A family sits beside a Christmas tree

How to support a person with dementia at Christmas

Christmas means many things to many people—from food, family and festivities, to religious observance and quiet reflection. But for people affected by dementia it can be more difficult. Here are 8 ways you can support people with dementia at Christmas.

There is always so much to consider at Christmas, and that’s especially true for carers.

So, with help from our online community Dementia Support Forum, we’ve compiled a few tips to help you make the most out of the festive season. Here are some tips to help you support your loved one (and yourself) this Christmas. 

8 ways to support somebody with dementia at Christmas

1. Put decorations up gradually

Introduce the Christmas environment slowly. Think about putting decorations up gradually over a few days so it doesn’t come as a big change to the person’s usual setting. Dementia Support Forum member Nae Sporran said:

This year I put the tree up on the first of December to brighten the place up and it made ‘C’ so happy.

'She especially likes the old wreath she has had for years even if she doesn't recognise it.'

2. Keep it simple and familiar

Someone with dementia may feel overwhelmed over the Christmas period, so it's best not to overdo it. Keeping the day's activities low-key will help your loved one to relax.

If they usually go to church around this time but are unable to, consider online or televised services.

Sticking to a familiar routine is also a good idea where possible. Having meals at regular times and in familiar surroundings will help to limit any potential confusion. Dementia Support Forum member jaymor said:

'We kept it as just a normal day. Decorations, Christmassy food and goodies confused my husband and made him more anxious than he already was.'

It was just too much for both of us. So for us there was no preparation.

'The children bought him clothes and his usual weekly supply of sweets and no Christmas wrapping in sight. He was used to his supply of sweets but the clothing was put away without him seeing it.'

3. Get everyone involved

There are many ways to involve people living with dementia at Christmas time – from something as simple as hanging a bauble on the tree to doing a spot of Christmas shopping. Playing Christmas music and singing favourite carols can be a simple way to involve the person in the festivities.

The important thing is that they feel included. Dementia Support Forum member Soobee said:

With Christmas cards, my mum still wanted to send them out, so I got her to write her name on a piece of paper.

'I then scanned, resized and copied them and printed them out onto computer labels.'

'Mum helped me to stick in a few of the labels so she felt involved, and I wrote the recipients name in at the top and did the envelopes. We did about 25 cards for her that year and she would never have been able to write her name more than once.'

4. Create a quiet area

A large number of guests can be overwhelming, so ask family and friends to spread out their visits over the festive period.

If things do get busy, designate one room or space in the home  a ‘quiet area’ where your loved one can relax without loud noise. For some people, listening to music on headphones can be a good way to block out the noise and feel calmer.

5. Bring back old memories

Whether it’s an old song they used to enjoy or a classic Christmas film, find something you can take part in that is important to the person. Making a family photo album or memory box could be a nice way to spend time together.

Be mindful that there may be things the person does not wish to reminisce about, such as upsetting events and people that they miss. Dementia Support Forum member Agzy said:

I have created a memory iPad which has nothing but hundreds of photographs of friends, family and places.

'Using my computer I have added names, year dates and place names. It has been a long labour of love but has paid off dividends as I update it regularly with new photos of interest to her.'

6. Be mindful of food

Although many people eat a lot at Christmas, a full plate can be daunting for someone who has difficulties eating. If you're doing the serving, try not to overload your loved one’s plate. We've also got lots more general tips to help with eating and drinking on our website. 

Dementia Support Forum member BarbGee said:

'My husband was diagnosed with Lewy Body about 12 years ago and increasingly finds changes to our normal routine distressing. For the last few years we've just stayed at home by ourselves and kept Christmas really quiet.'

'Last year Christmas Day was one of his "bad" days and he actually stayed in bed, asleep, until tea time. He wanted scrambled eggs so that was our Christmas meal.'

I think my tip would be to keep it simple and try not to be disappointed if it's all a bit dull. That's life!

