How to Be There for Someone Newly Diagnosed With Dementia

Dementia doesn’t just affect the person who receives a diagnosis — it also impacts their family and friends. If someone you care about has recently been diagnosed, you might find yourself grappling with what it means to “be there” for them during this difficult time.
Whether you choose to take on this primary role — or offer to help in other ways — the reality is that most people aren’t prepared to show up for someone with dementia at the outset. With information and support, it is possible to develop these skills.
How to Care for Someone in Every Stage of Dementia
Each phase is unique. What’s more, a person’s character, life experiences, and medical conditions can shape their journey with the condition. These differences, in turn, can impact the experience of their care partners.
Early-Stage Dementia: Processing the Diagnosis
Also, processing the emotions that come with a dementia diagnosis isn’t just a one-time thing. It’s normal to need time and space to process and reflect every time the disease progresses or changes, especially in the earlier stages.
Middle-Stage Dementia: Managing Behaviors
Late-Stage Dementia: Looking Into Long-Term Care
In this phase, care partners will face new challenges and decisions about how to meet the care recipient’s basic needs, such as feeding, bathing, and toileting.
Take the Time for Honest Self-Reflection
It’s also important to consider your current responsibilities and demands. Whether you have several family members who can help — or if it’s just you — think about how care work will impact your life and the lives of those who are close to you. For example, are you also caring for small children? Are you employed full-time? How close do you live to the person diagnosed with dementia? Will you be the only one supporting the patient, or have others offered to help?
“How you decide to show up and care for this person will impact your spouse or partner,” says Clark. “It will impact your children. It will impact your career. So reflecting on whether you are in a space to take on this extra responsibility is valuable. Because if you aren’t that person — and it’s okay if you aren’t — it serves everyone well if you know that initially.”
Clark suggests asking yourself these three questions as you weigh your options:
How was your pre-diagnosis relationship with the person? It’s important to reflect on your prior relationship, because the feelings you have about the person will come up while supporting them. Being there can worsen relationship strain for some; for others, it may give you a second chance to repair a relationship. Thinking about these dynamics early on or reaching out to a mental health professional can help you to process your feelings along the way.
What resources can you leverage? “Once you decide to be the primary care partner, it’s critical to identify people who can hold you up when you’re weak and give you the strength to continue,” Clark says. For some people, this help won’t necessarily come from their friends or family circle — it may come from resources in your health system, place of worship, or local community.
Many care partners don’t feel like they have a choice in how — or how much — to show up for a person living with dementia. They may be the person’s only living relative or friend, for example. Certain cultures may have rigid expectations about who in a family unit is expected to provide care.
An honest reflection can help you assess what “being there” means for you. While it may seem at first like you don’t have options — and there’s no one to help — the truth is you don’t have to go at it alone. Careful reflection can help you identify resources and make an informed care strategy. Doing so can help protect your well-being as well as that of the person with the diagnosis.
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- Stages of Alzheimer's. Alzheimer’s Association.
- Just Diagnosed. Alzheimer’s Association.
- Treatments for Behavior. Alzheimer’s Association.
- Respite Care. Alzheimer's Association.
- 24/7 Helpline. Alzheimer’s Association.

Angela D. Harper, MD
Medical Reviewer
Angela D. Harper, MD, is in private practice at Columbia Psychiatric Associates in South Carolina, where she provides evaluations, medication management, and psychotherapy for adul...

Kalisha Bonds Johnson, PhD, PMHNP-BC
Author
Kalisha Bonds Johnson, PhD, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner and a tenure-track assistant professor at Emory University's Nell Hodgson Wo...