caregiver (cg) suspects that Care recipient (cr) is addicted to shopping information shopping addiction is defined as out of control purchases of items and that are inappropriate and excessive

Try: Monitor the situation the first thing that you need to do is to monitor the situation determine if a shopping addiction exists and the extent of the problem after that you can work with cr on ways to address the problem here is a list of some of the things that should be monitored the volume of catalogs in the living quarters the amount of time cr spends watching home shopping networks on television the amount of time cr spends going through newspaper ads especially the ones in the sunday paper the amount of items that are ordered online or on the phone the extent to which excessive and unneeded items are filling up rooms in the house this may indicate that cr has also had a problem with hoarding look for the following signs of shopping addiction an obsessive drive in cr to fix something that is wrong shopping or spending money as a result of feeling angry depressed anxious or lonely cr thinks obsessively about money duplicate purchases of the same items compulsive buying for example cr only needs one item but buys ten cr hides purchases and receipts from you cr lies to you about what has been purchased and the amount of money spent clothing and other items purchased in the house still have the tags on and have never been used cr has multiple credit cards with high balances or maxed out much of the spending has been on non-essential items cr cr’s spending consistently exceeds his or her budget cr is in a vicious cycle of buying items and then returning them due to guilty feelings this in turn leads to more compulsive shopping cr can’t stop the self-destructive behavior cr cr’s personal relationships are impaired because cr is so pre-occupied with shopping as a result cr feels isolated from other people cr often has arguments with others about his or her shopping habits cr feels lost without credit cards and actually going into withdrawal without them cr buys items on credit rather than with cash cr feels guilty ashamed or embarrassed after a spending spree cr lies about how much money was spent for instance owning up to buying something but lying about how much it actually cost cr spends a lot of time juggling accounts or bills to accommodate spending try to determine the possible causes of the apparent shopping addiction; does cr have unmet needs such as socialization relationships with others a sense of purpose for living does cr have a control problem is cr very uncomfortable and anxious in situations where he or she is not in control gently confront cr regarding what you have observed and offer some alternative that may help encourage cr to implement the following recommendations that may help reduce or break the shopping addiction admit that you are a compulsive spender this is half the battle substitute healthy habits and behaviors for the negative ones find other meaningful ways to spend time find a new game because novelty fires up the dopamine system activities that push you to keep learning new skills such as rock climbing or playing chess can be just as rewarding as shopping get a different rush when you feel the need for relief get on a treadmill or bike and push as hard as you can to release endorphins and get a runner’s high implement a self-imposed ban on shopping window-shop without money don’t shop by yourself most compulsive shoppers shop alone and if you are with someone else you are much less likely to spend don’t make shopping a social thing shoppers who hit the stores in groups of three or more generally make more impulse purchases than those browsing alone or in pairs if you really want company pick one friend who isn’t a big shopper so he or she can keep your spending in check pay in cash credit cards have a way of fooling people into thinking they’re not spending money you can charge something and forget it because the bill won’t come in the mail for weeks on the other hand spending cash has a much more immediate impact if you can’t pay cash today then you probably can’t afford whatever you wanted to buy give someone else control over your finances get rid of checkbook and credit cards that fuel the problem place an interrupter between the buying impulse and opening your wallet for example make a phone call or even take a few deep breaths prolong the anticipation stay away from pricey boutiques and head for a department store that offers acres of browsing and lots of distraction break the addiction if your shopping is a problem focus your thinking on specific behaviors that will help break the addictive cycle consider joining a support group including ones like debtors anonymous that deal with out of control spending window-shop first without your wallet then you can return to the store with a clearer head and some self-control this extra step takes a little more time but the savings are worth it shopper shopper’s high the lift people get from hitting the mall comes from dopamine a brain chemical that that’s emitted when you do something pleasurable such as eating a giant slice of pizza or having sex that euphoric feeling is especially potent when the enjoyable activity exposes you to something new such as all that gleaming merchandise you haven’t seen before pinpoint your triggers curb your exposure to stores where you simply can’t leave without buying something – no matter how small however don’t go cold turkey or you’ll just feel deprived and want to shop more map the aisles the more store aisles you visit the more unplanned purchases you make your impulse purchases increase by 10 percent when you visit all instead of just some aisles this makes perfect sense you’re exposed to more new things coupons and displays increasing the likelihood that one of them will prove irresistible plan ahead by mapping out your shopping list grouping items together according to how they’re arranged in the store and you’re more likely to stay on track distinguish between a want and a need when you’re on the verge of buying something ask yourself do i have anything else like this can i live without it most of our so-called needs are really wants that you are justifying it it’s perfectly okay to have and occasionally indulge in wants if you do it wisely so if the item in question isn’t a need decide whether it it’s a practical-but-unnecessary purchase or a luxury keep a shopping diary if impulse spending is a big problem for you try this remedy write down how you felt and everything you bought today do this daily for a couple of weeks and look for patterns for example do you buy junk food when you are depressed and clothes when you are depressed by keeping a diary you can recognize the state of mind that that’s likely to make you buy too much and steer yourself away from the store at those times give yourself a cooling-off period for example take a stroll around the store while holding on to the item if you want to take the plunge anyway put the item down and wait a week

