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Real members of myALZteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

If you have mixed dementia and are 78 years old which will cause the most problems

A myALZteam Member asked a question 💭
October 6
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A myALZteam Member

@A myALZteam Member, I have music in my head all the time. It is actually a "thing" and not necessarily related to the dementia. I've always had a song going on in the background, and it comes to the foreground when I'm not concentrating on anything. I often whistle a tune and don't even realize I am doing it! Oliver Sacks writes about it in his book, "Musicophilia"

October 8
A myALZteam Member

My memory dr is young and she is a by-the-book kind of gal. For instance I told her I was having, and still do by the way, auditory hallucinations of music everytime I sit down to relax. She said it was impossible and I was mistaken because it’s towards the end of stage 3, (on the scale of 1-7 ) and I am only in the beginning of stage 3! lol So out goes the theory of being grateful that someone actually tells them the truth for the investigation of the disease!

October 7
myALZteam

Mixed dementia means two types of dementia are happening at the same time — most commonly Alzheimer's disease alongside vascular dementia. At 78, both can create challenges, but they tend to affect different things.

Here's a general breakdown of what each may cause:

Alzheimer's disease
- Memory loss, especially recent Show Full Answer

Mixed dementia means two types of dementia are happening at the same time — most commonly Alzheimer's disease alongside vascular dementia. At 78, both can create challenges, but they tend to affect different things.

Here's a general breakdown of what each may cause:

Alzheimer's disease:
- Memory loss, especially recent memories
- Difficulty recognizing familiar people or places
- Trouble with daily tasks and decision-making

Vascular dementia:
- Problems with thinking speed and concentration
- Difficulty with planning and organizing
- Mood changes or depression When both are present together, the effects can be more noticeable than either condition alone. The combination often means symptoms progress more quickly and can be harder to manage.

At 78, other health conditions like high blood pressure or diabetes — which are common at this age — can also make things more complicated, as they can speed up decline.

The most important step is working closely with a neurologist or memory specialist. They can help identify which symptoms are most pressing and create a care plan tailored to the specific situation.

October 6

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