Possible Dementia Symptoms in a 62-Year-Old Mother - Psychiatry

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Suspecting that my mother has dementia?


Your mother is 62 years old and a few months ago had shingles.
After her recovery, she has complained about: 1.
Having a strong urge to respond to messages after burping.
2.
Talking in her sleep, often about people from her past.
3.
Saying nonsensical things right after waking up, such as asking family members if they want to take a day off, even though they no longer need to go to school.
However, these occurrences are limited to just after waking up, and her daily life is completely normal.
What could be the symptoms of the above?

K, 20~29 year old female. Ask Date: 2019/05/14

Dr. Huang Xiaoxian reply Psychiatry


Dear Chung,
Thank you for your question.
It is possible for cognitive function to naturally decline with age, but if this occurs only upon waking, it may still fall within the range of normal experiences for many individuals.
It would be advisable to continue monitoring the situation.
I recommend visiting a psychiatrist for some objective assessments to determine if there are early signs of dementia, and to receive appropriate treatment if necessary.

Dr.
Hwang Hsiao-Hsien

Reply Date: 2019/05/14

More Info


Based on the symptoms you've described regarding your 62-year-old mother, it is essential to approach this situation with a comprehensive understanding of potential cognitive and psychological issues. The symptoms you mentioned, such as experiencing unusual thoughts upon waking, talking in her sleep about past events, and having a sudden urge to respond to messages after hiccupping, could be indicative of several underlying conditions, but they do not necessarily point to dementia.

Firstly, it’s important to note that dementia is characterized by a decline in cognitive function severe enough to interfere with daily life. Common symptoms include memory loss, difficulty with problem-solving or planning, confusion about time or place, and challenges in completing familiar tasks. In your mother’s case, since you mentioned that her daily life remains unaffected, it may not be appropriate to immediately conclude that she is experiencing dementia.

The occurrence of sleep talking and unusual thoughts upon waking can sometimes be attributed to sleep disturbances or disorders, such as REM sleep behavior disorder, where individuals act out their dreams. This could be exacerbated by stress, anxiety, or even the recent shingles infection, which can affect neurological function and lead to temporary cognitive changes. Additionally, the brain's recovery from an illness can sometimes manifest in odd behaviors or thoughts as it readjusts.

Moreover, the phenomenon of having vivid dreams or talking about past experiences is not uncommon, especially in individuals who have experienced significant stress or illness. It could be a way for the brain to process memories or emotions related to those experiences. If these occurrences are infrequent and do not disrupt her daily life, they may not be a cause for concern.

However, it is crucial to monitor her symptoms closely. If you notice any progression in her cognitive decline, such as increased forgetfulness, confusion, or changes in her ability to perform daily tasks, it would be advisable to seek a medical evaluation. A healthcare professional can conduct cognitive assessments and possibly recommend neuropsychological testing to rule out or confirm any cognitive disorders.

In addition, consider discussing her recent shingles diagnosis with her healthcare provider. Shingles can lead to postherpetic neuralgia, which may affect mood and cognitive function. Addressing any lingering effects from the shingles infection could be beneficial.

In summary, while the symptoms you've described warrant attention, they do not definitively indicate dementia. It is essential to maintain open communication with your mother about her experiences and encourage her to seek medical advice if her symptoms change or worsen. Regular check-ups with a healthcare provider can help ensure that any potential issues are addressed promptly, and they can provide guidance on managing her health as she ages.

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