
What to do When You're Wondering or Worried
If you have been wondering or worrying about changes in your own or your loved one’s thinking and memory, it is natural that you will be feeling overwhelmed or nervous. You probably have more questions than answers at this point. There is help and support for you or your loved one. Keep reading – education will be helpful for you.
It’s common to experience some issues with memory, thinking and behavior as we age. However, changes that interfere with daily life could be a sign of something more serious, such as dementia.
Dementia is the umbrella term for a person’s decline in memory and other cognitive abilities that is severe enough to interfere with daily life. It is not a normal part of aging.
There are several types of dementia with Alzheimer’s disease being the most common. Memory problems can also be caused by treatable conditions, such as thyroid disease or medication interactions.
Early Signs and Symptoms
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Memory loss that disrupts daily life
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Challenges in planning or solving problems
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Difficulty completing familiar tasks
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Confusion with time or place
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Trouble understanding visual images and spatial relationships
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New problems with words in speaking or writing
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Misplacing things and losing the ability to retrace steps
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Decreased or poor judgment
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Withdrawal from work or social activities
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Changes in mood or personality
Learn more here: https://www.alz.org/alzheimers-dementia/10_signs
Things to Consider
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If you notice one or more of these signs in yourself or your loved one, it’s important to get them evaluated by a doctor. Multiple conditions can cause cognitive changes, so it’s essential to obtain a full medical evaluation to determine whether symptoms are related to Alzheimer’s or something else. If the cause is not Alzheimer’s or another dementia, it could be a treatable condition. If it is dementia, there are many benefits to receiving an early and accurate diagnosis.
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Start with an appointment with your primary care physician. They can refer you to a specialist if needed.
Start a Conversation
Early signs of cognitive changes are significant health concerns, and it’s important to take action to figure out what’s going on. Have a conversation If you’ve noticed any of the signs in yourself, confide in someone you trust.
If you’ve noticed memory changes in someone else, think about who would be best to approach the person, whether it’s you or another trusted family member or friend. Have the conversation as soon as possible in a location that will be comfortable for everyone involved.
Try opening the conversation with your loved one with the following conversation starters:
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I’ve noticed [blank] in you, and I’m concerned. Have you noticed it? Are you worried?
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How have you been feeling lately? You haven’t seemed like yourself.
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I noticed you [specific example], and it worried me. Has anything else like that happened?
Encourage your loved one to see a doctor together for a full medical evaluation. Try approaching the conversation with the following:
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There are lots of things that could cause these changes, and dementia may or may not be one of them. Let’s see if the doctor can help us figure out what’s going on.
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The sooner we know what’s causing these problems, the sooner we can address them.
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I think it would give us both peace of mind if we talked with a doctor.
If needed, have multiple conversations. The first conversation may not be successful. Some people attribute problems with memory, thinking or behavior to stress or normal aging and may not take your concerns seriously. Write down some notes about the experience to help you plan for the next conversation. Consider the location, day and time; what worked well and what didn’t; who was involved; the end result; and what could be done differently the next time.
Visit alz.org/memoryconcerns for more tips on approaching memory concerns.
Things to Consider
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Be active in seeking a diagnosis – the sooner the better.
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Keep a list of changes to share with the doctor. You can find a very
comprehensive worksheet at alz.org/memoryconcerns.
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Be sensitive to how your loved one is feeling. They may be reluctant to talk about the changes they are experiencing. They may be in denial or fearful. Address their emotions and reassure them you are by their side.
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Be persistent in your request for medical evaluation, even if you are met with resistance. Don’t argue or subject your loved one to lengthy explanations. Try again when you are both calm.
Diagnosis
If you notice any of the 10 warning signs of dementia, schedule an appointment with your primary care physician or family doctor. Getting checked by your doctor can help determine what's causing symptoms.
If Alzheimer’s is the cause, an early diagnosis allows you access treatment options and other strategies to benefit your health. It will give you time to plan for the future and talk to your family about legal and financial matters, such as durable power of attorney and health care proxy.
When evaluating for memory and thinking, your doctor will take an overall medical history and physical exam. They will probably ask some questions like the time and date or conduct short tests like remembering a list of items or simple math calculations. They may order bloodwork or other labs. Your doctor may choose to order some scans or images.
Sometimes, making a diagnosis can be difficult and can take time. Your doctor may refer you to a specialist such as a neurologist or suggest a memory clinic for neuropsychological testing. Remember that you always have the right to ask for a referral to a specialist or a second opinion. Continue to share new information with your doctor as further testing and evaluation may be required.
Visit https://www.alz.org/alzheimers-dementia/diagnosis for more information on getting a diagnosis.
Things to Consider
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The Health Care Proxy is a legal document which allows you to name someone to make health care decisions on your behalf if you are unable to make or communicate those decisions. You don’t need a lawyer to fill out this document. Make sure you talk to your proxy and let them know your wishes. Download the form and fill it out today! https://www.mass.gov/doc/download-the-massachusetts-healthcare-proxy-form/download
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Make a plan while you are waiting for an appointment with a specialist or memory clinic. It can take time to get a diagnosis. In the meantime, educate yourself about dementia and Alzheimer’s disease. Continue to keep intellectually stimulated, eat a nutritious diet, exercise regularly and keep socially active.
Resources
Much of this information comes from the Alzheimer’s Association. Don’t let the fear or stigma of Alzheimer’s and dementia stop you from learning and using these resources. They are made for people in exactly your situation.
Berkshire Alzheimer's Partnership
This information is brought to you by BAP, a local volunteer organization dedicated to supporting people with brain health and memory concerns. We help families find resources and education. Check out our Resource Guide for a comprehensive list of support groups and other resources in Berkshire County.
Alzheimer’s Association
www.alz.org | 1-800-272-3900
Talk to a dementia expert with their free 24/7 Helpline. Get confidential support, crisis assistance, local resources and information in over 200 languages.
10 Early Signs and Symptoms of Alzheimer's and Dementia
What Causes Memory Loss? Assessing Symptoms and Seeking Help
How is Alzheimer's Disease Diagnosed?
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https://www.alz.org/alzheimers-dementia/diagnosis/visiting-your-doctor
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https://www.alz.org/alzheimers-dementia/diagnosis/why-get-checked
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https://www.alz.org/alzheimers-dementia/diagnosis/medical_tests
Research Institute for Aging, Canada
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