Dementia is a progressive syndrome characterized by cognitive decline, and early recognition of symptoms is crucial.

Initial manifestations are often mistaken for normal aging, but the following signs warrant attention:

1. Memory loss affecting daily life:
Frequently forgetting recent events or conversations, repeating questions, and relying heavily on reminders or family members for recall.

2. Decline in executive function:
Difficulty completing familiar tasks (e.g., cooking, managing finances), and reduced planning and organizational abilities.

3. Language expression difficulties:
Struggling to find words, increased pauses during conversations, and incoherent expression.

4. Confusion with time and place:
Forgetting dates, seasons, or getting lost in familiar locations.

5. Impaired judgment:
Decline in decision-making abilities (e.g., inappropriate spending) and neglect of personal hygiene.

6. Emotional and personality changes:
Experiencing anxiety, depression, suspiciousness, or apathy, along with reduced social engagement.

7. Misplacing items:
Putting objects in illogical places (e.g., keys in the refrigerator) and being unable to retrace steps.

These symptoms should be distinguished from normal aging: While occasional forgetfulness may occur in normal aging, individuals can often recall details later. In contrast, memory loss in dementia is persistent and progressive. Early intervention (e.g., cognitive training, managing vascular risk factors) can slow disease progression. If any of the above symptoms appear, it is advisable to seek medical evaluation promptly.

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