Therapeutic Reasoning™

Something that is therapeutic is also known as beneficial.  Reasoning is defined as the use of logical thinking or an argument in order to find results or draw conclusions.

Therapeutic Reasoning™ is a type of strategy that is effective in dementia care; “reasoning” that is logical to the person.

Reasoning with a person with dementia is not always easy; especially when they lose their ability to think logically or no longer able to understand present reality.

Therapeutic Reasoning involves using reasoning which is logical to the person (not necessarily actuality), which creates a reassuring calm feeling.  As a result, it is beneficial to both to the person with dementia and the caregiver. 

Caregivers need to go into their reality to say or do things that will help them to feel reassured.  Therapeutic Reasoning comes from a place of caring; we are aiming to help, not hurt.  When reasoning becomes difficult, the goal now becomes less about who is right or wrong.  Instead the goal is to ensure everyone is happy and at peace.

Examples of Implementing Therapeutic Reasoning:

• Agree with them to keep the peace         
• Apologize to them to keep the peace
• Say something nice to them
• Show them you care
• Tell them you will look into it
• Tell or show their concerns are solved

For example:  A person in middle stages of Alzheimer’s disease may firmly believe they need to “get home to milk the cows”. By stating the facts such as, “You don’t have the farm anymore, you sold it 15 years ago”, can cause feelings of upset, sadness, mistrust and/or additional challenging behaviours.  Instead one can use Therapeutic Reasoning:  “Milk the cows?  Well… Lucky us!  They have already been milked today!  Isn’t that great news?!  How about joining me for a cup of coffee/tea to celebrate… the treat is on me!”

Please use this approach wisely.  Practice will help you to feel more comfortable when you witness the benefit.  Do or say whatever works.