Compassionate Memory Care at Juniper

It is essential to approach refusal with empathy and understanding. Individuals with dementia may be experiencing a range of complex emotions that make it challenging to accept help. By addressing underlying fears, lack of insight, denial, communication difficulties, and concerns about independence, caregivers can better understand and respond to their loved one’s resistance to receiving aid.

At Juniper Village at Preston Hollow, we understand the challenges of caring for a loved one with dementia and are dedicated to providing compassionate care and support. Our memory care program is designed to empower, promote independence, and enhance overall well-being. 

Contact us today to learn more about our memory care community and how we can support you and your loved one.

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