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Doctor insights on: Dementia Vs Pseudodementia

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What is the best drug (specific ssri) for pseudo dementia (due to depression) in a otherwise healthy 85 y f? Dose and course? Thanks...

What is the best drug (specific ssri) for pseudo dementia (due to depression) in a otherwise healthy 85 y f? Dose and course? Thanks...

Not possible: It really is not possible within this forum to provide a good answer to your question. The practice of medicine is a very complex matter. This site is not intended to provide specific medical diagnosis and treatment. You should not trust advice from any physician who does not first perform an appropriate and standard evaluation including a physical exam, especially for an 85 year old. Sorry. ...Read more

Dr. Sandra Eleczko
17 Doctors shared insights

Pseudodementia (Definition)

Pseudodementia is when a medical condition acts as a chronic memory problem, but is not due to a problem with the brain’s memory system. It is commonly due to depression; often in the elderly. Symptoms are from poor attention and motivation in depression. It differs from dementia as patients are aware of their cognitive problems, tend to say “i don’t know” to ...Read more


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If a neurologist has diagnosed someone with pseudo dementia and he is being treated with celexa, (citalopram) when should symptoms go away?

If a neurologist has diagnosed someone with pseudo dementia and he is being treated with celexa, (citalopram) when should symptoms go away?

They may not.: Celexa (citalopram) is an anti-depressant, and it may help if the patient has a depression which is masquerading as a dementia, which happens occasionally. Otherwise Celexa (citalopram) does not really improve memory and thinking. ...Read more

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85 y old female under pseudo dementia, bed ridden due to knee joint problem, has reduced ensure to 100 ml per day, refusing ng tube, advice what to do?

85 y old female under pseudo dementia, bed ridden due to knee joint problem, has reduced ensure to 100 ml per day, refusing ng tube, advice what to do?

Geriatric psychiatry: I would suggest having the patient seen by a geriatric psychiatrist, who can differentiate between "pseudodementia, " "dementia, " and "delirium." in the latter, people can become disoriented, confused, and combative from physical medical problems. When these are discovered and treated, mental status generally improves. There are also treatable causes of dementia, if that's her chronic state. ...Read more

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Can dementia be cured?

Can dementia be cured?

Unfortunately, no.: Dementia is a progressive disease. Even available treatments only slow progression or tame symptoms. They do not provide a cure. ...Read more

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Is dementia hereditary?

Is dementia hereditary?

Yes and no: If there is an illness that runs in your family you should speak to your doctor about it. There are many many types of dementia. Some of them are genetically passed on while others aren't. The most common type of dementia is alzheimers disease and there are 2 forms. The early onset form is highly heritable. Alcoholic dementia is not inherited though a propensity for alcohol dependence can be. ...Read more

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Can you inherit dementia?

Can you inherit dementia?

Some kinds.: Some types of dementia like alzheimer's disease with early onset at ages 40 to 60 have a large genetic component while other types of dementia like alcohol induced do not. ...Read more

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How is dementia diagnosed?

Clinically: Usually a clinical diagnosis, no blood work and no imaging test. ...Read more

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What are symptoms of dementia?

Memory problems: Memory problems, word finding problems, word substitutions errors, getting lost in places that are familiar are often early symptoms. Also forgetting how to use tools that you used to know how to use. ...Read more

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How to know you may have dementia?

May be challenging: We do accept that subjective cognitive impairment may be a valid complaint of an impending dementia. But many medications can cause cognitive clouding, especially in older folks, and thyroid problems, vitamin deficiency, and elevated homocysteine could be issue. Small strokes and early onset of alzheimers perhaps. Neuropsych testing is best approach, but start with your doc. ...Read more

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What are the symptoms of dementia?

What are the symptoms of dementia?

Early dementia: Behavioral and psychological symptoms (bps) are common in the older population and may be an indication of early dementia. Van der linde rm et al 2012 found that wandering and persecution were independently associated with progression to dementia. Early co morbid conditions include obsessive compulsive disorders with evolving paranoid symptoms such as fear of stealing behaviors. ...Read more

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What kind of condition is dementia?

Neurological: Dementia is a clinical term that means a progressive impairment of thinking abilities (often but not always memory) that interferes with the person's abilities to perform their usual daily activities. Many types of disorders can cause dementia. Some, such as low thyroid, low vitamin B12 or severe depression are treatable. Others such as alzheimer's disease have some treatments but cannot be cured. ...Read more

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What causes dementia and its symptoms?

What causes dementia and its symptoms?

Damage to the brain: Dementia is a general term for a number of different types of illnesses each of which affect important brain functions. The symptoms a person has depend on the areas of the brain affected. ...Read more

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Personal needs for. Toilet and dementia?

Personal needs for. Toilet and dementia?

Incontinence: As dementia worsens, not only does their cognition decline but their body muscles weaken so it becomes more difficult to get out of bed/chair and walk to the bathroom. There's usually a progression from having a difficult time in getting to the bathroom in time, to using a bedside commode, then to diapers. All dementia patients progress to complete incontinence of bowel and bladder at some point. ...Read more

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What are the different forms of dementia?

What are the different forms of dementia?

Forms of dementia: Some forms of dementia are Alzheimers, Fronto-Temporal dementia, vascular dementia, Lewy body dementia, cortico basal ganglia degeneration, and dementia due to an illness like MS. ...Read more

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Which are the different forms of dementia?

