People with dementia often have increasing difficultly managing their personal finances. This is often among the first signs noticed by caregivers that something is wrong. Early in the disease, people with dementia may have trouble or need more time than usual coming up with the proper amount of money when out at a restaurant or at a store. As mental abilities further decline, they may not remember whether or not bills have been paid or may end up writing the same check multiple times, losing payments, or forgetting to pay bills at all.