{"id":150,"date":"2025-07-25T14:50:46","date_gmt":"2025-07-25T12:50:46","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/memoria\/?p=150"},"modified":"2025-07-25T15:35:43","modified_gmt":"2025-07-25T13:35:43","slug":"cognitive-decline","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/memoria\/en\/cognitive-decline\/","title":{"rendered":"Cognitive decline: key facts for early detection and treatment"},"content":{"rendered":"<p data-pm-slice=\"1 1 []\"><strong>Cognitive decline<\/strong> is a process involving the <strong>loss of mental functions such as <a href=\"https:\/\/www.barnaclinic.com\/en\/memory-and-cognitive-disorders\/\">memory<\/a><\/strong>, <strong>language<\/strong> or <strong>planning ability<\/strong>. It mostly affects older adults, although it can occur at any age. Recognising the early signs and understanding the <strong>different stages of cognitive decline<\/strong> is essential to prevent its progression to more severe forms.<\/p>\n<p data-pm-slice=\"1 1 []\"><!--more--><\/p>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/628\/adria\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-22\" src=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/wp-content\/uploads\/sites\/26\/2024\/11\/Adria-Tort-evaluacion-neuropsicologica.png\" alt=\"Dr. Adri\u00e0 Tort - Neuropsychologist\" width=\"111\" height=\"114\" \/><\/a><\/h4>\n<h4>\u201cWe aim to make the diagnosis as early as possible in this first stage, which we call mild cognitive impairment\u201d<\/h4>\n<p>Dr. <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/628\/adria\"><strong>Adri\u00e0 Tort<\/strong><\/a>, neuropsychologist at barnacl\u00ednic+<\/p><\/blockquote>\n<h2>What is mild cognitive impairment?<\/h2>\n<p><strong>Mild cognitive impairment (MCI)<\/strong> is a clinical syndrome characterised by an objective decline in cognitive performance in one or more domains, which does not significantly impair daily functioning. In other words, the person remains autonomous.<br \/>\nThe<strong> symptoms of mild cognitive impairment<\/strong> vary depending on the domain affected: they may include memory issues, difficulty finding words, trouble with attention or planning, or visuospatial difficulties.<\/p>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/628\/adria\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-22\" src=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/wp-content\/uploads\/sites\/26\/2024\/11\/Adria-Tort-evaluacion-neuropsicologica.png\" alt=\"Dr. Adri\u00e0 Tort - Neuropsychologist\" width=\"111\" height=\"114\" \/><\/a><\/h4>\n<h4>\u201cCognitive decline implies a significant loss of cognitive function\u201d<\/h4>\n<p>Dr. <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/628\/adria\"><strong>Adri\u00e0 Tort<\/strong><\/a><\/p><\/blockquote>\n<p>Although it is not a disease in itself, <strong>mild cognitive impairment<\/strong> can be the early stage of <a href=\"https:\/\/www.barnaclinic.com\/en\/memory-and-cognitive-disorders\/\"><strong>dementia<\/strong><\/a>. <a href=\"https:\/\/www.barnaclinic.com\/en\/memory-and-cognitive-disorders\/\" target=\"_blank\" rel=\"noopener\"><strong>Alzheimer\u2019s disease<\/strong><\/a> is, in fact, one of the main <strong>causes of mild cognitive impairment<\/strong>. Detecting it early allows for therapeutic strategies to slow down its progression.<\/p>\n<hr \/>\n<p><iframe loading=\"lazy\" title=\"Memory problems? It could be COGNITIVE DECLINE | Dr. Adri\u00e0 Tort #cognitivedecline\" src=\"https:\/\/www.youtube.com\/embed\/YHMFvbROwGw\" width=\"394\" height=\"700\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<hr \/>\n<h2>Cognitive decline in the elderly: symptoms and types<\/h2>\n<p>The <strong>symptoms of cognitive decline in the elderly<\/strong> can be grouped into two main types:<\/p>\n<ul data-spread=\"false\">\n<li><strong>Amnestic cognitive impairment<\/strong>: mainly affects memory. It often involves trouble remembering recent information, repeating questions, or increased reliance on reminders.<\/li>\n<li><strong>Non-amnestic cognitive impairment<\/strong>: affects language, attention, executive function or spatial orientation.<\/li>\n<\/ul>\n<p>Although independence is preserved, the person may need more time or external help for daily tasks.<\/p>\n<h2>Normal ageing vs. cognitive decline<\/h2>\n<p>Ageing does not necessarily mean declining. Some mild changes such as forgetfulness or slower processing are normal. However, <strong>cognitive decline<\/strong> is different:<\/p>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/628\/adria\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-22\" src=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/wp-content\/uploads\/sites\/26\/2024\/11\/Adria-Tort-evaluacion-neuropsicologica.png\" alt=\"Dr. Adri\u00e0 Tort - Neuropsychologist\" width=\"111\" height=\"114\" \/><\/a><\/h4>\n<h4>\u201cAgeing does not mean declining. We must overcome the stereotype that equates ageing with losing mental ability\u201d<\/h4>\n<p>Dr. <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/628\/adria\"><strong>Adri\u00e0 Tort<\/strong><\/a><\/p><\/blockquote>\n<p>The <strong>main difference between cognitive decline and normal ageing<\/strong> is that MCI affects daily functioning more persistently and noticeably. Both patients and their families tend to notice these changes. They can be confirmed through a <a href=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/evaluacion-neuropsicologica\/\" target=\"_blank\" rel=\"noopener\"><strong>neuropsychological evaluation<\/strong><\/a>.