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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

The Psychiatry in Primary Care App has been decommissioned. 

The revised print version of Psychiatry in Primary Care is avaible through the CAMH store. 

We have posted a number of revised chapters from the book in Treating Conditions and Disorders in the new Professionals section of