Nontraditional Therapies to Help Someone With Alzheimer's

8 approaches to aid memory and ease stress
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Quick summary

Conventional treatment for Alzheimer's disease focuses on medication, emotional support, and forms of behavior modification to help a person remember better and cope with everyday activities. Here are some additional forms of therapy that have also been found useful for people with the disease. You can find therapists who provide such services or adapt them for use at home.

Note that no therapy of any kind has been found to reverse the effects of Alzheimer's. But it's possible to slow its course or simply improve the quality of life for someone battling the disease.

 

1. Pet therapy for Alzheimer's patients

 

As many pet owners will attest, just being around an animal can have a soothing effect. This is the idea behind pet therapy for people with Alzheimer's disease, who are at particular risk for anxiety and depression. In this kind of therapy, the pet's human companion introduces the animal -- whether it's a dog, cat, guinea pig, or other domestic pet -- to the person with Alzheimer's and helps the interaction go smoothly and safely. These visits generally occur in nursing homes, adult day centers, and hospitals, but of course the idea can be used in the home as well.

SEE ALSO: Find Memory Care Near You

The benefits of pet therapy include lowering anxiety and stress, encouraging communication, improving mood, and lowering blood pressure. People with Alzheimer's may feel especially comfortable with a pet because it lets them interact nonverbally.

  • What you can do: The person you're caring for probably isn't capable of looking after a pet, so it's not a good idea to run out and buy her a kitten unless someone is available around the clock to provide its care. But even pet therapy that doesn't involve direct contact with pets -- bird-watching and looking at an aquarium -- seems to have positive effects. Research funded by the Pet Care Trust, a nonprofit foundation, and conducted by Purdue University, found that Alzheimer's patients provided with aquariums gained weight (indicating better nutritional intake -- people with Alzheimer's often have trouble eating adequately) and showed less aggression. Try setting up an aquarium or bird feeders outside a favorite window view.

More nontraditional therapies for Alzheimer's

2. Spiritual activities for people with Alzheimer's

 

Whether spiritual activities include prayer, religious services, or visits with someone who offers faith-based counsel, they have a therapeutic effect on many people with Alzheimer's disease. Spirituality and faith offer stress relief, hope, and reassurance. Some studies have found that people with probable Alzheimer's who have higher levels of religiosity show slower rates of mental decline.

What's more, religious participation usually involves regular events, rituals, or traditions. Repeated over the years, these memories tend to be wired more fixedly in the brain of someone with Alzheimer's. That's why someone with Alzheimer's may find religious or spiritual activities comforting and easy to follow. These activities also offer an opportunity to socialize and bond with family, friends, and members of the community.

  • What you can do: Make provisions for the person in your care to continue attending her routine religious services as long as possible. If her behavior is erratic and sometimes disruptive, see if a "quiet room" is available. (Usually used by mothers of young children, this spot is helpful for people with Alzheimer's, too.) Try going to early or midweek services where attendance is lightest.

If you can find an old hymnal or songbook with songs dating to her youth, she might enjoy it more at home than newer editions with less familiar ones. Try singing them to her if she can't herself. She may enjoy also being read to from the Bible or other familiar religious texts.

SEE ALSO: Find Memory Care Near You

Consider other things that may nourish her spirituality, too. For some people, that's a walk in the woods, looking up at the night sky, listening to classical music, or meditation.

More nontraditional therapies for Alzheimer's

3. Music therapy for Alzheimer's pati ents

 

If you've ever found yourself singing a pop song you haven't heard since high school -- and knowing the lyrics -- you have some idea of the power of musical memory. Someone with Alzheimer's might not remember breakfast, yet the lyrics of old favorites from 50 or 60 years ago may be at the tip of her tongue.

Listening to familiar music is both enjoyable and comforting. It can relieve stress and anxiety and improve mood. People with Alzheimer's often "open up" and start to clap and sing along. In group settings, music may prompt listeners to reminisce about their past and interact with one another. At music therapy programs in adult daycare or assisted living facilities, caregivers may arrange live performances or music with dancing, which has the added benefit of encouraging exercise.

