Psychology InformationInformation Research

Tell a Friend about this Site

Are All Dementias Alzheimer's?


I'm surprised when some patients and caregivers confuse dementia and Alzheimer's as one and the same. Each time a family member is suffering from memory loss, the conclusion is always Alzheimer's. Is it reasonable to label all dementias as Alzheimer's?

As a clinician, my answer to queries is that Alzheimer's dementia is only one type of dementia and that not all dementias are Alzheimer's. Aside from Alzheimer's disease, other dementias exist such as Dementia with lewy body, Vascular dementia, Parkinson's disease with dementia, and dementias due to various neurologic and medical conditions.

How will you know if a person is suffering from Alzheimer's dementia? What is Alzheimer's dementia?

Alzheimer's dementia is a neurologic disorder characterized by a progressive and irreversible cognitive decline associated with impairment in functioning. The cognitive deterioration consists of memory impairment. Initially there is recent memory impairment but as the disease progresses, even the long term memory is affected.

In addition to memory impairment, a patient with dementia has impairment in one of four cognitive areas: aphasia, apraxia, agnosia, and impairment in executive functioning. Aphasia is a problem in language characterized by inability to express oneself, repeat words or phrases, or understand what is being said. Apraxia is inability to adequately perform a usual motor activity such as combing the hair or brushing the teeth despite no paralysis or musculoskeletal abnormality.

Agnosia is inability to recognize objects or things despite no sensory deficits. For instance, a demented patient cannot recognize a key or a pen placed in his or her hands without looking at it.

Impairment in executive functioning is characterized by difficulty in abstract reasoning and in organizing things, schedule, and activities. Patients with this problem give concrete meaning to proverbs. For example, when a patient is asked what "don't cry over spilled milk" means, the patient responds, "It's easy. Just wipe it!" Moreover, knowing the specific similarities and differences of certain things (e.g. apple versus orange) is a struggle for some patients.

What are the possible causes of Alzheimer's?

The cause of Alzheimer is still unknown. However, several risk factors have been identified. One major risk factor is age. The risk of developing dementia increases as our age advances. Older individuals therefore are more at risk. Having said this, Alzheimer's can also happen to young individuals.

Other important risk factors include the presence of apolipoprotein E4 allele, the predominance of plaques and tangles in the brain, and the brain's impaired cholinergic system.

Is there any successful treatment for Alzheimer's?

Alzheimer's disease is irreversible so current medications are only geared to slow down the deterioration. These acetylcholisterase inhibitors, namely galantamine, rivastigmine, and donepezil, are aimed at improving the cholinergic functioning in the brain by inhibiting the cholinesterase enzyme. Although initially indicated for mild to moderate dementia, some recent evidence shows that some of these drugs may also benefit patients with moderate to severe dementia. Further studies are warranted to determine its efficacy in this group.

Copyright 2004. All rights reserved. Dr. Michael G. Rayel - author (First Aid to Mental Illness-Finalist, Reader's Preference Choice Award 2002), psychiatrist, and inventor of Oikos Game: An Emotional Intelligence Game. For info, visit http://www.oikosglobal.com and http://www.soardime.com


MORE RESOURCES:

DailyTech

Car Cell Phone Use More Hazardous Than Chat With Passengers
Washington Post, United States - 5 hours ago
This study, published in the December issue of the Journal of Experimental Psychology: Applied, involved 41 men and women ranging in age from 18 to 26. ...
Hands-free kits make drivers even more dangerous Register
Study: Cell Phones More Distracting Than Passengers in Car DailyTech
Mobile Phone Conversations Should Not Be Done While Driving eFluxMedia
Salt Lake Tribune - InformationWeek
all 157 news articles


The Psychology of Political Power
Newsweek - 21 hours ago
... tested the effects of peer pressure and conformity, they report in the December issue of the Journal of Personality and Social Psychology. ...


KSU psychology professor Dan Neal recruits students for drinking ...
The Plain Dealer - cleveland.com, OH - Dec 1, 2008
A psychology prof, Neal is head of KSU's Alcohol Research Lab. To get subjects for his research into alcohol and its effects on self-control, ...


Practical Psychology: Strengthening relationships helps avoid ...
Schenectady Gazette, NY - 12 hours ago
By Lloyd Thomas Our new president-elect talks a lot about bringing us together as a nation. That implies that we know how to relate to one another in a ...


Investor Psychology and Market Expectations
Seeking Alpha, NY - 4 hours ago
A Guide to Help You and Your Clients Weigh the Risk vs. Reward in Today’s Market Investors are facing the most difficult environment in decades. ...


Psychology and Blago
Chicago Sun-Times, United States - Nov 29, 2008
She's back home -- getting ready for Christmas. Listed below are links to blogs that reference this entry: Psychology and Blago.


University of Phoenix Expands Doctoral Degree Program to Meet Job ...
MarketWatch - Dec 1, 2008
University of Phoenix' School of Advanced Studies recently launched a Doctor of Philosophy (Ph.D.) degree in Industrial/Organizational Psychology to meet ...


Psychology may be helping math scores in Memphis
WZTV, TN - Nov 30, 2008
(AP) -- A little psychology may be helping math scores at Kingsbury High School. In one year, the percentage of students passing the state math exam went ...


Applications available for Hanson Scholarship
Zanesville Times Recorder, OH - 9 hours ago
The following are members of the Psychology Club at Ashland University. Elizabeth Fisher and Kylie Roberts of Zanesville are members of the Psychology Club ...


Your brooding teen: Just moody or mentally ill?
MSNBC - 7 hours ago
“The tendency of parents is to think ‘This is normal,’ ‘They’ll outgrow this,’ ‘Not to worry,’” said Alec Miller, a doctor of psychology and chief of child ...

Psychology - Google News



MaineBannerExchange

home | site map
© 2006