You don't wake up one morning and decide, "Today we'll talk about memory." It usually starts with something ordinary: the third set of lost keys. A bill that slipped. A "shortcut" that took an hour. Everyone can feel the temperature rising - worry on one side, defensiveness on the other.
This guide keeps it practical. No labels you're not ready for, no scare tactics. Just the steps that make the next few weeks calmer and more useful.
1. Before you talk, write things down
Vague worries cause arguments. Specifics help doctors - and keep conversations respectful.
- What's changed? Write a few clear examples with dates/times if you can: repeating questions within minutes; leaving the stove on; trouble following a recipe that used to be easy; missing regular appointments; getting lost or confused on a familiar walk.
- How often? "once", "once a week", or "daily".
- What's the impact? Late fees, food going off, confidence to go out alone slipping, a minor bump in the car, etc.
- What's still solid? Finishing the crossword, managing the garden, cooking favourite, social routines. Strengths matter.
- Use "I" statements: "I've noticed the mail piling up and I'm a bit worried. Could we check this together?"
- Keep it matter-of-fact: calm voice, short sentences, leave gaps for answers.
- Offer a shared task: "Let's take these notes to the doctor so we're not guessing."
- Take a history and do a general check-up.
- Review medications.
- Screen for treatable contributors: infections, thyroid issues, B12/folate, sleep problems, pain, depression.
- Do a brief cognitive screen and talk about next steps, which may include blood tests or imaging.
- While you wait for results or appointments, small structure beats big promises.
- Calendar in one place everyone can see (paper on the fridge or a shared phone calendar).
- Money admin lightened: set up direct debits for key bills; keep a simple list of due dates.
- Safety tweaks: good night-lighting to the bathroom, kettle instead of stovetop, check smoke alarms.
- Ask before stepping in: "Would it help if I set up the calendar?"
- Offer choices: "GP next Monday or Thursday?"
- Hold onto what matters to the person: the morning paper, the weekly swim, the garden.
- sense-check the notes you've made for the GP
- suggest simple near-term supports (meds setup, shared calendar, safety tweaks, carer check-ins)
- map the next fortnight so home life feels steadier