What to Do If You Think You (Or A Loved One) May Have Dementia

Maybe you've noticed changes in thinking or behavior in yourself or a loved one and are wondering whether dementia could be the cause. While it’s natural to be concerned, many conditions can cause memory problems, confusion, and other symptoms that resemble dementia. The best place to start is a visit to your primary care doctor, who can help guide you through the evaluation process. 

How is dementia diagnosed?

A dementia diagnosis can take time and multiple rounds of testing. One reason is that there isn’t a single test that can diagnose the condition with certainty. Dementia symptoms and progression can also look different from person to person. Alzheimer’s disease is the most common cause of dementia, but there are several other types, each with its own pattern of symptoms.

The evaluation for dementia typically includes:

1. Ruling out other conditions using blood tests, urine tests, hearing tests, and sometimes brain imaging

2. Cognitive testing to assess memory, language, problem-solving, and other thinking skills

3. Blood tests for Alzheimer’s biomarkers, such as Lumipulse and Elecsys, which were recently cleared by the FDA and can help identify biological changes associated with Alzheimer’s

4. Additional studies such as advanced brain imaging or a lumbar puncture (spinal tap), when needed

Some people are referred to a specialist, such as a neurologist, to help confirm the diagnosis. 

Who treats Alzheimer's disease?

Healthcare professionals who may help diagnose and treat Alzheimer’s disease include: 

• Primary care doctors

• Neurologists

• Geriatricians

Care teams may also include occupational therapists, physical therapists, and mental health professionals. 

Concerns about dementia can feel overwhelming, but taking the first step toward an evaluation can help you better understand what’s going on. As you work with your healthcare team, ask questions, and remember that support is available every step of the way.