Answer below: Alzheimers (60% - 65%), less common are vascular dementia, lewy body dementia, picks disease (frontotemporal), alcoholic, B12 deficiency, hiv, dementia pugilistica (head trauma), a few rare prion diseases such as jacob kruetzfeld (spongioform encephalopathy), and mixed. Some reversible encephalopathies are occasionally classified as dementias, but not true dementias. ...Read more

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What are noncognitive symptoms of dementia?

What are noncognitive symptoms of dementia?

Behavior and dementi: Behavioral disturbances are frequently the most challenging manifestations of dementia and are exhibited in almost all people with dementia. Common behavioral disturbances can be grouped into four categories: mood disorders (e.g., depression, apathy, euphoria); sleep disorders (insomnia, hypersomnia, night-day reversal); psychotic symptoms (delusions and hallucinations); and agitation. ...Read more

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So what are the earliest symptoms of dementia?

Earliest Symptoms: Short term memory loss, difficulty performing familiar tasks, changes in mood, behavior, or personality, language problems, word-finding difficulties, decreased judgment, loss of initiative, problems keeping track of things, disorientation to time or place, if you’re experiencing any of these symptoms or are concerned about a friend or relative, talk with your doctor about your concerns. ...Read more

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What are the symptoms of temporofrontal dementia?

What are the symptoms of temporofrontal dementia?

Personality change: There are several distinct types of ftld or fld. One type presents with apathy or disinhibited personality changes. This can slightly resemble depression or mania. Other types present with the gradual loss of the ability to speak starting with nouns. Finally a third form involves speech becoming more telegraphic then finally the person is mute. ...Read more

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At which point is medication for dementia necessary?

At which point is medication for dementia necessary?

For symptoms: Dementia cannot be treated directly. There are medicines for many symptoms or interventions involving the environment or training caregivers. Dementia specific medicines like aricept, namenda, Exelon (rivastigmine) can help prevent or treat anxiety, agitation and aggression. ...Read more

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Is dementia preventable?

Don't know: There is some evidence that doing different things other than your daily routine can keep our brains growing and making new connections. ...Read more

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Can fixcom 4 cause dementia?

Can fixcom 4 cause dementia?

I am not: Aware of such association...LIVER FUNCTION ABNORMALITIES and Gastrointestinal irritation
are the known side effects.

Hope this helps!
Dr Z' ...Read more

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What is Lewy bodies dementia?

What is Lewy bodies dementia?

Clinical Features: Neurodegenerative, progressive d/o with  milder physical parkinsonism than parkinson's disease typically. (slowed movements, stiff/rigid muscles & posture, possibly resting tremor). But with early dementia, often with associated psychosis (visual hallucinations/delusional thoughts, excessive sleepiness, depression, anxiety, apathy, & rbd=rem behavior d/o, causing acting-out of dreams in rem sleep. ...Read more

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What is subcortical dementia?

Definition: In most kinds of dementia, autopsy reveals widespread degeneration in the cerebral cortex - such as the plaques and tangles which are the hallmark of alzheimer's disease. Alzheimer's disease and frontotemporal dementia are therefore sometimes classed as "cortical dementias." in other kinds of dementia, there is targeted damage to regions lying under the cortex, giving rise to sub cortical dementia. ...Read more

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How is MS related to dementia?

How is MS related to dementia?

MS can be: Extremely unpredictable in it's progression and course as well as in the areas of the brain that may be affected. Depending on the nature of the progression in the areas that are most damaged, people can suffer from mood disorders, frontal lobe symptoms, and cognitive deficits. Some of these symptoms may wax and wane according to the progression of the disease and the location of the sheath demyel. ...Read more

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What is sundowning vs dementia?

Sundowning is a: Symptom that can occur in dementia patients. It refers to misperceiving the environment or outright halliucinations whch usually occur at or after sundown, hence the name. Dementia is a degenerative illness which effects the brain and inhibits a person's ability to function. ...Read more

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Can grandchildren help dementia?

Can grandchildren help dementia?

Not sure: If you mean can the presence of grandchildren help the demented person- yes. Any physical stimulation can be helpful and grandchildren can certainly be stimulating. ...Read more

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What is trauma-related dementia?

Just that!!: There is a relationship between repeated bouts of head trauma and dementia sometimes progressive boxing is a good example. ...Read more

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Can you get dementia from trauma?

Can you get dementia from trauma?

Head trauma, yes: If you mean physical trauma, like a brain injury, the answer is clearly yes. To the best of my knowledge, psychological or emotional trauma cannot cause dementia. ...Read more

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Can digital dementia be reversed?

Not real: This is a ridicuous made up entitiy. Demenita is loss of cognitive abilities, which may or may not including memory due to physical loss of nerves due to a progressive disease, such as alzheimers, trauma, strokes or other entitiy. Digital dementia is a misnormer. It goes along with the old concept of you don't lose it, you lose it. Of course it is resolvable Just start using your memory skill ...Read more

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Is Lewy bodies dementia terminal?

Is Lewy bodies dementia terminal?

BUT, Rx available: Dopamine meds for physical parkinsonism: Azilect (mao-b selective inhibitor) & sinemet +/- Comtan (stalevo (carbidopa and levodopa and entacapone) is both together). Tailor rx watching for side effects. Avoid Dopamine agonists (requip xl/mirapex er/neupro)--too side effect prone for lewy body patients. For dementia: namenda, paired with Exelon patch or aricept. For psychosis: seroquel or even clozaril. For excess sleepiness: nuvigil. ...Read more

Dr. Maureen Nash
1,475 Doctors shared insights

Dementia (Definition)

A brain disorder that seriously affects a person’s ability to carry out daily activities. The most common form of dementia among older people is Alzheimer’s disease (AD), which initially involves the parts of the brain that control ...Read more