  • What you can do: Select music carefully, and stick to what you know your loved one likes and enjoys. (If you're not sure, look for CDs or old LPs of tunes from her 20s and 30s, when almost everyone is most attuned to popular music. You may even be able to borrow some from the library to try them out.) Playing music during meals may improve appetite, and calmer music played before bedtime may help her get to sleep more easily and agreeably.

In addition, some satellite radio channels are devoted to music from eras dating back to her heyday. Avoid radio stations that broadcast lots of commercials, as these can be confusing to listeners with Alzheimer's. It's also impossible to predict exactly what a radio station will play, and certain music may bother or agitate her.

SEE ALSO: Find Memory Care Near You

Early in the disease, she may enjoy live concerts. It doesn't have to be your local Carnegie Hall; even a high school choral performance or a church choir can be entertaining.

Some people with Alzheimer's enjoy making music. Many children's musical toys are appropriate without seeming juvenile, so look for maracas, tambourines, xylophones, or toy lap harps (zither) that offer easy-to-follow music sheets or can simply be plucked when she can no longer follow the written notes.

More nontraditional therapies for Alzheimer's

4. Art therapy for people with Alzheimer's

 

Both viewing and creating works of art can be therapeutic. Walking through a museum or gallery is a great way to relax a person with Alzheimer's disease while providing some exercise. Talking about certain pieces with a companion or a group on a special tour gives her a chance to converse about something in the moment without worrying about failing to remember names or facts. (And art interpretation, after all, is up to the individual, so there's also a freedom of expression.) This, in turn, can be a huge mood booster and way to increase self-esteem.

Working on an art project can help release emotions in a safe, healthy way. If done in a group setting, art also generates conversation and encourages bonding among participants. Using different tools, a person with Alzheimer's practices hand-eye coordination: If fine motor skills are declining and painting or drawing is difficult, she may enjoy the tactile work of sculpting or simply painti ng with a larger brush.

SEE ALSO: Find Memory Care Near You

  • What you can do: Don't worry if the person you're caring for was never very "artsy." Provide safe, nontoxic, easy-to-use materials and encourage her to spend time with them. (Even crayons and pages torn from coloring books work. Offer adult coloring books or nonjuvenile images if she's sensitive to this.) If you're unsure how to proceed on your own, look into adult daycare programs, where art therapy is often used and attendees enjoy feeling like they're learning a skill or creating something.

Visit your local museum together often. Weekday mornings are least likely to be crowded. Between the large collections and her short-term memory, this is one outing that can seem new every time for quite a long while.

More nontraditional therapies for Alzheimer's

5. Storytelling therapy for people with Alzheimer's

 

Storytelling is another therapy that taps into creativity. A caregiver or other companion presents the patient with a picture or series of pictures and invites her to construct a corresponding storyline. As in art therapy, communicating about an image doesn't require remembering anything, which can be an intimidating and uncomfortable aspect of other conversations. Storytelling exercises creativity, gives emotional release, and provides caregivers with interesting insights into the life and mind of the person with Alzheimer's.

In storytelling therapy, as in art therapy, the key is letting the person with Alzheimer's take the lead once the activity is introduced. The companion simply helps the story along by asking basic open-ended questions. Sometimes the story is written down.

  • What you can do: Find a coffee-table book with large images. At a relaxing, quiet time, when there are no distractions to interrupt or confuse your family member, sit down with her and look at the book together. You can also use postcards, calendar images, or a magazine. (Avoid celebrity or historic photos, which cause the person to get st uck trying to remember the "right" details.) Say, "Let's make up a story about this funny picture," or "I wonder what she's thinking about. What do you think?" Avoid asking questions that might feel like tests. ("What's that?") Stress the fact that there are no right or wrong answers. Offer open-ended prompts to help move the story along.

Look into TimeSlips , a facilitator-led storytelling-therapy method designed for groups, developed by Ann Basting, director of the Center on Age and Community at the University of Wisconsin Milwaukee.

 

6. Reminiscence therapy for people with Alzheimer's

 

Different from storytelling, which doesn't specifically involve memories, reminiscence therapy invites a person with Alzheimer's to exercise her long-term memory by encouraging her to share positive recollections from younger days. Especially in the earlier stages of the disease, she may still remember with astonishing clarity events and people from childhood and young adulthood. Old photo albums, mementos, and music are common tools used to generate this type of conversation.

