![]() ![]() ![]() We introduced in our clinic a short cognitive assessment using the MoCA for all referred patients to lower doctors delay by adding an objective aid to triage those in need for specialized diagnostic route besides having baseline cognitive data. 10, 11 In The Netherlands, referrals to old age psychiatry consist of a mix of neurodegenerative and other psychiatric disorders, such as depression, bipolar disorders, schizophrenia, and severe anxiety disorders, all of which can be accompanied by poor cognitive functioning. By knowing patient's cognitive functioning at referral, besides timely detecting dementia also to monitor all causes of MCI in old age psychiatry, one can adapt their (psychiatric) treatment eg, pharmacotherapy (including compliance) or psychotherapy, especially as this population is at greater risk of changing cognitive functioning not only by age but also by (psychotropic) medication or because of the referral reasons. 4, 5, 6, 7, 8, 9 However, the setting of old age psychiatry is different to our opinion. 3Įven though more and more advocacy groups or policy makers favor screening for dementia, there is still a debate if screening in various populations is wise. 2 The MoCA is recommended by the Alzheimer Society to objectively assess cognitive complaints in a clinical setting. It is widely used across the world in a variety of settings. The Montreal Cognitive Assessment (MoCA) 1 was developed as a brief screening test for mild cognitive impairment (MCI). ![]()
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