Dementia’s early warning system

The man complained of memory problems but seemed perfectly normal. No specialist he visited detected any decline, begins a frightening story in today’s New York Timesimages

“He insisted that things were changing, but he aced all of our tests,” said Rebecca Amariglio, a neuropsychologist at Brigham and Women’s Hospital in Boston. But about seven years later, he began showing symptoms of dementia. Dr. Amariglio now believes he had recognized a cognitive change so subtle “he was the only one who could identify it.”Patients like this have long been called “the worried well,” said Creighton Phelps, acting chief of the dementias of aging branch of the National Institute on Aging. “People would complain, and we didn’t really think it was very valid to take that into account.”

“But now, scientists are finding that some people with such complaints may in fact be detecting early harbingers of Alzheimer’s.Studies presented Wednesday at an Alzheimer’s Association conference in Boston showed that people with some types of cognitive concerns were more likely to have Alzheimer’s pathology in their brains, and to develop dementia later. Research presented by Dr. Amariglio, for example, found that people with more concerns about memory and organizing ability were more likely to have amyloid, a key Alzheimer’s-related protein, in their brains. Continue reading “Dementia’s early warning system”

Difficulties in predicting violent acts

Only a severely disturbed individual marches into an elementary school or a movie theater and guns down innocent people.

But how can society stop such people in time to avert tragedy?This question now “drives the public longing for a mental health system

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that produces clear warning signals and can somehow stop the violence.And it is now fueling a surge in legislative activity, in Washington and New York,” reports a story by Benedict Carey and Anemona Hartcollis in today’s New York Times. The piece continues: Continue reading “Difficulties in predicting violent acts”