Dementia is a decline in memory, reasoning, and communication skills that results from physical changes in the brain caused by diseases like Alzheimer's. Symptoms include memory loss, difficulty concentrating and organizing, and problems with language. The main types of dementia are Alzheimer's, Lewy body, vascular, and frontotemporal. Risk factors include age, genetics, and medical conditions like high blood pressure and diabetes. While there is no cure, medications and therapies can help manage symptoms.