What Is Dementia? Understanding the Basics Before the Diagnosis

When someone you love receives a dementia diagnosis, the first question is usually “what kind?” But before we get there, it’s worth understanding what dementia actually is — because it’s not what most people think.

What Dementia Actually Is

Dementia is not a single disease. It’s a clinical syndrome characterized by acquired cognitive decline across multiple domains that is severe enough to interfere with daily functioning. It represents a decline from a person’s previous level of ability and cannot be explained by delirium or psychiatric conditions alone.

Dementia is also not a normal part of aging. While age is the strongest risk factor, dementia results from underlying brain diseases or injuries that cause progressive impairment in at least two cognitive domains, which may include:

  • Memory and learning
  • Reasoning and judgment
  • Visuospatial abilities
  • Language
  • Personality and behavior

How Common Is Dementia?

Currently, approximately 7 million Americans — roughly 11% of adults over 65 — are living with dementia. That number is expected to reach 13.8 million by 2060. (Source: Alzheimer’s Association, alz.org)

The Most Common Types of Dementia

  • Alzheimer’s Disease — 60–80% of all dementia cases
  • Mixed Dementia — most commonly Alzheimer’s combined with vascular dementia
  • Vascular Dementia
  • Lewy Body Dementia
  • Parkinson’s Disease Dementia
  • Frontotemporal Dementia (FTD)

Less Common Types of Dementia

  • Normal Pressure Hydrocephalus
  • Prion diseases (including CJD/mad cow disease)
  • CTE — Chronic Traumatic Encephalopathy (related to head trauma)
  • HIV-associated dementia
  • Substance or medication-induced dementia
  • Traumatic Brain Injury (TBI)-related dementia

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Ashley Kolb, RN, BCPA is a nurse patient advocate and care navigator with Caregiver Support and Resources, serving families throughout the Tampa Bay area.

Caregiver Support and Resources is not affiliated with any care community, hospital system, insurance carrier, or financial institution.