8 Signs to Watch for if You Suspect Alzheimer's
Applying the word "Alzheimer's" to your parent can be uncomfortable, even if the signs, or symptoms, have been adding up for some time. It's much easier to gloss over strange behavior: "Oh, Mom's just getting older."Or to rationalize: "Well, we all forget things sometimes."
Only a qualified physician can conclude with high certainty that a living person has Alzheimer's disease. But the following eight symptoms are strongly associated with the disease. If you detect these signs in your parent, it would be wise to seek a medical evaluation.
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Alzheimer's Symptom: Memory lapses
- Does your parent ask repetitive questions or retell stories within minutes of the first mention?
- Does she forget the names of recent acquaintances or younger family members, such as grandchildren?
- Are memory lapses growing progressively worse (such as affecting information that was previously very well known)?
- Are they happening more frequently (several times a day or within short periods of time)?
- Is this forgetfulness unusual for your parent (such as sudden memory lapses in someone who prided herself on never needing grocery lists or an address book)?
Everyone forgets some things sometimes. But a parent may have Alzheimer's disease if you notice these kinds of lapses.
Having problems with memory is the first and foremost symptom noticed. It's a typical Alzheimer's symptom to forget things learned recently (such as the answer to a question, an intention to do something, or a new acquaintance) but to still be able to remember things from the remote past (such as events or people from childhood, sometimes with explicit detail). In time, even long-term memories will be affected. But by then other Alzheimer's symptoms will have appeared.
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Alzheimer's Symptom: Confusion over words
- Does your parent have difficulty finding the "right" word when she's speaking?
- Does she forget or substitute words for everyday things (such as "the cooking thingamajig" for pot or "hair fixer" for comb)?
Of course it's normal for anyone to occasionally "blank" on a word, especially words not often used. But it's considered a red flag for Alzheimer's if this happens with growing frequency and if the needed words are simple or commonplace ones.
This can be a very frustrating experience for the speaker. She may stall during a conversation, fixating on finding a particular word. She may replace the right word with another word. This substitute could be similar enough that you could guess at her meaning ("hair dryer" instead of "hairdresser"), especially early on in the disease process. Or it could be completely different ("bank" instead of "hairdresser") or nonsensical ("hairydoo").
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Alzheimer's Symptom: Marked changes in mood or personality
- Is your usually assertive parent more subdued (or vice versa)?
- Has your usually reserved parent may become less inhibited (or vice versa)?
- Does your parent withdraw, even from family and friends, perhaps in response to problems with memory or communication?
- Has she developed mood swings, anxiety, or frustration, especially in connection with embarrassing memory lapses or noticeable communication problems?
- Has she developed uncharacteristic fears of new or unknown environments or situations, or developed a distrust of others, whether strangers or familiar people?
- Do you see signs of depression (including changes in sleep, appetite, mood)?
Mood shifts are a difficult sign to link decisively to Alzheimer's disease because age and any medical condition may spark changes in someone's mood, personality, or behavior. In combination with other Alzheimer's symptoms, however, changes such as those described above may contribute to a suspicion of the disease.
A person with Alzheimer's may also become restless and/or aggressive, but usually in later stages of the disease.
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Alzheimer's Symptom: Trouble with abstract thinking
- How well does your parent handle relatively simple mathematical tasks, such as balancing a checkbook?
- Is she having trouble paying bills or keeping finances in order, tasks she previously had no problem completing?
- Does she have trouble following along with a discussion, understanding an explanation, or following instructions?
Abstract thinking becomes increasingly challenging for someone with Alzheimer's, especially if the topic is complex or if the reasoning is sequential or related to cause and effect.
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Alzheimer's Symptom: Difficulty completing familiar activities
- Has your parent begun to have trouble preparing meals?
- Is she less engaged in a hobby that once absorbed her (bridge, painting, crossword puzzles)?
- Does she stop in the middle of a project, such as baking or making a repair, and fail to complete it?
- Has she stopped using a particular talent or skill that once gave her pleasure (sewing, singing, playing the piano)?
