Dementia symptoms can often appear slowly and subtly, making them easy to overlook at first. You might notice changes in your loved one’s behavior or memory, but it’s not always clear that these are signs of dementia. Early detection is crucial as it allows for more effective interventions and better management of the condition. Some dementia symptoms are easy to miss or attribute to normal aging. Recognizing these signs early can help improve the quality of life for both the person affected and their caregivers. In this article, we’ll highlight six common but often overlooked dementia symptoms. Being aware of these early warning signs can help ensure that your loved one gets the support they need.
1. Difficulty Keeping Track of Time

One of the earliest and most commonly missed dementia symptoms is difficulty keeping track of time. At first, the person may simply forget what day it is or lose track of hours. Over time, they may struggle to understand dates, seasons, or the year, causing confusion and distress. A person with dementia might ask, “What time is it?” even if there’s a clock clearly visible. As the condition progresses, time disorientation can become more severe, and your loved one may even forget key events, such as birthdays or appointments. This symptom is subtle and often mistaken for simple forgetfulness. However, recognizing time confusion early can help you implement strategies to improve time management. Visual reminders like calendars, clocks, and daily schedules can be helpful. According to the Mayo Clinic, managing time confusion with these tools can reduce stress and improve daily routines.
2. Trouble Managing Finances

Another common but easily missed dementia symptom is difficulty with finances. Initially, this might manifest as small mistakes, like forgetting to pay a bill or misplacing important paperwork. However, as dementia progresses, individuals may struggle with more complex financial tasks, such as managing a budget, balancing a checkbook, or even making everyday purchases. Those with dementia may also become vulnerable to scams or financial abuse, often unable to assess risks or make informed decisions. This symptom can be especially alarming and is sometimes mistaken for carelessness or simple forgetfulness. If you notice your loved one struggling with financial decisions or making frequent mistakes, it’s time to step in and provide support. Setting up automatic bill payments or simplifying their finances can help alleviate the burden. The Alzheimer’s Association provides helpful guidance on protecting financial assets and managing money for those with dementia.
3. Urinary Issues and Incontinence

Urinary issues, such as incontinence or frequent urges to urinate, are often overlooked as a symptom of dementia. Early signs might include frequent trips to the bathroom, wetting the bed, or difficulty recognizing the need to use the restroom. Some individuals with dementia may forget how to properly use the toilet or lose the ability to hold their bladder. In later stages, this can result in significant accidents or an inability to manage personal hygiene. These urinary symptoms are typically dismissed as part of aging or just a sign of physical health problems.
However, when linked to dementia, they often result from cognitive impairment affecting the brain’s ability to control bodily functions. Managing urinary issues often requires practical solutions, such as regular bathroom schedules, absorbent products, or medication. Understanding the connection between dementia and urinary issues is key to ensuring your loved one is comfortable. The National Institute on Aging offers resources on how incontinence relates to dementia and how to manage it effectively.
4. Changes in Personality and Mood

Sudden shifts in mood or personality can be an early warning sign of dementia. Individuals with dementia may become unusually anxious, suspicious, or irritable without an obvious cause. Those who were once outgoing may withdraw socially or become easily upset. Others may experience rapid mood swings, going from calm to agitated in a matter of minutes. This change is often frustrating for both the person experiencing it and their loved ones. In the early stages, these changes may be attributed to stress or other mental health conditions. However, as dementia progresses, these personality changes become more frequent and noticeable. Maintaining a structured routine and minimizing stress can help alleviate some of the emotional instability. The National Institute of Aging outlines how these mood and personality changes are tied to cognitive decline and offers tips for managing them.
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5. Misplacing Items and Losing Track of Them

Misplacing everyday items is a common occurrence for anyone, but for those with dementia, it becomes a frequent and increasingly frustrating issue. While we all misplace keys, wallets, or glasses from time to time, a person with dementia may frequently lose important items and not remember where they left them. Over time, they may even accuse others of taking their belongings. This symptom is a result of declining memory and cognitive function. As dementia progresses, they may forget where they placed their wallet or keys and be unable to recall when or where they last saw them. It’s not uncommon for someone with dementia to hide items and later forget where they put them. Creating a designated spot for important objects and labeling them can help reduce confusion. Being patient and offering reassurance when an item is misplaced is essential for reducing anxiety. The Mayo Clinic provides helpful strategies for caregivers on how to manage memory loss related to misplacing things.
6. Difficulty with Conversations

Difficulty in having or following conversations is another often-overlooked dementia symptom. In the early stages, someone with dementia may struggle to find the right word, forget the names of familiar people, or repeat themselves during conversations. Over time, they may have trouble following the flow of a discussion or may fail to understand basic instructions. They may also struggle to finish sentences or have difficulty staying on topic. This communication breakdown is frustrating for both the individual and their loved ones. It’s important to recognize this symptom early to implement strategies that can help improve communication. Offering simple, direct language and reducing distractions during conversations can make a big difference. Supporting your loved one with visual cues or written reminders can help them stay engaged.
Conclusion

Recognizing dementia symptoms early is crucial for providing better care and improving the quality of life for both individuals with dementia and their caregivers. Subtle signs like difficulty with time management, financial tasks, and urinary issues can often be missed. However, when caught early, these symptoms can be managed with appropriate strategies and support. Being aware of personality changes, memory issues, and communication difficulties is also key in providing the right interventions. If you notice these signs in your loved one, seek professional help to confirm the diagnosis and explore treatment options. Early intervention can make a world of difference in managing dementia and maintaining a good quality of life.
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