10. Loss of Insight: The Fading Self-Awareness
One of the more subtle but equally profound symptoms of semantic dementia is the loss of insight or reduced self-awareness about their condition and its effects. This symptom can be particularly difficult for caregivers and loved ones, as the person with SD might not realize the changes happening to them or understand why others are concerned.
At the onset, the person might dismiss their difficulties with words or recognition as mere forgetfulness or confusion. They may not recognize the extent of their cognitive changes or understand why they are having difficulties. This lack of insight can lead to denial, resistance to help, or frustration.
As semantic dementia advances, this loss of insight can grow more pronounced. The person may remain oblivious to their cognitive decline, insisting that they are fine even when their difficulties with language, recognition, and behavior are evident. They may not understand the need for medical appointments, caregiver assistance, or changes in their routine.
This loss of insight in SD poses significant challenges for care. It can affect treatment adherence and complicate decisions about care and support. Most importantly, it highlights the profound cognitive changes occurring in semantic dementia, impacting not just abilities but also self-perception and understanding. (10)
