Moderate Alzheimer's Dementia (AD) Symptoms

Eventually, AD spreads to more regions of the brain. Family and friends may recognize changes in in their loved-one's thinking and behavior before they do. As the disease progresses, you may recognize telltale symptoms begin to manifest such as confusion and a shorter attention span. As more brain cells die, signs of moderate AD manifest, which may include:

  • Problems recognizing friends and family members

  • Difficulty with language and problems with reading, writing, or working with numbers

  • Difficulty organizing thoughts and thinking logically

  • Inability to learn new tasks or to cope with new or unexpected situations

  • Inappropriate outbursts of anger

  • Perceptual-motor problems, such as trouble getting out of a chair or setting the table

  • Repetitive statements or movement, and occasional muscle twitches

  • Hallucinations, delusions, suspiciousness or paranoia, and irritability

  • Loss of impulse control, such as undressing at inappropriate times or places or using vulgar language

  • Exacerbation of behavioral symptoms, such as restlessness, agitation, anxiety, tearfulness, and wandering — especially in the late afternoon or evening — called “sundowning”

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