Living with vascular dementia can feel overwhelming, but it doesn’t have to define your life. As a 50-year-old Canadian adjusting to this condition while living in Bangkok, I’ve faced both challenges and opportunities for growth. Over time, I’ve learned that small changes and the right support can make a big difference. Whether it’s creating steady routines in a bustling city or leaning on tools like medical glasses, I’ve found ways to adapt. This blog is here to share practical tips and personal insights that might help you or someone you care about on a similar journey.
Understanding Vascular Dementia
Living with vascular dementia can bring many questions and uncertainties, especially when it comes to understanding the condition and how it impacts daily life. While every individual’s experience is unique, gaining a clear picture of what vascular dementia is, recognizing its symptoms, and knowing how lifestyle choices influence it can make managing it more approachable.
What is Vascular Dementia?
Vascular dementia is a type of dementia caused by reduced blood flow to the brain. It often occurs after a series of small strokes or damage to blood vessels, which disrupts the brain’s supply of oxygen and nutrients. Unlike Alzheimer’s, which is linked to abnormal proteins in the brain, vascular dementia is tied primarily to vascular issues—the network of arteries and veins in the body.
This condition stands out from other forms of dementia because it often progresses in noticeable stages. For example, after a stroke or vascular incident, cognitive abilities may deteriorate more sharply compared to the slower decline seen in Alzheimer’s. This variability can make diagnosing and addressing vascular dementia unique to each person.
Common Symptoms and Early Signs
Recognizing the early signs of vascular dementia is one of the most important steps. Although symptoms differ from person to person, they generally fall into three categories: cognitive, physical, and emotional.
- Cognitive Symptoms:
These include forgetfulness, difficulty concentrating, and confusion about time or location. Solving problems or making decisions may become more challenging, and short-term memory is often one of the first areas affected. - Physical Symptoms:
Some may notice slower movements or difficulty with coordination. Walking might feel unsteady, and in severe cases, some individuals experience sudden weakness in specific parts of the body due to strokes. - Emotional Symptoms:
Mood changes, irritability, or apathy are common. Anxiety and depression can also arise as individuals struggle with the impact of the condition on their independence and activities.
It’s easy to overlook these early signs, attributing them to normal aging. However, if you or someone you know experiences persistent or worsening symptoms, seeking medical advice is crucial for timely management.
Photo by Alesia Kozik
How Lifestyle and Environment Impact the Condition
The course of vascular dementia isn’t entirely out of your control. Certain lifestyle choices and environmental factors can influence both the severity and progression of symptoms:
- Diet:
A healthy diet rich in fruits, vegetables, whole grains, and lean protein supports brain health. Reducing salt and sugar intake also helps maintain healthy blood vessels and reduces the risk of strokes. - Physical Activity:
Regular exercise promotes good blood flow, which is critical for brain health. Simple activities, like walking or yoga, not only improve physical coordination but also reduce stress levels. - Stress Management:
Chronic stress can negatively impact brain function. Creating a calming environment, practicing mindfulness, or engaging in hobbies can drastically improve emotional well-being. - Social Connections:
Staying connected to loved ones and participating in social activities helps reduce isolation and keeps the brain engaged. Even living in a bustling city like Bangkok can offer opportunities for meaningful interaction.
By focusing on manageable changes, you can take steps to slow the progression of vascular dementia and improve the quality of daily life. While the condition may feel overwhelming at times, knowing there are proactive ways to care for yourself or your loved one offers comfort.
Adapting to Life in Bangkok with Vascular Dementia
Finding balance in a city as fast-paced and vibrant as Bangkok while managing vascular dementia comes with unique challenges and rewards. From bustling markets to serene parks, Bangkok offers a wide range of experiences, but it’s the small, intentional adjustments that can make daily life manageable and fulfilling. Below, I share practical strategies and insights shaped by my experience.
Navigating Daily Life with Predictable Routines
Routines are the anchor that keeps me grounded. With vascular dementia, unpredictability can create unnecessary stress, so having a structured daily rhythm is vital. Bangkok may seem chaotic at first glance, but creating pockets of predictability brings calm.
Every morning, I begin my day with a leisurely walk in Lumpini Park, Bangkok’s “green lung.” This park is a peaceful escape from the city’s noise. The shady trees, serene lake, and the sight of locals practicing tai chi offer a gentle yet focused space to reset my mind.
