Neurocognitive disorders refer to a group of conditions that affect a person’s cognitive abilities, such as memory, thinking, and behavior. These disorders can range from mild to severe and may impact the individual’s daily life in various ways. In this article, we will discuss two types of neurocognitive disorders – major and mild – and explore their causes, symptoms, and treatment options.
Major Neurocognitive Disorders:
Formerly known as dementia, major neurocognitive disorder (NCD) is a serious condition that affects a person’s cognitive functions to a significant degree. It is characterized by a decline in memory, language, problem-solving skills, and other cognitive abilities that interfere with daily activities. Alzheimer’s disease is the most common cause of major NCD, accounting for 60-80% of cases.
Other causes of major NCD include vascular disease, Lewy body disease, frontotemporal degeneration, and Parkinson’s disease. These conditions can damage brain cells and disrupt the communication between them, resulting in a decline in cognitive abilities.
Symptoms of major NCD usually develop gradually and worsen over time. In the early stages, a person may experience forgetfulness, confusion, difficulty with language, and trouble completing familiar tasks. As the disease progresses, they may have difficulty with reasoning, decision making, and coordinating movements. Behavioral changes such as agitation, aggression, and depression may also occur.
There is no cure for major NCD, but there are treatments available to slow down the progression of the disease and manage its symptoms. Medications can help improve cognitive function and manage behavioral symptoms. Cognitive training and therapy can also be beneficial in improving memory and daily functioning. In some cases, supportive care such as occupational therapy or speech therapy may also be recommended.
Mild Neurocognitive Disorders:
Mild neurocognitive disorder (mNCD) is a relatively new diagnosis that was introduced in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is characterized by a mild decline in cognitive abilities that do not interfere significantly with daily activities, unlike major NCD.
The most common cause of mNCD is aging, as the brain’s function naturally declines with age. Other causes include vitamin deficiencies, chronic health conditions, and medication side-effects. Unlike major NCD, mNCD does not have a specific underlying disease or condition.
Symptoms of mNCD may include mild forgetfulness, difficulty with concentration, and trouble finding words. These symptoms are often subtle and may not be noticeable at first. However, over time, they may worsen and begin to affect daily tasks.
There is no specific treatment for mNCD, but certain lifestyle changes can help slow down its progression. Regular exercise, a healthy diet, and social engagement can promote brain health and improve cognitive function. It is also essential to manage any underlying health conditions and follow medication instructions carefully.
In some cases, mNCD may progress to major NCD. Therefore, it is crucial to monitor any changes in symptoms and seek medical advice if necessary.
In Conclusion:
Neurocognitive disorders can have a significant impact on an individual’s life, affecting their ability to think, remember, and perform daily activities. Major NCD is a severe form of the disorder, caused by various underlying conditions. On the other hand, mNCD is a milder form that often results from aging or other lifestyle factors.
If you or a loved one is experiencing changes in cognitive function, it is essential to seek medical advice and undergo proper testing for an accurate diagnosis. Early detection and treatment can help manage symptoms and improve quality of life. Support from family and friends is also crucial in providing emotional and practical support to those who are affected by these disorders.





