How a Diagnosis is Made

Once testing is completed, the doctor will review all information (medical history, physical, neurological, mental status, and laboratory exams and brain scans) to make a diagnosis. For many forms of dementia, it is not possible for the doctor to say that someone "definitively" has a particular type of dementia. This is because making a definite diagnosis of many forms of dementia is only possible when an autopsy is performed (after death) to confirm the presence of damage or abnormal proteins in the brain.

However, the doctor will likely provide you with a diagnosis of probable or possible dementia. For example, for a person with symptoms of Alzheimer's disease (AD), the doctor may arrive at one of two conclusions:

  1. Probable Alzheimer's Disease - if the physical exam and test results match the criteria for diagnosing Alzheimer's disease
  2. Possible Alzheimer's Disease - if the results demonstrates that the person has dementia, but it may differ from that of typical AD or be caused by another disease other than AD

A person who is just starting to show small signs of dementia and does not have enough symptoms for a diagnosis of Alzheimer's disease may be given a diagnosis of mild cognitive impairment.

After diagnosis, your physician will talk to you about a treatment plan that will best help your loved one. It is important to remember that there is not a cure for Alzheimer's disease or for most forms of dementia. However, treatment may help slow down the progression of the disease and improve daily functioning, allowing more opportunities for good times with your loved one.

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Resources
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Source: 
Texas Department of State Health Services
Description: 
This web page discusses the diagnostic tools and criteria available that help physicians make an accurate Alzheimer's diagnosis.
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Elder Care
Description: 
This article discusses the differential diagnosis of dementia.
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American Federation for Aging Research
Description: 
This article highlights the difficulties of diagnosing the correct type of dementia, especially in the early stages of the disease. New tests under development to facilitate accurate and early diagnosis of Alzheimer's disease are discussed in detail.
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British Medical Journal
Description: 
This article presents research on how often clinical diagnosis of dementia corresponds to post-mortem neuropathological studies.
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American Academy of Family Physicians
Description: 
This detailed medical article discusses aspects of making a diagnosis of dementia, including a guide to differential diagnosis in the form of a flow chart. The article is written for physicians.