What to expect from a GP consultation for dementia

The GP may ask when changes began, whether they are gradually worsening or fluctuate, and how they affect medicines, cooking, finances, driving, work or personal care. A relative or trusted person can provide useful examples if you agree. You may be asked to complete brief tasks involving memory, attention, language or orientation; these are not a diagnosis by themselves. The GP may review hearing, vision, mood, sleep, alcohol use and medicines, and may arrange blood tests or referral to a memory service to investigate possible causes.

Write down examples of changes, when they occur and any safety concerns, rather than relying on general statements about forgetfulness. Bring a medicine list, information about sleep and mood, and someone who knows your day-to-day routine if the person being assessed is comfortable with that. Bring glasses or hearing aids. Keep taking prescribed medicines unless the clinician advises otherwise, and ask about practical support while assessment continues.

Sudden confusion, new weakness, facial drooping, trouble speaking, severe headache, collapse or a head injury needs emergency help rather than a routine memory appointment. Seek prompt medical advice for rapidly changing confusion, fever, severe drowsiness or hallucinations, as infection, medicine effects or another acute problem may be involved. Gradual memory change still deserves a planned review.

Ask what the assessment suggests, which reversible contributors will be checked, whether referral is appropriate, and what support is available at home. Discuss driving, medication organisation, falls, finances and advance planning if memory changes are affecting safety or independence.