What are the early signs of dementia in a parent?

By · Published 2026-06-30 · Last reviewed 2026-09-18

An older man in a polo shirt sits in an armchair by a window, gazing to one side.
Photo: SanguineSeas, CC BY-SA 2.0

Early signs of dementia usually build up over months: forgetting recent conversations, struggling with familiar tasks such as bills or cooking, losing words, confusion about time or place, and changes in mood or judgement. Dementia is not a normal part of ageing, and treatable conditions such as infections, thyroid problems or depression can cause similar symptoms, so see the GP.

The early signs of dementia in a parent are usually changes that build up over months: forgetting recent conversations, struggling with familiar tasks such as paying bills or cooking, losing words, becoming confused about time or place, and changes in mood or judgement. Dementia is not a normal part of ageing, and several treatable conditions cause similar symptoms, so the first step is always to see the GP.

What is dementia?

Dementia is a group of symptoms caused by diseases that damage the brain, getting worse over time. Alzheimer's disease is the most common cause. Others include vascular dementia, dementia with Lewy bodies and frontotemporal dementia, and some people have more than one type.

Different types can start differently. Alzheimer's disease often begins with memory problems; vascular dementia may first show as slower thinking or difficulty planning; frontotemporal dementia can start with changes in personality or behaviour rather than memory.

What are the early signs to look for?

The NHS lists common early symptoms as memory loss, difficulty concentrating, finding it hard to carry out familiar daily tasks, struggling to follow a conversation or find the right word, being confused about time and place, and mood changes. In a parent, that may look like:

Memory that affects daily life

Trouble with familiar tasks

Language and conversation

Time and place

Mood, behaviour and judgement

Seeing and judging space

How is this different from normal ageing?

Most people become a little slower to recall names or find words as they get older. The difference is whether the changes are getting worse and affecting everyday life.

Usually normal ageingMay be a sign of dementia
Forgetting a name, then remembering it laterForgetting recent events or conversations altogether
Occasionally missing a paymentNo longer able to manage bills at all
Sometimes losing the thread of a thoughtRegularly unable to follow a conversation
Taking longer to learn new technologyStruggling with familiar appliances used for years

If you see several signs together, or a clear decline over weeks and months, it is worth acting.

What should you do if you are worried?

Keep a short record

Write down what you notice, when and how often, with specific examples. Note any changes in medicines, recent illness or stressful events. This helps the GP far more than a general sense that "something is wrong".

Talk to your parent

Choose a calm time. Use specific, gentle examples and focus on wanting to help: "You've seemed worried about keeping track of appointments. Shall we get it checked?" Your parent may be frightened or defensive, or may not notice the changes. It can take more than one conversation.

See the GP

The GP is the route to assessment. According to the NHS guide to getting a dementia diagnosis, the GP will ask about symptoms and everyday activities, do a physical examination, and may arrange blood and urine tests to rule out other causes such as depression, anxiety, infections, thyroid problems or medicine side effects. They will usually do a short memory test and, if dementia seems possible, refer your parent to a specialist, often at a memory clinic. The specialist may arrange a brain scan and more detailed tests.

Your parent can ask you to come to appointments. If your parent will not go, you can still tell the GP your concerns. The GP may not be able to share information with you without your parent's consent, but they can take what you say into account.

Why does an early diagnosis help?

What should you plan while your parent can still decide?

Lasting powers of attorney

In England and Wales, lasting powers of attorney let your parent choose people to make decisions for them if they lose capacity later. There are two types: property and financial affairs, and health and welfare. Your parent must have mental capacity when they make them, and they must be registered with the Office of the Public Guardian. GOV.UK explains the process and current fee. Scotland and Northern Ireland have their own power of attorney arrangements.

If your parent loses capacity without an attorney in place, family members may have to apply to the Court of Protection, which is slower and costs more.

Wills and finances

Check whether your parent has an up-to-date will and where it is kept. Make a list of bank accounts, pensions, insurance and regular bills. Consider setting up trusted access to accounts through the bank's own arrangements.

This is general information, not legal advice. A solicitor or Citizens Advice can help with your family's situation.

What help is available?

Frequently asked questions

Is there a single test for dementia?

No. Diagnosis uses a combination of the person's history, a physical examination, blood and urine tests to rule out other causes, memory and thinking tests and sometimes brain scans. It may take more than one appointment.

Could it be something other than dementia?

Yes. Depression, anxiety, infections, thyroid problems and medicine side effects can all affect memory and thinking. Several are treatable, which is one reason to see the GP early rather than waiting.

My parent refuses to see the GP. What can I do?

Try linking the appointment to something they are willing to discuss, such as a health check or a physical problem. You can write to or speak to the GP about your concerns. Dementia charities' helplines can suggest ways to approach the conversation.

Is sudden confusion a sign of dementia?

Dementia usually develops gradually. Confusion that comes on over hours or days can be delirium, often caused by infection, dehydration or medicines, and needs urgent medical attention. Contact the GP or NHS 111, or call 999 in an emergency.

Should we set up power of attorney straight away?

If your parent is willing and still has capacity, yes. Lasting powers of attorney can only be made while the person understands what they are signing, and they take time to register.

Key takeaways