Alzheimer’s disease is a progressive form of dementia, which is a broader category of conditions that negatively affect memory, thinking, and behavior.
Dementia can have a range of causes, such as brain injuries or diseases. Sometimes the cause is unknown. According to the Alzheimer’s Association, Alzheimer’s disease accounts for 60% to 80% of dementia cases.
Most people with the disease get a diagnosis after 65 years of age. If it’s diagnosed before then, it’s generally referred to as “younger onset” or “early onset” Alzheimer’s disease.
There’s no cure for Alzheimer’s, but there are treatments that can slow the progression of the disease.
Although many people have heard of Alzheimer’s disease, it’s helpful to know the facts. Here are some key details about this condition:
- Alzheimer’s disease is a chronic (long-term), ongoing condition. It is not a typical sign of aging.
- Alzheimer’s and dementia are not the same thing. Alzheimer’s disease is a type of dementia.
- The symptoms come on gradually, and the effects on the brain are degenerative, meaning they cause slow decline.
- Anyone can get Alzheimer’s disease, but certain people are at higher risk of developing it. This includes people over 65 years old and those with a family history of the condition.
- There’s no single expected outcome for people with Alzheimer’s. Some people live a long time with mild cognitive damage, while others experience a more rapid onset of symptoms and quicker disease progression.
- There’s no cure for Alzheimer’s yet, but treatment can help slow the progression of the disease and may improve quality of life.
Each person’s journey with Alzheimer’s disease is different.
Everyone has episodes of forgetfulness from time to time. But people with Alzheimer’s disease display certain ongoing behaviors and symptoms that progress over time. These can include:
- memory loss that affects daily activities such as keeping appointments
- trouble with familiar tasks such as using a microwave
- difficulties with problem-solving
- trouble with speech or writing
- disorientation in relation to times or places
- decreased judgment
- decreased personal hygiene
- mood and personality changes
- withdrawal from friends, family, and community
These symptoms don’t always mean that someone has Alzheimer’s. It’s important to consult a doctor to determine the cause.
The symptoms change according to the stage of the disease. In later stages, people with Alzheimer’s often have significant trouble with talking, moving, and responding to what’s happening around them.
The only definitive way to diagnose Alzheimer’s disease is to examine someone’s brain tissue after death. But a doctor can use other examinations and tests to assess your mental abilities, diagnose dementia, and rule out other conditions.
The doctor will likely start by taking a medical history. They may ask about your:
- symptoms
- family medical history
- current or past health conditions
- current or past medications
- diet, alcohol intake, and other lifestyle factors
From there, your doctor will likely request several tests to help them find out whether you have Alzheimer’s disease.
There’s no known cure for Alzheimer’s disease and no way to prevent it. However, your doctor can recommend medications and other treatments to help ease your symptoms and delay the progression of the disease for as long as possible.
Common medications include:
- donepezil (Aricept)
- rivastigmine (Exelon)
- aducanumab (Lecanemab)
- memantine (Namenda)
Your doctor may also recommend antidepressants, anti-anxiety medications, or antipsychotics to help treat symptoms related to Alzheimer’s. These symptoms vary depending on the progression of the disease but can include:
Although the care needs of someone with Alzheimer’s will increase over time, the exact symptoms will be different from person to person.
Along with your doctor, a team of healthcare professionals can help you maintain your quality of life at all stages of Alzheimer’s disease. A care team for Alzheimer’s may include:
- a physical therapist to help you stay active
- a dietitian to help you maintain a balanced, nutritious diet
- a
speech therapist to help you maintain communication skills - a mental health professional specializing in cognitive behavioral therapy to help you manage depression and anxiety symptoms
- a pharmacist to help with monitoring medications
- other mental health professionals, who may work with people with Alzheimer’s and their caregivers
- a social worker to help with you and your loved ones access resources and support
- a respite care center, which provides short-term care for people with Alzheimer’s when their caregivers are temporarily unavailable
- a hospice care center to manage symptoms in a comfortable and supportive setting at the end of life
In addition to lifestyle changes, there are several alternative and complementary therapies you can ask your doctor about.
Experts have not found one specific cause of Alzheimer’s disease, but they have identified certain risk factors, including:
- Older age: Most people who develop Alzheimer’s disease are 65 years of age or older.
- Family history: If you have an immediate family member who has developed the condition, you’re more likely to develop it.
- Genetics: Certain genes —
particularly apolipoprotein E (APOE) — have been linked to Alzheimer’s disease.
Having one or more of these risk factors does not mean that you’ll develop Alzheimer’s disease. It simply increases your risk.
Other possible risk factors include a history of:
- depression
- smoking
- cardiovascular disease
- traumatic brain injury
To learn more about your personal risk of developing Alzheimer’s, talk with your doctor.
Alzheimer’s is a progressive disease, which means the symptoms will gradually increase over time. People with Alzheimer’s typically live for
There are seven main stages of Alzheimer’s. The first three stages are classified as pre-dementia and mild cognitive impairment, and the last four stages are when Alzheimer’s is typically diagnosed.
In the final stage of Alzheimer’s, there is usually a progressive loss of speech and facial expressions, and movement is likely to become limited as well.
Talk with your doctor about strategies for managing these changes. Appropriate care can help you maintain comfort and quality of life for as long as possible.
As Alzheimer’s disease progresses, people need more support to complete tasks of daily living. If you have a loved one with Alzheimer’s, it’s important to start learning about what to expect and what your role in their future care may be. Caregiving is a role that’s typically not easy, but it can also be very rewarding.
If your loved one has Alzheimer’s, here are some ways to plan and prepare for caregiving:
- Educate yourself about Alzheimer’s, its stages, and its typical symptoms. By reading this article, you’re already on the right track.
- Connect with family members who can step in to help.
- Consider joining a support group for dementia caregivers.
- Look up professional home care, respite care, and adult day care programs in your area.
- Remember that you’ll need support too. Reach out to the people you’re close to and be open to accepting help.
As a caregiver, it’s important to take care of yourself as well as your loved one. Caregiving has difficult moments, and the strain of ongoing responsibilities can negatively affect your health. As much as possible, a robust care plan should include support for yourself too.
Alzheimer’s is a complicated disease, and scientists are working on unlocking its secrets. Living a healthy lifestyle may help prevent it. And if you have a family history of Alzheimer’s, it’s important to discuss it with your doctor.
By the time Alzheimer‘s is diagnosed, the progression of the disease can’t be stopped. But treatment can help delay symptoms and improve your quality of life.
If you think you or a loved one may have Alzheimer’s, talk with a doctor. They can make a diagnosis, discuss what you can expect, and connect you with services and support. If you’re interested, they can also give you information about taking part in clinical trials.