Glimmers of hope: a brief guide to dementia

Written by: Dr Pramod Prabhakaran
Published: | Updated: 26/06/2023
Edited by: Conor Dunworth

Dementia can be extremely difficult, both for the patient and their friends and family. Watching a loved one slowly fade away and become a shadow of their former self is a nightmare for all those around who can do nothing but bear witness. Although most types of dementia are uncurable, sometimes the onset of symptoms can be slowed down or even reversed. In his latest online article, highly-experienced consultant psychiatrist Dr Pramod Prabhakaran explains some of the ways dementia can be treated. 

As you grow older, the chances of you developing dementia increase, as the condition mostly affects people over the age of 65. This does not mean you should fret every time you can't remember where you left your keys or what you went to look for in the living room (walking through doorways has been known to make people forget). With advances in medicine, there is always hope on the horizon. An early diagnosis of dementia allows you and your loved ones to prepare for the future, and in some cases, with a bit of luck, means that the seemingly unstoppable march of mental deterioration can indeed be fully or partially reversed.  

 

What does dementia mean?

Dementia, which comes from the Latin demens meaning out of one’s mind, is the overall term for a variety of symptoms that involve gradual mental decline, such as memory loss. The most common and well-known type of dementia is Alzheimer´s disease.

As people now generally live longer than in the past, cases of dementia are on the rise. An estimated 800,000 people in the UK have dementia, two thirds of whom are women. It is estimated that if current trends continue, by 2021 around 1 million people in the UK will have the condition.

 

Dementia symptoms: what you should watch out for

As dementia is a syndrome and not a condition in itself, symptoms can vary depending on the type. Important dementia symptoms to be on the lookout for include:

  • Memory loss
  • Decreased cognitive abilities
  • Increased mental clumsiness
  • Problems with language and understanding
  • Bad judgement
  • Loss of empathy
  • Hallucinations
  • Making false claims
  • Loss of emotional control
  • Apathy and loss of interest in everyday activities
  • Difficulty socialising
  • Depression
  • Changes in personality
  • Moments of fraught mental confusion
  • Difficulty concentrating or planning

If you are concerned that your memory and mental agility is not what it used to be, it is best to speak with a GP or specialist in order to find possible causes. In some cases, they may even be able to rule dementia out.

Although, sadly, it is still impossible to cure most forms of dementia, with an early diagnosis it may be slowed down whilst retaining mental function. For this reason, there is no shame in seeking medical help. Either way, it will make life easier for both you and your loved ones.

 

Why do people with dementia cry?

There may be many reasons we will never know why dementia patients cry -  sometimes it might be that they caught a glimpse of a memory of their previous life and all they have lost; or they are lost themselves, unable to recognise their surroundings as they search for familiarity when even their own sense of self has eroded away. They could be crying out of distress, boredom, or loneliness. Occasionally there may seem to be no reason behind their screams and tears at all. Every now and then it may be nothing more than habit.

 

Life after diagnosis

Being diagnosed with dementia can be a harrowing moment, especially as most types of dementia worsen over time and present other, more severe problems, such as loss of bodily functions and heart disease, but it does not mean life is over just yet. Some causes of dementia can be treated with surgery, such as brain tumours or hydrocephalus (excess fluid on the brain).

If the dementia is caused by decaying brain and nerve tissue, it may be possible to prevent further damage. Managing certain dementia risk factors such as high cholesterol, high blood pressure, and diabetes can also help. 

For those who are diagnosed with an incurable form of dementia, treatment comes in the form of medication designed to keep symptoms from worsening, if only for a period of time. These medicines are given to patients who have early or middle stage dementia, and help them try to preserve their independence and autonomy whilst allowing them to be present with their loved ones for longer.

If you are worried about yourself or someone close to you, and would like to know more about how to cope with dementia, get in touch with a GP or specialist psychiatrist or neurologist and put your mind at ease.

By Dr Pramod Prabhakaran
Psychiatry

Dr Pramod Prabhakaran is a consultant psychiatrist specialising in adult and elderly emotional and cognitive health. He has over 20 years' experience in clinical, educational and leadership roles in the UK.

His specialities include neuropsychiatry and cognitive disorders (such as Alzheimer's, vascular frontotemporal dementia, Parkinson's disease and Lewy Body dementia) and general adult and rehabilitation psychiatry (such as depression, bipolar disorderanxiety disorders and adult ADHD).  As well as treating patients' conditions, Dr Prabhakaran provides medico-legal psychiatric services, such as capacity assessments including financial capacity and capacity to make a will.

Dr Prabhakaran became a member of the Royal College of Psychiatrists in 2002 having trained at the Imperial College Psychiatric Training Scheme in London. He has been a consultant psychiatrist in the NHS since 2006 and was joint course director for undergraduate psychiatry at Imperial College School of Medicine for seven years. He also worked as Divisional Medical Director at London’s CNWL NHS Trust and was responsible for a large portfolio of community and mental health services throughout NW London. Dr Prabhakaran's experience includes working in a number of mental health settings including community teams, acute inpatient services, memory services, intermediate care, rehabilitation services and hospital liaison.

He has a truly integrative and personalised approach to health, fitness and wellbeing focussing on achieving the best possible outcomes. He works using comprehensive personalised emotional and physical well-being plans, in collaboration with a range of experts, incorporating advanced testing including genomics, biomarkers, nutritional and fitness assessment and brain imaging. He has a special interest in neuropsychiatric conditions and advises on a range of cognitive strengthening and stimulation programmes.

Dr Prabhakaran has global clinical experience underpinned by a keen interest in cultural, religious and spiritual influences on wellbeing. He works with a global network of like-minded collaborators and is involved in mental health service developments in the Middle East. In addition to his clinical role, he is the Programme Director for International Business at Imperial College Health Partners, bringing together world-leading academic and healthcare organisations.

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