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Let’s talk about therapeutic lying
This can be a difficult and sometimes uncomfortable topic, but I think it’s an important one. Therapeutic lying is often misunderstood. The word lying can feel wrong, especially when honesty matters so much to us. And yes — when used incorrectly, it can be misleading or harmful. But when used with kindness, intention, and compassion, it can sometimes be the best option for the person living with dementia. Dementia can change how someone experiences reality. Repeatedly correcting someone or forcing the ā€œtruthā€ can cause distress, fear, and repeated grief — especially when the brain can no longer process or retain that information. I want to share a personal example. My great-grandma had Alzheimer’s and needed to live in a care home for her safety, and for my great-grandad’s as well — he was in his 90s at the time. Every single day at 10 o’clock, my great-grandad would go to see her and spend the day with her. This routine became something she never forgot. After my great-grandad passed away, my great-grandma would still ask for him. She would ask why he was late and sometimes say he must be in trouble for not being there yet. And we went along with it. We would gently tell her he wouldn’t be long, or that he was just around the corner. To some people, this may seem like the worst thing to do — because yes, technically, it is lying. But reminding her every ten minutes that her husband had passed away would have meant forcing her to relive that loss again and again. That would have caused far more pain. In moments like these, therapeutic lying isn’t about deception. It’s about: - protecting emotional wellbeing - preventing repeated trauma - keeping someone calm and safe - preserving dignity Simply put, making sure someone feels safe and at peace is the most essential part of supporting a person with dementia. Every situation is different, and this approach should never be used to control, dismiss, or manipulate someone. The intention always matters.
1 like • 16d
I have a cousin (that is more like an aunt or a second mother) and she is struggling with symptoms. There are times when she seems perfectly fine and others that the impairment becomes obvious. I've stopped trying to convince her of accepting her reality and getting help. She only gets angry. I'm curious at what point someone needs to step in for the safety of others. Or, is there a place for therapeutic lying that could get her the help that she needs. She has been in several car accidents but has not had her license taken away. She is convinced she can see fine (which she can't) but only gets angry at anyone who disagrees. Her daughters are unsure what to do because she won't cooperate. Her husband lets her drive because if he doesn't she gets very angry. They've tried taking her to doctors but as soon as someone mentions any sort of head impairment, dementia, alzheimer's, head injury etc...she starts cancelling appts. Any thoughts about how I might be able to use therapeutic lying to get her license taken away lol?!?! Seriously though - would appreciate any insight you might have.
0 likes • 15d
@Elle Moores Donaldson Thank you. I think that is what her family is struggling with. She is 75 and has some vision issues that also add to her frustration.
Let’s learn from each other šŸ’›
I’d love to open up a conversation today. There are so many different therapies and approaches used when supporting people living with dementia, and no two individuals are the same. What works beautifully for one person might not work at all for another. In our work, we often focus on connection, comfort, and what helps in the moment—but I know many of you use different therapies, techniques, and ideas. šŸ’¬ I’d really love to hear from you: - What therapies or approaches do you use when supporting someone with dementia? - Have you found anything that’s been especially meaningful or effective? - Are there any therapies you’d like to learn more about? There’s no right or wrong answer here—just shared experience and support. Thank you for being part of this community šŸ’›
2 likes • 15d
I’m interested in learning how to get someone the help they need when they still have moments of normal awareness and cannot accept that they are declining.
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Alena Pacheco
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@alena-pacheco-6392
10+years in Campaign Compliance & Learning how to "Lead with Kindness"/Founder of Neighbors Helping Neighbors Thrive & Blessed each day to be alive!

Active 1m ago
Joined Dec 26, 2025
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