Real stories
‘I want to raise awareness of dementia and LGBTQ+ issues’ says Chris Maddocks
Chris Maddocks is very active in the dementia community. Chris talks about the challenges specific to her sexuality, as well as the experiences of other LGBTQ+ people affected by dementia.
I’m Chris Maddocks. I’m 65 years old. I live in Eastbourne. I’m a retired police officer. I enjoy beach fishing, even though I don’t catch much, I’ve recently taken up online art classes, and I love to potter in my garden. What else can I tell you about me?
I live with dementia. I was diagnosed with vascular dementia five years ago and since I’ve added Parkinson’s disease and dementia with Lewy bodies to my diagnoses.
I’m in a civil partnership with my partner Heather. I moved in with her after I was diagnosed with dementia. I couldn’t believe that she would want to care for me. I’m amazed that she chose to take this on with me.
'An elite group'
When you are gay you’re in a minority group. When you have dementia you’re in a smaller minority group. When you have young-onset dementia the group is smaller still. And when you’re a gay person with young onset dementia…. I’m not alone, but it’s an elite group!
Since my diagnosis, I’ve been working to raise awareness of dementia and young-onset dementia, and also to raise the profile of LGBTQ+ issues in the dementia community.
Faced with discrimination
I’ve personally experienced discrimination within the medical community. I go to appointments with Heather and they’ll say "who’s this?", and I say "this is my partner" and then there’s a strange silence, but you wouldn’t get that if it was a heterosexual partner.
I went to the nurse to get a flu jab and said I’d like to make an appointment for my partner and they said "what’s his name?".
I told them 'he' is a 'she 'and they asked again, "what’s his name?".
People are too ready to make assumptions.
Because I give a lot of talks, I’m told a lot of stories that highlight some of the challenges that people who identify as LGBT+ face. A transgender man told me he has to have injections and other medication such as hormones that he takes regularly. He has a partner, but he said "What if I was on my own, what if I forgot?"
A lot of LGBTQ+ people with dementia are living on their own and might be ostracized by family, so that’s a real issue.
Another issue for older gay people is that as their memories regress they may forget who they have told about their sexuality, or they may become fearful about people knowing, even if they have been out for years.
It’s not that many years ago when it was illegal to be a gay man, and there can even be a fear of going to jail.
For people who have transitioned from one sex to the other, what if they don’t remember? Or what if they aren’t accepted? I met a woman who lives in a care home and her family went in and said, "he’s a man so dress him in a man’s clothes".
'Double the stigma'
I heard a story from a nurse about an elderly lady in hospital who was very poorly and almost died, but she had no visitors the whole time she was there. When she was being discharged the nurse took her home and a little old lady met them at the door who turned out to be her partner.
She hadn’t visited because she was worried about the repercussions. There was a fear of not being treated fairly, so all that time the woman was alone in the hospital.
You have a stigma when you have dementia, but if you are gay and have dementia, it’s a double stigma.
It’s very difficult for people with young-onset dementia too. When I was 60, I was referred to an elderly care unit.
People say "You don’t look like you have dementia". At one talk I gave when I said I have dementia, someone said "You can’t, you look normal". When people think about dementia they always think about the later stages.
Accepting who you are
I never came out to my parents, and some people still don’t know, although if they asked me I’d be open about it. At the end of the day, I’m at a stage in my life that 'this is me, this is who I am' and Heather is my partner.
It’s taken 30 years to accept that.
I’ve had to prove myself all my life. I joined the police in 1978 and I was a token woman and I had to prove myself to get into places like the Criminal Investigations Department (CID). But the older I’ve grown the more I’ve thought I have to stick up for myself and other people.
Young Chris (right) as a Police Constable
Living as an LGBTQ+ person with dementia
The main advice that I would give to an LGBTQ+ person diagnosed with dementia is to make sure you write a will and complete and register a lasting power of attorney.
An awful lot of people don’t get their affairs in order, but it’s particularly important for those of us who identify as LGBTQ+ and living with dementia.
Because I don’t have children my estate would have automatically gone to my brother and sister, so this was really important to me.
