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Diagnosing Cognitive Impairment

Deborah Kan

Created on November 11, 2025

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Transcript

Diagnosing cognitive impairment

How the diagnostic process works

Brain aging

Why dementia risk is higher for people of color

Protecting your brain

Protecting your brain

Conversations to have with your doctor

Cognitive impairment could be treatable

Symptoms of cognitive decline can be subtle, and don’t always point to Alzheimer's disease. Getting an accurate diagnosis early on is critical. Some cognitive impairment is caused by treatable health conditions, and catching a condition early could mean it is possible to clear up the symptoms.

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Getting an accurate diagnosis matters

Accurate diagnosis, means you’re better prepared to:

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Why is a dementia diagnosis hard to get right?

Many neurodegenerative diseases have overlapping symptoms and doctors need to rule out other, reversible conditions before diagnosing dementia.

“Physicians often don’t like to pursue the diagnosis of Alzheimer’s and they will pick other things that might be coexisting, like depression or anxiety. But that doesn’t mean they don’t have Alzheimer’s.”

Dr. Sharon Cohen

Toronto Memory Program

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Brain health barriers for people of color

While research shows that approximately 40 percent of dementia cases could be prevented or delayed through modifiable risk factors, not all communities are on an equal playing field for managing these risks.

Jason ResendezHead of the LatinosAgainstAlzheimer’s Coalition

Myra GarciaAlzheimer’s advocate

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Real-life stories of misdiagnosis

For many, getting an accurate diagnosis takes months or years. Read about patients and families who pushed for answers:

Myra Garcia

Misdiagnosed with ADD

Terrie Montgomery

A long road to diagnosis

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What to discuss with your doctor

If you think you might be experiencing cognitive changes or memory loss, here are some things you can ask to start this discussion with your doctor:

Questions to ask your doctor

“If your doctor isn't listening, find a new one.”

Dr. Marwan Sabbagh

Barrow Neurological

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How dementia is diagnosed

Doctors use multiple tools to get a full picture of cognitive decline and make an accurate diagnosis.

Biomarker testing

Cognitive assessments

Imaging

Functional & behavioral evaluation

Medical history & physical exam

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New diagnostic tools

A new wave of technology is changing how Alzheimer’s is diagnosed:

Blood tests for Alzheimer’s
Voice analysis
AI and digital biomarkers

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What happens after a diagnosis

After receiving a diagnosis, many people are unsure how to proceed. Here’s what to do next:

  • Research more about living with dementia and what it means for the future
  • Seek a specialist (neurologist, geriatrician, or neuropsychologist)
  • Explore treatment options and lifestyle interventions
  • Involve family and create a care plan
  • Organize legal and financial documents early
  • Consider participating in research

Just diagnosed? Read more

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Participating in a clinical trial

Phyllis Jones and Patty Kelly share what it was like to participate in the U.S. POINTER Study, a lifestyle intervention trial.

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Explore more resources on beingpatient.com

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Want to learn more?

Visit

beingpatient.com

for the latest news and information on brain health and Alzheimer's disease

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High-tech tools may detect early symptoms that traditional tests miss. Online self-administered cognitive tests are becoming more popular.

The FDA recently approved the first blood test to detect Alzheimer’s, opening the door to Medicaid coverage. Blood tests detect amyloid or tau protein and are becoming more widely available. New guidelines recommend using blood tests in individuals who already have been diagnosed with cognitive impairment.

Technology startups like Sonde Health are developing tools that detect cognitive changes through voice biomarkers and speech patterns.

  1. I’ve been experiencing forgetfulness and getting lost in familiar places, do you think that is normal aging or something more serious?
  2. I’m worried I might be having cognitive changes. What kind of testing do you offer?
  3. Can I get a referral for cognitive testing with a neurologist?
  4. Are there any blood or imaging tests available to me here?
  5. Can we screen for other possible causes of my symptoms — like depression, sleep disorders, anxiety or vitamin deficiencies?
  6. If I do have Alzheimer’s or MCI, what’s the next step?