A member asked:

Is it true that dementia/mci requires a evidence decline from previous ability to be diagnosed? and not based on testing alone?

2 doctors weighed in across 2 answers

Some cases of dementia/mci, unlike Alzheimers disease, remain stable for a year or more. There is no one test for dementia. The diagnosis of true dementia requires thorough history taking, interviews with family members, elimination of presence of depression, substance abuse, side effects of meds,hearing&visual disabilities being mistaken for cognitive loss,untreated medical conditions& cog testin

Answered 11/1/2022

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Yes, dementia does represent a cognitive change which is ongoing and progressive. Many causes exist and the vast majority of tests search for reversible etiologies

Answered 11/1/2022

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