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Susan

I posed your question a different way.

Does loss of insight indicate a person has dementia?

Loss of insight, also known as anosognosia, can be a symptom of dementia, but it doesn't automatically mean someone has the condition. 

Here's why:
What is Anosognosia (Loss of Insight)? Anosognosia is a neurological condition where a person is unaware of or has impaired knowledge of their illness, symptoms, or deficits. It's more than just denial or choosing to ignore the problem; it stems from brain changes affecting self-perception and the ability to update one's self-image.

Anosognosia and Dementia: In the context of dementia, anosognosia involves an individual's inability to recognize their cognitive impairments, such as memory loss, language difficulties, or disorientation. It's particularly common in Alzheimer's disease and other forms of dementia, where damage to the frontal lobes of the brain (responsible for self-monitoring and updating self-perceptions) plays a role.

Why it's not a definitive diagnosis: While anosognosia is common in dementia, it can also occur in other conditions, such as:

Stroke
Schizophrenia
Bipolar disorder
Traumatic brain injury
Brain tumors
Huntington's disease

Fluctuation in awareness: Anosognosia in dementia can fluctuate, meaning a person might be aware of their illness at times and unaware at others. This can make it difficult for family members and caregivers to distinguish it from denial. 

In conclusion, while loss of insight is a significant indicator that warrants further investigation, it's crucial to consult a healthcare professional for a proper diagnosis of dementia or any other underlying condition. 


This is for informational purposes only. For medical advice or diagnosis, consult a professional. AI responses may include mistakes. Learn more
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I like your question.

I checked with AI and it gave a great deal of info and referenced this website which is really worth taking a look at.

https://benebynina.com/mental/why-is-self-reflection-important-for-personal-growth/

And they also referenced this one from Forbes that is intended more for business but provides great information

https://www.forbes.com/councils/forbesbusinesscouncil/2024/02/15/20-ways-to-ensure-clarity-and-understanding-in-crucial-conversations/

FROM AI

Ensuring you haven't lost insight

"Lost insight" refers to losing a previously held understanding or a clear perception of oneself or a situation. To ensure you haven't lost insight, consider these strategies: 

1. Regular self-reflection and assessment
Engage in consistent self-reflection practices, such as journaling or meditation, to monitor your thoughts, feelings, behaviors, and reactions.
Periodically evaluate your values and beliefs to ensure your actions and goals remain aligned with them.
When encountering unexpected or challenging situations, take time to analyze your response and identify any discrepancies between your expectations and reality. 

2. Feedback and diverse perspectives
Actively seek feedback from trusted friends, mentors, or colleagues. Ask for their honest observations of your behavior and decisions.
Be open to different viewpoints and perspectives, as they can reveal blind spots and offer valuable insights into your own biases and assumptions.
Engage in thoughtful discussions and listen actively to others to understand their experiences and insights, according to Forbes. 

3. Continuous learning and growth
Embrace continuous learning and be open to new ideas and information that may challenge your existing beliefs or understanding.
Read widely, engage in new experiences, and explore uncharted territory to broaden your perspectives and deepen your understanding of yourself and the world.
Seek opportunities to learn and develop new skills, as this can enhance your ability to make connections and form deeper insights. 

4. Practical application and action
Translate insights gained from reflection and learning into concrete actions and behaviors.
Test the validity of your insights through real-world application and observe the outcomes.
Remember that insight is not merely about understanding but also about taking action that aligns with your values and goals. 


In essence, maintaining insight is an ongoing process of self-awareness, learning, and growth, notes Bene by Nina. By consistently reflecting on your experiences, seeking feedback, and embracing new knowledge, you can cultivate a deeper understanding of yourself and the world, and minimize the risk of losing valuable insight. 
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I am 75, DH 78 and our yearly exam does not include a cognitive test.
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Susan, you should reseach "signs and symptoms of dementia" online.
Another good resource is youtube which will post actual SLUMS and MoCa tests, simple tests that amount to approximately 30 tests.

If you are on Medicare, then your yearly checkin/checkup with doctor actually demands that your doc check you for any symptoms of dementia. Most doctors do this with simply talking with you. But if you have concerns about changes you are experiencing why not make an appointment and discuss with MD. I have a feeling you will be greatly relieved.

Of interest here in thinking about all this is that those who are descending into dementia very seldom believe that is the case; in fact denial is often a hallmark of the disease process.
Good luck. As an 83 year old I understand how often we check ourselves, and questions ourselves!
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