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Caregiver Center

Paranoia and accusations

Quick answer

Accusations usually come from memory gaps the brain fills in with an explanation.

Author:
Illinois Dementia Guide editorial team
Medically reviewed by:
Amarish Dave, DO, Board Certified Neurologist
Published:
August 2026
Last medically reviewed:
August 2026
Geographic relevance:
Illinois, United States

What may be causing this

  • Misplacing items and needing an explanation
  • Hearing or vision loss
  • Unfamiliar people or environments
  • Delirium from infection or medication

What to try first

  • Do not argue or defend; acknowledge the feeling
  • Help look for the item together
  • Keep duplicates of frequently 'lost' items
  • Change the subject to a comforting activity

What usually makes it worse

  • Proving them wrong
  • Whispering in the same room
  • Frequent changes of caregivers

Simple things you can do today

  • Note common hiding places
  • Reduce clutter so items are easier to find
  • Check hearing and vision

When to call the doctor

  • Accusations are new or escalating
  • The person is frightened or refusing care
  • Any sign of infection or delirium

When it may be an emergency

  • Threats or acts of violence toward self or others
  • Sudden confusion, weakness, slurred speech, or facial droop
  • A fall with head injury, especially on a blood thinner

Medically reviewed. Last reviewed August 2026. This page is educational information, not individualized medical advice.

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