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Miami, FL · Updated

Types of Dementia Explained for Miami Families

Dementia is an umbrella term, and Alzheimer's disease is one cause under it, alongside vascular dementia, Lewy body dementia and frontotemporal dementia. It is educational only and is not a diagnosis or treatment guide. Only a physician can say which type a person has.

Miami at a glanceCensus figures verified October 23, 2026. All Miami dementia statistics
Residents aged 65 and over72,815Census ACS
Residents aged 85 and over11,454Census ACS
Older adults (65+) living alone21,754Census ACS
Median household income$59,390Census ACS
In-home companion care with us$35 an hourOur rate
Florida Medicaid home care programSMMC LTCState program

What is the difference between dementia and Alzheimer's disease?

Dementia is the broad term for a decline in memory, thinking and daily function, while Alzheimer's disease is one specific cause of that decline. The CDC overview of dementia describes dementia as affecting memory, thinking and the ability to manage everyday activities.

Think of dementia as the category and each type as a different underlying cause. Two people can both have "dementia" and still need quite different kinds of support.

What is Alzheimer's disease?

Alzheimer's disease is the most widely recognised cause of dementia, and it is often associated with memory loss that gradually becomes more noticeable. Families often first notice repeated questions, misplaced items or trouble with familiar tasks. How it unfolds varies from person to person.

For Alzheimer's-specific local support, the Alzheimer's Association South Florida chapter is a resource listed for this area.

What is vascular dementia?

Vascular dementia is generally described as dementia linked to problems with blood flow to the brain, such as after strokes or small vessel damage. Families often describe changes in planning, judgement or attention, sometimes appearing more suddenly or in steps rather than a smooth slope. Presentation differs widely, so a physician's assessment matters more than any checklist.

What is Lewy body dementia?

Lewy body dementia is generally described as a type that can involve fluctuating alertness, vivid visual hallucinations and movement changes, in addition to memory and thinking problems. Families often notice that a person seems sharp one day and confused the next. Because symptoms can swing, it helps to keep notes on good and difficult times of day to share with the doctor.

What is frontotemporal dementia?

Frontotemporal dementia is generally described as a type that often shows up first as changes in personality, behaviour or language rather than memory. It can also begin at a younger age than many other types. A person may seem uncharacteristically impulsive, withdrawn or have trouble finding words, which families sometimes mistake for stress or mood problems.

Why does the type of dementia matter for care planning?

The type matters because it affects which challenges a family is most likely to face, and so what kind of help to line up. This is our own general reasoning, not medical advice, and the treating physician should guide specifics. Some examples of how it can play out:

  • Memory-led changes: routines, reminders, labelled spaces and calm repetition may be the priority.
  • Stepwise or sudden changes (vascular): plans may need to be revisited after any new medical event, and caregivers who notice and report changes quickly are valuable.
  • Fluctuating alertness or hallucinations (Lewy body): the household needs flexibility, and caregivers who stay calm when a good day turns into a hard one.
  • Behaviour or language changes (frontotemporal): safety, redirection and patience with communication often matter more than memory cues.

Whatever the type, needs usually change over time, so a plan that is reviewed regularly works better than one set once.

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How can a Miami family find out which type their loved one has?

Start with the person's primary care physician and ask for a referral to a neurologist, geriatrician or a memory evaluation clinic in the Miami area. We do not name individual clinics here, because the right fit depends on insurance, language and location. Look for a practice that does full cognitive evaluations and will talk with the family about the findings.

Questions worth bringing to the appointment:

  • Which type of dementia do you think this is, and how confident are you?
  • What changes should we expect, and which should prompt a call to you?
  • What safety and daily-care steps do you recommend at home?

How does home care fit with each type?

Home care can be matched to the person's current needs, from companionship and reminders to hands-on help with bathing and dressing, and adjusted as the condition changes. Our page on memory care at home covers routines and supervision, and personal care covers hands-on daily help. If the main family caregiver needs a break, respite care is another option. For an overview of local options, see our guide to in-home dementia care in Miami.

For a general explanation of the kinds of long-term care available, the NIA publishes What Is Long-Term Care?

How do we help families choose a caregiver?

We send caregivers screened for dementia care experience, and you receive 3 to 5 video profiles within 48 hours. You watch each caregiver's video interview before deciding whom to meet. The video interview is the proof: you see how the person speaks and responds before anyone comes to your home.

Whichever agency or caregiver you consider, it is reasonable to ask about background checks, licensing and training, and to ask how they would handle the specific behaviours your loved one shows, such as hallucinations, wandering or agitation.

Frequently Asked Questions

Is Alzheimer's disease the same as dementia?

No. Dementia is the broad term for declining memory, thinking and daily function, and Alzheimer's disease is one cause of it. Vascular, Lewy body and frontotemporal dementia are other causes.

Why does the type of dementia matter for care?

Different types tend to bring different challenges, such as fluctuating alertness, behaviour changes or sudden step-downs, so the type can shape the daily routine, safety plan and kind of caregiver support a family seeks. Your doctor can advise on specifics.

Do you provide medical diagnosis or treatment?

No. This page and our service are not medical advice. Diagnosis and treatment decisions belong with the person's physician.

How do I choose a dementia caregiver in Miami?

We offer caregivers screened for dementia care experience, 3 to 5 video profiles within 48 hours, and the chance to watch each caregiver's video interview before you decide whom to meet. Also ask any agency about background checks, licensing and training.

Where can I find Alzheimer's-specific support near Miami?

The Alzheimer's Association South Florida chapter is one listed local resource. Note it focuses on Alzheimer's disease specifically, so ask what support it offers for other types of dementia.

Sources referenced on this page (click through for the original material): www.cdc.gov · www.alz.org · www.nia.nih.gov

What it costs

$35 an hour in Miami

The rate depends on the care needed. Matching and caregiver video profiles are free, and the rate, the hours and anything extra are set out in writing before the first visit.

20 hours a week
$3,031 to $3,031 a month
40 hours a week
$6,062 to $6,062 a month

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