Establishing simple habits like this not only helps me maintain independence but also prepares me to face the day’s challenges. Whether it’s setting a specific time for meals or having familiar routes to walk, routines give me a sense of control.
Making Use of Assistive Technology
Living in a tech-savvy city like Bangkok has its benefits, especially when it comes to tools that support cognitive health. For me, Ray-Ban medical glasses have been a game-changer. These glasses have built-in features that assist in navigation and memory recall.
When wandering through maze-like neighborhoods or large markets like Chatuchak, having these glasses helps. They provide gentle auditory cues and visual reminders that counter my forgetfulness. For example, I can program reminders for crucial tasks, from attending appointments to eating lunch on time. Using assistive technology is like having a supportive guide in my pocket—small innovations can reduce big barriers.
Finding Moments of Calm in a Busy City
Bangkok’s pace can feel overwhelming, but there are tranquil spots waiting to be discovered. Finding calm isn’t only about location; it’s also about creating mindfulness in my surroundings.
Some hidden gems that help me recharge include:
- Museums and Galleries: The Bangkok Art and Culture Centre is air-conditioned, quiet, and visually stimulating—a perfect place to wander without stress.
- Temples (Wats): Iconic temples like Wat Arun (Temple of Dawn) are often serene in the mornings and serve as peaceful spaces for reflection.
- Riverside Escapes: Taking a slow ferry ride along the Chao Phraya River offers a unique view of the city and a chance to clear my head.
In addition to physical locations, activities like journaling, short breathing exercises, or simply listening to the soothing sound of rain help me maintain balance amidst city life.
Photo by Faheem Ahamad.
Leveraging Local Resources for Support
Support systems can make all the difference when managing vascular dementia. Bangkok’s diversity provides access to resources that cater to varying needs.
- Community Groups: Organizations like Bangkok Expat Community host events that connect expats and locals. Sharing experiences with others who understand dementia-related challenges offers invaluable emotional support.
- Healthcare Providers: Bangkok is known for its world-class medical facilities. Hospitals such as Bumrungrad International offer specialized neurology departments with English-speaking staff, making it easier to navigate consultations.
- Online Networks: Platforms like Facebook expat groups often share tips for accessibility-friendly services, including transportation, grocery delivery, and even caregivers.
Taking advantage of these resources has helped me build a network of support while fostering a sense of belonging in a foreign city. Adjusting to vascular dementia isn’t something I do in isolation—leaning on community makes the journey lighter.
Together, the right tools, routines, and environments help me keep pace with Bangkok’s vibrant rhythm while honoring my personal needs.
Building a Support System
Living with vascular dementia comes with challenges, but no one has to face it alone. Surrounding yourself with support can make daily life more manageable and fulfilling. From family and friends to professional help, having a solid network ensures you’re not navigating this by yourself. In a vibrant, diverse city like Bangkok, there are unique opportunities to build meaningful connections that offer emotional and practical support.
The Role of Family and Friends
Family and close friends often form the foundation of a support system. They can provide not only companionship but also help with day-to-day tasks, ensuring that you don’t feel isolated. Open lines of communication are essential—let your loved ones know how they can best support you.
Ways loved ones can help:
- Practical Support:
Tasks like meal prep, organizing medicine schedules, or helping with transportation to appointments are small actions that go a long way. - Emotional Support:
Sometimes, just having someone to listen or share a laugh with can lift the weight of the day. Whether it’s a casual phone call or a heartfelt conversation, the emotional boost is invaluable. - Encouragement to Stay Active:
Friends or family members can join you for a walk or assist you in staying active mentally and physically. Shared activities create connection while improving overall well-being.
The key here is honesty. Sharing how vascular dementia impacts your life helps your inner circle understand your needs better. It’s not about “burdening” loved ones; it’s about creating a team that uplifts and supports.
Connecting with Expat Communities
As an expat in Bangkok, I’ve learned that many others here are on their own paths of adaptation. Expat communities can be a fantastic way to meet people who understand the unique challenges of living abroad while managing health conditions.
Benefits of joining expat groups in Bangkok:
- Shared Experiences:
Being around others who understand life in a foreign city can make you feel less alone. Many expat groups organize regular meetups, offering a sense of belonging and camaraderie. - Practical Advice:
Through these groups, you can learn about dementia-friendly services, accessible locations, or even receive tips on navigating Bangkok’s public transport. - New Friendships:
Forming connections with people who share similar interests or challenges brings a layer of support that family or friends back home might not fully provide.
