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Dr. Macie Smith

What Dementia Really Looks Like: Signs, Support, and the Caregiver’s Role

care giver, Dementia, Alzheimer

Dementia isn’t just about memory loss. It shows up in ways most people never expect—behavior changes, emotional shifts, language issues—and it can be devastating if you don’t know what to look for. In this episode of Sofia Unfiltered, we’re sitting down with Dr. Macie Smith to decode what dementia really looks like, when to act, and how to support yourself or someone you love. This isn’t a clinical lecture. It’s real-life, real-talk guidance from one of the nation’s leading experts in dementia-competent care.

About Dr. Macie Smith

Dr. Macie P. Smith is a licensed gerontology social worker, bestselling author, and nationally recognized dementia educator. With over 22 years of experience coordinating care for aging populations, her approach is real, relatable, and rooted in action. She’s also an advisory board member of Leeza’s Care Connection, founded by Emmy Award-winner Leeza Gibbons.

In this episode, we chat about:

  • What dementia actually is and why it’s not just Alzheimer’s.
  • Overlooked early signs that often get dismissed as “normal aging”.
  • Key genetic tests to identify early-stage dementia risks and how family history impacts diagnosis.
  • How vitamin B12, D, and other deficiencies could contribute to pseudo-dementia, potentially masking true cognitive issues.
  • How to know when to get help—for yourself or a loved one.
  • Everyday habits that support brain health (it’s not too late to start).
  • Reminiscence therapy and the importance of meeting dementia patients in the moment to support good quality of life.
  • Holistic tools like breathwork, nutrition, movement, and mindfulness to slow cognitive decline and build cognitive reserve.
  • What caregivers need to hear right now to avoid burnout and find better support.

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Know someone caring for a loved one with dementia—or feeling overwhelmed by the uncertainty of what’s next? Share this episode. It could offer clarity, compassion, and practical support when they need it most.

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  • Find more resources on the Sofia Unfiltered Blog (read more)

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