Fact 7. The Spectrum of Apathy: Cognitive, Emotional, and Behavioral
Apathy in dementia is a multidimensional symptom extending across cognitive, emotional, and behavioral domains. Cognitive apathy manifests when an individual displays diminished initiative and creativity or lacks the drive to start or complete tasks.
They might find it challenging to make decisions, even about trivial everyday matters. This lack of initiative is not due to cognitive impairment, such as memory loss or disorientation, but is instead a direct result of reduced motivation.
Emotional apathy is characterized by blunted emotional responses. Individuals might seem indifferent to joyful news or show a lack of emotional reaction to events that would typically elicit strong emotions. They might also appear emotionally detached in their relationships, showing little to no interest in the feelings or affairs of others.
Behavioral apathy reflects in a reduced goal-directed behavior. Apathetic individuals might show a lack of effort in personal care or in activities they previously enjoyed. They may stop participating in social activities or hobbies, showing a preference for passive activities like watching television. (7)
