Mark and Caroline sitting at home

How my husband was diagnosed with Frontotemporal Dementia at 42

Mark Preston was in his forties when he was diagnosed with a rare form of dementia. His wife Caroline, with whom he has a three-year-old son, shares their powerful story.

If I was walking with somebody old, people wouldn't think twice if they behaved like Mark does. They'd say, “Oh, they're old, they probably have dementia”.

But my husband has dementia, and it's the rare kind. It's Frontotemporal Dementia (FTD), and he was diagnosed at the age of 42.

One of the most challenging parts for us is that the community don't understand. 

There's a huge misconception that dementia is all about memory loss and it only happens to old people.

We made the vows 'in sickness and in health' when we got married, and that's what I'm trying to do.

I always feel like I'm explaining or apologising for Mark. FTD affects someone's behaviour and their emotions, and not so much the memory.

People just don’t know about this. For example, if we're in a restaurant, Mark will take food from someone's plate and think nothing of it. 

Picking up on personality changes

Mark was diagnosed in 2021, but I think I can trace it back to around 2018.

His personality change…it was subtle. If we'd gone to a GP, they wouldn't have believed it.

I first noticed some strange behaviours, like Mark waking in the night and banging clothes hangers together, or completely forgetting how to load a dishwasher.

Mark and Caroline in their wedding outfits

Mark and Caroline on their wedding day

At work he was becoming really disorganised, which was unlike him.

Mark was one of the most generous people I knew. But he'd stopped being generous and stopped thinking about other people.

He became more selfish, and he was getting more muddled. He’d repeat his conversations

When Mark's grandma died, he wasn't upset at all, and they'd been really close. So, with all of this in mind, I tried to get help. But then Covid hit.

Caroline and Mark with son William

Caroline and Mark with their son William

Getting someone to listen

I tried to get the doctors to see Mark, but nobody would talk to me. Being so young neither of us had even discussed getting Power of Attorney.

He did eventually speak to three separate counsellors but, because of the Covid restrictions, these were still over the phone.

The three counsellors all concluded that he was just missing the routine of work. But I knew they were wrong.

I felt like nobody would listen to me.

We finally got a GP appointment, but only because I made it for myself. Despite my frustration, I began to feel heard, and the GP met with us every four weeks. 

Help and hope

I asked the GP to please test his memory. Of course, he passed with flying colours because FTD doesn't affect the memory like other dementias.

Without Power of Attorney, I couldn't speak for him or book any therapy through the NHS. 

We got the opportunity to meet with a CPN (Community Psychiatric Nurse). She came for two hours and observed Mark. She told us to go to A&E immediately.

Mark and Caroline look at a book of photos

Caroline and Mark look at a memory book

Finally getting a diagnosis

We were supposed to have a CT scan and we waited 13 hours. For somebody with FTD, this was unbearable. 

The results led to Mark being admitted for two weeks in the neurology department at the hospital.

Finally, he got his diagnosis of Frontotemporal Dementia (FTD) in August 2021.

Now I have to think about the family and what Mark would have wanted as a parent.

Support and the Society

I'm very lucky to have such brilliant friends and family. I have a big network of support.

I also found a lot of support and information from leaflets and brochures from Alzheimer’s Society.

I use the website to inform myself of his rights and the support that we can get. 

Mark’s carer takes him to Alzheimer’s Society’s Singing for the Brain every week and he really enjoys that. 

I know that he'd be proud of what I've achieved for him. He can't say it, but I know him and I can feel he's proud.

I can't change his diagnosis. There's no magic wand.

The way I see things is that there are some things in our life that are out of our control. And the things I can change…well, I focus on those.

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We vow to help end the devastation caused by dementia for people like Mark and Caroline. But we can’t do it without you. Please donate today.

