06/01/2026
Understanding “Shadowing” in Dementia Care – A Message for Support Workers
If you’ve ever had a participant follow you from room to room, sit watching your every move, or become unsettled the moment you step away — you’re not alone.
This is known as shadowing behaviour… and it’s not “clingy”, “needy”, or “attention seeking”.
It’s fear — looking for safety.
For someone living with dementia, the world can suddenly feel unpredictable, confusing, and unsafe. Faces blur. Rooms feel unfamiliar. Time doesn’t behave the way it used to.
And in all of that uncertainty, you become their anchor.
Your presence tells their nervous system:
“I’m safe right now.”
So when you disappear — even briefly — their body can respond with anxiety, agitation, or distress. This is not manipulation.
It’s comfort-seeking in a world that no longer makes sense.
💛 Support workers — this is important:
You are not “creating dependence.”
You are regulating their nervous system.
Connection is care.
Gentle ways to support shadowing behaviour:
• Keep routines predictable
• Use calm voice tones and slow movements
• Offer short reassurances before stepping away
• Create visual cues (“I’ll be right back”)
• Build safety rituals (tea time, music, hand massage, walks)
These small, traditional, human touches make an enormous difference.
You’re not just completing tasks.
You’re providing emotional safety — and that is powerful medicine.
And yes… you’re doing far more good than you realise. 🤍