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Are your loved ones acting strange?

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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