The Pros and Cons of Getting Tested for Cognitive Decline

Author

Dementia360 Program, A Presbyterian SeniorCare Network Program

For more information about the author, click to view their website: Dementia360 - A Presbyterian SeniorCare Network Program

Posted on

May 18, 2026

As people age, changes in memory and thinking are common. Occasionally forgetting names or misplacing items can be a normal part of getting older. However, more serious or frequent issues may be signs of cognitive decline. Medical tests can help evaluate how well a person’s brain is functioning but deciding whether to get tested is not always straightforward. There are several advantages and disadvantages to consider.

One major benefit of testing is clarity. When someone notices changes in their memory or thinking, uncertainty can be stressful. A cognitive evaluation can help determine whether these changes are part of normal aging or something more serious, such as dementia. Having a clear answer can reduce anxiety and allow individuals to better understand their situation. Early detection is another important advantage. If a problem is identified early, there may be more options for managing symptoms through medication, therapy, or lifestyle adjustments like improved diet, exercise, and mental stimulation.

Testing can also help with future planning. If cognitive decline is diagnosed, individuals can take an active role in making decisions about their care, finances, and living arrangements while they are still capable of doing so. This can ease the burden on family members and ensure that a person’s wishes are respected. In addition, a diagnosis can help families access support services and resources that might otherwise be unavailable.

Despite these benefits, there are also drawbacks to consider. One of the most significant concerns is the emotional impact on the individual and on the family. Receiving a diagnosis of cognitive decline can be overwhelming and may lead to feelings of fear, sadness, or anxiety about the future. It should be noted these feelings are all normal and require time to process.  

An especially challenging situation arises when a person may already have dementia but does not recognize their own symptoms, a condition known as anosognosia. In these cases, individuals often refuse to be tested because they genuinely believe nothing is wrong. Attempting to force or pressure someone in this situation can have negative consequences. It may lead to increased agitation, anger, or distrust toward family members and caregivers. Instead of encouraging cooperation, it can damage relationships and make the person less willing to accept help in the future.

In addition, pushing too hard for testing can create emotional distress for both the individual and their loved ones. Family members may feel frustrated or helpless, while the person experiencing cognitive decline may feel attacked or misunderstood. In some cases, it can even escalate into conflict, particularly if the individual becomes defensive or fearful.

 

Another limitation is that not all causes of cognitive decline are treatable. While early diagnosis can help manage symptoms, there is often no cure for conditions like Alzheimer’s disease. This can leave individuals feeling powerless. Additionally, cognitive testing can sometimes be costly, time-consuming, or not fully covered by insurance, which may discourage people from seeking evaluation.

There is also the possibility of uncertain or inconclusive results. Cognitive tests are not always definitive, especially in the early stages of decline. This can lead to confusion or even misdiagnosis, potentially resulting in unnecessary worry or treatment.

There are also ethical considerations. Respecting a person’s autonomy is important, even when their judgment may be impaired. Learning how to balance keeping a person independent and keeping a person safe can be challenging but very important in navigating relationships where one person is living with dementia.

In conclusion, getting tested for cognitive decline offers important benefits, such as early detection, clearer understanding, and the ability to plan ahead. However, it also comes with potential emotional, financial, and practical challenges. These challenges can become even more complex when a person resists testing due to lack of awareness of their condition. While a family may decide not to move forward with testing to determine a specific dementia, it can be important to get a thorough medical workup to rule out any acute issues that may mimic dementia. Deciding on how to proceed in these situations requires patience, careful judgment, and often the support of healthcare professionals and caregivers.

This article was written by Shawna Sanders, CTRS, CDP, PCHA, Care Coordinator  for Dementia360, a program that provides guidance and support to families on the dementia journey. If you are feeling unprepared, alone, stressed or scared, Dementia360 can help. For more information, go to www.srcare.org/dementia360 , email [email protected] or call 412-435-8950.

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