Focusing conversations on these more solid memories can improve her mood, encourage verbalization, and raise self-esteem.

  • What you can do: Keep the atmosphere relaxed so she doesn't feel like she's being given a memory quiz. When children and grandchildren are involved as listeners, a person with Alzheimer's may feel especially proud to be able to share pieces of family history. As a bonus, you may learn things about her you didn't know or may be moved to record new and familiar tales on tape or paper to preserve them.

 

More nontraditional therapies for Alzheimer's

7. Massage therapy for Alzheimer's patients

 

Perhaps one of the most unexpec ted therapies for someone with Alzheimer's disease is massage therapy. In all people, the healing power of touch is well documented. It can trigger the relaxation response, lower blood pressure, and reduce the pain of chronic diseases. Few studies have been done on massage for Alzheimer's patients, but so far it's been found to reduce episodes of wandering and other agitated behaviors associated with anxiety. Massage can also help people with the disease sleep better, ease muscle pain and tightness, and ward off depression. Massage therapy is sometimes combined with aromatherapy (see below).

  • What you can do: Ask the person you're caring for if she'd like to try it. Someone who's apprehensive or has never had massage may want to start with hand, foot, or back rubs. Massage therapy only works when the person feels at ease with it. She may be very sensitive to touch or may feel uncomfortable with a stranger or even a family member touching her in this way. Be sure that if you hire a professional massage therapist, she knows that her client has dementia. Realize that you don't have to sign her up for a full body massage in order to harness the benefits of the power of touch: Hug her, hold hands, touch her gently when you talk to her.

 

8. Aromatherapy Alzheimer's patients

 

The use of essential oils from flowers and other plants to treat physical and mental disorders has a long history dating back thousands of years. Certain scents appear to work directly on connections in the brain to create associated responses. Scented oils can be applied directly to the skin (in diluted form) during massage, burned to release their scent into the air, or placed in bathwater. Some nursing facilities use aromatherapy to calm residents. This therapy hasn't been well studied with Alzheimer's, and as the disease progresses the sense of smell is often impaired, so it's unclear whether people with advanced Alzheimer's can benefit from it.

  • What you can do: The relaxing and stimulating powers of scents may be worth trying at home if you find the idea appealing. Even familiar scents like chocolate chip cookies or pine needles can trigger happy memories.

Common scents used in aromatherapy include:

Lemon balm (reduced agitation in Alzheimer's patients in one British study)

Lavender oil (induces relaxation)

Jasmine (boosts alertness)


over 1 year ago, said...

Some of the things I learned for my loved one with dementia that might be helpful are aromatherapy and massage. Thank you for this article!


over 2 years ago, said...

I appreciate the creative possibilities offered here. We've tried a number of them: museum visits are a huge plus; music not so much so for any very extended period of time. But I'm interested in massage and aromatherapy (though her sense of smell has diminished a lot)... and am glad to be reminded of other small activities that can calm and soothe.


about 4 years ago, said...

Hello 'miamoore', Thanks for posting! For safety and privacy concerns, we ask that all private information (e.g. phone numbers, email address, etc.) are exchanged as a private message (via hug/prayer). For everyone interested in contacting miamoore about her offer, please do so via hug/prayer. Thank you and kind regards, Caring Community Team


about 4 years ago, said...

I would like to donate my dog to someone who does this type of care. I rescued a 5 yr. old Lab (male) who is the most gentle loving creature I have ever know. I foster dogs and cats here and there when I am able. Unfortunately I have to move out of state for work and am unable to take him with me. My intention was to train him myself for this very service but the clock is ticking against me and he really should fulfill his purpose because he truly is full of love and I know he would be perfect for the job. Please contact me as soon as possible so that you or someone you know can meet him. I promise you it will be love at first site. He is perfect. Health wise and behavior wise. House trained. Very smart. My phone number is [phone number removed] and My name is Cecilia. His name is Midnight. Thank you for your help.


over 4 years ago, said...

Thank you for all info on your website and the comments shared by others who have gone before and those who are practicing many helpful suggestion.


over 4 years ago, said...

I found all suggestions simple, logical, and easy to try. Thank you.


about 5 years ago, said...

Another complementary therapy that may be helpful is Reiki, a Japanese energy method for relaxation and stress reduction.


about 5 years ago, said...

