Behavioral Changes: Possible Mental Health Issues in Aging

Q: Behavioral Changes: Possible Mental Health Issues in Aging

Hello： Your father's condition sounds like some symptoms of dementia, such as a decline in executive function and changes in daily habits. <br>However, I am more concerned about the fact that these abnormal behaviors appeared after he experienced a headache, raising the possibili

Behavioral abnormalities

I'm sorry to bother you, doctor.
My father started experiencing headaches recently, and he often forgets things immediately after saying or doing them.
He asks the same questions repeatedly.
Today, while taking a shower, he suddenly used facial cleanser to wash the bathroom and asked some strange questions.
His behavior is different from before.
I would like to know if this situation could indicate a possible mental illness.
Since my father is not willing to see a doctor, what should I do? Thank you for your response, doctor.

Niming, 10~19 year old female. Ask Date: 2018/06/25

Dr. Huang Jiabin reply Psychiatry

Hello: Your father's condition sounds like some symptoms of dementia, such as a decline in executive function and changes in daily habits.
However, I am more concerned about the fact that these abnormal behaviors appeared after he experienced a headache, raising the possibility that there may be a brain lesion directly causing these symptoms, rather than age-related degeneration.
Therefore, I recommend taking your father to the hospital for an examination to differentiate the underlying causes.
You can explain to him that he needs to see a doctor to address the headache (or other physical discomfort), which may increase the likelihood of successful assistance in seeking medical care.

Reply Date: 2018/06/25

More Info

It sounds like you are experiencing a challenging situation with your father's recent behavioral changes, and it's understandable that you are concerned about his mental health. The symptoms you describe, such as frequent forgetfulness, confusion about tasks, and unusual behaviors, can be indicative of several potential mental health issues, particularly in older adults.

One of the most common conditions associated with these symptoms is dementia, which encompasses a range of cognitive impairments that affect memory, thinking, and social abilities. Alzheimer's disease is the most prevalent form of dementia, characterized by progressive memory loss and changes in behavior. Other types of dementia, such as vascular dementia, frontotemporal dementia, and Lewy body dementia, can also present with similar symptoms but may have different underlying causes and progression patterns.

In addition to dementia, your father's symptoms could also be related to delirium, which is a sudden change in mental status that can occur due to various factors, including infections, dehydration, medication side effects, or metabolic imbalances. Delirium is often temporary and can be reversible if the underlying cause is identified and treated.

Another possibility is depression, which can manifest in older adults as cognitive impairment, often referred to as "pseudodementia." In this case, the cognitive issues may improve with appropriate treatment for depression.

Given your father's reluctance to seek medical attention, it can be challenging to address these concerns. Here are some steps you might consider taking:
1. Open Communication: Approach your father with empathy and concern. Express your observations about his behavior without sounding accusatory. Use "I" statements, such as "I’ve noticed you seem to forget things more often lately, and I’m worried about you."
2. Encourage a Medical Evaluation: Suggest that he see a healthcare professional for a comprehensive evaluation. Emphasize that this is not just about memory loss but also about ensuring his overall health. You might offer to accompany him to the appointment for support.

3. Document Symptoms: Keep a record of the specific behaviors and symptoms you observe. This information can be helpful for healthcare providers in diagnosing the issue.

4. Explore Support Services: If he is resistant to seeing a doctor, consider reaching out to local community resources or support groups for caregivers. They can provide guidance and strategies for managing the situation.

5. Safety Considerations: Ensure that his living environment is safe. If he is exhibiting confusion while performing daily tasks (like bathing), it may be necessary to implement safety measures to prevent accidents.

6. Educate Yourself: Learn more about cognitive decline and mental health issues in aging. Understanding the conditions can help you approach the situation with more knowledge and compassion.

7. Patience and Understanding: Behavioral changes can be frustrating for both the individual and their loved ones. It’s essential to remain patient and supportive as you navigate this challenging time together.

In conclusion, while the symptoms you describe could indicate a range of mental health issues, it is crucial to seek a professional evaluation to determine the underlying cause. Early intervention can significantly impact the management of cognitive decline and improve quality of life. Your proactive approach and concern for your father's well-being are commendable, and I encourage you to continue advocating for his health.

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