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Educating the caregiver about depression in dementia is of primary importance in addressing the problem. Caregivers need to understand the need for structure and comfort in the patient's daily activities, as well as the importance of including activities that the patient finds enjoyable and of trying to convey a sense of pleasure themselves.
Dementia, however, can present early in its disease course with depressive symptoms, meaning that this association could actually be reflecting that dementia causes late life depression. [23] Studies that have directly tried to determine whether depression is an independent risk factor for dementia have led to inconclusive results.
It is the cause of 60–70% of cases of dementia. [2] [15] The most common early symptom is difficulty in remembering recent events. [1] As the disease advances, symptoms can include problems with language, disorientation (including easily getting lost), mood swings, loss of motivation, self-neglect, and behavioral issues. [2]
Stage 4 dementia is when a person has clear, visible signs of cognitive impairment and also exhibits personality changes, with significant dementia behaviors and severe stage 3 symptoms. A person ...
(For) Alzheimer’s disease, for example, pathology starts in the brain decades before symptoms of memory loss. If a person is 65 years old and diagnosed with dementia, that means the disease ...
Once you get an evaluation, a doctor will usually order a blood test to check for a vitamin B12 deficiency, along with other potential factors that could cause dementia-like symptoms, Sachdev says.
The scans can also yield information relevant to other types of dementia, such as infarction (stroke) that would point at a vascular type of dementia. These tests do not pick up diffuse metabolic changes associated with dementia in a person who shows no gross neurological problems (such as paralysis or weakness) on a neurological exam. [130]
Chronic sleep problems affect 50% to 80% of patients in a typical psychiatric practice, compared with 10% to 18% of adults in the general U.S. population. Sleep problems are particularly common in patients with anxiety, depression, bipolar disorder, and attention deficit hyperactivity disorder (ADHD). [131]
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