June 27, 2026
Memory changes are a normal part of growing older. Most of us have probably walked into a room and forgotten why or spent a few frustrated minutes searching for our keys or glasses. These moments are annoying but not cause for alarm. Alzheimer’s disease and other forms of dementia are different. Knowing the difference between typical aging and genuine warning signs can make a meaningful difference in getting the right help at the right time.
Here’s a practical look at what’s normal and what deserves a closer look.
Memory loss that disrupts daily life. Forgetting where you put your phone is normal. Forgetting information you just learned is an early warning sign of dementia worth paying attention to. The distinction is less about what is forgotten and more about a pattern of increasing frequency, and an inability to retrieve new information at all.
Struggling with familiar tasks. Most people occasionally forget why they walked into a room. People in the early stages of dementia, however, may lose track of multi-step processes they’ve done hundreds of times, such as following a recipe, making a phone call, or playing a card game they’ve known for decades. When routine tasks start to feel genuinely confusing, that’s a signal.
Language and word-finding problems. Forgetting the last name of your favorite television actress from the 1980s is common. A more concerning sign is when everyday words are replaced with unusual substitutions. For example, being unable to locate a toothbrush and asking instead for “the thing for my mouth.” When this kind of language difficulty becomes frequent, it can indicate something beyond normal aging.
Disorientation to time and place. Forgetting what day of the week it is happens to everyone. But becoming lost in a familiar neighborhood, not knowing how you got somewhere, or being unable to find your way home are signs that deserve medical attention. This kind of spatial and temporal disorientation is one of the more recognizable hallmarks of Alzheimer’s disease.
Judgment and decision-making changes. We all make questionable decisions from time to time. A more serious concern is a pattern of consistently poor judgment, such as dressing for the wrong season, giving away significant sums of money, or making decisions that seem disconnected from reality. Changes in judgment are often among the signs that family members notice first.
Mood, personality, and behavior shifts. People do change with age. But dramatic personality shifts are not a normal part of aging. Sudden suspicion, fear, or intense emotional swings without apparent cause may indicate that something neurological is happening.
Withdrawal and loss of initiative. Occasionally feeling tired or unmotivated is normal. But withdrawing from hobbies, spending hours in front of the television, or losing interest in social activities that once brought joy can be signs of early cognitive decline.
If any of these patterns feel familiar, the most important step is to speak with a physician. Early diagnosis opens the door to treatment, planning, and support before a crisis develops.
According to Scott Ernst, Community Relations Director at Fieldstone of Marysville, acting on those early signs rather than waiting them out can make all the difference.
“If you’re seeing the signs, don’t shy away from them—those are your triggers to reach out,” Ernst said. “If a family calls and says their mom really needs help, we can connect them with Department of Social and Health Services (DSHS) resources. And if Fieldstone isn’t the right fit, we still have resources and want to help them find the right place for their loved one.”
It’s also worth understanding that Alzheimer’s and dementia are progressive conditions. As symptoms advance, the level of care and support needed typically increases. Many families begin with in-home support and find that over time, the complexity of care grows beyond what can be safely managed at home. Ernst explained that this is precisely why he encourages families to loop in a memory care community early, even if in-home care is still working.
“When I do a lunch and learn at senior centers like the Stilly Valley Center, I always tell folks that it’s worth reaching out to a memory care community too, because we have a lot of resources they may not know they need yet,” he said.
Part of that gap comes down to specialized training. In-home caregivers, however capable, aren’t always equipped for the specific challenges of cognitive decline.
“In-home caregivers may not have the same specialized background working with cognitive decline,” Ernst noted. “Our caregivers go through ongoing training, including full-day sessions from outside experts—one day on mental health, one day on dementia. Dementia needs to be at the forefront of our caregivers’ minds when they’re working with our residents.”
Memory care communities are designed specifically for people living with Alzheimer’s and other forms of dementia, and provides a secure, structured environment with staff trained in dementia care, programming tailored to cognitive engagement, and the kind of consistent daily rhythm that helps residents feel calm and oriented. Ernst has seen firsthand what that focus can offer a community.
“With more than 20 years of experience in senior care services, I can say Marysville is fortunate to have this level of dementia care available,” he said. “We’re not assisted living, we’re not independent living—we’re the memory care experts in the Snohomish area.”
Just as importantly, memory care offers something families often underestimate until they experience it—genuine peace of mind, for both the person receiving care and the people who love them. Recognizing the signs early gives everyone more time to plan, and more choices about what comes next.