Stage 8. Loss of Initiative: The Diminishing Drive
As the middle stage of dementia takes hold, a noticeable change in the person’s motivation levels or drive to engage in activities emerges. This symptom, often termed ‘apathy’ or ‘loss of initiative’, paints a stark contrast against the individual’s earlier zest and active involvement in life.
The individual may begin to show less interest in things they once loved. This could range from personal hobbies to social activities.
Simple pleasures like tending to a garden, painting, or even watching their favorite television shows might no longer pique their interest. It’s like the world has lost its color for them, turning monotonous and bland.
Similarly, social interactions may lose their appeal. The individual might shy away from family gatherings, friendly chats, or community events that they previously enjoyed. They might start to withdraw, preferring solitude over company, silence over conversations.
Moreover, the individual might exhibit a lack of initiative in their daily routine. They might spend hours doing nothing, or neglect personal care tasks like bathing or dressing. Everyday chores could be ignored, and there could be a general reluctance to participate in household activities.
This lack of initiative or apathy is not a deliberate choice by the person. It is a direct result of the brain changes caused by dementia. They are not being lazy or stubborn; they are grappling with a disease that is increasingly dictating their behaviors and emotions. (8)
