Symptoms
Symptoms of Frontotemporal Dementia
Impairments in social skills- inappropriate or bizarre social behavior (e.g., eating with one's fingers in public, doing sit-ups in a public restroom, being overly familiar with strangers)
- "loosening" of normal social restraints (e.g., using obscene language or making inappropriate sexual remarks)
- apathy, withdrawal, loss of interest, lack of motivation, and initiative which may appear to be depression but the patient does not experience sad feelings
- in some instances there is an increase in purposeless activity (e.g., pacing, constant cleaning) or agitation
- impairments in financial decision-making (e.g., impulsive spending)
- difficulty recognizing consequences of behavior
- lack of appreciation for threats to safety (e.g., inviting strangers into home)
- lack of concern over personal appearance
- irresponsibility
- compulsiveness (need to carry out repeated actions that are inappropriate or not relevant to the situation at hand)
- increased irritability, decreased ability to tolerate frustration
- a lack of sympathy or compassion in someone who was typically responsive to others' distress
- heightened emotionality in someone who was typically less emotionally responsive
Persons with this form of dementia may look like they have problems in almost all areas of mental function. This is because all mental activity requires attention, concentration and the ability to organize information, all of which are impaired in frontal lobe dementia. Careful testing, however, usually shows that most of the problems stem from a lack of persistence and increased inertia.
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