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Dementia and repeating questions: how to respond

By James editorial team, Golan Europe S.L. · Published · 8 min read

Answer each time as if it were the first, in the same short, calm words. Your parent is not doing it on purpose: they cannot remember asking. Look for the worry behind the question and reassure that. Put the answer where they can see it, on a clock, a whiteboard or a note. And if repeating starts suddenly or gets much worse in days, call the doctor.

Why the same question keeps coming back

To you, it is the eighth time you have heard "What time is the bus?" this morning. To your mother, it is the first. Dementia makes it hard to hold on to new things. She cannot recall asking, and she cannot recall your answer.

The NHS lists repeating the same question or activity as one of the common changes in dementia. It may be a result of memory loss, where the person cannot remember what they have said or done. The NHS also stresses that the person is not being deliberately difficult[1].

Memory is not the only reason, though. Repeated questions often come from:

Knowing which one is behind the question changes how you answer.

Answer as if it were the first time

The hardest and most useful skill is to give the same calm answer again. Keep it short. Keep your tone the same. Smile if you can.

This is not wasted effort. In a study of people with Alzheimer's disease, understanding of a sentence improved when it was said again, whether in the same words or different ones[2]. A repeated answer gives them another chance to take it in, even if it does not stick for long.

Try not to say "I've just told you" or "You already asked that." They cannot fix the problem, so these words only add embarrassment. Sighs and eye-rolls send the same message, so watch your face as well as your words.

Using the same words each time can help, too. A familiar phrase, like "All sorted, nothing to worry about", can become a small ritual that soothes.

Listen for the question behind the question

Often the words are not the real question. The NHS suggests looking for an underlying theme, such as the person believing they are lost, and offering reassurance about that[1].

Some examples of what might be going on:

The NHS also suggests general reassurance, for example that they do not need to worry about an appointment because the arrangements are in hand[1].

For more on handling hard questions with kind words, see what to say to someone with dementia.

Put the answer where they can see it

If they can find the answer themselves, they do not need to ask. The NHS gives a simple example: if someone keeps asking the time, get an easy-to-read clock and put it where they can see it[1].

The same idea works for other questions:

Keep notes short, large and clear, in dark ink on a light background. Point to them when the question comes: "Let's check the board." This keeps your answer and the written answer the same.

Some families find it helps to mention a big event, like a trip or a visit, only a short time before it happens. A long wait can turn into hours of the same anxious question. You know your parent best, so try it and see.

Routine, activity and a change of subject

A predictable day means fewer surprises and fewer worried questions. Meals, walks and rest at the same times help the person feel more settled.

The NHS suggests encouraging the person to talk about something they like, such as a time or an event they enjoyed[1]. After you have answered, try moving gently on:

It can also help to look for patterns. The NHS suggests keeping a diary for one to two weeks to spot triggers, such as a time of day, a noisy room, or being asked to do something[1]. If the questions always start at 4 pm, plan a calm activity just before.

Protecting your own patience

There will be days when the tenth question feels like the last straw. That is human. It does not make you a bad carer.

Caring for someone with dementia brings high levels of stress, poor health and isolation for many family carers, a major review found. The good news is that support programmes for carers have been shown to reduce carer burden and depression[3]. Another review found that changes in behaviour in the person with dementia are one of the factors that raise carer burden[4].

What helps in the moment:

  1. Pause. Take a breath before you answer. Count to three.
  2. Step out. If you are about to snap, say "Just a minute" and go to another room briefly, if it is safe.
  3. Tag in. Let another family member take a shift, even by phone.

What helps over time: in England, any carer over 18 can ask for a free carer's assessment. It can lead to breaks, local support groups and other help[5]. In other countries, ask the GP, local council or a dementia charity what support exists. Our guide to caregiver burnout signs helps you check how you are doing.

James can take some of the load. If you tell him about the dementia, he keeps sentences short and never tests memory or argues. He can also check in twice a day if your parent wants that. You can read how James supports people with dementia.

When repetition is new or sudden: call the doctor

Repeated questions that build slowly over months are typical of dementia. A sudden change is different.

The NHS says that if behaviour changes suddenly, the cause may be a health problem. The person may be in pain or discomfort from constipation or an infection. Ask a GP to check[1].

Watch for sudden confusion, too. Delirium is a sudden state of confusion. The NHS says to get medical help immediately if someone suddenly becomes confused, because some causes can be serious[6]. In the UK that means A&E or 999. Elsewhere, call 112 in Ireland, 911 in the US, or 000 in Australia. People with dementia are at higher risk of delirium than others[7]. Signs include suddenly not being able to think or speak clearly, not knowing where they are, struggling to pay attention, or seeing things that are not there[6]. Our guide to sudden confusion in elderly people covers this in more detail.

If someone without a dementia diagnosis has started repeating questions, that is worth a GP visit too. Memory problems have several possible causes, and only a doctor can assess them.

Frequently asked questions

Why does someone with dementia ask the same question over and over?

Usually because they cannot remember asking or hearing the answer. Worry, boredom, or a need for reassurance can also be behind it. They are not doing it on purpose.

Should I tell them they have already asked?

It is better not to. They cannot remember, so pointing it out only causes embarrassment. Give the same short, calm answer, or point to a written note.

Does repeating questions mean dementia is getting worse?

Repetition often grows slowly as dementia progresses. A sudden increase over hours or days is different. It can be a sign of infection, pain or delirium, so contact a doctor.

What can I do when I lose patience?

Pause and breathe, step away briefly if it is safe, and share the caring with others. Ask about a carer's assessment or local dementia support for longer-term help.

Do whiteboards and notes really help?

They can, especially for questions about the day, the time or plans. Keep them short and clear, and point to them when the question comes. Each person is different, so try a few ideas.

James is an AI, not a doctor. For medicines and treatment ask your doctor or pharmacist.

Sources

  1. Coping with dementia behaviour changes — NHS
  2. Small JA et al. 1997. Sentence comprehension in Alzheimer's disease: effects of grammatical complexity, speech rate, and repetition — Psychol Aging — PubMed
  3. Brodaty H et al. 2009. Family caregivers of people with dementia — Dialogues Clin Neurosci — PubMed
  4. van den Kieboom R et al. 2020. The Trajectory of Caregiver Burden and Risk Factors in Dementia Progression: A Systematic Review — J Alzheimers Dis — PubMed
  5. Looking after someone with dementia — NHS
  6. Sudden confusion (delirium) — NHS
  7. Fong TG et al. 2015. The interface between delirium and dementia in elderly adults — Lancet Neurol — PubMed

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