Repetitive movements and gestures: what do they mean?

My mum spends her time folding and unfolding the same towel, or rubbing her hands together for hours. I don't know if I should let her or if this is a bad sign. Is it normal?

It's unsettling to see a gesture repeated endlessly and not know what it means. But, most of the time, these movements are not dangerous and even give the person a sense of security and occupation. You don't need to stop them.

Why it happens

Repetitive movements arise because the brain seeks familiar and reassuring patterns. They can reflect old habits (folding laundry, fiddling with objects), help relieve anxiety or boredom, or be a form of self-regulation. Sometimes they also signal discomfort, hunger, or the need to go to the toilet.

Practical strategies

• If the gesture is harmless and seems comforting, let it happen.
• Channel the energy into meaningful tasks: actually folding towels, winding balls of yarn, kneading dough.
• Offer a box of safe objects for their hands: fabrics, large buttons, balls.
• Observe if the movement increases at certain times (late afternoon, hunger) and adjust the routine.
• Add music or a walk if you notice increasing agitation.

What NOT to do

• Do not forcibly hold their hands or scold them: it increases anxiety.
• Do not abruptly remove the object that provides comfort.
• Do not ignore if the gesture causes skin sores or exhaustion.

When to seek professional help

Consult your GP if the movements are new and sudden, if they hurt the person, or if they come with stiffness, tremors, or other motor changes, which warrant evaluation. The NHS 111 line (111) can provide guidance if you are unsure.

"At first I wanted my mum to stop rubbing her hands. Then I realised it calmed her down, and I gave her a soft cloth to hold. She became more serene." — Anonymous Carer