COVID-19 Vaccines VNSNY is providing COVID-19 vaccines to homebound New Yorkers—find out more

When a Loved One Lashes Out

Aggression and aging don’t always go hand-in-hand—but unpredictable or volatile behaviors can, and do, occur. “Illness can cause seniors to be abnormally aggressive,” says geriatrician Cheryl Woodson, MD , author of To Survive Caregiving: A Daughter’s Experience, A Doctor’s Advice on Finding Hope, Help and Health. “Dementia, Alzheimer’s disease, delirium, or stroke can all alter the brain in a way that spurs more aggressive behavior.” These conditions may also make it difficult for people to express themselves, which can cause frustration and lead to agitation. “Drinking alcohol, exposure to toxic substances, and being in pain or otherwise uncomfortable can have the same results,” says Dr. Woodson.

If your loved one often lashes out, here are some causes to consider:

Review Medications

Has your loved one started a new medication, or changed dosage of any current medications? Aggression may be a side effect. Make sure the physician or pharmacist knows about all the drugs (including over-the-counter ones) your loved one takes to avoid possible interactions.

Adjust Expectations

“If you have unrealistic expectations of your loved one’s abilities, you may become frustrated or demanding, even unintentionally so,” says Dr. Woodson. Your loved one may pick up on subtle changes in your mood and respond in an exaggerated or even aggressive manner.

Pay Attention to Environment

A situation you find normal or acceptable may be overwhelming to your loved one—someone with dementia, for example, may find the chaos of a family reunion to be stressful and may become agitated. To reduce unpredictable behavior, keep your loved one’s environment as calm as possible and try to maintain familiar routines.

Offer Choices

“Aggression often occurs when someone feels out of control,” says Dr. Woodson, “so try to offer your loved one as much choice and power that is safe. Options like, ‘Do you want to wear the green shirt or the blue one?’ or ‘Would you like pancakes or toast?’ can help your loved one maintain a feeling of control.”

Get Help

“If your loved one is endangering him- or herself—or others—seek help from a geriatrician. A prescription may be necessary,” says Dr. Woodson. Be aware that although some medications may reduce aggression, they may also cause unwanted side effects, such as confusion or dizziness.

Related Content

Behavioral Health & Dementia Management

Behavioral Health & Dementia Management

Many people don't realize that home health care is a treatment option for patients with mood and cognitive disorders, including two of the most common: depression and dementia. Read More
Alzheimer’s and Dementia Care: Tips for Frustrated Caregivers

Alzheimer’s and Dementia Care: Tips for Frustrated Caregivers

Caregiving presents countless challenges, and when your loved one suffers from dementia or another illness that causes memory loss, these challenges often increase. Read More
How to Handle a Parent’s Inappropriate Behavior

How to Handle a Parent’s Inappropriate Behavior

Tips for staying calm when dealing with a parent’s erratic behavior. Read More