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.

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.

Episode resources:

• Visit Dr. Macie Smith’s website
• Find both of Dr. Macie’s books on Amazon
• Follow Dr. Macie on Instagram
• Subscribe to Dr. Macie on YouTube
• Explore her caregiver resources at SYNERGY HomeCare

Take Action

Explore providers on Sofia Health who specialize in:

• Nutrition coaching
• Cognitive behavioral support
• Mindfulness and meditation
• Aging and caregiver support
• Movement therapy and breathwork

You’re not alone—and you don’t have to figure this out on your own.

Share This Episode

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.

The Sofia Unfiltered by Sofia Health is for general informational and entertainment purposes only and does not constitute the practice of medicine, nursing, or other professional healthcare services, including the giving of medical advice. No doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have. For any health concerns, users should seek the assistance of their healthcare professionals.