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Selliguea feei

Selliguea feei The patient presented with a diagnosis of early-onset Alzheimer’s disease dementia confirmed through brain scans. At the time of the initial consultation, the diagnosis had created profound anxiety, loss of confidence, and a growing sense of psychological collapse. Despite still functioning in a demanding IT role, he described himself as becoming increasingly absent-minded, dreamy, withdrawn, and cognitively unreliable. His wife had first noticed a significant lowering of mood toward the end of the previous year. He repeatedly compared himself to his former identity — previously a highly capable, high-status technical expert working in intense environments including the Bank of England. He described himself as once being “the person others came to,” whereas now he increasingly relied on others for help. “I used to be the lead dog.” The loss of status, mastery, and intellectual certainty appeared central to the case. Background and Aetiology The timeline of deterioration strongly correlated with prolonged stress and isolation during and after lockdown. Robert had worked from home alone since 2020 following office closures, leading to a dramatic reduction in stimulation, social interaction, and structure. At the same time: • his wife developed breast cancer during lockdown • he experienced repeated rounds of redundancy stress • his mother became ill and later died • he lost his father in 2022 • technological changes at work left him feeling left behind and no longer competent in his field He described this entire period as: “Like a zombie film.” There was also