Deception, Relocation, and Dementia Care

Moving a loved one with dementia into memory care is one of the most difficult decisions many families will ever face. This evidence-based article by clinical psychologist Dr. Regina Koepp explores the ethical question of whether “therapeutic lying” or “therapeutic fibbing” is ever appropriate when helping someone transition to memory care. Drawing on geriatric research and dementia care best practices, the article explains how honesty, preparation, and involving the individual in decision-making whenever possible generally lead to better outcomes, while also recognizing that limited deception may occasionally be considered as a last resort in very specific situations involving significant safety concerns.

Beyond discussing ethics, the article offers practical strategies for reducing relocation stress, involving healthcare providers, exploring less restrictive alternatives, and supporting family caregivers through one of life’s most emotional transitions. It is a thoughtful resource for anyone seeking compassionate, person-centered guidance while navigating dementia care and memory care decisions.