Due to more severe symptoms, patients begin to avoid people and gradually withdraw from social life increasingly. It begins with small troubles, like forgetfulness. Frequent absentmindedness, in turn, makes it difficult for patients to maintain a conversation. They even feel ashamed of their forgetfulness, driving them to avoid various social activities. Therefore, when the symptoms are still weak, patients may try to stick with their social participation through various coping mechanisms. For example, they write down important things they have to remember on a piece of paper.
Judgmental abilities decrease over time. For example, patients might behave inappropriately towards those taking care of them by saying things out of place or eating food from someone else's dish. Victims can appear lacking in restraint and even be impudent. This may cause others to withdraw from patients. Over time, a patient shows an inability to engage in important social situations. Social isolation is bad for both psychological and physical well-being. Therefore, people living with Alzheimer's who have bad social relationships will have many difficulties, increasing their risk of dying earlier.
