April, 2025

By Ashley Mondragon, Psy.D,  Neuropsychology Postdoctoral Fellow

Mild Cognitive Impairment (MCI), also known as Mild Neurocognitive Disorder (MND),is a condition that leads to subtle but noticeable changes in thinking skills such as memory, thinking, attention, language, reasoning abilities, and more. While these changes can be concerning, they are not severe enough to significantly impact daily functioning (e.g., driving, managing finances/medication, bathing, dressing, toileting, etc.). Individuals with MCI may find that they forget recent conversations or appointments, but they can still carry out everyday tasks independently

MCI can show up in two main forms:

1. Amnestic MCI, which primarily affects memory. Individuals may begin to forget important details, such as conversations or recent events.
2. Non-amnestic MCI, which impacts other cognitive functions like decision-making, planning, and judgment. People with this type of MCI might struggle with tasks like organizing their home or managing finances.

What Causes MCI?

The exact cause of MCI is not fully understood, but it is believed that in some cases, MCI may signal an early stage of a neurodegenerative disease. However, not everyone diagnosed with MCI will progress to dementia, and other factors, such as lifestyle and genetics, can influence its development.

How is Age Related to MCI?

MCI is more commonly noticed in individuals over the age of 50, but it can appear earlier or later. As people age, some cognitive changes are typical, but MCI represents a noticeable decline beyond normal aging.

Is There Medication for MCI?

While there is no cure for MCI, medications can sometimes be used to help manage symptoms. Cholinesterase inhibitors, such as donepezil, galantamine, or rivastigmine, are commonly prescribed. These medications may help slow the decline in memory and thinking abilities. However, it’s essential to consult with a healthcare provider to evaluate all current medications.

Factors That May Influence the Progression of MCI

Certain factors may increase the risk of MCI progressing to dementia, such as diabetes, high blood pressure, obesity, smoking, depression, and lack of mental or physical activity. Eating a balanced diet, getting enough sleep, and reducing alcohol intake are also beneficial.

What to Do After Diagnosis

Individual:

1. Stay active with mentally stimulating activities and physical exercise.
2. Use reminders like calendars and lists to help with memory.
3. Engage in social activities, spend time with family, friends, or neighbors.
4. Communicate with your medical team for optimal healthcare.
5. Consider talking with a mental health professional to navigate the emotional impact of the diagnosis.

Family:

1. Offer help as needed, while encouraging independence.
2. Discuss care preferences and plans (i.e., living conditions, live-in/hired support, etc.).
3. Attend doctor appointments together for better understanding and support.
4. Consider joining a caregiver support group.
5. Don’t forget to care for yourself.

Helpful Resources near Doylestown, PA:

Doylestown Health Dementia-Friendly Initiative: Offers a Memory Café and educational programs. Click here to learn more.

Bucks County Area Agency on Aging: Provides information on services such as transportation, country resources, community social and recreational activities, legal services, and more. Find  out more here.

Visiting Angels Doylestown: Provides in-home care and respite for caregivers. Discover more here.

Moving Forward: A diagnosis of MCI is not the end—it is a chance to plan, seek support, and continue to enjoy life. Use available resources and stay connected with your loved ones.

If you or a loved one are concerned about possible mild cognitive impairment, consider contacting us, The Center for Neuropsychology & Counseling, to schedule a neuropsychological evaluation. This assessment can help clarify the nature of the changes, guide treatment planning, and support informed next steps.