
Dementia refers to a group of symptoms affecting memory, thinking, and social abilities severely enough to interfere with daily life. While not a single disease, dementia describes a collection of symptoms that can result from various underlying conditions. As the condition progresses, individuals may experience difficulty with communication, problem-solving, reasoning, and completing everyday tasks.
At Prima Medicine, our team understands the profound impact dementia has on patients and their families. If you or a loved one are experiencing memory changes or cognitive decline, our neurologic and cognitive care specialists are here to help. Led by Dr. Chethana Rao, Prima Medicine offers thorough evaluations, personalized treatment plans, and ongoing support to help manage symptoms and optimize quality of life.
What Is Dementia?
Dementia is not a normal part of aging, though it primarily affects older adults. The condition involves progressive damage to brain cells that impairs their ability to communicate with each other. This breakdown affects thinking, behavior, and feelings.
While Alzheimer’s disease accounts for 60-80% of dementia cases, many other conditions can cause or contribute to cognitive decline.
Common Causes of Dementia
Knowing the underlying cause of dementia is essential for determining the most effective treatment approach. Common causes include:
- Alzheimer’s disease
- Vascular dementia (caused by reduced blood flow to the brain)
- Lewy body dementia
- Frontotemporal dementia
- Parkinson’s disease
- Traumatic brain injury
- Chronic alcohol or drug use
- Vitamin deficiencies (particularly B12)
- Thyroid disorders
- Brain tumors or infections
Some causes of dementia, such as those related to vitamin deficiencies or thyroid problems, may be reversible with proper treatment when caught early.
Recognizing the Symptoms
Early detection of dementia symptoms can lead to better outcomes and more treatment options. While symptoms vary depending on the cause and individual, common warning signs include:
- Memory loss that disrupts daily life
- Difficulty planning or solving problems
- Trouble completing familiar tasks
- Confusion with time or place
- Problems with words in speaking or writing
- Misplacing things and losing the ability to retrace steps
- Poor judgment or decision-making
- Changes in mood, personality, or behavior
- Withdrawal from work or social activities
If you notice these symptoms in yourself or a loved one, it’s important to seek medical evaluation promptly.
Diagnosis and Assessment
At Prima Medicine, we conduct evaluations to determine the cause and extent of cognitive decline. Our diagnostic approach includes:
- Detailed medical history and physical examination
- Cognitive and neuropsychological testing
- Laboratory tests to rule out reversible causes
- Review of current medications
- Assessment of functional abilities
We coordinate with specialists when advanced imaging or additional testing is needed to ensure an accurate diagnosis.
Treatment and Management Options
While most forms of dementia cannot be cured, treatment can help manage symptoms and improve quality of life. Our treatment approach includes:
Support for Patients and Caregivers
Caring for someone with dementia can be challenging. We provide guidance on:
- Creating a safe home environment
- Establishing daily routines
- Communication strategies
- Caregiver self-care and support resources
- Advance care planning
For patients enrolled in Medicare, we can help you understand your coverage for dementia care services, including cognitive assessments and care coordination.
Why Choose Prima Medicine?
Prima Medicine offers specialized care for patients with dementia and their families. Dr. Chethana Rao, recognized as Washingtonian magazine’s 2018 Top Doc, leads our team in providing evidence-based, patient-centered care. As part of Privia Medical Group, we have access to a network of specialists and resources to support comprehensive dementia management.
Our approach includes same-day or next-day appointments when concerns arise, extended appointment times to address all your questions, and coordination with specialists when needed. We focus on maintaining dignity, independence, and quality of life for as long as possible. Our expertise in geriatric medicine ensures that we understand the unique needs of older adults and provide age-appropriate, compassionate care.
Schedule Your Appointment Today
Early evaluation and intervention can make a significant difference in managing dementia. Contact Prima Medicine today at (703) 870-3750 or book an appointment online to visit one of our offices in Fairfax, South Riding, Merrifield, or Tysons, VA.









































