How do I know I have Alzheimer's and not another type of dementia?

Dr. Roger A. Brumback advises, “A really critical question is, ‘How sure are you that this is Alzheimer’s or one of the other degenerative dementias and not a treatable condition?’” A diagnosis of Alzheimer’s disease should be made only after a whole battery of thoroughly comprehensive medical, neurological, and psychiatric evaluations have ruled out the other causes or types of dementia.

Some conditions that masquerade as Alzheimer’s disease are actually treatable and even curable. These include depression; alcoholism; brain tumors; heart, thyroid, or metabolic conditions; head injuries; infections, and vision or hearing difficulties. Drug reactions are a common cause of treatable dementia.

Many elderly people are more sensitive to medicines than younger people and rely on several different prescriptions, which can cause drug interactions. In general, the more advanced the dementia is, the easier it is to know with certainty that your loved one has Alzheimer’s disease. But, if the doctor tells you that it is early-stage Alzheimer’s disease or that the diagnosis is what is called mild cognitive impairment (MCI), insist on more information or get a second opinion.

Identifying mild cases of Alzheimer’s disease can be very difficult, and doctors do not agree among themselves on what constitutes memory loss from natural aging and what constitutes memory loss from the disease.

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