In this episode, we explore one of the lesser-known but deeply impactful experiences people living with dementia may face the “Stranger in the Mirror” phenomenon. This occurs when a person no longer recognizes their own reflection and instead believes they are seeing a stranger, a visitor, or even a new friend.

Through the true story of Harold and his wife, Nancy, we take a heartfelt and enlightening look at how this phenomenon appears in day-to-day life. Harold’s journey—complete with hallway conversations, shared cookies, and misplaced shoes—illustrates the complicated blend of memory loss, perception changes, and shifting self-identity that dementia often brings.

We break down:

• What the “stranger in the mirror” phenomenon is and why it occurs
• How dementia affects self-recognition, perception, and visuospatial processing
• Why mirrors can trigger confusion, fear, or unexpected interactions
• How caregivers can respond with compassion, understanding, and safety in mind
• What environmental and communication strategies can ease distress

Listeners and viewers will also learn practical, actionable tools for navigating these moments, including how to adjust the environment, reduce triggers, create emotional safety, and “join their reality” when appropriate.

This episode offers:

 ✔ A relatable real-life story that captures the emotional core of dementia caregiving

 ✔ Clinical insights into mirror misidentification and related cognitive changes

 ✔ A clear explanation of contributing neurocognitive and environmental factors

 ✔ Communication approaches caregivers can use to reduce fear and frustration

 ✔ An environmental checklist to help create a more supportive care space

 ✔ Guidance on when to seek additional medical evaluation or professional support

The Stranger in the Mirror phenomenon isn’t just about misrecognizing a reflection—it’s about the profound ways dementia reshapes identity, memory, and perception. By understanding what is happening beneath the surface, caregivers can respond with the patience, empathy, and reassurance their loved ones truly need.

About the Host:

Author Lisa Skinner is a behavioral specialist with expertise in Alzheimer’s disease and related dementia. In her 30+year career working with family members and caregivers, Lisa has taught them how to successfully navigate the many challenges that accompany this heartbreaking disease. Lisa is both a Certified Dementia Practitioner and is also a certified dementia care trainer through the Alzheimer’s Association. She also holds a degree in Human Behavior.

Her latest book, “Truth, Lies & Alzheimer’s – Its Secret Faces” continues Lisa’s quest of working with dementia-related illnesses and teaching families and caregivers how to better understand the daunting challenges of brain disease. Her #1 Best-seller book “Not All Who Wander Need Be Lost,” was written at their urging. As someone who has had eight family members diagnosed with dementia, Lisa Skinner has found her calling in helping others through the struggle so they can have a better-quality relationship with their loved ones through education and through her workshops on counter-intuitive solutions and tools to help people effectively manage the symptoms of brain disease. Lisa Skinner has appeared on many national and regional media broadcasts. Lisa helps explain behaviors caused by dementia, encourages those who feel burdened, and gives practical advice for how to respond.

So many people today are heavily impacted by Alzheimer's disease and related dementia. The Alzheimer's Association and the World Health Organization have projected that the number of people who will develop Alzheimer's disease by the year 2050 worldwide will triple if a treatment or cure is not found. Society is not prepared to care for the projected increase of people who will develop this devastating disease. In her 30 years of working with family members and caregivers who suffer from dementia, Lisa has recognized how little people really understand the complexities of what living with this disease is really like. For Lisa, it starts with knowledge, education, and training.

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