When is GP consultation recommended for dementia?

Dementia describes an ongoing decline in cognitive abilities that interferes with everyday life. Similar problems can arise from depression, sleep disorders, medication effects, thyroid problems, infection or other conditions. A GP can review the pattern, health history and medicines, and decide whether tests or specialist assessment are appropriate.

Write down examples of missed appointments, repeated questions, getting lost, trouble managing money or changes in personal care. Note when each change started and whether it is gradually worsening. Take a current medicine list and, if possible, invite a trusted person who has noticed the changes. Do not stop prescribed medicines without advice.

Seek urgent medical help for confusion that starts suddenly, especially with fever, a severe headache, weakness on one side, trouble speaking, a head injury, drowsiness or a seizure. Immediate assessment is also needed if a person with cognitive impairment is unsafe, has wandered, cannot eat or drink, or may have taken too much medicine.

Ask what could be causing the changes, which assessments may be offered, and whether medicines or sleep problems could contribute. Discuss driving, falls, work, finances, home support and future planning. Ask what warning signs should prompt an urgent call and when the next review should occur.