Symptom 4. Changes in Personality – The Altering Self
One of the more subtle yet devastating symptoms of Korsakoff Syndrome is a noticeable change in personality. The person you knew may suddenly appear different, showcasing traits that seem alien to their previous self. This alteration can range from mild shifts in preferences and habits to drastic transformations in how they interact with the world around them.
A patient with KS might become more irritable or display signs of apathy, lacking interest in activities they once enjoyed. Some individuals might also develop a disregard for social norms, leading to inappropriate behavior. This symptom not only affects the patient’s social life but also impacts relationships, creating a ripple effect that touches every aspect of their life.
On the other extreme, some patients may display an unusually cheerful demeanor, seemingly unconcerned with their condition. This ‘pathological cheerfulness’ can be particularly difficult for caregivers and loved ones, as it contrasts starkly with the grim reality of the situation. (4)
