Setting the Record Straight on Confabulation (with Helle Brand)

Helle Brand, a physician assistant specializing in dementia care, helps us explore the often-misunderstood phenomenon of confabulation in dementia patients.

We discuss what confabulation actually is and why it's fundamentally different from intentional lying. We explore the neurological basis behind why dementia patients create false memories to fill gaps in their recollection, examining common triggers and how the brain attempts to make sense of fragmented memories through fabricated narratives that feel completely real to the person experiencing them.

We learn the crucial differences between confabulation and delusional thinking, and why accurate identification matters for providing appropriate care. One of the most powerful aspects of our conversation addresses the caregiver's dilemma — the emotional strain of hearing incorrect stories and why the overwhelming urge to correct these narratives can actually be counterproductive.