7. Be flexible

It’s easy to get caught up in Christmas traditions and how things have always been done in the family, but your festive season might begin to look different as dementia progresses. It's always worth having a plan B, and be prepared to change your plans if a particular element isn't working. 

Dementia Support Forum member wildasba said:

'My mum loved Christmas with us but on Boxing Day, when we had other family and friends over (it was the same group of people every year, who she knew), she would get very stressed, sitting away from everyone else (sometimes out on the stairs).

'A couple of times she was abusive to other people and she was always clingy with me - the whole thing was overwhelming for her and she couldn't cope. This was despite asking who was coming, wanting to help with the preparations and being quite excited about it all.'

Even if they seem ok with the whole idea, don't take it personally if they behave the opposite. In fact, our mantra for coping with Mum, these last few years, is exactly that - Don't Take It Personally!

8. Plan ahead

Consider minimising situations where the person with dementia is put on the spot to remember names. Think about giving a gentle reminder each time a new person arrives, or ask that people introduce themselves. Speaking with family members in advance, especially younger children, may help avoid embarrassing moments for someone with dementia too.

If the person with dementia is living in a care home, it can be helpful to ask the home in advance what their plans are for Christmas Day - particularly if they have restrictions on visiting times or amount of people allowed at any ome time. Dementia Support Forum member Sarasa said:

'Mum's current home has a strict visiting policy so I doubt I could see her on the day even if I wanted to. I'll drop some presents off earlier in the week. My mother in law's home is more relaxed, but I doubt they'd want all four of her children, partners and various adult grandchildren turning up.

'I guess they family will decide among themselves who visits when. My mother in law too has no concept of times or seasons so won't miss a big celebration.'

This article was first published in 2018 and was most recently updated in October 2023.

Join our online community

Our online community Dementia Support Forum is free and available over the entire Christmas period. Join or visit anytime to get more advice, share experiences and connect with others in similar situations.

Visit the Dementia Support Forum

31 comments

I do have Vascular Dementia and had it for 3 years and its driving me crazy. I hear there is 3 different things hospital are on trial and I would like to do this . Can you help me please

Hi Neville,

We're sorry to hear this. Unfortunately, we aren't able to provide advice specific to your situation. We'd strongly recommend talking to your GP about your concerns.

Please also know that you can always contact our support line on 0333 150 3456 to speak with one of our trained dementia advisers. They will listen to you and provide specific information, advice and support that's relevant to your situation. You can find more details about the support line (including opening hours and other methods of contact) here: https://www.alzheimers.org.uk/dementia-connect-support-line 

We hope this helps for now.

Alzheimer's Society website team

Thanks for the very helpful Christmas suggestions. Wish I'd thought of the "writing cards" one earlier... still, there's always next years! .🤞
Thank you everyone for your contributions. We live in Australia and joined your mailing list some time ago when my wife Mary was diagnosed with dementia. Caring for her as her conditioned declined became too much for me and three months ago we moved her into full residential nursing care. The home is beautiful and take such loving care of her. Even so it has been a difficult period for me and I have read with interest this blog on the many ways to approach our coming Christmas season. Our plan is basically the same whereby the day will be held at our daughters home nearby where we have held many Christmas days, bringing Mary there for the day and returning her to the home in the afternoon. We do the same thing most Sundays too, which we are finding works quite well. We will certainly be following some of the great advice given herein. Thank you everyone and a very Happy Christmas to you all. Kevin.
My parents live near me, but even when they didn't it was always me who invited them to us. Since they've been close mum has been diagnosed with Alzheimers and vascular dementia and it looks like dad will be soon once he's out of hospital. Every Christmas they come to us or I cook and take a meal to them. Dad is not very mobile so it works best. I know lucky I am to still have my parents and for them to be so close to me. This year my family have been invited to my stepdaughter's for christmas 100 miles away. My husband, children and myself want to go but I am concerned for my parents. I have asked my brother and sister if they could visit or I could take mum and dad to them but they basically said they couldn't but might be able to travel up on 27th, when my stepdaughter is back to work! I would do a christmas meal and have a celebration with them just before Christmas and I'll be around lots after but its those two days. We have private carers who are amazing but they also will be with family. I guess my question would be, is there places that they can be together over the festive period (we would pay for) or are there other services available over that period, and is it ok? I feel so guilty about my parents and my children, I can't be there for all of them at the same time :-(

Hi there,

We're sorry to hear about your parents, that sounds like a difficult situation to be in.

