What is dementia?
Dementia describes groups of symptoms that cause the gradual decline of your brain. It happens when different diseases affect the brain. Dementia affects everyone differently. Although it’s more likely to happen as you get older, it’s not a normal part of ageing.
There are many different types of dementia and it’s possible to have more than one type at the same time. This is known as 'mixed dementia'. Some of the most common types of dementia include:
- Alzheimer’s disease - caused by build-ups of two protein deposits in the brain. Over time, these build-ups damage nerve cells and eventually cause them to die
- Vascular dementia - caused by damage to the blood vessels that carry oxygen to the brain. This can be caused by strokes or diseases affecting the brain
- Dementia with Lewy bodies - Lewy bodies are clumps of protein that form inside nerve cells in the brain. They disrupt how the brain functions and cause nerve cells to die
- Fronto-temporal dementia - happens when there is damage to the front and/or sides (called frontal and temporal lobes) of the brain. Damage in these areas affects speech and language, personality and behaviour. Frontotemporal dementia describes a group of diseases that includes Pick’s disease.
See our factsheet Living with dementia for more information on the different types of dementia.
Symptoms of dementia
Dementia symptoms vary from person to person and often depend on the type of dementia you have. They will get worse over time. Common symptoms include:
- memory loss, such as forgetting recent events or repeating things
- loss of ability to learn new things
- problems with concentrating, planning or organising, such as difficulties making decisions or carrying out a sequence of tasks
- language problems, such as finding the right word or struggling to follow a conversation
- problems with orientation, such as losing track of time or getting lost in familiar places
- visual perception problems, such as misinterpreting what you see or problems judging distances
- changes in mood and behaviour, and difficulties controlling emotions such as losing interest in things or becoming unusually sad.
As the disease progresses, you may also experience:
- mobility problems, such as loss of balance and slower movement
- changes to behaviour or personality
- hallucinations or delusions (though these can be an earlier symptom of dementia with Lewy bodies)
- difficulties with personal care, such as eating, drinking, washing and dressing
- difficulties with continence
- weight loss.
Some dementia-like symptoms can have treatable causes, such as a urinary tract infection, dehydration, depression, thyroid disorders, side effects of medication, stress or vitamin deficiencies. Talk to your GP if you're worried.
If you're worried about your memory or think you may have some of the symptoms of dementia, talk to your GP. They will look into your symptoms and see if there are any other causes.
Your GP may then refer you to a local memory clinic or a specialist (such as a psychiatrist, geriatrician or neurologist). If you're diagnosed with dementia, the specialist will advise you about treatments that may help manage your symptoms.
Getting help and support
Living with dementia can be stressful, so it’s important to get as much support as possible.
Help from the NHS
As well as your GP and specialists, you may receive other services, such as:
- support from a community psychiatric nurse, Community Mental Health Team or occupational therapist
- talking therapies, such as counselling, cognitive behavioural therapy (CBT), psychotherapy, or an activity or exercise group
- support from an Admiral Nurse, who provide expert practical, clinical and emotional support to families living with dementia
- home visits from district nurses for care such as changing dressings or giving medication
- speech and language therapy to help with swallowing or communication difficulties.
If you have a high level of health and care needs, the NHS may be able to cover the costs of your care at home or in a care home. For more information, see our page Am I eligible for NHS Continuing Healthcare?
Help from your council
If you need extra care and support, you have a right to a free care needs assessment from your local council. If you're eligible, you may get help with personal care, cleaning and laundry or meals at home. If a friend or family member is caring for you, they also have a right to a free carer’s assessment.
You may also receive other services, such as telecare or an occupational therapy assessment. An occupational therapist can suggest equipment or home adaptations to make living in your home easier and safer.
You may have extra expenses, such as paying for care, so it’s important that you claim all the benefits you're entitled to.
You usually won’t automatically get a disability benefit because you have dementia. However, you may be able to get:
- Attendance Allowance if you’re above State Pension age and need help with personal care or supervision to stay safe, or
- Personal Independence Payment (PIP) if you’re under State Pension age. The upper age limit for PIP is your State Pension age.
If you get one of these benefits, you may also be entitled to higher rates of other benefits (such as Pension Guarantee Credit) because of your extra needs.
If you have a certificate of Severe Mental Impairment you shouldn’t be counted for Council Tax purposes. If you live with one other adult, this should reduce their Council Tax bill by 25%. If someone cares for you, they may be able to claim Carer's Allowance.
It might be helpful to talk to someone who is in a similar situation. Alzheimer’s Society's Dementia Talking Point is an online community where people affected by dementia can receive support. You could also visit Dementia Diaries to hear the experiences of other people living with dementia.
Making decisions when you have dementia
If you've been diagnosed with dementia, there may come a time when you're no longer able to make decisions about your finances, health or welfare. You may want to think about nominating someone to help you make or make those decisions for you by setting up a lasting power of attorney (LPA). You must arrange this while you're still able to make your own decisions - this is known as mental capacity. Alzheimer's Society has a digital assistance service that can help you set up and register an LPA.
If you lose mental capacity without having set up an LPA, a friend or family member can apply to the Court of Protection to become a deputy. This allows them to make certain decisions for you under the direction of the Court. However, applying to become a deputy can be lengthy and expensive, so you may want to set up an LPA while you still have mental capacity.
You can also write down what sort of care and medical treatment you would or wouldn't like to receive in future by making an advance statement or advance decision.
For more information, see our factsheet Managing my affairs if I become ill.
Living well with dementia
A diagnosis of dementia doesn’t mean you have to stop making plans or taking part in activities. You may need more support, but you can keep doing the things you enjoy for as long as you're able to.
Being active can help you to stay independent and keep in contact with people. Regular exercise is good for your physical and emotional wellbeing. There are many other activities that you might enjoy, such as: gardening, arts and crafts, cooking, visiting the theatre or a museum, and going on day trips or on holiday.
Activities for people living with dementia include singing groups, or memory cafés, where people with dementia and their carers can socialise and share experiences. Look for local groups on Alzheimer's Society's Dementia Directory.
Dementia can impact other aspects of your health. Make sure you have regular check-ups with your GP and dentist, as well as regular eye and hearing tests.
Dementia UK also offers support to people with dementia and their families through their Admiral Nurse service.