Treatment FAQ

what is the main reason that we do not have an effective treatment for dementia?

by Gregory Gaylord II Published 2 years ago Updated 1 year ago
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There is currently no "cure" for dementia. In fact, because dementia is caused by different diseases it is unlikely that there will be a single cure for dementia. Research is aimed at finding cures for dementia-causing diseases, such as Alzheimer's disease, frontotemporal dementia and dementia with Lewy bodies.

Symptoms

Participate in mentally stimulating activities, learn languages, or continue education Eat a healthy diet. Research has found that a mediterranean diet high in fish, nuts, whole grains, and plant-based foods may be the most beneficial for dementia prevention.

Causes

Alzheimer's disease. This is the most common cause of dementia. Vascular dementia. This may occur in people who have long-term high blood pressure, severe hardening of the arteries, or several small strokes. Strokes are the second most common cause of dementia.

Complications

While there’s no cure yet, there are a range of treatments for dementia that can help with symptoms, and improve quality of life. The four most well-known types of dementia – Alzheimer’s disease, vascular dementia, dementia with Lewy Bodies, and Frontotemporal dementia, are all medically referred to as neurodegenerative dementias.

How to prevent dementia?

It is a group of symptoms that can affect thinking, memory, reasoning, personality, mood and behavior. Dementia develops when the parts of the brain that are involved with learning, memory, decision-making, and language are affected by any of various infections or diseases. The most common cause of dementia is Alzheimer's disease.

What is the most common cause of dementia?

What are the different types of dementia and its treatments?

What is dementia?

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What is the problem with dementia?

Dementia is the loss of cognitive functioning — thinking, remembering, and reasoning — to such an extent that it interferes with a person's daily life and activities. Some people with dementia cannot control their emotions, and their personalities may change.

Which is the most common cause of untreatable dementia?

Dementia is a general term for loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life. Alzheimer's is the most common cause of dementia.

What is the reason that the medications for dementia stop working over time?

These medications eventually lose effectiveness because dwindling brain cells produce less acetylcholine as the disease progresses. Common side effects can include nausea, vomiting and diarrhea. Starting treatment at a low dose and working up to a higher dose can help reduce side effects.

What are some reasons someone might not seek help for Alzheimer's?

At times, your loved one may not want to take a bath or get dressed, or they may refuse to take medicine or just not cooperate. A person with Alzheimer's disease might do this for many reasons. They may feel ashamed when they need help with things or stressed by not being in control.

What causes dementia to worsen?

other long-term health problems – dementia tends to progress more quickly if the person is living with other conditions, such as heart disease, diabetes or high blood pressure, particularly if these are not well-managed.

What are the 4 most common causes of dementia?

CausesAlzheimer's disease. This is the most common cause of dementia. ... Vascular dementia. This type of dementia is caused by damage to the vessels that supply blood to your brain. ... Lewy body dementia. ... Frontotemporal dementia. ... Mixed dementia.

Are dementia drugs effective?

The research evidence so far indicates that dementia medications do not improve outcomes for mild cognitive impairment. However, it remains very common for patients with mild cognitive impairment to be prescribed donepezil (brand name Aricept) or another cholinesterase inhibitor.

Can dementia medication make dementia worse?

Common prescription and over-the-counter medications called anticholinergics (anti-col-in-er-jik; hear it) have side effects that can worsen existing Alzheimer's or dementia symptoms.

When should dementia medication be stopped?

These medications should be stopped if the desired effects—stabilizing cognitive and functional status—are not perceived within a reasonable time, such as 12 weeks. In some cases, stopping cholinesterase inhibitor therapy may cause negative effects on cognition and neuropsychiatric symptoms.

Can a person with dementia refuse medical treatment?

Dementia patients have the right to accept or refuse medical care so long as they demonstrate adequate mental capacity. The U.S. Constitution protects a person's basic freedoms, including the right to privacy and protection against actions of others that may threaten bodily integrity.

Why do dementia patients run away?

Seniors with dementia may want to escape a situation because they're confused or disoriented. But as they depart, they can forget what happened, become unexpectedly lost, and begin to wander. Emotional distress, medical conditions, and a perceived need to complete tasks can all cause dementia wandering.

What are some of the greatest challenges faced by Alzheimer's patients and their families?

Respondents identified their biggest Alzheimer's caregiver challenges as:Dealing with memory loss and impact of the disease on your loved one (25%)Handling the stress and emotional toll on self (16%)Having patience with your loved one (15%)Handling loved one's mood swings or behavior changes (12%)More items...•

How to help dementia patients with dementia?

