5 Symptoms of Alzheimer’s Disease Most People Aren’t Aware of, Say Doctors

Following Tony Bennett's death from the disease that affects an estimated 7 million Americans (and countless loved ones), experts share the subtle symptoms of Alzheimer'sย it can be key to keep an eye out for.

Tony Bennett on stage
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Over the weekend Tony Bennett, legendary US jazz and pop singer, lost his reported seven-year battle with Alzheimerโ€™s disease. Bennett made occasional appearances to perform even in recent years, which is one reason some fans are surprised to learn the 96-year-old had been battling the illness. But signs and symptoms of Alzheimer’s disease go beyond memory loss, disorientation, and agitationโ€”in fact, say experts, there areย symptoms of this brain condition that it’s possible you don’t know.ย 

โ€œAlzheimerโ€™s disease is a brain disorder that gets worse over time and generally causes a decline in memory, learning, thinking, and organization,โ€ says Kristin Gill, MD, board-certified psychiatrist and chief medical officer at Minded. โ€œThe condition most commonly affects those over the age of 65 and is the most common cause of dementia, accounting for an estimated 60 to 80% of dementia cases.โ€

Here are the subtle symptoms of Alzheimerโ€™s disease that arenโ€™t has commonly talked about, says Dr. Gill and a couple brain expert colleagues.

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Senior man resting on bed in bedroom
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1. Changes in sleepย 

Many people suffer from insomnia and other sleep disorders, but a change in sleep patterns may also be indicative of Alzheimerโ€™s disease.ย โ€œChanges in sleep patterns are quite common in individuals with Alzheimer’s disease,โ€ Dr. Gill says. โ€œThese changes may include difficulty falling asleep, frequent awakenings during the night and daytime sleepiness. This not only affects the quality of life of those suffering from the disease, but also poses challenges for family members, partners, and caregivers.โ€ย 

If this is a problem, then youโ€™ll want to consult with your licensed healthcare provider or a sleep doctor to get to the root cause of the sleep issues whether or not itโ€™s Alzheimerโ€™s, sleep apnea, or something else.

Senior man looking at old photographs
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2. Withdrawing from social activitiesย 

Social withdrawal is a symptom frequently associated with anxiety and depression, but it may also be indicative of Alzheimerโ€™s.ย 

โ€œSocial withdrawal, characterized by a diminished interest in social activities and decreased engagement in previously enjoyed hobbies, can be an early indicator of Alzheimerโ€™s disease, serving as a crucial cue for early diagnosis and intervention,โ€ says Dr. Gill.ย 

For example, if an individual used to go to a weekly bingo game and no longer shows interest, this could be a signal worth keeping an eye on.

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Senior woman thanking the her friend in the living room at home
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3. Word confusionย 

We arenโ€™t talking about not being able to figure out a crossword puzzle in the Sunday paperโ€”but instead, difficulty with words used in daily conversations. Every once in a while a word will escape all of us…however, for those with Alzheimerโ€™s disease, this will often happen with common words.

โ€œThese are not complicated or esoteric words, but common ones,โ€ says Dr. RJ Tesi, MD, CEO and CMO of INmune Bio. โ€œFor instance: ‘I am going to _____ the dog.’ Forgetting or stumbling over the word ‘walk’ would be a surprise under normal circumstances.โ€ย 

Man working at home
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4. Poor executive functioningย 

The skills commonly associated with executive functioning may be compromised with Alzheimerโ€™s disease โ€” this generally includes following directions, staying focused, and adhering to a plan.ย 

โ€œExecutive function is the most complicated task of the human mind, as itโ€™s a three-dimensional chess game that requires integrating the risks, the benefits, the impact on others, and the timing,โ€ says Dr. Tesi.ย 

He adds that this is generally the first task to fail in the brain of someone with Alzheimerโ€™s disease.

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Senior woman talking on phone and and writing in her home
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5. Poor judgmentย 

Dr. Anjali Patel, DO, a fellowship-trained cognitive neurologist at the Atlantic Neuroscience Institute at Overlook Medical Center, says that normal age-related changes in judgment may look like missing a payment once, or making a mistake every once in a while. However, for those with Alzheimers it may be a little more serious.

โ€œAn example would be an individual giving away personal information to strangers or not being able to manage a budget,โ€ says Patel.ย 

Gill adds that poor judgment could potentially interfere with personal safety and hygiene depending on the individual.

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Casey Clark
Casey Clark is a freelance writer from New York City who specializes in beauty, food, and lifestyle content in the commerce sector. Her work has been featured in Womenโ€™s Health, Allure, Cosmopolitan, SELF and more. When sheโ€™s not writing, you can find her swatching the latest lipsticks or out to brunch with her girlfriends.