Cognitive Testing
Cognitive testing evaluates brain functions like memory, thinking, and language to identify impairment that may require further medical investigation.
Overview
Cognitive testing checks for cognitive impairment—problems with thinking, learning, remembering, and judgment. While more common in older adults, impairment is not a normal part of aging. It can be caused by treatable conditions like infections, depression, or medication side effects, or by progressive conditions like dementia.
Why do I need cognitive testing?
Testing is used when you or others notice changes such as:
- Forgetting appointments or important events.
- Frequently losing items.
- Difficulty finding words.
- Losing one's train of thought.
- Increased irritability or anxiety.
Common Cognitive Tests
These tests typically take 15 minutes or less:
- Montreal Cognitive Assessment (MoCA): Includes memorizing words, copying shapes, and identifying pictures.
- Mini-Mental State Exam (MMSE): Includes identifying the date, counting backward, and naming objects.
- Mini-Cog: Includes recalling a three-word list and drawing a clock.
What do the results mean?
A score lower than normal suggests some level of cognitive impairment, though these tests cannot diagnose a specific cause on their own. Your provider may refer you to a neurologist for detailed neuropsychological testing or order tests to rule out treatable causes, such as:
- Vitamin deficiencies (e.g., B12)
- Hypothyroidism
- Sleep or blood vessel disorders
- Mental health conditions like depression
- Head injuries or stroke