Speak slowly in simple sentences, and don't rush the response. Present one idea or instruction at a time. Use gestures and cues, such as pointing to objects. Encourage exercise. The main benefits of exercise in people with dementia include improved strength, balance and cardiovascular health.

What is the best therapy for dementia?

Watching videos of family members. Pet therapy, which involves use of animals, such as visits from dogs, to promote improved moods and behaviors in people with dementia. Aromatherapy, which uses fragrant plant oils.

What are some medications that help with dementia?

Medications. The following are used to temporarily improve dementia symptoms. Cholinesterase inhibitors. These medications — including donepezil (Aricept), rivastigmine (Exelon) and galantamine (Razadyne) — work by boosting levels of a chemical messenger involved in memory and judgment.

How to slow the progression of Alzheimer's disease?

Some research also shows that physical activity might slow the progression of impaired thinking in people with Alzheimer's disease, and it can lessen symptoms of depression. Engage in activity. Plan activities the person with dementia enjoys and can do.

How to help someone with a disease?

You can help a person cope with the disease by listening , reassuring the person that he or she still can enjoy life, being supportive and positive, and doing your best to help the person retain dignity and self-respect.

How to help someone with memory loss?

Talk to a member of your spiritual community or another person who can help you with your spiritual needs. Stay active and involved, volunteer, exercise, and participate in activities for people with memory loss. Spend time with friends and family.

How to help a loved one remember upcoming events?

Keep a calendar . A calendar might help your loved one remember upcoming events, daily activities and medication schedules. Consider sharing a calendar with your loved one. Plan for the future. Develop a plan with your loved one while he or she is able to participate that identifies goals for future care.

What is dementia in psychology?

Rather, dementia is deterioration of the thought process. While people with memory loss may forget someone's name or not remember where they put their keys, people with dementia cannot follow a conversation and often become confused about simple tasks.

What are the two types of dementia drugs?

There are two primary types of dementia drugs. One has been around for several decades and has been well studied—the cholinesterase inhibitors ( CI's) —which work by altering a brain chemical that may improve mental function temporarily. Most studies on these drugs have been done on Aricept (donepezil), one of the earliest versions, ...

How many people have reversible dementia?

There are also several conditions that mimic dementia and can potentially be treated, but these are rare; of 1000 people who are screened for a reversible cause of dementia, only 3 are found to have reversible disease, and most of those are discovered by a basic set of tests that can be done by a primary care doctor.

How many stages of dementia are there?

Most dementia also progresses through seven stages; the symptoms worsen with time at variable rates, and can often lead to total disability and dependency. While many forms of dementia exist, from Alzheimer's Disease to Pick's Disease, the deterioration in thinking and reasoning is similar in all of them.

How many people have dementia in 2015?

Written By: Andy Lazris, M.D. Published On December 16, 2015. Dementia is one of the most frightening diseases that inflicts my patients. Approximately 2 million Americans suffer from dementia, and that number is increasing as more people are aging. Dementia is not merely memory loss; in fact, ...

Can dementia make you agitated?

Some people with the disease hallucinate, some become agitated and violent, some become more passive and lethargic; there are probably many more forms of dementia than medical science has described, and most people have a combination of symptoms that change over time.

Is dementia genetic?

We do know that something (we think it is an abnormality of a certain protein in the brain) triggers a cascade of brain cell destruction that we have no capacity to prevent or stop. Very little of dementia is genetic; most cases occur in people who have no family history of the disease.

How to prevent dementia?

Quit smoking and minimize drug use. Eat a healthy diet. Research has found that a mediterranean diet high in fish, nuts, whole grains, and plant-based foods may be the most beneficial for dementia prevention.

How to manage dementia?

Dementia hugely affects everyday functioning both for sufferers and for their loved ones, and coping with dementia can require major lifestyle and environmental changes. A comprehensive management system includes therapy and counseling to manage possible stress, anxiety, and depression.

What is the best medication for dementia?

There are several classes of medications proven to work at treating symptoms and reducing the effects of dementia, which include: Cholinesterase inhibitors: Aricept (donepezil), Razadyne (galantamine) and Exelon (rivastigmine).

Why are antidepressants used for dementia?

A high percentage of dementia sufferers are afflicted by depression, so antidepressants are used to increase wellbeing and quality of life.

What is the effect of cholinesterase inhibitors on Alzheimer's?

Cholinesterase inhibitors alleviate symptoms of Lewy-body dementia and Alzheimer's disease by slowing the breakdown of Acetylcholinesterase, which plays a role in learning, memory, and cognitive skills.

What are the side effects of dementia medication?

Side effects of medications used to alleviate dementia symptoms include nausea, dizziness, vomiting, slowed heart rate and diarrhea. A doctor or healthcare professional can prescribe the medication that best fits an individual's condition and situation.

