Many adults report memory difficulties at some point in their lives, and to some extent, this is normal: human memory is not designed to function as a perfect recording system! In fact, forgetting is an essential part of how memory works! Memory is dynamic and reconstructive, influenced by attention, emotion, meaning, stress, and context - to name a few. However, for some individuals, memory changes become a significant source of worry, particularly when concerns arise about possible neurodegenerative conditions such as early Alzheimer’s disease.
For clients over 50, noticing a decline in their functional memory may be quite distressing. We encourage those clients to get a neuropsychological evaluation. When done in the state-of-the-art, a neuropsychological evaluation is very sensitive to detect the first clinical signs of Alzheimer's disease, often before the memory difficulties has an impact on functioning. This is especially true in high functioning adults, where the cognitive screening tool (e.g. MoCA ) has limited sensitivity. Differential diagnosis is also crucial. In too many cases, we see that the symptoms are caused by something like adult ADHD, generalized anxiety, "burn out", etc. These conditions can mimic the early signs of an Alzheimer's disease. In other cases, late life psychosis or late life depression may be the very early signs of small neurological changes. A skilled neuropsychologist can make such differential diagnosis.
For clients with head injury, the psychological distress of not knowing or not understanding the possible consequences on one's mind can interfere with everyday functioning. Did you know that there are guidelines and tons of research on the topic of head injury? Your neuropsychologist can guide you in your recovery. Also, if symptoms persist for weeks after a mild head injury, it is recommended to see a neuropsychologist, to better understand the roots of those symptoms - psychological variables may be at play, too. We use a mix of specialized equipment and clinical appreciation of symptoms, to understand the often complex roots of the memory issues.
Not sure if you want / need a neuropsychological evaluation?
A complete neuropsychological assessment is a very thorough process and might not always be warranted. An initial in-person consultation is suggested. This initial consultations is a 2 hours appointment during which your neuropsychologist will conduct a thorough interview and basic cognitive screening, as necessary. Based on this initial assessment, a neuropsychological assessment will be recommended or not. You may also receive suggestions and recommendations or a brief educational session, depending on the initial findings and clinical impressions. Full process and prices described here.
Treatments?
Depending on the outcome of the evaluation (i.e. the diagnosis), the treatment plan may vary.
- Pharmacotherapy: The pharmaceutical treatment is always managed by your general physician. We often do the diagnostic part then send them to your General physicians or nurse who provide the medication and whom will follow up with the physical / medical exams to monitor your health.
- Intervention in neuropsychology: also called cognitive remediation. Based on your cognitive profile or the everyday challenges you may face, certain interventions—known as cognitive remediation therapies—can be very helpful. Visit our intervention page to learn more.
Aptitude (expertise)
If you are worried about :
- Ability to consent
- Ability to handle finances
- Ability to take decisions for one's health
We can help! But also make sure to contact your family doctor and seek help from a Social Worker. Also, see Berg et al 2001, Grisso and Appelbaum, 1998, call Info-Santé 811 to be directed or contact us if you need a complete cognitive evaluation.
Scientific article by Dre Gagnon on the MoCA test (developed in Montreal!)
Download the scientific articleCapsule video en Francais, une collaboration avec l’organisme “Proche en tout temps”
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