6. FTD Affects More Than Just Memory
When we think of dementia, memory loss is usually the first symptom that comes to mind. However, FTD paints a different picture. This form of dementia primarily impacts behavior, personality, and language skills before it begins to significantly affect memory. This variation in symptomatology can be profound, often causing confusion and distress among those affected and their loved ones.
Behavioral changes associated with FTD can manifest in several ways. Disinhibition, or a lack of restraint manifested in disregard for social conventions, impulsivity, and poor risk assessment, is a common symptom.
This symptom often leads to socially inappropriate behavior, causing significant distress and potential social isolation. Apathy, or a lack of interest, enthusiasm, or concern, is another key behavioral symptom. This can lead to neglect of personal responsibilities and a general disengagement from previously enjoyed activities.
Changes in personality can be as dramatic as the behavioral changes. Emotional blunting, a reduction in emotional expressiveness, can lead to perceived indifference and a lack of empathy towards others.
There may also be drastic changes in personal preferences and values, to the point where the individual seems like a completely different person to their loved ones. These personality changes can strain relationships and cause significant emotional distress for family members and caregivers.
Language difficulties are another hallmark of FTD, primarily seen in the primary progressive aphasia variants of FTD. This can include trouble finding the right words during conversations, difficulties understanding words and sentences, and problems with speech production.
For some, this can also extend to reading and writing abilities. The language issues can lead to further social isolation and frustration for the individual with FTD.
Understanding the wide-ranging impacts of FTD beyond just memory loss is vital. It sheds light on the true breadth of the challenges faced by those with FTD and their families. This understanding can also influence expectations and planning, potentially affecting life expectancy by emphasizing the importance of early intervention and comprehensive symptom management. (6)
