Are your loved ones acting strange?
- Ravikiran Gadad
- May 3
- 2 min read
Updated: May 17

What is it?
Unusual behaviour in older adults refers to noticeable changes in actions, emotions, or thought patterns that are not typical for the person. These behaviours may appear suddenly or gradually and can include confusion, aggression, withdrawal, inappropriate social actions, or repetitive habits. They are often signs of underlying physical, mental, or neurological conditions—not just “normal aging.”
Prevalence and statistics
• Studies suggest that up to 20–30% of older adults may exhibit changes in behavior,
• 1 in 5 adults will experience a noticeable change in behaviour due to mental health conditions during their lifetime.
• Up to 90% of individuals with dementia exhibit behavioural and psychological symptoms, including agitation, aggression, or withdrawal.
• 60% of caregivers report behavioural changes like mood swings or loss of interest as the first noticeable signs of mental decline in elderly loved ones.
How to identify?
Emotional signs –
• Sudden irritability, fearfulness, or mood swings
• Flat affect or emotional withdrawal
• Paranoia or suspiciousness
Physical signs –
• Wandering, pacing, or restlessness
• Reduced personal hygiene or disorganized appearance
• Sleep disturbances
Behavioural signs –
• Unusual aggression or inappropriate sexual behaviour
• Hoarding or repetitive movements
• Talking to self, laughing without clear reason, or yelling
Cognitive signs –
• Forgetting familiar people or places
• Confused speech or difficulty following conversations
• Believing things that aren't real (delusions or hallucinations)
Common Causes
Dementia or Alzheimer's disease
Delirium (often due to infection or medication side effects)
Depression or anxiety
Social isolation or bereavement
Chronic pain or discomfort
Sensory deficits (hearing/vision loss)
Poor sleep or nutrition
Why to Seek Help?
Unusual behaviours in old age are often a symptom of an underlying condition. Early assessment by a medical or mental health professional is key to appropriate care and improving quality of life.

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