You might benefit from joining our online community, Talking Point. Here, carers and other people affected by dementia can ask questions, and offer advice and support to others who may be going through similar situations. It's open day and night and free to use. You can browse the community or sign up here: https://www.alzheimers.org.uk/get-support/dementia-talking-point-our-online-community

We hope this helps.

Alzheimer's Society blog team

Thank you. I will do that 😊
Please please try not to feel guilty you are doing so well ! It’s exceedingly difficult I am an only child my mum has no relatives apart from me and this is very hard ! My husband is supportive but mums dementia has made her very anti me !! Please try to understand that Christmas is one day and you will need to think of yourself !
I know how you are feeling. Mum had vascular dementia, I split my time with her and my partner. It’s hard to always have to consider everyone’s needs and to make everyone happy. It’s a shame your siblings can’t for this time help out so you can have a Xmas off. I am not sure who you will resolve it but whatever you do, know you are appreciated and have done a lot for your parents. Marry xmas

I'd love some advice please.
We are dreading Christmas day and don't know what to do for the best. Our mum has moved into a retirement flat just 3 weeks ago...not really dementia friendly but far better and safer than where she was before. Each morning when I visit she is so angry and wants to go home....which just isn't possible anymore. I took my little boy and it really upset him. I was going to take Christmas dinner to mums and do gifts etc but it's really upsetting for everyone...even mum who I'd actually wake up from her sleep and she would get angry and upset. It's not fair for my son on his Christmas day too but we love her and want to do the right thing by everyone. It's just so sad and upsets me to be there with her. I don't know what to do.

Hi Sarah,

We're very sorry to hear about your mum. It sounds like a very difficult and stressful situation for you and your family. Please know that you aren't alone, and we are here for you.

We'd recommend calling our Dementia Connect support line on 0333 150 3456 and speaking with one of our dementia advisers. They can listen to your situation in more detail, and give specific advice and support. More details about the support line (including Christmas opening hours) are available here: https://www.alzheimers.org.uk/dementia-connect-support-line

You might also find it useful to speak to other people who are going through similar situations in our online community, Talking Point. Here, carers and other people affected by dementia share their experiences and offer support and advice. You can read more about the community, or register for free here: https://www.alzheimers.org.uk/get-support/dementia-talking-point-our-on…

We hope this helps, Sarah. Please do call our support line.

Alzheimer's Society blog team

Hi Sarah,

We're very sorry to hear about your mum. It sounds like a very difficult and stressful situation for you and your family. Please know that you aren't alone, and we are here for you.

We'd recommend calling our Dementia Connect support line on 0333 150 3456 and speaking with one of our dementia advisers. They can listen to your situation in more detail, and give specific advice and support. More details about the support line (including Christmas opening hours) are available here: https://www.alzheimers.org.uk/dementia-connect-support-line

You might also find it useful to speak to other people who are going through similar situations in our online community, Talking Point. Here, carers and other people affected by dementia share their experiences and offer support and advice. You can read more about the community, or register for free here: https://www.alzheimers.org.uk/get-support/dementia-talking-point-our-on…

We hope this helps, Sarah. Please do call our support line.

Alzheimer's Society blog team

I’m dreading Christmas after all the shopping so tired.Now we’ve been asked to my sons in-laws very kind but I don’t know how long we’ll stay,also my husbands eating is poor so I’ll tell the person cooking to give him very small potion.It’s so awful because he doesn’t know who we are just that we’re familiar just have to see how we go.