Heather and I entered a civil partnership because we love each other, but also so that Heather could stay in the house if I have to go into a care home.
It’s also important that anyone with dementia has a care plan with their GP outlining their wishes. Dementia is very different from any other life-limiting terminal illness because nobody knows how long we have and how quickly the dementia is going to progress.
I said to my GP if I have a quality of life then resuscitate me, but if I don’t then I don’t want to be resuscitated. Heather then made the point: "What would you regard as a quality of life?" and I had to think about that.
For me, quality of life is when you recognise your loved ones.
It’s something you have to think about and work out what you want. My other advice to people would be to make contact with Alzheimer’s Society. Everybody is treated as equal – it doesn’t matter what race you are, what religion, what sexuality. They were a lifeline for me.
Peer support is really important too. I belong to lots of groups and we provide support to each other. One I find really helpful is the Open Doors London Dementia Café and Speak Out Dementia group, which is a safe space to talk. DEEP has also been really helpful - it's for people living with dementia and has about 80 groups around the UK.
My advice to anyone meeting or treating an LGBTQ+ person would be simple. ‘See the person, not the dementia. See the person, not their sexuality.’
Are you an LGBTQ+ person living with dementia?
We would like to hear from you! Share your story, like Chris, and tell us about your experiences at [email protected]
Gina
saysGreat article and good information to illustrate evidence of need for care organisations to be culturally competent. I deliver LGBTQI people living with Dementia workshops, as evidence suggests this community are particularly vulnerable. Plus the 1-6 trans people compared to 1-10 cisgender people living with dementia data that emerged in 2021 from research is concerning when one considers that services have few plans to support this aging population.
Sam
saysGreat article Chris. As a trans man with young onset dementia, everything you said resonates with me. I worry especially about how trans people with dementia are treated in care homes and would like to find out more about this and how educated care staff are on LGBTQ issues, especially those faced by trans people. We don’t all transition the same way, so it is important that this is understood.
Anonymous
saysThanks for your comment, Sam. We're really glad to hear that Chris's story resonated with you.
If you'd like to speak with someone about your worries, please know that our advisers are here to support you on 0333 150 3456.
When you call our Dementia Connect support line, our advisers will listen to you, understand your situation and provide you with information, advice and support. More details about the support line (including opening hours) are available here: https://www.alzheimers.org.uk/dementia-connect-support-line
In the meantime, we have a webpage on planning ahead as an LGBTQ+ person with dementia that may be helpful: https://www.alzheimers.org.uk/get-support/daily-living/planning-ahead-l… (This page can also be downloaded as part of a 44-page booklet: https://www.alzheimers.org.uk/sites/default/files/pdf/lgbt_living_with_…)
Our Bring Dementia Out innovation may be of interest to you, too: https://www.alzheimers.org.uk/get-involved/bring-dementia-out Its aim was to increase awareness and understanding of dementia and reach out to those who may not feel supported. (There's a 10-min video that tells you a bit more: https://youtu.be/io6600RFDbU)
Lastly, would you be interested in writing a blog post to share your own experiences? Please email [email protected] if this sounds like something you'd like to know more about.
Or if you don't want to write a post yourself, you can also share your story with us: https://www.alzheimers.org.uk/get-involved/share-your-story This could be a great way to shine a spotlight on LGBTQ+ issues for people affected by dementia. Experiences like yours can change attitudes and challenge stigma.
We really hope this is all useful to know, Sam. Please do consider calling the support line for advice, or contacting us to share your story. We would love to hear from you.
Alzheimer's Society website team
Sue Burton-smith
saysYour article is great. I am writing a paper for the group of diversional therapists I work with. It is a paper on sexual diversity in rest homes and looks at designing programs etc. This has been an amazing journey for me and I thank you for writing your article. As you say, see the person not the sexuality!
Thank you. Sue.
Susan
saysGreat article. You shouldn't be treated any different at all because you are in a gay relationship. It just goes to show that there are still bridges to build. I have a gay friend and when she was younger she used to say her partner was her sister and they shared a house together- otherwise there would be a lot of hostility from the neighbours. All the best to you and well done for raising awareness of dementia within your community and wider society.