Dementia is a serious brain disorder that interferes with a person's ability to think, plan, communicate, interact properly with others, or otherwise carry out everyday tasks. Because dementia is usually progressive, early signs may be vague and subtle.
Sometimes dreams make a lot of sense -- like when we’ve been working hard
and we end up dreaming, alas, that we’re still at work. Other times the meaning
of dreams is less clear. That doesn’t mean the dream isn’t important to our
Retired teacher Barbara Kern can vividly recall the details of a dream she
had nearly four decades ago, for instance. “I’m lying on my back, holding the
bottom rungs of a fireman’s ladder that has been extended to its full height,”
The key feature of dementia is a decline in cognitive functions. These are mental processes such as thinking, reasoning, learning, problem solving, memory, language, and speech.
Other features that occur frequently in dementia include changes in personality and behavior.
Generally, these symptoms are not considered dementia unless they have continued continuously for at least six months.
Dementia has many different causes. Some may be reversible, such as certain infections, drug interactions, and liver diseases. Of the irreversible causes, the most common in older adults is Alzheimer's disease.
Although dementia is frequently linked to old age ("getting senile"), it is not a normal part of aging. Even children with certain degenerative brain disorders can develop dementia. Dementia symptoms also sometimes can be mimicked by other treatable conditions such as depression ("pseudodementia") or side effects of certain medications.
Causes of Memory Loss and Early Dementia
Many older people fear that they have Alzheimer's disease because they can't find their eyeglasses or remember someone's name. These very common problems are most often due to slowing of mental processes with age. While it is a nuisance, it does not significantly impair a person's ability to learn new information, solve problems, or carry out everyday activities, as Alzheimer's disease does.
Memory loss follows a specific pattern in Alzheimer's disease. The losses are mainly in short-term memory. This means that the person has problems remembering recent events, such as what he or she did last week or instructions the doctor gave this morning for taking a new medicine. The inability to recall recent events contrasts sharply with the person's ability to remember minor details and events from years earlier.
The memory loss characteristic of Alzheimer's disease is followed by many other cognitive and behavioral symptoms. Eventually, over many years, the person loses many mental and physical abilities and requires round-the-clock care.
Mild cognitive impairment (MCI) is the term used by medical professionals when memory loss is greater than what "normally" occurs with aging, but a person is still able to perform normal daily activities. MCI can be an early sign of Alzheimer's disease.