Quick Answer
When to seek assessment and what cognitive care really involves.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Cognitive care covers memory concerns, mood changes, and mental wellbeing evaluation. At Kathmandu Neurology Clinic & Cognitive Center, Dr. Jitendra Prasad Yadav (NMC 8029) assesses whether changes are due to reversible factors (sleep, mood, B12/thyroid, medications, hearing) or progressive conditions.
Evaluation includes detailed history from patient and informant, MoCA/MMSE cognitive screening, medication and medical-factor review, and targeted investigations only when indicated. A dementia diagnosis is never implied without evidence; mild cognitive impairment is discussed as a distinct category, and families receive education about safety and follow-up.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for dementia.
No outcome is guaranteed; the value is systematic assessment and continuity with the same consultant. For memory concerns, early MoCA/MMSE screening and informant history guide whether lifestyle, vascular workup or specialist follow-up is next.
See /neurology-topics/mild-cognitive-impairment and /services/memory-cognitive-care.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Early discussion is helpful when concerns affect daily life; screening approach is individualized.
No; occasional lapses, stress-related memory changes, and other conditions can affect memory. Persistent functional impact warrants evaluation.
No; while age is a risk factor, not all older adults develop Alzheimer's.
No proven prevention exists. Brain-health measures (cognitive engagement, exercise, cardiovascular health, good sleep) may support general health but do not guarantee avoidance.
Yes. Short or fragmented sleep impairs memory consolidation and lowers migraine threshold. Snoring with apneas fragments sleep and fragments cognition. Dr. Jitendra screens sleep duration, regularity, snoring and caffeine, and refers for sleep study when indicated — often before escalating headache or memory medicines.
More: All FAQs → · Ask Dr. Jitendra →
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Medical Disclaimer
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.