What Happens During a Memory Assessment? A Step-by-Step Guide

If you or a loved one are experiencing memory problems, your healthcare provider may recommend a memory assessment. It’s natural to feel nervous or unsure about what to expect, but understanding the process can help reduce anxiety and ensure you’re prepared.

This guide walks you through each step of a typical memory assessment - from the initial conversation to what happens after the test - so you can feel informed and empowered every step of the way.

What Is a Memory Assessment?

A memory assessment is a structured evaluation used to determine how well your brain is functioning - specifically around memory, thinking, and problem-solving. It’s often the first step in diagnosing dementia or mild cognitive impairment (MCI), but it can also rule out other causes of memory issues like stress, depression, or vitamin deficiencies.

Step 1: The Initial Appointment

Your journey usually starts with your GP (General Practitioner). They’ll ask questions about:

Your memory concerns
How long the symptoms have been present
Any impact on daily life or work
Mood changes, sleep patterns, or physical health
Medications you’re currently taking

They may also ask a close friend or family member to describe any changes they’ve noticed. If the GP feels further testing is needed, they’ll refer you to a memory clinic or specialist.

Step 2: Blood Tests and Health Checks

Before doing a cognitive test, your healthcare team will likely run routine blood tests to check for reversible causes of memory problems, such as:

Thyroid dysfunction
Vitamin B12 deficiency
Infections
Liver or kidney issues

You may also receive a basic physical exam and blood pressure check.

Step 3: The Memory Test

This is the core part of the assessment. You'll complete one or more cognitive screening tests, which are often paper-based and take 30-60 minutes. Common tests include:

MMSE (Mini-Mental State Examination)
MoCA (Montreal Cognitive Assessment)
ACE-III (Addenbrooke's Cognitive Examination)

These tests assess:

Short- and long-term memory
Orientation (knowing the date, time, location)
Attention and concentration
Language skills
Problem-solving and reasoning
Visuospatial awareness (e.g., copying shapes or drawing a clock)

Don't worry - these aren’t pass-or-fail exams. They simply help build a picture of your cognitive strengths and weaknesses.

Step 4: Brain Scans (If Needed)

If the results suggest further investigation is needed, your clinician might order a CT or MRI scan to:

Rule out stroke or tumors
Look for signs of brain shrinkage associated with Alzheimer’s or other dementias

Not everyone needs a scan, but they can provide helpful context.

Step 5: Feedback and Diagnosis

Once all results are reviewed, your clinician will schedule a follow-up appointment to:

Explain the test results in plain language
Discuss any diagnosis (e.g., mild cognitive impairment, dementia, or no cognitive disorder)
Talk through the next steps for care and support

This is also when you can ask questions and discuss options for treatment, therapies, or lifestyle changes.

Step 6: Support and What Comes Next

If a diagnosis is made, you won’t be left on your own. You’ll be introduced to:

Memory clinics or dementia support organizations
Treatment or therapy options (e.g., cognitive stimulation therapy, medications)
Local and online support groups

The goal is to help you or your loved one live as independently and confidently as possible.

👉 Related reading: How to Support Aging Parents Without Taking Over

Can the Elli Cares App Help?

Yes. Whether you’re waiting for a diagnosis or managing life after one, Elli Cares can support you with:

Daily reminders for medications, appointments, and tasks
Mood and symptom logging to spot patterns over time
Safe Zones and location tracking for peace of mind
Video recorded reminders from family members for added comfort and clarity

It’s a simple, smart way to support memory and wellness from early concerns to long-term care.

👉 Learn more: www.elliapp.co

A memory assessment is a positive step toward understanding and supporting brain health. It provides clarity, early detection, and access to the right help - whether you receive a diagnosis or not.

At Elli Cares, we’re here to walk with you. Our tools are designed to empower both individuals and families on the journey of memory support and independent living.