People with dementia are more likely to act on heightened emotions—no matter what the consequences. Here's why.
When dementia damages the front of the brain or some of its connections, apathy can result. The normal drive to plan for the future is lost. Sometimes this loss can manifest by letting house repairs go, neglecting to pay bills, or not going to the grocery store until every scrap of food in the house is gone. When more severe, the desire to do anything at all may be gone, and the individual with dementia can sit passively for hours staring at a blank wall or a television that is not turned on.
Irritability, agitation, aggression, combativeness, and inappropriate behavior are common in dementia. Has something ever upset you and you felt like breaking something or hitting someone? What would have happened if the part of the brain that stopped you from acting on those feelings was not working? Because the front part of the brain provides the pause between stimulus and response, when it or its connections are damaged, a person may react without thinking. Vascular dementia frequently damages the connections to and from this part of the brain. Other causes of dementia damage it directly.
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