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You can only assess most dementias - for example vascular dementia can be actually seen to be affecting the individual via CT scans ...yes? Well no.... it is just an indicator. Its a bit like if it looks like a duck walks like a duck then chances are its a duck unless of course it honks like a goose in which case you might need to rethink your assessment
The same goes for the various dementias. Many appear similar in the early stages but change later and only through careful continuous monitoring can a professional say YES this is dementia and it it this type of dementia ....maybe
I know that's not a satisfactory answer but in truth there isn't one. Very often Dementias are labelled Alzheimers but as the disease progresses there can be an adjustment to that assessment. My mum was diagnose with Alzheimers then Mixed dementia when she showed signs of Vascular dementia but now they are not so sure if it is that or something else. And thats after 5 years so just see it as the blind leading the blind for no-one quite knows YET