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Behavioral manifestations of alzheimer?s dementia - psychology

 

Alzheimer's Dementia has a blend of cognitive and behavioral manifestations. Cognitive destruction is the core conundrum which includes recall deficits and at least one of the following: aphasia or expression problem, agnosia or evils with recognition, apraxia or motor bustle problem, and injury in executive functioning (e. g. planning, abstract reasoning, and organizing).

As the disease advances, the cognitive decline becomes linked with behavioral manifestations. What are these behavioral manifestations of dementia?

Behavioral syndromes in Alzheimer's can be grouped into two categories: psychological and behavioral. Major psychological syndromes consist of depression, anxiety, delusions, and hallucinations.

Depression in dementia is very common. Up to about 87% of patients acquire some form of depression. It is characterized by tearfulness or crying episodes, feelings of sadness, and neurovegetative signs and symptoms such as incapability to sleep, lack of appetite, poor energy, and belief of death. Petulance is also common. Depression can occur even in the early or mild phase of the illness.

About 50% of demented patients show delusions or false fixed beliefs. Such delusions consist of beliefs that a qualified is stealing, that a next of kin is just an plant or is having an concern with a neighbor, or that contacts and relatives are conspiring to cause trouble.

Moreover, many patients with dementia may come into contact with hallucinations. Most of these hallucinations are visual - considering strangers in the house, an being or insects in the existing room, ancestors in the bedroom or on top of the TV set. Occasionally, hearing hallucinations may be qualified - audible range path or knocking on the door or even associates singing cathedral hymns.

Regarding major behavioral syndromes coupled with dementia, these evils bring in agitation, verbal outbursts, repetitive behavior, wandering, and assault or even violence. Anxiety can be manifested by pacing back and forth, restlessness, and failure to sit still.

Verbal outbursts consist of day-long screaming or intermittent yelling at someone. Repetitive conduct is manifested by finishing and aperture a closet or a purse or a drawer. Asking questions repetitively for demand about a relative's visit is very common.

Wandering can come to pass chiefly at the late stages of the illness. If doors are left unlock, some patients wander away from the house. Hence, shelter level becomes an issue.

Aggression similarly may occur. Beating the caregiver or throwing equipment are some complaints. Destroying effects even if rare can also ensue. A gentleman for case hit the wall with a cane and broke the chance by smashing a chair.

Although challenging to deal with, most of these behavioral penalty of dementia can be treated above all if accepted and addressed early.

Copyright 2004. All civil liberties reserved. Dr. Michael G. Rayel - creator (First Aid to Mental Illness-Finalist, Reader's Fondness Array Award 2002), psychiatrist, and inventor of Oikos Game: An EQ Game. For info, visit http://www. oikosgame. com and http://www. soardime. com


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