How does behavioral therapy help dementia?

Behavioral therapy involves tackling the triggers or causes of unwanted behaviors like aggression or wandering in order to alleviate and provide outlets for these behaviors without medication. For example, a trained caregiver may find that feelings of restlessness or stress cause their patient to wander away from home, and can implement an exercise regimen to manage this restlessness.

What is the most common cause of dementia?

The most common cause of dementia is Alzheimer's disease.

What is dementia in psychology?

What is dementia? Dementia is a general term used to describe a decline in mental function that is severe enough to interfere with daily living. Dementia is not a specific disease. It is a group of symptoms that can affect thinking, memory, reasoning, personality, mood and behavior.

What percentage of people with dementia have Alzheimer's?

There are many causes of dementia. The causes of dementia can be generally grouped as follows: Alzheimer's disease accounts for 50 percent to 70 percent of all dementias. However, many patients with Alzheimer's disease also have damage from other vascular brain disease, such as from mini strokes.

What are the symptoms of dementia?

Current general symptoms that would indicate dementia are, by definition, a decline in such mental functions as memory, thinking, reasoning, personality, mood or behavior that are severe enough to interfere with the ability to accomplish everyday tasks. Patients undergo mental function testing (memory tests, language skills, ...

What tests can be used to diagnose dementia?

However, doctors are able to make the diagnosis based on the results of personal medical history, review of current symptoms, neurological (brain) and cognitive (thinking) tests, laboratory tests, imaging tests ( CT, MRI, PET scans) and by interacting with the patient. Current general symptoms that would indicate dementia are, by definition, ...

What percentage of dementia is caused by hydrocephalus?

Alzheimer's disease accounts for 50 percent to 70 percent of all dementias.

How do you know if you have dementia?

Signs that dementia is getting worse include: Ability to remember and make decisions further declines. Talking and finding the right words becomes more difficult. Daily complex tasks, such as brushing teeth, making a cup of coffee, working a tv remote, cooking, and paying bills become more challenging.

What is the most common cause of dementia?

Dementia is caused by damage to or changes in the brain. Common causes of dementia are: Alzheimer's disease. This is the most common cause of dementia. Vascular dementia. This may occur in people who have long-term high blood pressure, severe hardening of the arteries, or several small strokes. Strokes are the second most common cause of dementia.

What causes short term memory loss?

Parkinson's disease. Dementia is common in people with this condition. Dementia with Lewy bodies. It can cause short-term memory loss. Frontotemporal dementia. This is a group of diseases that includes Pick's disease. Severe head injury. Less common causes of dementia include: Huntington's disease.

What are the factors that prevent people from getting treatment?

Not having reliable transportation, child care issues and appointments for treatment that conflict with work or school schedules can also prevent someone from engaging in treatment. Addressing the problem. Any one of these factors which delay or prevent appropriate care can be very difficult to overcome.

Why do people not seek mental health care?

Let’s take a look at eight of the most common reasons that prevent people from obtaining needed mental health services: 1) Fear and shame. One of the most common reasons for not seeking help is fear and shame. People recognize the negative stigma and discrimination associated with having a mental illness and don’t want to be labeled “mentally ill” ...

Why are some of the more hidden factors challenging?

Finally, many of the more “hidden” factors (fear, shame, inadequacy, limited awareness, and hopelessness) are challenging, because the person may function fairly well on the surface and can generally conceal their mental health concerns.

What are the barriers to mental health care?

8) Practical barriers. Another common barrier to mental health care is inability to pay for treatment due to financial hardship or lack of health insurance.

What happens if you don't believe you are sick?

If someone truly believes they aren’t sick, they feel no need to seek or accept treatment. A person may acknowledge some mental health concerns but can lack full awareness of their significance or really don’t understand they have an actual illness.

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Diagnosis

Clinical Trials

Medically reviewed by
Dr. Rakshith Bharadwaj
Symptoms
If you or someone you know is exhibiting symptoms of Dementia, seek medical attention immediately.

The symptoms include:

Cognitive and sensory changes:

  • Memory loss, generally noticed by the near and dear ones
  • Difficulty in communication, especially finding the right words to communicate
  • Reduced ability to organize, plan, reason, or solve problems
  • Difficulty handling complex tasks
  • Confusion and disorientation
  • Difficulty with coordination and motor functions
  • Loss of or Reduced visual perception
  • Metallic taste in mouth, decreased sense of smell
  • Agnosia - unable to identify objects or persons

Psychological changes:

  • Changes in personality and behavior
  • Depression
  • Anxiety
  • Hallucinations
  • Mood swings
  • Agitation
  • Apathy - lack of interest or emotions

