8-minute read | 11/12/2025

Editorial Contributor

Clinically reviewed by
Bianca Wardle
Noticing small changes in yourself or someone you love can be worrying. Dementia does not usually appear suddenly. Instead, the body and brain often send early, subtle signals long before day-to-day life is affected. Understanding these moments can help you feel more prepared, seek support sooner, and stay in control of what comes next.
Dementia is an umbrella term for conditions that affect memory, thinking, and the ability to carry out everyday activities. In the very early stages, changes are often gentle and inconsistent. Someone may feel not quite themselves, or family may spot small differences that are hard to describe at first.
According to the NHS, early signs can include changes in memory, mood, concentration, or orientation.
It is normal to forget things occasionally. Dementia related changes tend to be more persistent or noticeable. The Alzheimer’s Society explains that people may forget recent conversations, repeat questions, or misplace items more frequently.
Examples might include:
Someone may lose confidence with tasks they have always found easy, such as following a recipe, planning a journey, or keeping track of steps in their daily routine.
Feeling unsure about the day, time, or place can be one of the earliest noticeable changes. These moments can be fleeting, but they are worth noticing if they start happening more often.
Although dementia primarily affects thinking and memory, small physical or emotional changes are also common in the early stages.
Some types of dementia can affect the way someone moves or responds physically. The Alzheimer’s Society highlights early symptoms such as balance difficulties or slower movements.

It is not unusual to feel more anxious, irritable, or withdrawn as the brain changes. Someone may stop enjoying hobbies they once loved or feel overwhelmed by situations they usually find comfortable.
The World Health Organisation recognises these emotional shifts as early warning signs.
You may notice unusual spending, riskier choices, or difficulty weighing up everyday decisions.
Dementia test
This test involves a series of six questions that can be used to score memory problems. It includes questions about the current time and date, counting backwards from 20 and remembering a name and address.
Your loved one will be given a score out of 28 that will indicate whether they have memory problems. A score of zero to seven shows no evidence of memory problems, eight to nine means there are signs of memory problems, and a score of over ten suggests high evidence that memory is impaired and requires further investigation.
Following a higher score in this simple test, more detailed examinations follow. An expert medical professional will discuss your results with you.
Alzheimer’s disease is one of the well-known forms of dementia. The onset is usually very slow, making it difficult to determine whether or not your loved one has a problem, at least in the early stages.
Those living with Alzheimer’s usually experience difficulties in remembering names or recalling recent events. They may ask the same question repeatedly and struggle to find the correct words to use. Some Alzheimer’s patients find it difficult to cope with financial transactions, and many of them find it hard to plan or organise tasks.
Vascular dementia is the second most common form of dementia seen in the UK and is commonly triggered by a stroke or mini-stroke. Many of the symptoms are similar to Alzheimer’s, such as cognitive disorientation, memory loss and difficulty communicating, but other symptoms will also be present, depending on the area of the brain that is affected.
Many of those with vascular dementia have trouble processing new information, and struggle with reasoning and paying attention. They may experience bouts of apathy or become more emotional than usual.
Look out for changes in the way your loved one walks and moves, as this could be an indication that something is wrong. Frequent bladder problems are another indicator that your loved one may be experiencing vascular dementia.
Those experiencing Dementia with Lewy bodies (DLB) will show many of the most common dementia symptoms – such as problems with spatial awareness and memory loss.
If your loved one develops this form of dementia, you may see a change in their alertness, along with symptoms more commonly associated with Parkinson’s Disease, such as tremors, muscle stiffness and slower movements than usual.
Some people with DLB experience disturbances with their sleep patterns, and even visual hallucinations, while another symptom is a tendency to faint, leading to potential falls. DLB usually progresses slowly.
Commonly known as FTD, frontotemporal dementia causes symptoms associated with the particular area of the brain which is affected. Some of those living with it will experience problems relating to social behaviour, while others may struggle with processing language or facts.
You may see changes in your loved one’s personality, such as an inability to behave appropriately, for example, or your loved one may lose interest in personal hygiene.
Some early signals can be mistaken for tiredness, stress, or ageing:
The NHS explains that these may sit under mild cognitive impairment, which does not always lead to dementia, but should be monitored.
Early recognition can make a real difference. According to the NHS and WHO, getting support sooner can help people:
Early reassurance and support can transform how someone feels day to day.
Balance changes or slower movements can appear early, particularly in vascular or Lewy body dementia.
No. Stress, fatigue, or medication can cause similar symptoms. A GP assessment is the only way to confirm the cause.
It can be in some cases, but it is also linked to many other conditions. Look for persistent changes.
Yes. Anxiety, irritability, or withdrawal can appear early and may come before clear memory symptoms.
Reach out for medical advice if you notice changes that:
A GP can offer reassurance, carry out initial assessments, or arrange specialist support if needed.
Talking about early changes can feel daunting. Many people feel relieved once they share their worries.
A simple diary helps you spot patterns and gives GPs clearer information.
They may have noticed similar things and can offer emotional support.
Care is not only for later stages. Small adjustments now can make life easier and safer.

Families often find that small changes make a big difference:
A supportive and calm environment helps maintain independence and confidence.
Following a dementia diagnosis, you should start planning ahead. Think about putting lasting power of attorney in place – this can help ensure your loved one’s wishes are acted upon even when they lack the mental capacity to make big decisions themselves.
Another area you should start considering is care options. It’s best to discuss this with your loved one before their condition progresses, even if this is a difficult conversation to have.
It’s important to get an understanding of their wishes regarding extra support – they may want to continue living at home, with live-in care for example, or they may be happier going to a local care home.
Your body often gives gentle signals long before dementia becomes obvious. Noticing these early changes does not mean jumping to conclusions. It simply means paying attention. With the right support, many people continue living comfortably and independently for years.
If you are noticing changes and want help exploring the next steps, Elder’s specialists can guide you through your options with understanding and reassurance.