<\/p>\n<h2>How cognitive decline progresses: stages and evolution<\/h2>\n<p><strong>Cognitive decline<\/strong> can follow several paths:<\/p>\n<ul data-spread=\"false\">\n<li><strong>Stable course<\/strong>: cognitive performance remains unchanged.<\/li>\n<li><strong>Reversion<\/strong>: improvement when the cause is treatable (e.g. depression, medication side effects, nutritional deficits).<\/li>\n<li><strong>Progression to dementia<\/strong>: in many cases, especially when caused by a neurodegenerative disease.<\/li>\n<\/ul>\n<p>Clinically, we describe the following <strong>stages of cognitive decline<\/strong>:<\/p>\n<ul data-spread=\"false\">\n<li><strong>Mild cognitive impairment<\/strong>: as described, with no major impact on functionality.<\/li>\n<li><strong>Moderate cognitive decline<\/strong>: difficulties emerge in complex situations.<\/li>\n<li><strong>Severe cognitive decline<\/strong>: the person loses autonomy. Life expectancy may be reduced, depending on the underlying condition.<\/li>\n<\/ul>\n<h2>Diagnosis of cognitive decline<\/h2>\n<p>Diagnosis is based on a comprehensive clinical assessment at specialised centres like barnacl\u00ednic+:<\/p>\n<ul data-spread=\"false\">\n<li><strong>Clinical interview and neurological examination<\/strong><\/li>\n<li><a href=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/evaluacion-neuropsicologica\/\" target=\"_blank\" rel=\"noopener\"><strong>Full neuropsychological evaluation<\/strong><\/a><\/li>\n<li><strong>Additional tests<\/strong>: blood tests, brain imaging (CT or MRI), and biomarkers in blood or cerebrospinal fluid if diseases like <a href=\"https:\/\/www.barnaclinic.com\/en\/memory-and-cognitive-disorders\/\" target=\"_blank\" rel=\"noopener\"><strong>Alzheimer\u2019s<\/strong><\/a> are suspected.<\/li>\n<\/ul>\n<p>These tools help differentiate normal ageing from <strong>early cognitive impairment<\/strong>. <a href=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/evaluacion-neuropsicologica\/\" target=\"_blank\" rel=\"noopener\"><strong>Cognitive tests<\/strong><\/a> help determine the exact stage and potential prognosis.<\/p>\n<h2>Treatment of cognitive decline<\/h2>\n<p>Treatment depends on the underlying cause. At barnacl\u00ednic+, we recommend a multidisciplinary approach including:<\/p>\n<ul data-spread=\"false\">\n<li><strong><a href=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/estimulacion-cognitiva\/\">Cognitive stimulation<\/a><\/strong><\/li>\n<li><strong>Regular physical exercise<\/strong><\/li>\n<li><a href=\"https:\/\/www.barnaclinic.com\/blog\/nutricion\/dieta-mediterranea-mejor-calidad-vida\/\"><strong>Mediterranean diet<\/strong><\/a><\/li>\n<li><strong>Control of <a href=\"https:\/\/www.barnaclinic.com\/blog\/digestivo\/riesgo-cardiovascular\/\">cardiovascular risk factors<\/a><\/strong><\/li>\n<li><strong>Good sleep hygiene<\/strong><\/li>\n<li><strong>Mental health support<\/strong><\/li>\n<li><strong>Pharmacological treatment, if needed<\/strong><\/li>\n<\/ul>\n<blockquote>\n<h4><a href=\"https:\/\/www.barnaclinic.com\/es\/cuadro-medico\/628\/adria\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-22\" src=\"https:\/\/www.barnaclinic.com\/blog\/memoria\/wp-content\/uploads\/sites\/26\/2024\/11\/Adria-Tort-evaluacion-neuropsicologica.png\" alt=\"Dr. Adri\u00e0 Tort - Neuropsychologist\" width=\"111\" height=\"114\" \/><\/a><\/h4>\n<h4>\u201cIt can be treated, depending on the underlying cause, with programmes that improve patient functionality and quality of life\u201d<\/h4>\n<p>Dr. <a href=\"https:\/\/www.barnaclinic.com\/en\/professionals\/628\/adria\"><strong>Adri\u00e0 Tort<\/strong><\/a><\/p><\/blockquote>\n<p>Moreover, during this initial phase, the patient still retains the ability to make key decisions, such as planning for the future or establishing a <strong>power of attorney in case of cognitive decline<\/strong>.<\/p>\n<hr \/>\n<div align=\"center\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/cE2XGQtCCRE\" width=\"700\" height=\"394\" frameborder=\"0\" align=\"center\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/div>\n<hr \/>\n<div id=\"estoy-interesado\" class=\"destacat-site\">\n<h3 style=\"padding-left: 15px; padding-right: 15px;\" align=\"center\"><span style=\"color: white;\">Do you think you or a loved one may need a neuropsychological evaluation or want to speak with Dr. Adri\u00e0 Tort?<\/span><\/h3>\n<p style=\"padding-left: 30px; padding-right: 20px;\" align=\"center\"><a class=\"button\" href=\"https:\/\/www.barnaclinic.com\/en\/solicitar-cita\/?profesional=628\">WE CAN HELP YOU<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Cognitive decline is a process involving the loss of mental functions such as memory, language or planning ability. It mostly affects older adults, although it can occur at any age. Recognising the early signs and understanding the different stages of cognitive decline is essential to prevent its progression to more severe forms.<\/p>\n","protected":false},"author":2,"featured_media":145,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[173,172,178,171,168,169,177,170,176],"tags":[191,179,203,180,201,182,188,189,190,183,198,199,200,202,192,195,181,196,185,186,193,197,184,194,187],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.14 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cognitive decline: key facts for early detection and treatment<\/title>\n<meta name=\"description\" content=\"Cognitive decline is a process involving the loss of mental functions such as memory, language or planning ability...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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