08/29/2026
WHEN THE TEARS DON’T MATCH THE FEELING
Sudden crying or laughter does not always reflect how a person feels inside.
Pseudobulbar affect, also called PBA, involves sudden and difficult-to-control episodes of crying or laughing. The reaction might seem stronger than the situation or completely unrelated to what is happening.
PBA has been reported in people living with neurological conditions such as dementia, Parkinson’s disease, stroke, traumatic brain injury, multiple sclerosis, and ALS.
The person is not being dramatic or seeking attention. Protect their dignity. Stay calm. Reduce attention from others. Document what happened before, during, and after the episode.
Ask the healthcare provider:
“Do these episodes fit pseudobulbar affect, and what evaluation is appropriate?”
Do not dismiss a new behavior as “just dementia.” Sudden symptoms with facial drooping, weakness, speech trouble, or confusion require an immediate 911 call.
Have you witnessed an emotional reaction which did not match the person’s situation?
Generational Care Private Advocacy | Call 217-679-1030 | [email protected]
Educational information only. Speak with a qualified healthcare professional about individual symptoms.