Materials: Books articles audio and video recordings and other resources regarding shopping addiction possible interventions and recovery

Categories: Behavior Challenging, Cognitive Intellectual, Emotional Psychological, Financial, Social, Some Supervision, Maximum Supervision

Information: n/a

References: Adapted from www webmd com

Keywords: Shopaholic compulsive shopping compulsive spending shopping addiction

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) displays marked anger

Try: Try to differentiate between frustration pressure and anger assess cr for deep grief loss and depression which can be connected to anger familiarize yourself with self-monitoring and relaxation techniques that may be calming and reframe the setting or situation that is making you angry once this has been accomplished teach the techniques to cr and offer support teach cr how to verbalize hopes wants and needs appropriately encourage cr to get feedback on anger management from other individuals and groups

Materials: n/a

Categories: Behavior Challenging, Emotional Psychological, Medical Physical, Fully Aware, Somewhat Aware

Information: n/a

References: n/a

Keywords: Angry outbursts severe anger problems extreme anger problems anger issues anger management

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is brooding worrying and wringing hands

Try: Ask cr to tie knots every three or four inches in the silky scarves ask cr to help you untie the scarves this project can be repeated over and over again store the scarves in the hat box and pull them out whenever needed in the future

Materials: Hat box silky long neck scarves

Categories: Behavior Challenging, Emotional Psychological

Information: n/a

References: n/a

Keywords: Upset fidgety

*This information is listed as a Tip and is not explicitly medically licensed

Female Care recipient (cr) does not want to change her clothes or do other things to improve her physical appearance

Try: Fill one the cr cr’s older purses with the items listed above encourage cr to brush her own hair assist cr with makeup and nails continue to compliment cr with each step when cr is preparing for bed ask her to change into a night gown or pajamas – whichever she was use to wearing remove clothes from cr cr’s room so she can’t redress in the same clothes check cr cr’s shoes if she has problems with incontinence her shoes may become wet and have odors check cr cr’s clothes for proper fit weight loss is common in older crs

Materials: Purse perhaps an older one that cr used to carry hair brush mirror powder compact blush and lipstick nail file and nail clippers pretty handkerchief

Categories: Behavior Challenging, Emotional Psychological, Medical Physical, Personal, Female, Some Supervision, Maximum Supervision

Information: n/a

References: n/a

Keywords: Grooming fixing hair low self esteem

*This information is listed as a Tip and is not explicitly medically licensed

Compulsive behavior occurs in many care recipients cr hoarding in particular is a serious compulsive problem the following are tips to deal with the cr’s hoarding

Try: Offer to take out the trash and offer to do some cleaning for the cr you can also offer to pay for someone to come in a cr will generally turn you down but you may be able to make some headway once he realizes you are genuinely there to help ask permission before throwing out anything hoarders have an overdeveloped since of ownership and can become excessively attached to seemingly worthless things such as junk mail or decades-old catalogs if you are to make a difference you must not breach the cr’s trust and remove items without permission work gently towards the goal of cleaning up most hoarders are aware that there is a problem with their lifestyle but are so overwhelmed they do not know where to begin work in small doses and ease them into parting with certain items call social services if you are far away or cannot get to the cr cr’s home as often as you’d like and report the cr as a vulnerable adult many states will not help an individual who can still drive or fix his own meals however you can ask for an interview to be held to assess the cr’s needs be prepared to accept that the hoarder may not take any help at all if she won’t and the state will not intervene then be prepared to come to terms with her living conditions and allow her to live the life she has chosen

