Cognitive decline
A functional medicine–informed look at memory loss and the conditions that can affect it, from your family doctor.
Learn moreChanges worth talking about
Everyone forgets things now and then. But some changes are worth a conversation with a doctor, especially if they are new or getting worse. These include:
- Asking the same question or telling the same story again and again
- Misplacing things more often than before
- Trouble with familiar tasks, like following a recipe or paying bills
- Trouble finding the right word in conversation
- Getting lost in a place you know well
- Changes in mood, judgment or interest in usual activities
These changes have many possible causes, and some of them can be treated. An evaluation is the first step toward understanding what is going on. Sometimes a family member notices the changes first. That's a good reason to call.
What the evaluation includes
Your evaluation starts with a detailed history. We ask about when the changes started, how they affect daily life, and your overall health. A family member or friend who knows you well can add a lot here.
Your provider will also do a physical exam and a cognitive screening, and review your medications and supplements, since some can affect memory and thinking. We'll ask about sleep, mood, activity and nutrition. Lab work is ordered as needed, based on your history and symptoms.
How our protocol-based approach works
Dr. Diatte is trained in the Bredesen Protocol®, sometimes called ReCODE. It is a structured approach that looks at many possible contributors to memory problems at once, rather than one at a time.
For you, that means a personalized plan that looks for and addresses factors that can contribute to cognitive decline. Depending on your evaluation, your plan may look at:
- Sleep quality and sleep problems
- Physical activity
- Nutrition
- Medications that may affect thinking
- Other health conditions, such as blood sugar, blood pressure or thyroid problems
- Stress and social connection
Plans take effort and follow-up. We check in at regular visits, see what's working, and adjust the plan over time.
What the research shows
We want you to have honest information. The evidence for the Bredesen Protocol comes mostly from small, uncontrolled reports. Larger studies are ongoing. Some researchers have publicly questioned the approach and called for stronger trials (KFF Health News reported on these concerns).
Many parts of a plan, such as better sleep, regular activity and good control of other health conditions, are part of good care for anyone. We'll talk with you about what is known, what isn't, and what to expect. Results vary from person to person.
Family members are welcome
Memory care works best as a team. A spouse, adult child or close friend is welcome at every visit. They can share what they've noticed, help remember the plan, and support changes at home. With your permission, we'll keep them informed.
Patients come to us from across Greater Cincinnati, Dayton, and Butler and Warren counties. If you're traveling, tell us when you call and we'll help plan your visits.
When to see a specialist
Sudden changes are an emergency. If you or someone you're with has sudden confusion, trouble speaking, weakness or numbness on one side, a severe headache, or a sudden change in alertness, call 911 right away.
We may refer you to a neurologist if memory or thinking is getting worse quickly, if symptoms started at a younger age, if there are changes in walking, balance or movement, or if your evaluation points to a condition that needs specialist testing or treatment. We work alongside neurologists and other specialists, and we keep caring for you as your family doctor.
