Is it dementia?

The recognition of early dementia remains a difficult task, calling on the clinician's alertness to subtle clues, skillful assessment and selective use of investigations. This approach may lead to earlier diagnosis, which can reduce carer stress, avoid unnecessary treatments and allow planning and management to begin. The diagnosis of dementia is not an end but the beginning of a partnership in which the general practitioner can greatly assist by adopting a caring and supportive role, while managing practical problems as they arise.