[Signs and symptoms of major neurocognitive disorders]

Cognitive disorders are a common problem, especially for older people. Dementia, recently renamed "major neurocognitive disorder" in DSM-5 is a complex subject. Age, vascular risk factors, subjective decline and its objectivation, are all risk factor for such neurocognitive disorders. Face to minor neurocognitive disorder, decline seemed more associated with the presence of structural atrophy or functional metabolic modification. It seems however more and more clear that, at least actually, such a diagnosis should not be done as early as possible but well timely and individually correct. This patient-centred approach requires the peculiar involvement of its familial, general physician. But when early detection tools will be used, for any legitimate reason, it will also be important to address specialized teams. In case of neurocognitive disorders, particularly major, psychoeducative programs are the most effective therapeutic on both patient and caregiver qualities of live. Such multidisciplinary program of care for patients with neurocognitive disorder and his/her caregiver has just obtained a financial agreement via the specific protocol 3 and should be known to be efficient.