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Dementia: When to refer to a specialist

Primary care providers should consider referring the patient when there is:

  • uncertainty over diagnosis after initial evaluation and treatment
  • an indication for neuropsychological testing to differentiate between normal aging and mild cognitive impairment
  • significant depression with poor response to treatment
  • difficulties in tolerating medications for dementia
  • challenging behaviours or significant stress on the caregiver and social environment
  • need for genetic counselling
  • patient or family request
  • an indication for further evaluation of in-home safety, driving or other areas of potential risk

What referrals can support my patient with dementia?


Psychiatry in primary care toolkit

A powerful mobile app packed with features that will streamline screening and assessment in primary care.

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Frequently asked questions