Delirium has a rapid onset. Symptoms (including changes in consciousness) fluctuate within a 24-hour period. Hallucinations—frequently visual—are present. Symptoms often gradually improve. The person is not alert and focused. | Dementia has a gradual onset. Symptoms typically do not fluctuate within a 24-hour period. Hallucinations are often absent. Symptoms rarely improve. The person is consistently alert. | Memory problems. Problems with other types of cognitive functioning. |