Cognitive decline is easiest to act on when it is detected against your own earlier performance rather than against a population average. That requires a baseline while you are well.
What it covers
- Validated computerised cognitive assessment
- Memory, processing speed, attention and executive function
- Sleep quality assessment, since poor sleep mimics decline
- Vascular and metabolic risk factors for cognition
- Where indicated, APOE status — discussed and consented beforehand
How it is performed
A 45-minute assessment in a quiet room, repeated at the same time of day in future to keep results comparable.
How to prepare
Sleep normally the night before, take your usual caffeine at your usual time, and bring glasses or hearing aids if you use them.
How we read it
Against your own baseline. Most early changes we detect turn out to be sleep, thyroid, B12 or medication effects — all correctable, and all worth ruling out before anything else is considered.