Love and Dementia: How to Support a Couple Coping with Memory Loss

A dementia diagnosis takes a toll on everyone; from the individual diagnosed, to their family and friends. But, it can particularly effect a spouse, making it difficult to strengthen a relationship already going through so much change.Love and Dementia: How to Support a Couple Coping with Memory Loss

Fortunately, there are things you can do to support a couple with memory loss. Learn more about love and dementia.

A Couple Coping with Memory Loss

Gilva Kaufmann has been married to her husband, George, for 30 years. But, in many ways, George isn’t the same person she said “I do” to all those years ago. In 2001, George was diagnosed with dementia and then a few years later, with Alzheimer’s disease. “He’s here, but he’s not here,” Gilva says. “His doctor said he’s terminal… I can’t believe the doctor. It’s so painful.”

Couples like the Kaufmanns face immense changes and challenges when one partner develops dementia. Many have been together for decades, and their relationships have weathered the ups and downs of life. But as they grow older, dementia begins to chip away at the very things their relationship has been based upon.

Because dementia affects each individual differently, it’s impossible to make assumptions or generalities. From the beginning to end, a couple’s journey in dealing with dementia is completely unique to them and constantly changing. Every couple will navigate dementia — and the evolution of their relationship — in their own way.

However, there are certain issues that commonly arise when one partner in a relationship has dementia. For unaffected partners, and those who know and love the couple, being aware of these challenges is the first step in overcoming them.

Common Challenges Couples with Dementia Face

1. Taking on More Responsibilities

As the partner with dementia becomes unable to carry out his or her usual tasks, the unaffected partner begins taking on extra responsibilities.

How You Can Help:

Encourage the unaffected partner to receive ongoing support where he or she is most comfortable, whether that means leaning on family members, turning to a church community or bringing in professional help. In order for a couple to maintain a relationship when dealing with the effects of dementia, some find it helpful to bring professionals into their homes, or to move into a supportive living facility, rather than have the unaffected partner become the sole nurse, housekeeper and personal caregiver.

For Gilva, the support she and George receive is invaluable. The couple enjoys regular visits from an MJHS nurse and social worker, as well as a music therapist and rabbi. Their friends and family also help out around the Kaufmann home and provide companionship for George and Gilva.

“Some friends of mine come here to help,” Gilva explained. “…My sister from Brazil called me the other day and talked to George. It meant a lot.”

2. Decline in Health for the Caregiver

The stress and demands of daily care negatively impact the health of the caregiving partner.

How You Can Help:

Remind the caregiver you’re concerned about not putting his or her own needs first, and offer to step in to provide respite care when you can. Caring for someone with dementia can be all-consuming, and many caregivers see their health, both mental and physical, suffer as a result. Offer to stop by and spend time with the affected person once or twice a week so that the other partner can take a break and attend to his or her own needs. During this time, the caregiver could run errands or go to appointments, attend a support group or do something enjoyable like see a movie. As Gilva notes, it’s important for caregivers to mind their own health and happiness if they hope to be effective in caring for their partners.

“I take care of myself a lot because [George] needs me,” Gilva explained. “He always took care of me and now I take care of him… The other day, I said goodnight to him and he [grabbed] my arm and said, ‘We stick together.’”

3. Personality Changes

When one partner experiences personality changes, loses confidence in their abilities, or acts unpredictably as a result of dementia, both partners often start to withdraw from others.

How You Can Help:

Stay engaged — emotionally, physically, socially — and keep the couple involved as a part of your social group. Invite them to spend time with you and to mix with others just as you have in the past. Maintaining your relationship may require extra effort, but a commitment to connecting in any way you can will help provide a sense of stability in an uncertain time. Lend a listening ear and share resources for support when it makes sense. Most of all, when you interact, remember to help the couple stay positive.

As Gilva puts it, one of the best ways to cope with a dementia diagnosis is to simply “enjoy each moment.” She often shows George pictures and talks with him about memories they’ve shared.

“I remember the best times we had together,” she says.

For a couple affected by dementia, small actions from family and friends can have a big impact. Simple acts of kindness like providing respite for the caregiver and helping the couple look on the bright side can make all the difference.

Do you know a couple coping with memory loss? Please share their story with us in the comments below.

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Please leave your thoughts and comments

  • Charity Crosby

    so true i lost my first husband to lymes disease turned to early onset alzeimers and i needed family support didnt get it git depressed weak skinny

  • Charity Crosby

    Now i work at alzheimer s unit at Veterans center so i deal with the needs of these folks all the time

  • Diane

    I try to check on my parents as much as I can. Dad has Parkinson’s later stages and Mom has been diagnosed with Dementia, she is always telling how people are trying to get her house and killing the bushes in her yard, it’s always the same stories and I can’t convince her its not true. I don’t know what to do, nobody in my family cares as long as they don’t have to deal with any of it. I take her garbage for them every week, because Mom just throws down the steps. I could go on and on, but it won’t change anything. I am so tired of dealing with this, but I’m not going to turn my back on them either. They want to live at home on their own, but their home needs so much cleaning and I spent about three hours there today changing their cats(2) litter box and trying to vacuum some of the litter out of the carpet , the odor is so bad and they don’t even realize how bad it is. I know it can’t be healthy for them to live like that.

  • pete

    My wife started having memory problems in March of this year. She had a series of LOC and the MDs could not diagnose what was going on. We are beginning to loose one another. I am depressed at this and she is depressed because she knows her memory is going

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