Materials: n/a

Categories: Behavior Challenging, Medical Physical

Information: n/a

References: Ehow com

Keywords: Hoarding

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) disrobes at inappropriate times and is very uninhibited

Try: Look for patterns what what’s happening right before or after these episodes does it happen after eating maybe cr has to use the bathroom and wants to be ready so he she unzips his her pants are you noticing other signs of forgetfulness this can help you figure out the cause ignore the behavior to the best of your ability although disrobing isn’t usually done to get your goat your raging disapproval may only egg cr on try distraction move to another room or activity while casually covering cr up without comment

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Sexuality Intimacy, Cognitive Awareness, Somewhat Aware, Unaware

Information: n/a

References: Adapted from www caring com how to handle difficult behaviors by f paula spencer scott no date

Keywords: Disrobes undresses uninhibited uninhibited nude naked challenging behavior inappropriate embarrassing embarrasses grandiosity grandiose

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is very rude to caregivers and other individuals

Try: Decide how excusable the behavior is if cr has memory loss or another cognitive issue you can tollerate some of the rude behavior however it may help smooth things over if you explain the reasons for the rude behavior to the individuals who are on the receiving end of it try to set boundaries about what what’s acceptable for example i know you hate being in the wheelchair but i can’t help you unless you’re civil to mr smith try to help cr feel some sense of control over his or her life sometimes rudeness is the result of feeling helpless the cr may be unconsciously retaliating for a loss of control retrain the cr by responding to kind words and acts and ignoring the rude ones

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological, Cognitive Awareness, Somewhat Aware, Unaware, Short-Term Memory, So-So S T Memory, Poor S T Memory

Information: n/a

References: Adapted from www caring com how to handle difficult behaviors by f paula spencer scott no date

Keywords: Rude angry belittles agitated agitation verbal abuse

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) is easily upset or angered

Try: Resist the natural impulse to feel defensive or yell back you’ll wind up in a downward spiral calmly tell cr that you can see he she is upset about something name it if you know and ask what it is and how you can help i can tell you’re upset that the doctor didn’t call back; what would you like me to do feeling understood often defuses the anger then you can move to constructive solutions if the verbal abuse continues explain that you’re willing to listen but only if cr stops shouting at you be respectful but firm understand that an angry person usually sees the world as unfair either because of an immediate wrong or a past one try verbalizing this by saying something like i know you don’t think it it’s fair that the doctor doesn’t respect your time how can i help

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological

Information: n/a

References: Adapted from www caring com how to handle difficult behaviors by f paula spencer scott no date

Keywords: Argues arguments argumentative challenging behavior angry anger angry irrational irritated irritable

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) keeps a lot of junk around the house that doesn’t seem to be needed or have value or be useful

Try: Focus on safety clear pathways of paper or boxes to prevent falls make sure countertops are clear enough so that essentials such as medications or the telephone can be found remove fire hazards surreptitiously clear refuse when cr can’t see you getting rid of what seems like junk to you can be traumatic for the hoarder offer to take pictures of favorite objects and create an album then box up these extras that there there’s no space for try introducing more activities to preoccupy cr such as bingo painting woodwork or even simple household tasks — anything that occupies hands and mind

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological

Information: n/a

References: Adapted from www caring com how to handle difficult behaviors by f paula spencer scott no date

Keywords: Hoarding pack rat hoarder hoards

*This information is listed as a Tip and is not explicitly medically licensed

Care recipient (cr) argues and seems to like getting a rise out of others

Try: Realize that cr knows better than most how to push your buttons this can only be annoying to the extent that you let it get to you remind yourself that this is just cr cr’s coping mode; you can’t always change it but you don’t have to take it personally tell yourself here we go again but avoid showing annoyance or bickering back and forth stay calm but refuse to go further in cases where the issue is a necessity for example you can’t drive the car unless cr buckles up you won’t fix breakfast until cr takes his her medication explain that these are nonnegotiable try to realize that arguing is especially futile because cr may be cognitively unable to follow rational thinking

Materials: n/a

Categories: Sage, Topic, Behavior Challenging, Emotional Psychological

Information: n/a

References: Adapted from www caring com how to handle difficult behaviors by f paula spencer scott no date

Keywords: Argues arguments argumentative challenging behavior angry anger angry irrational

*This information is listed as a Tip and is not explicitly medically licensed