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vickij1967 Asked August 2023

Causes of shadowing and what to do about it?

Dad will not let Mom out of his sight. He follows her all around the house.

AnnReid Aug 2023
If he has been formally diagnosed by a geriatric behavioral specialist (psychiatrist, psychologist, neurologist, psychiatric social worker etc.) it may be that he will respond to medication for anxiety/depression carefully administered in small doses.

As to cause, in the early stages of dementia, a patient can be aware of the failing ability to use thought and reasoning for problem solving, and become panic stricken to “keep the secret” while trying to maintain the appearance that everything’s FINE and the same as it was before.

Being with your mother may allow your dad to assure himself that if she’s there, he’s OK.

Part of the tragedy of this disease.

Hope you are able to give Mom “time out” and also find ways to soothe Dad.

And also, be good to yourself, too. Being the kid who loses a parent this way is tough on you too.

Grandma1954 Aug 2023
Grandma1954 8/6/23

Your mom is a "safe person" for your dad.
As other things that he "knows" fade this is what he does "know":
He knows that she will be there for him.
He knows that she understands him.
He knows that she won't make fun of him if he makes a mistake.
He knows that he is not "lost" if he knows where she is.

Is there an Adult Day Program where they live? That can help. It gives him a safe place to go a few hours a few days a week. It gives mom a break, gives dad a break.
If there is no Adult Day Program getting a Caregiver in to help is a good idea.
It gives dad another person he can trust. (eventually, it will not happen right away)
Introduce the caregiver as a "friend" and the friend can help mom. then the second time the "friend" comes mom can say she has to run to the store. Leave for an hour or so. Dad will by then trust the caregiver. The next time mom leaves for a bit longer.

If mom wants some "alone time" she should give dad a task to do.
Fold laundry
Cut recipes out of a magazine
Peel potatoes
Wash dishes / load the dishwasher
make the bed.
(Obviously if any of these things are not safe for him to do then you don't give him that task)
((and if any of the tasks are not done the way mom wants them done she should not say anything .. doing them kept him occupied and that is the goal.))

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97yroldmom Aug 2023
Here is an article from alz.org which offers some tips and tools for shadowing.


https://www.alz.org/media/cacentral/dementia-care-39-the-light-beyond-shadowing_1.pdf

EngineerTom Aug 2023
Opposite situation here. She wants me to be with her. She has mobility issues and can not move around easily. She has said that she is lonely. We are together in a small home so there is not much room for me to get lost. Alone time for me is grocery shopping once a week and a small volunteer program which is no more than 4 hrs a month. We are both 84 years old, married 62 years old. Is it too late to run away from home {grins}

BurntCaregiver Aug 2023
For starters NEVER allow a shadowing habit to even form. Most people don't know this. I was a caregiver for 25 years. I have never allowed a shadowing habit to form even when I did live-in.
If one has already been established, the only way for it to stop is your mother will have to force your father out of it.

If he's following her around the house, she is going to have to have periods of time where she leaves the the house and has someone else be there while she is gone. If this is going to be done by a hired caregiver coming in, then your mother has to leave when they are there.

Another good way to break someone out of a shadowing habit is to put them in adult daycare.


He will most likely start panicking and getting agitated at first when he's away from your mother. His doctor can prescribe medication to help that. Your father will get used to a new routine where he isn't with your mother 24/7. It will be difficult at first, but he will get used to it. Then it won't be.


Your father has to be away from your mother for periods of time every day. After a few months the time away can be cut down.
This is the only way to break a shadowing habit other than not allowing one to form.

Good luck, and please help your mother find homecare or daycare to give her a break and to break the shadowing habit.

ConnieCaretaker Aug 2023
Geriatric Psychiatrist who can prescribe medications.
BurntCaregiver Aug 2023
Any physician can prescribe an anti-anxiety agent.
cwillie Aug 2023
Does she have any respite from being with him full time like outside caregivers or adult day care?

Geaton777 Aug 2023
It is a very common behavior in those with dementia. See 97yroldmom's link below. It won't stop anytime soon so she will need strategies to deal with it, since it creates a lot of stress for the caregiver.

NeedHelpWithMom Aug 2023
Bumping up to receive answers.

Llamalover47 Aug 2023
vickij1967: Perhaps his neurologist can offer medication add on/change out. However, dad has come to quite possibly become frightened when mom is out of eyesight.

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