Recognizing the Early Signs of Lewy Body Dementia
Lewy Body Dementia (LBD) develops gradually, and those with LBD progress through seven distinctive stages. In the first…

Dementia is a disease that affects millions of Americans. There are several types of dementia that we know of, including Alzheimer’s Disease and Lewy Body Dementia.
While forms of dementia vary in symptoms and severity, the Global Deterioration Scale aids in identifying the typical progression.
If you or someone you know may be in the early stages of dementia, here’s what you need to know about its seven stages:
Stage one is entirely undetectable to the patient, loved ones, and physicians. At this stage, individuals do not experience or present with any cognitive decline.
Stage two may bring subtle changes in the individual, such as mild forgetfulness. These instances may include forgetting names or having trouble locating familiar objects. In the second stage of dementia, it’s difficult or impossible to notice these minor symptoms, and a diagnosis is not yet able to be reached.
Stage three involves mild cognitive decline. The symptoms may become more noticeable to loved ones of the individual in stage three dementia, and a diagnosis may be near. This stage often includes mild memory loss, out of character forgetfulness, and a slightly decreased ability to concentrate.
Many people living with dementia are officially diagnosed during stage four, which is when physicians are able to pinpoint cognitive decline with an exam. At this point, the patient will likely present symptoms such as life-disrupting forgetfulness and out-of-character difficulty performing daily responsibilities. It may become more challenging for those with stage four dementia to manage finances or navigate to new locations.
Stage five is marked by moderately severe cognitive decline. Individuals in this stage often have notable memory loss and begin to struggle with daily activities. Significant details such as address or phone number may be difficult to recall, and those with stage five dementia will likely need assistance with tasks such as meal preparation and bathing.
Individuals in stage six need a high level of support to live comfortably. Memory loss tends to be significant, and many in stage six dementia are only able to recall memories of early life. Incontinence is common in this stage, and many patients also begin to lose their ability to speak. A change in personality may occur during this time period, which lasts an average of 2.5 years.
Stage seven typically lasts for 1.5 to 2.5 years and is characterized by very severe cognitive decline. Patients in stage seven lose their ability to communicate, and are often unable to walk. Individuals in late stage dementia require extensive assistance with life’s activities, and often need round the clock support.
Dementia affects approximately 5 million Americans each year. Lewy Body Dementia (LBD) comprises approximately 1.4 million cases within this figure, and is often misdiagnosed. If you’d like to learn more about Lewy Body Dementia or seek support, please visit us online at lewybodyresourcecenter.org or reach out to our helpline at 833-LBDLINE.
Lewy Body Dementia (LBD) develops gradually, and those with LBD progress through seven distinctive stages. In the first…
The Doctor Visit by Pamela Rosenblum Once a person has been diagnosed…
Click Here For English Version of This Page / Versión en inglés de esta página Nadie espera convertirse…
Opgericht door Norma Loeb, biedt LBDRC gratis ondersteuning, educatie en een gemeenschap aan individuen en families die te maken hebben met Lewy body-dementie — in de hele VS en over de hele wereld.
📞De informatie op deze website en via onze hulplijn wordt aangeboden als hulpmiddel voor mantelzorgers van mensen met LBD, maar is niet bedoeld als goedkeuring van een product, medicijn of medische ingreep, en is geen vervanging van professioneel medisch advies.
© 2026 Lewy Body Dementia Resource Center. Alle rechten voorbehouden.