Case Study 5: Counseling Across Racial and Ethnic Groups

Lois, age 67, has a family history of dementia in her maternal grandmother and aunt. She presents with self-reported memory and attention concerns. She has already undergone evaluation by her PCP and received diagnoses of depression and sleep apnea, both of which have been treated. Her cognitive symptoms, however, did not improve.

Labs: Complete blood count, comprehensive metabolic panel, thyroid function tests, vitamin B12, and folate level, all within normal limits.

Lois requests genetic testing to determine her risk for AD. She has read about amyloid-reducing medications and wants to know if she qualifies for treatment.