09/03/2026
WORD OF THE DAY: ANOSOGNOSIA
By the numbers, anosognosia is common in people with serious mental illness and is also frequently seen in people living with dementia.
But here's what caregivers need to understand:
Anosognosia is NOT simply denial.
Denial is a psychological defense mechanism. Somewhere inside, the person may recognize the truth but has difficulty accepting it.
With anosognosia, changes in the brain impair a person's ability to recognize their own illness or limitations.
They aren't necessarily refusing to understand.
Their brain may not be able to process that they are sick.
So, how hard is that for a caregiver to deal with?
As hard as cement.
You can argue.
You can explain.
You can show them the diagnosis.
You can remind them what the doctor said.
But you may never convince them because the ability to recognize the illness itself may be impaired.
Two simple rules for caregivers:
1. Honor the feelings.
You don't have to agree with their version of events. Acknowledge how they feel instead of arguing about whether they're sick.
2. Focus on the goal.
What are you actually trying to accomplish? Taking medication? Going to an appointment? Staying safe? Getting dressed? Eating?
Sometimes getting to the goal is more important than winning the argument.
You don't have to convince someone of their diagnosis to help care for them.
Stay Inspired,
Shonda Brock
Start Smart Plus
.bland7
