Understanding Dementia: Signs, Risk Factors, and Support

May 19, 2025

Dementia: Recognition, Risk Factors, and Support Options

While occasional forgetfulness is common, persistent memory issues may indicate something more serious. As we age, the risk of developing dementia increases, making it important to recognize potential warning signs. This article explores the signs of dementia, how risk factors may differ between individuals, and how telehealth mental health services can support both those experiencing cognitive decline and their loved ones.

Understanding Dementia: More Than Just Memory Loss

Contrary to common misconceptions, dementia isn’t a specific disease but rather a term describing changes in memory, cognition, and decision-making abilities that significantly impact daily functioning. While Alzheimer’s disease is the most common cause of dementia, it can also result from Parkinson’s disease and numerous other conditions.

Dementia typically develops later in life, becoming more prevalent as we age. However, early-onset dementia can occur, making it important to recognize common symptoms regardless of age. During early stages, distinguishing between normal age-related memory changes and clinically significant cognitive decline can be challenging.

Types of Dementia: Causes and Potential Reversibility

According to the University of California, Irvine, dementia can be categorized in three ways: progressive, non-progressive, and potentially reversible. Most cases are irreversible and progressive, but approximately 5-15% may be reversible. These reversible cases might result from medication side effects, vitamin deficiencies, or thyroid disorders.

Dementia Categories by Cause

Dementia can also be classified by its underlying causes:

Primary dementia occurs when dementia is the main condition, such as Alzheimer’s disease, vascular dementia (resulting from strokes), frontotemporal dementia (damage to frontal and temporal lobes), and Lewy body dementia.
Secondary dementia develops as a consequence of another condition, including Parkinson’s disease, Huntington’s disease, or traumatic brain injury.
Reversible dementia stems from treatable conditions like medication reactions, thyroid problems, or vitamin deficiencies. Certain infections including COVID-19, HIV, and syphilis can also cause dementia-like symptoms in some cases.

Early Warning Signs of Cognitive Decline

While dementia typically affects people over 65, early-onset dementia can begin in one’s 30s or 40s. Being aware of these warning signs can lead to earlier intervention and better outcomes.

Memory-Related Symptoms

Forgetting important events and information, such as appointments or recent conversations, leading to difficulties managing daily responsibilities
Repeating questions after forgetting previously provided answers
Difficulty finding words during conversation or naming familiar objects
Frequently misplacing or losing items like keys, glasses, or important documents

Emotional and Behavioral Changes

Mood fluctuations, including sudden shifts between sadness and euphoria without apparent cause
Loss of interest in previously enjoyable activities, hobbies, or social events
Persistent depression affecting daily functioning, appetite, sleep patterns, and outlook
Increased anxiety or excessive worry without clear triggers
Changes in sleeping habits, such as insomnia or sleeping excessively

Advanced Signs of Dementia

As dementia progresses, symptoms become more pronounced. Individuals may fail to recognize friends and family members, experience significant difficulty with daily tasks, and show marked decline in decision-making and problem-solving abilities.

How Dementia Presents Differently Across Individuals

Dementia doesn’t affect everyone the same way. Several factors influence both risk and symptom presentation:

Age and longevity: According to Harvard Medical School, women generally live longer than men, potentially increasing their lifetime risk of developing dementia.
Hormonal factors: Hormonal changes, particularly those related to menopause, may influence dementia risk.
Health conditions: Certain conditions more prevalent in some demographic groups can increase dementia risk, including substance use disorders, diabetes, and heart disease.
Lifestyle factors: Engagement in high-risk activities that may lead to traumatic brain injuries can elevate dementia risk. This includes contact sports and occupations with higher injury rates.

Research suggests interesting differences in how symptoms manifest across individuals. For example, studies indicate that people with Alzheimer’s dementia may demonstrate more agitation depending on various factors, while others might experience more pronounced depressive symptoms.

How Telehealth Mental Health Services Can Support Dementia Care

While dementia often involves irreversible cognitive decline, various interventions can help slow progression and address associated conditions like depression and anxiety. Telehealth mental health services can play a valuable role as part of a comprehensive treatment plan that includes medical care.

Benefits of Virtual Therapy for Cognitive Conditions

For individuals experiencing dementia symptoms, leaving home for in-person appointments can become challenging. Virtual therapy offers a convenient alternative that eliminates transportation barriers while providing essential support. Through secure video sessions, ReachLink’s licensed therapists can:

Help clients and families develop effective coping strategies
Address co-occurring depression and anxiety through evidence-based approaches like Cognitive Behavioral Therapy (CBT)
Provide emotional support during the adjustment to changing cognitive abilities
Offer guidance to family members and caregivers
Create consistency through regular sessions in familiar surroundings

Numerous studies have demonstrated the effectiveness of telehealth therapy for managing the emotional and psychological aspects of chronic conditions, including cognitive decline. The convenience, accessibility, and continuity of care provided through virtual platforms make them particularly valuable for those with mobility or transportation challenges.

Supporting the Whole Family

Dementia affects not only the individual experiencing cognitive decline but also their families and caregivers. The emotional, physical, and logistical challenges of providing care can be overwhelming. Telehealth mental health services extend vital support to caregivers, offering counseling, education, and strategies to manage stress and prevent burnout. By fostering resilience and enhancing caregiving skills, these services contribute to improved quality of life for the entire family unit.

Early recognition of dementia symptoms, understanding individual risk factors, and accessing appropriate support resources are essential steps in managing this complex condition. While there is currently no cure for most progressive dementias, a comprehensive approach—including medical treatment, lifestyle modifications, and mental health support—can significantly improve outcomes.

Ultimately, raising awareness, promoting early intervention, and leveraging technology such as telehealth are critical in addressing the diverse needs of those affected by dementia. Through compassionate care and informed support, individuals and families can navigate the challenges of dementia with greater confidence and hope for the future.