Nine Weird Early Warning Signs of Dementia
As a Florida elder care attorney, I frequently work with individuals who are in need of long-term care at home or in a facility due to dementia and Alzheimer's disease (among many other age- related issues that can result in the need for care). So, when I read something interesting, I try to share the knowledge on our website and YouTube channel.
Dementia is often seen as a condition that appears suddenly in old age. However, the truth is far more complex. Alzheimer’s disease and other forms of dementia can begin affecting the brain decades before noticeable symptoms arise. Recognizing subtle changes early on may help individuals and families take steps to delay cognitive decline or manage its progression more effectively.
I was reading a book called "Change Your Brain Every Day" by Dr. Daniel Amen, MD, a brain-disorder specialist. Dr. Amen's clinic has taken over 50,000 brain imaging scans (which he claims is the largest collection of brain scans in the world).
Here are nine unusual early warning signs of dementia, according to Dr. Amen, that you might not expect:
Potential Early Warnings Signs of Dementia or Alzheimer's
1. Depression
Depression isn’t just a mood disorder; it can also be a potential indicator of future cognitive decline. Research shows that depression doubles the risk of cognitive impairment in women and quadruples it in men. The risk is particularly concerning when depression occurs in individuals who have no prior history of depressive episodes.
Interestingly, untreated depression can sometimes mimic the symptoms of dementia. Psychologists have shared anecdotes of patients with me, who initially appeared to have dementia, but upon effective treatment of their depression, their cognitive function improved significantly. This highlights the importance of seeking professional help if persistent depression or emotional withdrawal becomes noticeable in older adults.
2. Breaking the Law
It may seem odd, but a sudden disregard for the law can signal the onset of dementia. Individuals who have always been law-abiding might begin engaging in uncharacteristic behaviors like shoplifting or reckless driving. These actions may be linked to changes in the brain, particularly in areas that control judgment and impulse regulation.
3. Engaging in Compulsive Behavior
Sudden compulsions, such as hoarding items, may be an early sign of dementia. Compulsive behaviors could stem from changes in the brain’s frontal lobe, which governs decision-making and self-control. While not everyone who hoards develops dementia, a sudden and unexplained onset of this behavior warrants attention.
4. Eating Strange Foods
Taste and appetite are regulated by specific areas of the brain, and dementia can attack the parts of the brain that regulate appetite and taste buds. As a result, people may develop unusual eating habits, such as craving sweet foods excessively, eating non-food items, or combining ingredients in odd ways. These changes might seem harmless at first but could be indicative of underlying neurological issues.
5. A Declining Sense of Smell
Losing the ability to distinguish smells isn’t just a sign of aging—it can also be an early indicator of Alzheimer’s disease. The brain regions responsible for processing smells are located near memory centers. Research has found that a declining sense of smell often correlates with early-stage Alzheimer’s, making this symptom one to watch for.
6. Gum Disease
Oral health and cognitive health are more interconnected than you might think. Studies have linked the bacteria that cause gum disease to the development of dementia. Chronic inflammation and infections in the mouth can have far-reaching effects on the brain. Regular dental hygiene, including flossing and professional cleanings, may do more than preserve your smile—it might also protect your memory.
7. Increased Susceptibility to Falling or Gait Changes
Physical signs, such as frequent falls or noticeable changes in the way a person walks, may precede cognitive decline. Studies suggest that mobility issues, like a slower gait or unsteadiness, often develop before more recognizable symptoms of dementia. This connection underscores the importance of monitoring both physical and mental health as we age.
8. Difficulty Understanding Sarcasm
Understanding sarcasm and subtle humor requires a healthy frontal lobe, the part of the brain responsible for higher-order reasoning. A decline in frontal lobe activity might make it difficult for individuals to detect sarcasm or differentiate between literal and figurative meanings. If someone who previously enjoyed playful banter suddenly struggles with nuanced conversations, it could signal early dementia.
9. Untreated ADD/ADHD
Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) is not just a childhood condition. Adults with untreated ADD or ADHD may be at a higher risk for memory problems as they age. Proper treatment of these and other psychiatric conditions can help maintain cognitive function and potentially reduce the risk of developing dementia later in life.
Taking Action
While these signs don’t necessarily mean someone will develop dementia, they highlight the importance of early detection. If you notice any of these changes in yourself or a loved one, consult a healthcare professional. Early intervention, including lifestyle changes, cognitive exercises, and medical treatments, can help slow the progression of dementia and improve quality of life.
Additionally, maintaining a healthy lifestyle—including regular exercise, a balanced diet, good oral hygiene, and mental stimulation—can help reduce the risk of cognitive decline. Small steps taken today can have a significant impact on brain health in the years to come.
By staying informed and proactive, you can navigate the challenges of dementia with greater clarity and confidence. If you or a loved one in Florida is in need of long-term care and want to discuss ways to legally and ethically protect assets -a process known as "medicaid planning"- to stay at home longer or afford the cost of a care facility, please call our office.