I am the cofounder of a practice called InterPlay which uses easy improvisational practices playing with movement, voice, stories, silence and contact to create connection, art and health. Many are using it with Alzheimer's patients. My Mom has the disease. On my Monday Morning Email: Thoughts on an InterPlayful (or not) world, I recently shared on Mom and Alzheimer's Disease. You'd get a kick out of seeing her and George playing with "Lord It's Hard to be Humble." Her dancer self is still working to this day and she is nearing the end stages of cognition. Also check out the blog of a dance therapist who works with dementia patients in Musings of a Dance Movement Therapist. Really inspiring! Donna Newman-Bleusteing Senior Lecturer, Lesley University and Public Relations Chairperson for the American Dance Therapy Association


about 5 years ago, said...

Great article! Thank you! A lot is happening in the world of movement and dance therapy as well. I am the cofounder of InterPlay and many are using this easy improvisational structure for those dealing with dementia. I heard today that creativity is not a talent. It's what drives us. I like that. I think this is true even when we have a disease. I have done an extensive blog on dancing with Mom plus a few great youtubes of her! Also Check out the blog of a dance therapist who works with dementia patients in Musings of a Dance Movement Therapist. Really inspiring! Donna Newman-Bleusteing Senior Lecturer, Lesley University and Public Relations Chairperson for the American Dance Therapy Association.


about 5 years ago, said...

Great suggestions! The reminiscing is good for me to, as it reminds me of happy times in the past that we shared. Plenty of incredible things we've done together. When funny things come over the internet, I share them with him and we laugh ourselves silly. We avoid heavy drama programs on T.V. and try to keep things light.


about 5 years ago, said...

Its good to know we have options. A friend of mine is caring for her mother and it sounds like a nightmare from which you can't awake. I have some hope that my experience will not be that bad. But if it is, there are people who have been there already and they made it through.


over 5 years ago, said...

Hi Indeed helpful strategies for caring for Alzheimer's patients, however helpful dietary interventions are not mentioned. 1 Tablespoon 3 times per day has been shown to be helpful. You can see the results for a Doctors husband treated this way. Moreover, high doses of folate, Vitamin B6 and B12 and 20mg of Lithium Orotate are also helpful. It is also imperative that patients body pH is balanced this can usually be done by adding 1 teaspoon of bicarbonate of soda to a litre of water and sweeten to taste with either stevia or Xylitol. kind regards Dr. Gerald Veurink www.gveurink.com


over 5 years ago, said...

In particular I know from personal experience with my Mother how beneficial are reminiscing and telling old memories. At the elder care home the staff are happy to put on CDs that I have made with her most treasured songs - playing the music of years ago she sings along - tailor made CDs are very very helpful. She laughs, sings and is cheerful. With reminiscences I join in - teasing her, encouraging her expressing lively interest - her memory is very sharp. In addition she enjoys being read to - her eyesight has failed and she often expresses regret that she cannot read as that was a favourite hobby. But when my brother or I read to her she listens carefully, asks questions and is engaged. It is such a joy.


over 5 years ago, said...

Just to let you know and agreeing with you about music. My Mom and I were going to be in the car for a long ride and I bought along her music from the 40's and 50's. It improved her mood and she sang the whole time. I was either singing with her (as I grew up on this music) or just smiling as my Mom was in high spirits. My parents use to dance all the time in the living room. The good olde days!!


about 6 years ago, said...

Amazing article with concrete examples of "how to" engage and enrich the life of the Alzheimer's loved one you are caring for. I hadn't thought of the museum and appreciate the suggestion and the benefits outlined here. With thats said, I found taking my mother-in-law to the zoo was an incredible day for her and for us. (The aviary was probably the most amazing. She could feed the birds and it is a day we'll always remember....to do again that is ;-)


over 6 years ago, said...

Thank you for your thoughtful outline of reminiscence ideas. Just wanted you to know of resources as www.lifebio.com. The MemoryBio Photo Album is a guided reminiscence book with pictures and simple questions to prompt memories. The accompanying journal gives caregivers a way to record responses as they come. If someone is in an early stage of dementia, the more open-ended questions (and no pictures) of LifeBio's Memory Journal would also be appropriate. info@lifebio.com