Is Forgetfulness a Sign of Dementia? Early Symptoms - Neurology

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Dementia in the elderly


Hello Dr.
Hong, yesterday afternoon at work, I suddenly couldn't remember my computer's login password, which I've been using daily for the past five or six years; in fact, I had used it that morning.
It took me over two hours to recall it.
This kind of situation has been occurring occasionally lately, such as forgetting familiar names that are on the tip of my tongue, and it takes a long time to remember them or I can't recall them at all.
However, these are all trivial matters, so I haven't paid much attention to it.
Could this be a sign of dementia? Should I see a doctor?

Sandy, 60~69 year old female. Ask Date: 2019/05/10

Dr. Hong Weibin reply Neurology


Hello: This indicates that there may be an issue with the retrieval aspect of your memory, which is a normal part of aging.
The phenomenon where you can't quite find the words you want to say is known as the "tip-of-the-tongue" phenomenon, and it is not a disease; it can happen to anyone.
However, it may be triggered by external factors such as fatigue, stress, emotions, and levels of concentration.
Typically, this symptom is not indicative of dementia.
It is advisable to consult a neurologist to arrange for cognitive testing.
Wishing you health and peace.

Reply Date: 2019/05/10

More Info


Forgetfulness can indeed be a concerning symptom, and while it may not always indicate dementia, it is essential to understand the context and the nature of the memory lapses. In your case, experiencing occasional forgetfulness, such as forgetting a computer password that you have used for years, can be alarming, especially if it is happening more frequently. However, it is important to differentiate between normal age-related memory changes and the early signs of dementia.

Dementia, including Alzheimer's disease, is characterized by a progressive decline in cognitive function, which includes memory loss, language difficulties, and impaired reasoning. Early symptoms can vary widely among individuals, but common signs include:
1. Memory Loss: This often manifests as forgetting recently learned information, important dates, or events. Individuals may also rely heavily on memory aids (like notes or electronic devices) to remember things they used to recall effortlessly.

2. Difficulty with Familiar Tasks: People may find it challenging to complete daily tasks that were once routine, such as managing finances or following a recipe.

3. Language Problems: Struggling to find the right words or calling things by the wrong name can be indicative of cognitive decline.

4. Disorientation: Individuals may become confused about time or place, forgetting where they are or how they got there.

5. Poor Judgment: This can manifest in making uncharacteristic decisions, such as poor financial choices or neglecting personal hygiene.

6. Changes in Mood and Personality: Individuals may experience mood swings, increased anxiety, or withdrawal from social activities.

In your situation, the forgetfulness you described—such as forgetting a password or familiar names—could be attributed to various factors, including stress, fatigue, or even simple distraction. These types of memory lapses can occur in anyone, especially during busy or stressful periods. It is also worth noting that as we age, our cognitive processing speed may slow down, which can lead to temporary lapses in memory.

However, if you find that these memory issues are becoming more frequent or are affecting your daily life, it would be wise to consult a healthcare professional. A thorough evaluation can help determine whether your symptoms are part of normal aging, stress-related, or indicative of a more serious condition like dementia.
In addition to seeking medical advice, there are several self-assessment strategies you can employ to monitor your cognitive health:
1. Cognitive Tests: Simple tests, such as the "clock drawing test" or memory recall exercises, can help gauge your cognitive function.

2. Journaling: Keeping a daily journal of your memory lapses can help identify patterns or triggers that may be contributing to your forgetfulness.

3. Healthy Lifestyle Choices: Engaging in regular physical activity, maintaining a balanced diet, and ensuring adequate sleep can support cognitive health.

4. Mental Stimulation: Activities that challenge your brain, such as puzzles, reading, or learning new skills, can help maintain cognitive function.

5. Stress Management: Techniques such as mindfulness, meditation, or yoga can reduce stress and improve overall mental clarity.

In conclusion, while occasional forgetfulness can be a normal part of life, especially under stress or fatigue, it is essential to remain vigilant about any changes in your cognitive function. If your forgetfulness persists or worsens, seeking professional evaluation is a prudent step to ensure your cognitive health is monitored and managed appropriately.

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