In this episode, MB and Suzie sit down with Dr. Christy Phillips, a Brookdale gerontologist, to unpack one of the most challenging aspects of caring for aging parents: understanding whether changes in behavior stem from cognitive decline, depression or both. Dr. Phillips explains how these conditions share similar symptoms yet require different approaches, making early diagnosis crucial. The conversation covers normal age-related changes versus possible red flags, the impact of loneliness and depression on dementia risk and how spouses often compensate for cognitive decline until a major life event reveals the extent of changes. Dr. Phillips provides guidance on navigating doctor visits, the importance of having a reliable informant present and screening tools like the PHQ-9 and Montreal Cognitive Assessment. The hosts draw on personal experiences with their parents, showing how denial often accompanies early symptoms and the delicate balance between offering support and preserving autonomy. This episode offers hope through recent research developments while emphasizing that early intervention can significantly improve quality of life for aging adults experiencing either condition.
When Memory Lapses Become Concerning - 00:20
The Connection Between Depression and Dementia - 08:20
How Spouses Compensate for Cognitive Decline - 06:06
The Power of Community in Combating Loneliness - 11:51
Understanding Normal Aging Versus Cognitive Decline - 17:12
When to See a Doctor and What to Expect - 24:14
Starting Difficult Conversations with Compassion - 25:39
Navigating Denial and Getting Professional Help - 34:31
Treatment Options and the Importance of Second Opinions - 36:06
Hope on the Horizon: New Research and Interventions - 37:24
Resources:
Brookdale Senior Living:
https://www.brookdale.com
PHQ-9 Depression Screening Tool
https://www.mdcalc.com/calc/1725/phq-9-patient-health-questionnaire-9 physicians
Montreal Cognitive Assessment (MoCA) information
https://www.mocatest.org
The Grey Take Listener Line: 833-473-9898
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