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Do not Ignore Dementia Signs

Dementia is a syndrome characterised by a decline in cognitive abilities that affects memory, thinking, behaviour, and the ability to perform everyday activities. It is not a single disease but an umbrella term for a group of symptoms caused by damage to the brain from various diseases. Symptoms can vary depending on the cause. Early diagnosis is important for management and care planning.

Prevalence of Dementia in India

About 8.8 million Indians over 60 years old, roughly 7.4% of India’s elderly, currently live with dementia. This number is expected to double in the next decade, rising especially among women and in rural areas.

Why Does Dementia Happen?

Dementia is caused by damage to the brain from various diseases, most commonly Alzheimer’s disease, but also strokes, infections, chronic alcoholism, severe head injuries, or nutritional deficiencies. Some risk factors can be avoided, like smoking or untreated health problems.

What are the symptoms of dementia?

Dementia is characterised by a range of cognitive and behavioural symptoms that worsen over time. The most common early signs and symptoms include:

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Who is at Risk?

  • Older people, especially above age 60
  • Those with high blood pressure, diabetes, or obesity
  • Anyone with a family history of the condition
  • People with a history of head injury, smoking, or excessive drinking

How is Dementia Diagnosed?

Doctors cannot diagnose dementia with one single test. Usually, the diagnosis involves:

  • Talking with the person and family members about changes observed
  • Tests that check memory, thinking skills, and understanding
  • Blood tests and sometimes brain scans (CT, MRI, or PET)
  • Ruling out other treatable conditions that can look like dementia but are reversible, such as vitamin deficiencies or thyroid disorders

Is Dementia Reversible?

Most types of dementia cannot be reversed. However, some treatable illnesses (like vitamin B12 deficiency or thyroid disease) can look like dementia and are reversible if caught early. That’s why getting tested by a doctor is so important.

Is Dementia Preventable?

About 35–40% of cases may be avoided or delayed by changing certain habits and controlling health conditions. Preventable risk factors include:

  • Regular physical and mental activity
  • Staying connected socially
  • Prioritise quality sleep and eating a balanced diet
  • Managing chronic conditions such as hypertension and diabetes

Can Dementia Be Managed with Medication?

While there is no cure, some medicines help manage symptoms or slow down progression, especially in early Alzheimer's disease. Other medicines may treat associated depression, anxiety, or sleep issues. It is important to follow the doctor’s plan and combine medication with lifestyle changes, social activities, and brain exercises.

Special Care for Dementia Patients

Caring for a person with dementia is incredibly challenging, impacting a caregiver's physical, emotional, and financial well-being. Caregivers often face difficult behavioural symptoms like memory loss, agitation, wandering, and aggression, alongside the physical demands of daily care. This can lead to stress, depression, social isolation, and burnout.

Simple and Actionable Suggestions

  • Simplify communication and interaction: Do not argue, validate their feelings and gently redirect. Use simple, slow, and short sentences with one-step instructions. Rely on a calm tone of voice and reassuring body language.
  • Create a safe and predictable environment: Establish a daily routine for security and to reduce anxiety. Simplify their living space by removing clutter and using visual cues like picture labels. Manage wandering by installing key-operated locks or using simple deterrents.
  • Prioritise caregiver well-being: Accept and ask for help from friends and family for specific tasks. Join a support group to connect with others facing similar challenges. Take regular breaks without guilt—even a few minutes can prevent burnout. Seek professional help if you're struggling with your own mental health

There are many trusted dementia support groups and organisations available that offer valuable assistance to individuals living with dementia and their caregivers. If you or someone you know is affected by dementia, you can reach out to these supports for guidance and help.

  • Medically Validated by: Ms Ramani Sundaram (Neuroscientist)
  • Latest Updated on: 18/10/25