Abstract

The South West Yorkshire Mental Health NHS Trust’s Younger People with Dementia Team provides specialist support to clients of the Memory Monitoring Service who are under the age of 65. This paper describes the rationale for a new diagnostic pathway (Figure 1) which was developed following the discovery that two of these clients had been inaccurately diagnosed with dementia. The factors which can lead to misdiagnosis, especially in younger adults, are explored and a case study is included to illustrate how this issue was resolved for one particular client. Practitioners need to consider the possibility that cognitive impairment may arise from psychopathology, trauma or depression and a multidisciplinary approach to the issue of diagnosis is required if such difficulties are to be correctly identified. A robust protocol for thorough assessment and effective collaboration between the disciplines of psychiatry, neurology, neuropsychology and nursing is, therefore, essential.

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