A dementia diagnosis is a life-changing moment—not only for the person affected but also for their family, friends, and caregivers. When the diagnosis is mixed dementia, it can feel even more overwhelming.

Understanding what mixed dementia is, how it progresses, and what support is available can help families and caregivers navigate this journey with confidence and compassion.

Understanding Mixed Dementia

Mixed dementia means that a person has two or more types of dementia at the same time. The most common combination is Alzheimer’s disease and vascular dementia, but it can also include Lewy body dementia or frontotemporal dementia. Each type affects the brain in different ways, meaning symptoms can overlap and vary depending on which areas of the brain are impacted.

While it can be difficult to pinpoint which type of dementia is causing which symptoms, doctors often diagnose mixed dementia when there is evidence of multiple brain changes, such as Alzheimer’s-related plaques alongside signs of vascular damage caused by strokes or reduced blood flow.

What Are the Symptoms of Mixed Dementia?

Because mixed dementia involves more than one type of dementia, symptoms can vary from person to person. However, common symptoms may include:

Memory loss and confusion – Short-term memory problems and difficulty recalling recent events.

Communication difficulties – Struggling to find the right words, follow conversations, or express thoughts.

Mobility and coordination issues – Particularly in cases involving vascular dementia, movement may become slower or more difficult.

Balance and falls – Increased risk of falls due to changes in spatial awareness and coordination.

Mood and personality changes – A person may experience anxiety, depression, frustration, or apathy.

Sleep disturbances – Restlessness, difficulty sleeping, or excessive daytime drowsiness.

Cognitive fluctuations – In Lewy body dementia cases, there may be sudden changes in alertness or thinking ability.

Each individual’s experience with mixed dementia will be unique. Some may struggle more with memory, while others may have greater difficulty with movement or communication.

What Causes Mixed Dementia?

There is no single cause of mixed dementia, but age, genetics, and lifestyle factors all play a role. The risk factors for Alzheimer’s disease, vascular dementia, and Lewy body dementia often overlap, including:

·         High blood pressure

·         Diabetes

·         Heart disease

·         Smoking and poor diet

·         Lack of physical activity

·         Family history of dementia

Because vascular dementia is caused by reduced blood flow to the brain, lifestyle changes such as managing heart health, eating a balanced diet, and staying physically active can reduce the risk of developing further damage.

Caring for Someone with Mixed Dementia

Providing care for a loved one with mixed dementia can be challenging but also deeply rewarding. Here are some ways to support their well-being:

Create a Routine – Consistency and structure can help reduce confusion and anxiety. Try keeping daily activities at the same time each day.

 Encourage Brain and Physical Activity – Gentle exercise, puzzles, reading, and conversation can help keep the brain engaged.

Adapt the Living Environment – Make sure the home is safe, well-lit, and easy to navigate, reducing trip hazards and installing handrails if needed.

Communicate with Patience – Speak slowly and clearly, using simple sentences. If they struggle to find words, gently encourage them and avoid rushing.

Monitor Health and Medication – Regular check-ups with a doctor can help manage symptoms and prevent complications such as infections or falls.

Look After Yourself – Caregiving is emotionally and physically demanding. Taking breaks, seeking support, and prioritising your own health is just as important as caring for your loved one.

You Are Not Alone – Join the We Talk Care Community

Caring for someone with mixed dementia can feel isolating, but you don’t have to navigate this journey alone. At We Talk Care, we provide a nurturing, understanding, and supportive online community where caregivers, family members, and friends can connect, share experiences, and find guidance from those walking a similar path.

Join We Talk Care today and be part of a network that understands. Together, we can share the challenges, celebrate the small victories, and support one another every step of the way.