• shiriesz shiriesz
    November 21, 2009
    What is the difference between someone who is psychotic versus an early onset alzheimer's person
    shiriesz shiriesz
    November 21, 2009

    Activity coordinator in a 42 bed dementia unit.  A young male (60) seems more psychotic than demented.  Nursing insists he is early onset Alzheimer's, but the behavior resembles psychosis to me.  How can I differentiate?

    READ MORE

FROM OUR EXPERTS

  • AFA Social Services
    Health Guide
    November 24, 2009
    AFA Social Services
    Health Guide
    November 24, 2009

    Individuals with dementia may experience a range of symptoms, including delusions and hallucinations; these symptoms can also be present in psychotic individuals. However, Alzheimer’s disease is distinguished by degenerative memory loss, which is not present in psychosis. In other words, a person with Alzheimer's disease will gradually lose their memory – first short term, then long term-over time. Psychotic individuals will experience behavioral and mood changes but memory is not affected. In order to be sure of this person’s diagnosis, a doctor must conduct a series of tests that could confirm likely causes of his symptoms. These tests can include a blood/urine test, comprehensive medical history, cognitive screen, and brain imaging such as MRI.

  • Christine Kennard
    Health Pro
    November 22, 2009
    Christine Kennard
    Health Pro
    November 22, 2009

    Hi Shiriesz

     

    As you probably know psychotic describes an abnormal condition of the mind where someone is unable to identify what is real and what is not.

     

    Having a progressive illness such as Alzheimer's, that has an organic basis where the key features include problems with memory, does not preclude also having psychotic episodes. So you can have someone with Alzheimer's exhibiting similar behaviors and expressing delusions or experiencing hallucinations.

     

    His diagnosis will, presumably, have been reached after a lot of tests and interviews with a doctor.

     

    Best Wishes, Christine


FROM OUR COMMUNITY

  • NC
    NC
    November 23, 2009
    NC
    NC
    November 23, 2009

    I would think a psychiatrist would know. Someone may have both mental problem and AD. My FIL has AD but he is also antisocial. He had some kind of mentality that was different. Since he has AD, it does not seem to be significant. He is like that kind of  genius that is self-absorbed. So it is hard to tell if his outburst is about AD or about his own mentality. I would not speculate about this unless it is diagnosed properly.

     

    Nina

    READ MORE
  • Joseph November 22, 2009
    Joseph
    November 22, 2009

    Hi "shiriesz",  I'm a caregiver without any medical background, but do have some experience dealing with my mother's dementia related delusions.  I also have a friend who is residing in a state mental hospital due to a violent episode resulting from his psychosis.  Both conditions appear similar.  Either can present a paranoid element, as well.  Interestingly, both can be treated with atypical antipsychotic medications, although drug warning labels usually warn against use on the elderly to treat dementia.

     

    My mothers delusions also occasionally include hallucinations.  She is making some improvement with the drug Risperidone.  She has the confusion associated with dementia, but fewer delusions now.  The delusions can be quite wild and dangerous.  I can easily compare them to my friend's psychotic episodes.  I'm not sure that being able to differentiate between the behaviors is important, once Alzheimer's has been diagnosed.  Without a diagnosis, it would be a tough call.  I hope this helps! -- Joe  

     

     

    READ MORE
You should know Answers to your question are meant to provide general health information but should not replace medical advice you receive from a doctor. No answers should be viewed as a diagnosis or recommended treatment for a condition. Content posted by community members does not necessarily reflect the views of Remedy Health Media, which also reserves the right to remove material deemed inappropriate.