A member asked:

Is it true dementia/mci is not based on cognitive screening alone? it requires an expert opinion from the clinician taking into account multiple data points?

2 doctors weighed in across 2 answers

You are quite correct. True dementia is beyond simple cognitive screening. This diagnosis requires more detailed mental testing, exclusion of depression, hearing& visual disabilities, occasional screening for environmental & language barriers,presence of toxicities,vitamin & thyroid deficiencies, side effects from medications, etc. Neuropsychiatric evaluators are key.

Answered 9/10/2022

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Agree with Dr. Colantino, as causes for reversible cognitive disorders need to be excluded prior to making a diagnosis of dementia, such as Alzheimer's.

Answered 9/10/2022

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