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Understanding the Different Types of Dementia: A Guide for Families and Caregivers

Caregiver and senior woman in wheelchair holding dandelion, picking wild flowers.

Dementia is not a single disease; it’s an overall term that covers a wide range of specific medical conditions, including Alzheimer’s disease. Understanding the nuances of each type of dementia can help families and caregivers provide better support and make informed decisions about care. Here’s a look at some of the most common forms of dementia and how they differ from one another. 

Alzheimer’s disease 

Alzheimer’s is the most common type of dementia, affecting millions worldwide. It involves the parts of the brain that control thought, memory, and language. It can significantly affect a person’s ability to perform daily activities. 

Alzheimer’s disease progresses in stages, from mild (or even unnoticed) symptoms to a severe, debilitating condition. It typically starts with mild memory loss and can eventually lead to an inability to carry on a conversation and respond to one’s environment.  

Vascular dementia 

This is the second most common type of dementia. Vascular dementia results from conditions that block or reduce blood flow to the brain, depriving brain cells of oxygen and nutrients. Symptoms often include confusion, difficulty paying attention, reduced ability to organize thoughts or actions, and problems with memory.  

Symptoms can appear suddenly following a stroke that blocks major brain blood vessels. Vascular dementia can also develop gradually as a result of multiple small strokes or other conditions that affect smaller blood vessels, leading to more cumulative damage.  

Lewy body dementia 

This type of dementia is widely recognized but less common than Alzheimer’s or vascular dementia. It is characterized by the presence of abnormal protein deposits called Lewy bodies in the brain.  

The hallmark symptoms of Lewy body dementia (also called dementia with Lewy Bodies) include visual hallucinations, sleep disturbances, and motor impairment similar to Parkinson’s disease. Lewy body dementia is progressive and gradually impairs thinking, reasoning, and independent function.   

Frontotemporal dementia 

Frontotemporal dementia is less common than the other types, but notably affects younger people, usually between the ages of 45 and 64. Frontotemporal dementia affects the frontal and temporal lobes of the brain, which are generally associated with personality, behavior, and language.  

This dementia type is characterized by significant changes in behavior and language problems before memory loss becomes noticeable. The progression can be rapid, or it may take several years to reach later stages.  

Mixed dementia 

This condition involves symptoms of more than one type of dementia simultaneously, commonly Alzheimer’s and vascular dementia. The symptoms can be similar to Alzheimer’s disease, but also include other distinguishing features, such as the sudden onset of symptoms typical of vascular dementia. Because it involves multiple types of brain changes, the progression of mixed dementia can be unpredictable.   

The impact of dementia 

Each type of dementia may affect individuals differently, not only in the symptoms they present but in how quickly the condition progresses and impacts their daily life. For example, someone with Alzheimer’s may live independently in the early stages, whereas someone with frontotemporal dementia may need more immediate assistance due to changes in behavior and judgment. 

At LifeCare Advocates, we have served many clients who are living with different types of dementia and their families or caregivers. Our Life Care Managers guide and support clients through every step of the difficult challenges of dementia care, from assessing the level of cognitive impairment to planning changing care needs. Learn more about our memory care services. 

If you believe you or a loved one are experiencing symptoms of dementia, it is important to seek a professional medical diagnosis and support as soon as possible.