Memory Loss in Kathmandu: What a Cognitive Assessment Actually Checks

Some forgetting is normal at any age —— where you left the keys, an occasional missed name. The boundary that matters is daily function: forgetting recent conversations, repeating questions, getting lost in familiar areas, or struggling with money and medications signals a change worth professional attention. Not every memory problem is dementia. Depression, vitamin B12 deficiency, thyroid disease, medication effects, poor sleep including sleep apnea, and alcohol use can all impair cognition —— and many are reversible. The job of a cognitive assessment is to identify these factors first, then characterize genuine progressive change. A structured cognitive assessment at a neurology setting like Kathmandu Neurology Clinic & Cognitive Center includes: history from the patient and a close relative, cognitive screening instruments, medication and medical-factor review, and blood work or imaging where indicated. A dementia diagnosis is never implied without evidence; mild cognitive impairment is discussed as a distinct category, and families receive education about safety —— driving, medications, finances —— and follow-up. If you or a family member are concerned about memory changes in Kathmandu, early assessment allows planning rather than reaction. Dr. Jitendra Prasad Yadav (NMC 8029; MBBS, MD Internal Medicine, FICN Neurology; 15+ years at National Trauma Center/NAMS) leads cognitive care at the clinic —— see /dementia-doctor-kathmandu and /cognitive-care for details. Educational purpose only; individual concerns deserve clinical evaluation.