Functional Cognitive Disorder and Mild Cognitive Impairment: A Thin Line

Aims Functional cognitive disorders (FCDs) refer to conditions where patients present with persistent problematic subjective memory complaints that are not consistent their observed level of functioning. The demonstrated symptoms also in keeping a recognized psychiatric or neurodegenerative process. FCD is likely be underdiagnosed clinical practice the place-holder label mild impairment being used some cases due lack clarity about its symptomatology. In this paper, we describe two whose presentations were suggestive FCDs. Methods Mrs X, 53 years old female previously known mental health services referred for increasing difficulties her over 2 which she believed was impacting activities daily living. She has history ischaemic heart disease, fibromyalgia, Insulin-dependent diabetes mellitus, depression, and polycystic ovarian syndrome. On assessment MOCA = 15/30, MMSE 25/30. Mr Y, 57 male services. Although, been treated anxiety depression by GP. He presented 3-year struggling his memory. reported forgetful appointments he paste sticky papers on fridge reminders. Similarly, diagnosis Fibromyalgia essential hypertension. Assessment – 19/30 Results FCDs can quite challenging because picture overlaps other conditions. Typically, report issues around function absence relevant neuropathology evidence inconsistency between observations at assessment. Regarding our cases, primary presenting memory, forgetfulness. Other noteworthy mismatch scores MOCA, MMSE, functioning, problems. Neurological examinations neuroimaging any disorders. A differential functional disorder considered discrepancies reported, assessments as well imaging. Conclusion condition common but underdiagnosed. Hence, it imperative clinicians keep mind when do meet diagnostic criteria dementia medical condition. Correctly identifying diagnosing positively impact patient outcomes.