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Check Birthday Cards for This ‘Lesser-Known’ Sign of Dementia

While many are familiar with common dementia symptoms such as memory loss and behavioral changes, experts warn of less obvious signs that could signal the onset of Alzheimer’s disease. One such indicator involves noticing shifts in handwriting—particularly on birthday or Christmas cards.

Michael Berkley-Blezard, a care specialist from Elmfield Care Group’s Old Sarum Manor, highlights this subtle but telling symptom. He explains, “When a person who previously had no issues with reading or writing begins to struggle, it can be an early sign of dementia. Changes in handwriting on greeting cards, for example, often reveal this decline.”

Supporting this observation, a 2020 study published in Intelligent Data Analysis found that neurodegenerative diseases like Alzheimer’s and Parkinson’s affect both cognitive and motor functions, which in turn impair handwriting. The study noted, “Alteration in handwriting is one of the first signs of Alzheimer’s disease. Handwriting becomes shaky due to loss of muscle control, confusion, and forgetfulness, and over time it grows increasingly illegible with phonological spelling errors.”

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Personal experiences shared on the Alzheimer’s Society Support Forum reflect these findings. One user shared, “I first noticed my mum’s handwriting deteriorated about seven years ago. Interestingly, her reading ability remains intact.” Another commented, “My husband’s signature has changed so much that a recently signed document was rejected—another challenge added to the list.”

Besides handwriting changes, Michael points out other early warning signs to watch for, including:

  • Difficulty finding words or following conversations
  • Increased confusion about time or place
  • Problems completing familiar tasks
  • Withdrawal from social activities

He advises, “If you notice any of these signs, gently discuss your concerns with your loved one and encourage them to see a doctor. Early diagnosis can provide guidance and support to help manage the condition moving forward.”

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