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.
When Debra Yergen switched jobs, she got the cold shoulder from people she considered close friends.
Yergen had spent three years working at a community hospital in Washington state, but when she started her new position as director of communications for a regional medical center that competed with the hospital, her old work buddies disappeared -- presumably because she left for the competition.
"At first, I thought my friends were just busy," Yergen, now 40, says. "But when the holidays rolled...
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.