Join online forums like Facebook’s “Bangkok Expats” group or attend local events hosted at cultural centers. These spaces are great for swapping advice, sharing a coffee, or even finding activities tailored to your needs.
Professional Support and Counseling
While friends and family offer emotional comfort, professional help is equally important when managing vascular dementia. Bangkok has a wealth of medical resources, and seeking out professionals who specialize in memory care or dementia counseling can provide valuable guidance.
Where to find support in Bangkok:
- Specialized Clinics and Hospitals:
Facilities like Bumrungrad International Hospital and Samitivej Hospital have dedicated neurology departments. They offer cognitive assessments and individualized care plans, often with English-speaking staff. - Therapists and Counselors:
Adjusting to vascular dementia can bring emotional hurdles. Therapists in Bangkok, particularly those familiar with expat challenges, can help with coping strategies, stress management, and building resilience. - Support Groups:
Look for dementia-focused support groups in the city. Attending group sessions allows you to connect with others in similar situations and share coping mechanisms in a safe space.
Professional help isn’t just about addressing medical issues; it equips you with tools to handle the daily emotional and psychological aspects of living with vascular dementia. When paired with the support of loved ones and community, it creates a well-rounded system of care.
Self-Care Tips for Living with Vascular Dementia
Living with vascular dementia requires intentional self-care to navigate its challenges and maintain a good quality of life. It’s about finding what helps you feel in control and supported, especially when dealing with uncertainties. The following suggestions, drawn from practical experience, focus on physical, mental, and emotional well-being while encouraging compassion toward yourself.
Prioritizing Physical Health
Taking care of your physical health is a cornerstone of managing vascular dementia. Small, consistent actions can enhance your overall well-being and help slow the progression of symptoms.
- Regular Exercise: Movement isn’t just about staying fit; it’s a way to keep your brain sharp too. Activities like walking, swimming, or light yoga can improve blood flow to the brain, which is essential for managing vascular dementia. For instance, a morning stroll in a calming spot like Lumpini Park does wonders, pairing exercise with a mental reset.
- Balanced Nutrition: Your diet plays a critical role in brain health. Foods rich in omega-3 fatty acids (like salmon or walnuts), leafy greens, and whole grains can protect cognitive functions. Limit salt and sugar to reduce vascular strain. Think of your meals as fuel for both mind and body—simple, wholesome ingredients go a long way.
- Health Check-ups: Regular visits to your healthcare provider ensure you’re on top of any underlying risks like high blood pressure or cholesterol. Routine screenings help catch potential complications early, allowing for timely adjustments in care.
Consistency is the key here—building positive habits takes effort but significantly impacts how you feel each day.
Mental and Emotional Well-Being
Caring for your mind and emotions is just as essential as physical self-care. Maintaining positivity and finding joy in everyday moments can create a supportive foundation in the face of challenges.
- Mindfulness Practices: Simple mindfulness exercises, like deep breathing or short meditations, can help manage anxiety or feelings of overwhelm. Even dedicating five minutes before bed to quiet reflection can ease mental tension.
- Engage in Hobbies: Rediscovering hobbies or exploring new ones helps keep your mind active and brings a sense of purpose. Whether it’s painting, gardening, or solving puzzles, activities that spark interest provide emotional relief and cognitive exercise.
- Journaling: Writing about your day, thoughts, or feelings can help process emotions and track progress. It’s not about perfection but about releasing what’s on your mind. Think of it as a conversation with yourself—a safe space to explore and understand your inner world.
It’s okay to feel a range of emotions while navigating vascular dementia. Acknowledging your feelings instead of judging them is a step toward inner peace.
Photo by Timur Weber
Setting Realistic Expectations
Patience and understanding toward yourself are vital when living with vascular dementia. Setting achievable goals can make daily life more manageable and fulfilling.
- Focus on What’s Doable: Break tasks into small, manageable steps. Instead of aiming for “cleaning the house,” focus on something like tidying one drawer or folding laundry. Little wins build momentum and prevent frustration.