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39 comments

Strength to you Caroline! I can relate to what you’re saying about age. My mum was diagnosed with FTD in her 70s. At the time she looked much younger & I remember thinking that it might have helped if she had looked like an older lady. It sounds like you’ve got a really good support team around you, which is really important. There are resources around (it took me a while to find them at the time) but I’m guessing that you’ll have heard about Rare Dementia Support & also I found some American information to be very useful: a lady called Teepa Snow has an amazing understanding of all sorts of dementia & how to enable carers as well as those with dementia. It was really good to be able to understand how to change the way that I acted in order to get through the more challenging moments, and that often there is a reason behind the challenges. Also I felt really lucky to be able to get involved in a study through Bradford University (who have a big focus on dementia). The study that I was included in was aimed at helping to support & educate carers & family members in order to help the person with dementia. I wish you all the best
My Brother was diagnosed at age 58 everydays a new day and a struggle but with the Grace of God we get through it all it's just so sad
My husband Richard was diagnosed with the same nearly 3yrs ago at 63 it shattered his life, i his wife & now carer at now 58 it has totally dashed our lives he is stable at the moment but you do not get a great deal of help! or advice on what to expect & when..........just keep loving each other!
Omg I’m so sorry to read your stories I am 67 and have Alzheimer’s I’m fine still driving taking a tablet at night but I’m attending memory clinic hopefully I get a new medication that will help I am devastated
Well done for sharing your story. I have volunteered for the Alzheimer's Society since 2007 when my mother died from Alzheimer's disease. There are Dementia Friends information sessions available, which tell the public about the various types of dementia, and what can be affected by the diseases.
Such a cruel disease. My husband started in his 60's. Just make the most of your time together. Stay strong❤🙏
Sorry to hear about your experience. My mum was diagnosed with early onset FTD after a few years of confusing behaviour much like you describe (she was in her 60s but symptoms started earlier) Her speech was affected and her empathy disappeared, she repeated conversations and eventually couldn't put faces to names. But as you say, there's so little understanding about this form of dementia.
My heart is broken for you both at such a young age. My Mum has Mixed dementia, diagnosed 8 years ago she's 91 now still independent with our help but very forgetful. Dad died at Xmas aged 90 having had vascular dementia for 2 years. How cruel this disease is but at least my parents have had a long life, we were fortunate to look after him ourselves at home. Sending my deepest empathy and hope you still manage to have some happy times in between the hard ones .
Your love, care and loyalty is admirable and I wish the two of you the very best on your onward path. Such a cruel disease that we still have much to learn about.
Thankyou for talking about yours and Marks story.My mum was 47 with a form of dementia in 1979. No diagnosis given except for ‘probably dementia of some sort’!… Very little known in those days and no facilities available for help..I’m so glad that these days more is known and more help is available…I wish you and your family much love and luck for the future..
Thank you so much for sharing your story! My 52 year old husband was diagnosed last year with Alzheimer's and we also have two young children. I find most stories I read are about old people so as sad as the situation is, I feel relieved to know we're not the only young family suffering from this disease 😓
I have read quite a few of these messages and I am now beginning to understand ,in this case about Alzheimer's ,as my Dad has it ,he is 91 years of age ,and I have seen how he has changed over the time he has had it , I wish all the people who have a form of Dementia ,and there family's all the best ,and pray and hope a cure is found Asap . Rob.
Hi Natasha my husband was diagnosed in 2021 age 55 with Alzheimer’s it took from 2018 till 2021 to finally get a diagnosis as doctors just kept saying it was blood pressure! I to feel there is not enough support for younger people both financially. as the partner normally has to work. But then who stays with the person with dementia to keep them safe it’s a constant battle with brick walls at every turn. Support needs to be addressed xx
I agree , there is not enough support for early onset dementia, my husband has been diagnosed with FVAD, now what ? We haven't seen anyone since the DR gave the diagnoses, he has had to leave work , I still work full time , but don't feel comfortable leaving him at home on his own,
Well said Caroline. You are right in that Mark would be so proud of what you have achieved through fighting for more help and awareness on his behalf. Having been through a similar journey with my daughter, who was diagnosed with the same disease aged 37, we need more stories like this. Only through publishing the bare bone cruel effects of FTD can we raise much needed awareness. Caroline is right when she talks about people accepting strange behaviour in an elderly person with dementia. See it in a younger person and those same people are not as accepting. They just see an incredibly rude person who probably needs locking away.
Hi Christine could I possibly ask you what symptoms your daughter had and a bit more information about how she is doing
Hello Kimber, my daughter died 5 years after her diagnosis, aged 42. I can certainly tell you all about her symptoms, or you may want to read the book I wrote about her journey through FTD. I responded to this post as I am in touch with Caroline, the author of this post. My book is called ‘Anna and the Beast. The true story of a young mum diagnosed with dementia aged 37’. I know you can’t get my email from this site, but I am more than happy for you to get in touch if I can be of any help.
Thanks so much for sharing this story - wishing you, Mark and William all the very best 🙏🙏🙏