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Columbia University College of Physicians and Surgeons | Dementia: Update for the Practitioner
 
 Introduction
 
 Diagnosis of Mild Cognitive Impairment and Alzheimer's Disease
Karen L. Bell, M.D.
 
 Treatment Strategies for Dementia and Mild Cognitive Impairment
Mary Sano, Ph.D.
 
 Treatment of Depression, Agitation, and Psychosis in Dementia
Davangere P. Devanand, M.D.
 
 Recognition of Vascular Dementia, Dementia with Lewy Bodies, and Frontotemporal Dementia
Lawrence S. Honig, M.D., Ph.D.
 
  Neuropsychology of Mild Cognitive Impairment, Alzheimer's Disease, Dementia with Lewy Bodies, and Frontotemporal Dementia Penne Sims, Ph.D.
 
  What is Assessed
 
 
  Neuropsychology in Differential Diagnosis
 
 
  Screening Measures
 
 
  Protocol of a Declining Patient
 
 
 
  Protocol for Lewy Bodies
 
 
  Protocol for FTLD
 
 
  Benefits of Testing
 
  Neuroimaging in Dementia
Scott A. Small, M.D.
 
  Genetics of Neurodegenerative Disease: Alzheimer's Disease, Frontotemporal Dementia
Jennifer Williamson-Catania, M.S.
 
  Legal and Ethical Issues for Patients with Dementia
Daniel G. Fish, Esq.
 
 
Posttest
 
 
 
 
 
Accreditation
 
 
Reference List
 
 
Acknowledgements

 Begin page content 
Neuropsychology of Mild Cognitive Impairment,
Alzheimer's Disease, Dementia with Lewy Bodies,
and Frontotemporal Dementia
Penne Sims, Ph.D.

Benefits of Testing
 
The role of neuropsychology in dementia is not only helpful in verifying initial diagnoses, but it also helps to measure the rate of progression, provide indications on how deficits are changing over successive evaluations, and measure the efficacy of intervention therapies over repeated evaluations. It is helpful in research, providing sensitive tools for early detection and discrimination of deficits, and it helps provide powerful tools for clinical trials.
 
With respect to patient care, it can also help identify cognitive strengths and weaknesses and how deficits impact the activities of daily living. This can help us suggest to the family and the patient what he or she is still good at, how to remain productive, and what he or she should and should not try to do. For example, should the patient try to do finances, does he or she need a little help, or should that task be taken over by someone else? Neuropsychological testing also helps estimate the need for and extent of future care.
 
Neuropsychological testing, however, should not be used as a lone diagnostic tool; it is always most useful in conjunction with a multidisciplinary approach, including psychiatry, psychology, radiology, social work, or others that I have not mentioned.
 
 
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