Activities with various different steps, however routine and familiar, can become difficult to complete for a person with Alzheimer's. Your parent might become distracted or lose track of where she is in the process, feeling confused. Or she might just lose interest altogether and leave a project unfinished.
Alzheimer's or some other form of dementia is especially suspect when the difficult or abandoned activity is something the person formerly delighted in and excelled at, or used to engage in frequently.
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Alzheimer's Symptom: Disorientation
- Has your parent begun to be disoriented in new or unfamiliar environments (such as a hospital or airport), asking where she is, how she got there, or how to get back to a place she recognizes?
- Has she become disoriented in an environment she knows well?
- Does she wander off and get lost in public (or get lost when driving or after parking)?
- Does she lose track of the time, day, month, or year? For example, after being reminded about a future doctor's appointment over the phone, she may start getting ready for the appointment right away. Or she may have trouble keeping appointments and remembering other events or commitments.
These examples of disorientation are all typical Alzheimer's symptoms, more so in later stages of the disease but sometimes early on as well.
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Alzheimer's Symptom: Misplacing items
- Does your parent "lose" items often?
- Do they turn up in unusual places (such as finding a wallet in the freezer)?
Losing track of glasses, keys, and papers happens to most adults sometimes, whether due to age or just a busy lifestyle. However, it may be a symptom of Alzheimer's if this behavior escalates and if items are sometimes stored in inappropriate or unusual places, and your parent doesn't remember having put them there.
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Alzheimer's Symptom: Poor or impaired judgment
- Has your parent recently made questionable decisions about money management?
- Has she made odd choices regarding self-care (such as dressing inappropriately for the weather or neglecting to bathe)?
- Is it hard for her to plan ahead (such as figuring out what groceries are needed or where to spend a holiday)?
Difficulty with decision-making can be related to other possible symptoms of Alzheimer's, such as lapses in memory, personality changes, and trouble with abstract thinking. Inappropriate choices are an especially worrisome sign, as your parent may make unsound decisions about her safety, health, or finances.
Many of these Alzheimer's symptoms go unnoticed for a long time. That's because they're often subtle or well concealed by your parent (or the other parent), who may be understandably freaked out by the changes she's noticing in her own behavior. Some patterns of behavior take time to make themselves obvious.
If you suspect Alzheimer's, keep track of what you're noticing. Ask others who know your parent what they think. Encourage your parent to see her doctor.
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7 months ago
Is this test called "the mini mental test"? I care for my aunt who is 83. She recently failed it getting an 18 out of 30. She was diagnosed with "Early onset Dementia". She is currently living in a very nice Assisted Living Facility that has a nice memory unit for the future. She has more trouble with her memory when she gets anxious and more so at night, as she gets lonely. She stays up late and all the others there go to there rooms or bed much earlier than her so she calls me at all hours of the night and comes up with excuses for me to talk with her. Most of the times it is not a problem but sometimes it is constant. I can tell when she really needs me or not now but I can't seem to ease her loneliness even though she is living with about 100 other people. She doesn't get it that most of her "friends" have alzhiemers or demetia like her but she is worried about haveing it herself and I just ask her if someone told her that's what she has. She says no so I tell her I was told she has dementia and that is something most elderly have to deal with because of the aging process. I don't really feel I should tell her that it will lead to alzheimers. Why upset her more. This site has become very helpful to me. Thanks!
It's important here to note that even if your parent has several of these symptoms they may not have Alzheimer's. In fact, many people have a half dozen of these symptoms who are perfectly normal. The more powerful symptoms - forgetting family members names, unable to recall common everyday words, stopping in the middle of a brief activity, like baking a cake and forgetting to go back...if many of these symptoms occur OFTEN, there may be a problem. Being forgetful, careless or disoriented is common in teenagers. Be careful not to over diagnose your parents or grandparents!
I'm 67 years old. My mother's body died in 2003; her mind had died long, long before. You seem to address all your articles to caregivers. What about us? The people who are actually in danger of showing the first symtoms? I try not to worry about it but every lapse terrifys me. There are more people now who are nearing Alzheimers age. Educate us!! We are not stupid and completely dependent on our children.