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Mental Health Support After a Dementia Diagnosis

About Nicole Pajer

Nicole Pajer is a Los Angeles-based freelance published in The New York Times, Woman's Day, AARP, Parade, Wired, Glamour, People and more. 

Acknowledge the emotional impact of the diagnosis

One of the first things you can do as a provider is to give a patient space to process the news. Before providing them with the necessary resources, recognize that they may require time to work through any difficult emotions before they’re ready to focus on next steps. It may be helpful to have them acknowledge their feelings and talk through those emotions.

A patient may experience profound grief for the future they imagined or for abilities and routines they feel they have lost. Naming and validating that grief can help the patient feel heard as they begin to consider available sources of support.

Remind patients that they do not have to cope with the diagnosis alone. Encourage them to seek support from trusted family, friends or other community members. Consider referring them to a dementia support group, counselor or other mental health professional with experience in working with people living with dementia. You can also encourage patients to remain socially connected and continue participating in meaningful relationships, hobbies and activities for as long as possible. For patients who are becoming isolated or finding it harder to participate in activities independently, a senior living community may offer another way to maintain relationships, build routines and foster a sense of belonging.

Your patient’s family members and other caregivers may also need support. The National Institute on Aging recommends providing caregivers with appropriate information, referrals and support to help them cope with a dementia diagnosis, manage stress and prepare for expected changes. Caregivers may also benefit from peer support. The Alzheimer’s Association has in-person and online support groups, as well as a free, confidential 24/7 helpline that provides emotional support, information and connections to local resources. The Lewy Body Dementia Association also offers resources for those diagnosed with Lewy body dementia and their families, including in-person and virtual support groups and a confidential helpline.

Screen for depression and other mental health concerns

It’s important to assess patients for mood changes, including signs of depression, which can accompany a dementia diagnosis and may otherwise go unrecognized. Depression and dementia can have overlapping symptoms, including confusion, withdrawal and cognitive changes. Depression is also common among people with dementia; the authors of one study note it accompanies an estimated 30% to 50% of dementia cases.

For this reason, healthcare providers and family members should closely monitor changes in a patient’s mood and behavior rather than assuming they are related to dementia symptoms. Signs that a person living with dementia may also be experiencing depression include:

  • A loss of interest in hobbies and activities
  • Social withdrawal
  • Isolation
  • Impaired thinking
  • Difficulty concentrating
  • Change in mood

As Alzheimer’s disease or another form of dementia advances, cognitive decline often impairs a person’s ability to articulate depressive emotions such as sadness, hopelessness or guilt. Their depression may also be accompanied by physical symptoms like pain or fatigue that can significantly disrupt daily life. These symptoms may not last long and can come and go. Suicide risk can also be a concern, particularly following a new diagnosis. The National Institute on Aging notes that suicide attempts may increase following a dementia diagnosis.

Ongoing mental health assessments are an important part of dementia care. The Alzheimer’s Association recommends regularly assessing patients with cognitive or behavioral concerns for symptoms such as depression, anxiety, apathy, agitation and sleep disturbances. It’s also important to inform patients and their caregivers of the risks of depression co-occurring with dementia and to have them report any mood changes as soon as they occur.

Recommend counseling when additional support is needed

It may be beneficial to suggest counseling to patients and families navigating a new diagnosis. While counseling can be helpful when situations get difficult to manage, it can also be helpful for patients and families struggling to adjust. Working with a therapist or counselor who understands dementia can help patients process how the diagnosis may change what they expected for the future. It can also help them focus on what they can still do, enjoy and find meaning in as they move forward.

Connect patients with dementia-specific support

There are a variety of support groups and mental health resources available, but the unique nature of a dementia diagnosis makes it important to find the right kind of support. Navigating changes in communication, shifting roles within a family and uncertainty about what lies ahead requires specialized support. Where possible, point patients and families toward providers, support groups and educational resources that specialize in dementia specifically.

