What’s causing my memory loss? Is it dementia or something else?

Sometimes people experience memory loss and other problems with their thinking - even problems as severe as mimicking dementia - that are not actually caused by dementia. This is commonly called pseudodementia. 


What does the term “pseudodementia” mean? 

It’s a label used to refer to conditions that cause dementia-like symptoms. “Pseudo” is used because the symptoms are not actually caused by dementia.

What can cause pseudodementia?

Some psychiatric and medical conditions can cause pseudodementia. By far, the most common condition is depression – we know that depressed mood negatively impacts cognitive functions, especially in older adults. 


How can you differentiate between dementia and pseudodementia?

Patterns of performance on cognitive tests often look different in the two conditions. 


Can pseudodementia be treated?

Memory loss and other cognitive problems will likely resolve if the underlying condition is treated. For instance, if a person’s symptoms are actually caused by depression, memory and other thinking skills should return to normal after the depression has been treated.  


How can someone find out if they have dementia or another condition?

One of the difficulties in diagnosing pseudodementia is that dementia and depression often co-exist. This can cause confusion in determining if it’s dementia, depression, or perhaps dementia AND depression. In some cases, depression can precede cognitive disorders (such as Alzheimer’s disease), and in many cases, depressed mood develops as a result of having dementia. 


Neuropsychological testing can help pinpoint the cause of memory loss.

A thorough neuropsychological evaluation can help determine what’s causing cognitive impairment and provide recommendations for next steps.


Christina Catanzaro, Psy.D.

Dr. Catanzaro is a clinical neuropsychologist who specializes in the assessment of neurological disorders. She has received extensive clinical training in neuropsychological assessment, which included a neuropsychology-focused internship at Penn State Hershey Medical Center. Dr. Catanzaro subsequently completed a two year fellowship in clinical neuropsychology at Bancroft NeuroRehab where she conducted outpatient neuropsychological evaluations with adults with concussion and traumatic brain injuries, stroke, movement disorders and neurodegenerative disorders.

Dr. Catanzaro’s clinical interests include traumatic brain injury and neurodegenerative disorders, and she has published research on neurologic development as well as mindfulness and acceptance-based interventions. She has served as an adjunct professor in both undergraduate and graduate psychology departments at Kean University and Rutgers University. She maintains research interests in mindfulness-based interventions. Dr. Catanzaro received her doctorate and master’s degree from Kean University, and her bachelor’s degree from Loyola College in Maryland.

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