- Be Kind to Yourself: There will be days when things don’t go as planned, and that’s okay. Remind yourself that adapting to any condition takes time, and perfection isn’t the goal. Treat setbacks as temporary, not failures.
- Celebrate Progress: Even small improvements or tasks completed deserve recognition. Acknowledge your efforts—a completed to-do list or even organizing a single book shelf is something to feel proud of.
Think of this approach as a way to lighten your load. By removing unnecessary pressure, you’re creating a caring environment for yourself to thrive.
Every step, no matter how small, plays a big role in self-care when living with vascular dementia. Taking care of your body, nurturing your mind, and setting compassionate expectations not only improve your day-to-day life but also make navigating challenges more manageable. These practices act as tools to help you stay grounded while honoring where you are in your journey.
Personal Insights and Lessons Learned
Living with vascular dementia has been a journey of discovery—challenging, yes, but also filled with moments of clarity and growth. Being in Bangkok, a city full of contrast and rhythm, has brought unique insights into how I approach day-to-day life. Adjusting to this condition is like fine-tuning an instrument: it takes patience, small adjustments, and a willingness to find harmony amid the noise.
The Value of Adaptability
Adapting isn’t a one-time decision—it’s a daily process. With vascular dementia, not every day looks the same, and that unpredictability calls for flexibility and creative problem-solving.
At first, I was resistant to change. Simple tasks like navigating Bangkok’s hectic streets became overwhelming. But shifting my perspective taught me that adaptability is a skill, not a burden. For instance, when the bustling crowds at Chatuchak Market felt too daunting, I found quieter weekday afternoons better suited to exploring. Instead of avoiding challenges, I began finding ways to adapt them to my needs.
Here’s the truth: every problem has more than one solution. Forgetting an appointment once used to frustrate me—but now, assistive tools like setting reminders on my glasses or phone have become part of my routine. When physical energy runs low, I give myself permission to rest rather than pushing through. Adaptability means working with reality, not fighting it.
Finding Joy in Small Moments
One of the most striking lessons vascular dementia has taught me is the power of small pleasures. Big plans or sweeping changes are often out of reach—but joy doesn’t live only in grand events. It exists in the crackle of raindrops on a tin roof, in a shared laugh with a street vendor, or the calm of sipping a hot tea by the window.
Some of my favorite moments happen during morning walks in Lumpini Park. Watching the birds skim the surface of the lake or hearing the faint hum of traditional Thai instruments from a nearby workout group centers me. These are the moments that make life feel rich and meaningful, no matter the day’s challenges.
Connection also plays a huge role. Short, lighthearted conversations with a market vendor or exchanging a kind smile with a stranger remind me that I am not alone in this journey. Small human moments can outweigh even the heaviest of days.
How Challenges Lead to Growth
When I reflect on my life before vascular dementia, I realize how much I took my cognitive abilities for granted. These days, each challenge presents an opportunity to grow—not only in resilience but also in empathy and self-awareness.
For example, attempting to explain my memory lapses to loved ones once felt embarrassing or frustrating. But now I approach these moments as chances to build patience—not just with others, but with myself. A forgotten word or misplaced item no longer defines the day; instead, I see these challenges as reminders to slow down and regroup.
Growth shows up in unexpected ways. I’ve noticed how I’ve become more mindful, cherishing what I can do today rather than worrying about the future. I’ve also learned to ask for help—whether it’s a friend guiding me through a crowded market or a taxi driver patiently giving directions. Strength doesn’t mean doing everything alone; it means knowing when to lean on others.
Photo by RDNE Stock project.
Through this experience, I’ve realized that the growth that comes from challenges isn’t just about overcoming them—it’s about seeing beauty in each step of the way. The lessons learned along this journey aren’t simply coping mechanisms; they’re tools to build a life with purpose and connection, no matter the circumstances.
Conclusion
Living with vascular dementia, especially in a vibrant city like Bangkok, is a journey that requires patience, adaptability, and support. Building consistent routines, using assistive tools, and seeking quiet moments all play a role in managing daily challenges.
Surrounding yourself with the right people—whether family, friends, or a local community—can lighten the emotional load and create a network of care. Small adjustments don’t just make life manageable; they open the door to meaningful experiences and personal growth.
If you’re navigating a similar path, remember that progress is made one step at a time. Focus on what works for you and take pride in the wins, no matter how small. You’re not alone in this journey—there’s always a way forward.
