The Onset and Symptoms of Vascular Dementia

2. Later Symptoms

As vascular dementia progresses, symptoms typically worsen and become more noticeable. These may include confusion, disorientation, worsening memory loss, and increasing difficulty with communication. Personality changes—such as agitation, aggression, or apathy—may emerge. Many people develop depression or lose interest in previously enjoyed activities. Physical symptoms like impaired balance, frequent falls, and urinary incontinence may also appear in later stages, along with challenges in managing daily tasks independently.