By Dr. Laura Gerig
Associate Professor of Psychology at Taylor University, Upland, Ind.

When we think about the impact that memory problems may have on life, we tend to think first of struggles with daily tasks—forgetting someone’s name, missing an appointment, losing your keys. However, memory problems often have a much broader reach, significantly impacting a person’s mental health and overall quality of life.

In those with dementia, feelings of sadness and fear, even diagnosable depression and anxiety, are common. Recognition of psychological concerns is valuable to both individuals with memory problems and their caregivers, but it may be too easily overlooked.

One of the reasons that mental health issues may not be recognized in the context of dementia is that people often do not share their symptoms with others. They may put great effort into not letting people see the forgetfulness or confusion they are experiencing, and hiding their fear and sadness over these changes is a part of putting on that front. For some, the cognitive changes they are experiencing keep them from having the awareness and words to express how they are feeling. Sometimes people assume that increasing levels of depression or anxiety are just part of the progression of the disorder so do not see the value in sharing their emotional struggles with family or healthcare providers. When depression is present, the psychological struggles can magnify the symptoms of dementia, making the confusion and distress even greater (Alzheimer’s Society, n.d.).

In addition to increasing feelings of sadness or anxiety, there are other signs that may suggest mental health concerns in an individual with dementia. A sense of apathy and lack of engagement in normal activities that they used to enjoy is one sign. Changes in appetite and sleep patterns as well as isolation or withdrawal from social relationships are all possible indicators of underlying mental health concerns (Alzheimer’s Association, n.d.). While it may be difficult at times to determine whether these changes are due to the progression of the dementia or a related psychological disorder, taking steps to sort out the underlying causes are well worth the effort.

As difficult as it is for the person experiencing memory loss and confusion, it can be just as difficult for those providing care and support for those individuals. Caregivers are at increased risk for developing mental health problems themselves. In addition to the growing demands on their time and energy to provide support, they are also saddened by the losses that their loved ones are experiencing and the resulting changes in their relationships. Caregivers and individuals with dementia may both keep their sadness to themselves so they do not upset the other, which may add to feelings of disconnection and loss.

It is important for caregivers to address their own mental health needs, not only for themselves but also for their families and friends. Many people in long-term support roles develop a sense of being overwhelmed or burned out. They may feel sad or even hopeless; withdrawal from social relationships may lead to feelings of isolation. Caregivers are also at greater risk for developing physical health problems as a result of the demands and stresses they often experience (Family Caregiver Alliance, n.d.). If caregivers or those around them notice any of these signs, they should know that help is available.

So, what should you do if you see any of these signs in yourself or in those around you? Start by talking about it! Sharing your concerns with others who you trust opens the door to greater support and connection to resources. God gave us his body—the church—so that we could share the gifts he has given us and minister to each other. Don’t be afraid to ask family and friends for help with daily tasks, emotional encouragement, and spiritual support. There are support groups in most communities for both those experiencing memory loss and their caregivers. Sometimes a greater level of support is needed from a professional counselor who can provide therapy and consultation on other therapeutic or medical services that may be valuable.

The road of memory problems and mental health struggles is not an easy one to walk. The losses and challenges are real. But we have a Savior who has said that he will never leave us or forsake us (Deuteronomy 31:8) and that his grace is sufficient (2 Corinthians 12:9). May we encourage those around us with these truths as we care for one another.

REFERENCES

Alzheimer’s Association. (n.d.). Depression. https://www.alz.org/ help-support/caregiving/stages- behaviors/depression

Alzheimer’s Society (n.d.). Depression and Dementia. https:// www.alzheimers.org.uk/about- dementia/symptoms-and-diagnosis/ depression-dementia#:~:text=As%20 well%20as%20having%20 negative,sleeping%20or%20 refuse%20to%20eat

Family Caregiver Alliance. (n.d.) Caregiver Health. https://www. caregiver.org/resource/caregiver- health/