This may include a mental health professional with expertise in dementia or aging, a dementia-specific support group or a local Alzheimer's Association chapter. The Alzheimer’s Association offers both in-person and virtual support groups, as well as programs specifically for people living with early-stage dementia. Organizations like Positive Approach to Care also offer education focused on communication techniques and other strategies for supporting someone living with dementia.

Don’t overlook the family’s mental health

Caring for a loved one living with dementia can take an emotional toll on family members, which may lead to similar feelings of grief and overwhelm.

As a healthcare provider, encourage family members and caregivers to attend to their own emotional needs rather than neglecting them indefinitely. This could mean making an appointment with a counselor who understands dementia or caregiving, joining a support group or simply giving themselves permission to ask for help. It’s also vital that caregivers prioritize their own health by seeing a healthcare provider regularly and addressing any exhaustion, stress, sleeplessness or changes in appetite or behavior. Ignoring these symptoms may negatively affect both their physical and mental health. Caregiver burnout is common. As a provider, you can help family members recognize the early signs and encourage them to seek help before they become overwhelmed.

When caregiver strain is a concern, discussing respite care or senior living may also be appropriate as part of the broader care plan. These options may reduce day-to-day caregiving demands while helping the person living with dementia receive more consistent support.

Signs to look for include:

  • Denial of the disease’s effect on the person diagnosed
  • Frustration or anger at the person living with dementia
  • Social withdrawal
  • Feeling anxious or depressed
  • Sleeplessness
  • Irritability
  • Having a hard time concentrating
  • Health problems that begin to take a mental and physical toll

Remind caregivers that mistakes are a normal part of supporting someone living with dementia. Emphasize the importance of learning from difficult interactions without viewing these moments as failures. Reinforce that perfection is not the goal and that flexibility and self-compassion can help them manage the emotional demands of caregiving.

Give patients and families concrete resources to take home

Patients and families may not remember everything discussed during an appointment. This can especially be the case in those initial conversations when they are still processing a diagnosis. Consider sending them home with a short list of resources they can use when ready, such as:

Focus on possibility and meaningful living

Receiving a dementia diagnosis can be difficult for both patients and the people who care about them. For some, however, a diagnosis may also provide clarity about changes they have noticed and help them access appropriate support. As a provider, help patients understand that dementia may change aspects of their lives without diminishing their identity, relationships or capacity for meaningful experiences.

Keep conversations centered on the person’s strengths, the relationships they value and the activities that continue to bring them enjoyment. When appropriate, a senior living community may further these goals by offering opportunities for social connection and meaningful engagement, both of which may improve your patient’s quality of life. Remind them that they do not have to navigate these changes alone. Connecting patients and families with the right support early on can give them people to turn to as their needs change and new challenges arise.

How Brookdale can help

Brookdale's memory care communities provide care and programming designed specifically for people living with dementia. It can be a helpful resource for patients and families who are beginning to think about long-term care. Healthcare professionals can also connect patients and families with Brookdale’s educational resources as they navigate the changes that can come with a diagnosis.

Brookdale's The Grey Take podcast is another beneficial resource for families impacted by dementia, as it features conversations with experts on topics related to caregiving, aging, health and well-being, including dementia care. Episodes such as “Take Time for Yourself: Caregiver Exhaustion” and “Beyond the Grey: Our Take on Cognitive Decline and Depression” explore caregiver burnout, cognitive decline, mental healthcare and more.

The Brookdale Embrace Family Partnership Program may also benefit your patient’s family by providing educational resources and support throughout their caregiving journey. Through Embrace Family Events, families can learn about dementia care, build relationships with other caregivers, explore advocacy opportunities and support one another along the way.

These resources can provide both patients and families with additional information and support as they determine what comes next.

Learn More

Reach out to learn more about how Brookdale can help you support patients and families navigating a dementia diagnosis and their evolving care needs. Explore Brookdale’s memory care services or find a community near you.

The above content is shared for educational and informational purposes only. References to any products or services, or links to any third-party websites, do not constitute an endorsement, sponsorship, or recommendation of such products, services, or third parties by Brookdale or its affiliates.


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