Hi there Sylvia, thanks for getting in touch.

It sounds like you could benefit from talking with others affected by dementia. Within our online community, carers, family members and people living with dementia can share their experiences, offer advice and support. Talking Point is free to use, and open day or night - you can simply browse the community, or sign up to join the conversation: https://www.alzheimers.org.uk/get-support/dementia-talking-point-our-on…

You may also find it helpful to speak with a dementia adviser. If you call 0333 150 3456, they will listen to your situation, then provide you with dementia information, advice and support. More details about the support line (including opening hours over the Christmas period) are available here: https://www.alzheimers.org.uk/dementia-connect-support-line

We really hope this is helps for now, Sylvia. Please do speak to someone if you're in need of support - you are not alone.

Alzheimer’s Society blog team

My hubby of 39 years has had Frontemporal Lobe Dementia for going on 9 years now. I am only 58, he 63, so sad.😭HIS decline has been fast the past few months. I go to the home he is in daily to care for him since staff is short due to Covid. It is so draining, yet I take time to snuggle in beside him at the end of the day! I try to turn on a Christmas movie and just be still!💜 He will sleep, then wake and call out my name to see if I am still there...when he feels me, he will lay back down and close his eyes! A small grin here and there is a gift from Heaven for Christmas, perhaps my last. God Bless You All on Your Journey, Hugs Pat ☃️❄️🎄💜🙏

Oh Pat, my husband was diagnosed with frontotemporal dementia in 2018, he is now 61 and I am 62. I find since losing his license he has declined so rapidly. We are trying to live our best life, walks every day, make his favorite meals and love him unconditionally. He's my best friend and I love him dearly. It's so sad to lose him more and more every day.

This is so accurate.
My mother in law has invited my dad to join us for Christmas Day at her house, which is a lovely thing to do but he can become really distressed by the unfamiliar such as not knowing where the toilet is and what the rules are in a strange environment that it wouldn’t be at all relaxing for him. Instead we are going to plate him up a dinner and I will take it to him late afternoon. We can spend several hours in his environment where he feels secure, surrounded by familiar things and watch a Christmas movie together or sing some carols and look through some old photo albums. 💙💚💙

My 70 year old mum is now living with me as she was being neglected by her partner. My mum has dementia, I’ve seen a decline in the past few months and I have found this information Very helpful

IM A 50YR OLD CARER TO MY WIFE OF 21 YRS HAPPILY MARRIED.DEMENTIA OF 4YRS .PRAISE,FOR EVERY LITTLE THING SHE DOES.CUDDLES AND KISSES.LET HER WATCH PROGRAMES SHE INJOYS .MY WIFES FAVOURITE IS CALL THE MIDWIFE WHICH SHE WATCHES BACK TO BACK.AS MY WIFE USED TO BE A NURSE WHICH ALSO TAKES HER BACK TO THE 60S.HOW THINGS USED TO BE.ALSO PANTOMINES AND SHOWS.ALSO GROUPS.ETC

I quote an old Cockney friend when he lost his wife

“It’s not wot you want but wot you’ve got, so stick a geranium in yer ‘at and be ‘appy .”

I am 77year old my wife is in a home for 3years this year is hard to believe the years just fly by she is well looked after the staff are very helpful merry Christmas to all and a happy new year cheers

Merry Christmas to you too Jimmy. Your comment is so beautiful. Sending best wishes.

Thank You because mum died on the 4th and was buried on the 8th last year we all sat around the table with dad shocked traumatised and stunned. I hope this year is different. I will try my best.

All of these comments are so accurate. We do not know if they hear or understand you so just showing love and gentle feelings are everything. I did this for my dearest friend yesterday and the hurt is hard to take. We will not have another chance💕💕💕

Modern decorations can bet confusing for someone with dementia. Pay particular attention to lighting. Changing Flashing lights can be confusing for some people even if they don't suffer from dementia.