Memory, forgetfulness, and aging: What’s normal and what’s not?

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Many older adults worry about their memory and other thinking abilities.

For example, they might be concerned about taking longer than before to learn new things, or they may sometimes forget to pay a bill.

These changes are usually signs of mild forgetfulness — often a normal part of aging — not serious memory problems.

What’s normal forgetfulness and what’s not?

What’s the difference between normal, age-related forgetfulness and a serious memory problem?

It’s normal to forget things once in a while as we age, but serious memory problems make it hard to do everyday things like driving, using the phone, and finding your way home.

Talk with your doctor to determine whether memory and other cognitive problems, such as the ability to clearly think and learn, are normal and what may be causing them.

Signs that it might be time to talk to a doctor include:

Asking the same questions over and over again

Getting lost in places a person knows well

Having trouble following recipes or directions

Becoming more confused about time, people, and places

Not taking care of oneself —eating poorly, not bathing, or behaving unsafely

Tips for dealing with forgetfulness

People with some forgetfulness can use a variety of techniques that may help them stay healthy and deal with changes in their memory and mental skills. Here are some tips:

Learn a new skill.

Follow a daily routine.

Plan tasks, make to-do lists, and use memory tools such as calendars and notes.

Put your wallet or purse, keys, phone, and glasses in the same place each day.

Stay involved in activities that can help both the mind and body.

Volunteer in your community, at a school, or at your place of worship.

Spend time with friends and family.

Get enough sleep, generally seven to eight hours each night.

Exercise and eat well.

Prevent or control high blood pressure.

Don’t drink a lot of alcohol.

Get help if you feel depressed for weeks at a time.

During the COVID-19 pandemic, take precautions to protect yourself and others.

Mild cognitive impairment

Some older adults have a condition called mild cognitive impairment, or MCI, meaning they have more memory or other thinking problems than other people their age.

People with MCI can usually take care of themselves and do their normal activities. MCI may be an early sign of Alzheimer’s disease, but not everyone with MCI will develop Alzheimer’s.

Signs of MCI include:

Losing things often

Forgetting to go to important events or appointments

Having more trouble coming up with desired words than other people of the same age

If you have MCI, visit your doctor every six to 12 months to track changes in memory and other thinking skills over time. There may be habits and behaviors you can change and activities you can do to help you maintain memory and thinking skills.

Dementia and aging

Dementia is not a normal part of aging. It includes the loss of cognitive functioning — thinking, remembering, learning, and reasoning — and behavioral abilities to the extent that it interferes with a person’s quality of life and activities.

Memory loss, though common, is not the only sign of dementia. People with dementia may also have problems with language skills, visual perception, or paying attention. Some people have personality changes.

While there are different forms of dementia, Alzheimer’s disease is the most common form in people over age 65. The chart below explains some differences between normal signs of aging and Alzheimer’s.

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If you care about brain health, please read studies about best foods for brain health, and findings of two common habits that can make your brain age fast.

For more information about brain health, please see recent studies about how salt harms blood flow in the brain, and results showing that low blood pressure may strongly harm health in older people.