Causes

  • Damage to brain cells is the primary cause of dementia. Causes for this damage include:
  • Advance age, as in case of Alzheimer’s disease
  • Family history
  • Damage to blood vessels of the brain
  • Accumulation of clumps of protein in the brain
  • Genetic disorders such as Huntington's disease
  • Mental and neurological disorders such as Parkinson’s disease and depression
  • Traumatic brain injury or repetitive brain injury as seen in boxers
  • Infections which cause high fever
  • Metabolic disorders such as thyroid problems and diabetes
  • Certain medications
  • Vitamin deficiencies
  • Poisoning with heavy metals or pesticides
  • Alcohol abuse
  • Brain tumor or cancer
  • Enlarged structures of the brain

Complications

After a prolonged period it may lead to:

  • Loss of appetite
  • Malnutrition
  • Weight loss
  • Pneumonia
  • Inability to perform tasks without help
  • Inability to perform self-care or hygienic tasks such as bathing, dressing, using toilets, etc
  • Protecting self from any harmful situations

Lifestyle and Home Remedies

Alternative Medicine

Coping and Support

  • Diagnosing dementia and its type can be challenging. To diagnose the cause of the dementia, the doctor must recognize the pattern of the loss of skills and function and determine what a person is still able to do. More recently, biomarkers have become available to make a more accurate diagnosis of Alzheimer's disease. Your doctor will review your medical history and symptoms an…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Dementia Is Not Just Memory Loss

  • Dementia symptoms and behavior problems will progress over time. Caregivers and care partners might try the following suggestions: 1. Enhance communication.When talking with your loved one, maintain eye contact. Speak slowly in simple sentences, and don't rush the response. Present one idea or instruction at a time. Use gestures and cues, such as p...
See more on mayoclinic.org

There Is No Cure; Just Mitigation

  • Several dietary supplements, herbal remedies and therapies have been studied for people with dementia. But there's no convincing evidence for any of these. Use caution when considering taking dietary supplements, vitamins or herbal remedies, especially if you're taking other medications. These remedies aren't regulated, and claims about their benefits aren't always bas…
See more on mayoclinic.org

Primary Dementia Drug Types

  • Receiving a diagnosis of dementia can be devastating. You'll need to consider many details to ensure that you and others are as prepared as possible for dealing with a condition that's unpredictable and progressive.
See more on mayoclinic.org

A Placebo Effect

  • Most likely, you'll first see your primary care provider if you have concerns about dementia. Or you might be referred to a doctor trained in nervous system conditions (neurologist). Here's some information to help you get ready for your appointment.
See more on mayoclinic.org

Definition

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Rather, dementia is deterioration of the thought process. While people with memory loss may forget someone's name or not remember where they put their keys, people with dementia cannot follow a conversation and often become confused about simple tasks. Most dementia also progresses through seven stages; the sy…
See more on dementia.org

Causes

  • It is very important to realize that we currently have no treatment for dementia. While a host ofmedicines are offered to dementia patients, none of them alter the course of the disease. At best they can mitigate symptoms for a very brief period of time before they become ineffective. Still, that does not stop doctors and pharmaceutical companies f...
See more on dementia.org

Prognosis

  • There are two primary types of dementia drugs. One has been around for several decades and has been well studied—the cholinesterase inhibitors (CI's)—which work by altering a brain chemical that may improve mental function temporarily. Most studies on these drugs have been done on Aricept (donepezil), one of the earliest versions, and studies of the other drugs in this class hav…
See more on dementia.org

Types

  • The most remarkable finding in dementia drug trials, and something rarely brought up, is that there is a tremendous placebo effect. In fact, of 1000 people who receive a placebo, approximately 300 of them will improve by 4 or more points on their ADAS-Cog. How can a person with dementia improve on an objective test by taking a placebo? It seems to make no medical s…
See more on dementia.org

Examples

  • Dementia is a general term used to describe a decline in mental function that is severe enough to interfere with daily living. Dementia is not a specific disease. It is a group of symptoms that can affect thinking, memory, reasoning, personality, mood and behavior.
See more on my.clevelandclinic.org

Epidemiology

  • Dementia develops when the parts of the brain that are involved with learning, memory, decision-making, and language are affected by any of various infections or diseases. The most common cause of dementia is Alzheimer's disease. However, there are numerous other known causes of dementia, such as vascular dementia, dementia with Lewy bodies, and de...
See more on my.clevelandclinic.org

Symptoms

  • Dementia is considered a late-life disease because it tends to develop mostly in elderly people. About five to eight percent of all people over the age of 65 have some form of dementia, and this number doubles every five years above that age. It is estimated that as many as half of people 85 or older have dementia.
See more on my.clevelandclinic.org

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