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Johns Hopkins Health Alert

How to Recognize Symptoms of Early-Stage Alzheimer's Disease

What kinds of behaviors should you expect from a loved one who has just been diagnosed with early-stage Alzheimer's disease? Johns Hopkins discusses 10 common symptoms of early Alzheimer's.

Alzheimer's disease is progressive, meaning it worsens over time. It is also terminal, meaning all who develop it will eventually succumb to it. As Alzheimer's rides its course, it renders those who suffer from it increasingly dependent on the care of others. This is true for all people who develop Alzheimer's, but the particular symptoms and the degree to which they show themselves vary among individuals.

For convenience, the progression of Alzheimer's is often divided into three stages: early/mild, middle/moderate, and late/severe. The symptoms and signs of Alzheimer's have been identified by observing people with Alzheimer's disease as a group.

An individual may not show all of the symptoms in each stage of progression. For example, many -- but not all – Alzheimer's patients develop severe psychiatric problems, such as delusions and hallucinations. Among those who do, the symptoms appear in the middle to late stages of Alzheimer's.

It may help friends and family to familiarize themselves with the typical stages of Alzheimer's disease so that they know what to expect in the coming years. The early/mild stage of Alzheimer's is characterized by declining ability to form new memories, impaired ability to organize and manipulate complex ideas, and, sometimes, by personality changes.

Symptoms Mild Dementia/Early Stage Alzheimer's disease

  • Diminished short-term memory
  • Misplacing belongings in odd places; losing valuable belongings, like wallet or purse
  • Difficulty finding the right word: "Tip of the tongue" syndrome
  • Person seems "not himself" and shows uncharacteristic behaviors
  • Lapses in judgment
  • Difficulty with mental arithmetic and handling money
  • Disorientation in unfamiliar places or situations
  • May become apathetic or withdrawn, avoiding social situations
  • More difficulty with routine tasks at work or at home, or may take longer to complete tasks
  • Irritation or anger in response to increasing memory lapses

Specific Examples

  • Asks the same question repeatedly within the same conversation
  • Puts car keys away in refrigerator
  • Unable to recall word for "car" and then says in frustration, "The thing you drive to work in."
  • A normally shy person becomes uncharacteristically outgoing or talkative at a family gathering
  • Agrees to buy services or products he/she doesn't need from telephone sales person
  • Finds it difficult to balance checkbook or figure out correct amount of money to pay for an item
  • while shopping
  • Forgets to eat, skips meals, or eats the same food every meal

Posted in Memory on November 10, 2008
Reviewed July 2009

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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or MediZine LLC, which has no responsibility for any comments posted on this site.




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