Doctor insights on:
Dementia Vs Pseudodementia
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
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
If a neurologist has diagnosed someone with pseudo dementia and he is being treated with celexa, (citalopram) when should symptoms go away?
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
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
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
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
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
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
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
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
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
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
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
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