Choosing the Right Dementia Specialist – Why Your Diagnosis Depends on It

If you or a loved one is experiencing memory problems, choosing the right clinician is one of the most important health decisions you will make.

Many private dementia assessments are led by psychiatrists, psychologists, or GPs. While these clinics can provide valuable services, they are not trained to identify the subtle neurological signs that can be the key to an accurate diagnosis.

By contrast, our clinic is led by a consultant in geriatric medicine with rare dual expertise in both cognitive disorders and movement disorders — a skillset that allows us to detect Parkinsonian features and diagnose conditions such as Lewy Body Dementia and Parkinson’s Disease Dementia earlier and more accurately.

How Different Private Dementia Services Compare

Feature Our Clinic Private Psychiatry-Led Clinics GP- or Psychology-Led Clinics Remote-Only Dementia Services
Led by a consultant geriatrician with expertise in both cognitive & movement disorders ✅ Yes ❌ No ❌ No ❌ No
Able to detect parkinsonian features ✅ Yes – full in-person examination ❌ Rarely ❌ No ❌ No
Specialist in diagnosing Lewy Body Dementia & Parkinson’s Dementia ✅ Yes ❌ Often misdiagnosed ❌ Not trained to recognise ❌ Not possible remotely
Thorough investigation of unexplained symptoms with normal MRI ✅ Yes – look deeper, often identify LBD ❌ Often labelled as MCI ❌ Not investigated ❌ Not possible remotely
In-person assessment as standard ✅ Yes – remote only if necessary ✅ Yes ✅ Sometimes ❌ No – video only
Holistic, whole-patient approach ✅ Yes ❌ Cognition only ❌ No ❌ No
Integrated cognitive & physical examination ✅ Yes ❌ No ❌ No ❌ No

The Pattern We See Again and Again in a Memory Clinic with Neurological Examination

In our specialist cognitive disorders clinic, we often assess patients who:

  • Have mild cognitive symptoms — or even more significant cognitive changes
  • Have had a normal MRI scan
  • Were told they have mild cognitive impairment (MCI)

Mild cognitive symptoms with a normal MRI are often diagnosed as mild cognitive impairment. But the situation is not that straightforward. When someone still has cognitive symptoms despite a normal MRI, it’s a clear signal that the assessment needs to go further and deeper.

Case example:

One recent patient came to us after several months of symptoms. They had been told elsewhere they had mild cognitive impairment because their MRI was normal. Our in-person neurological examination revealed subtle Parkinsonian features — signs that would be missed in a remote or non-specialist assessment. This led to an accurate diagnosis of Lewy Body Dementia, and the patient was able to begin the right treatment and support much earlier than would otherwise have been possible.

You can read the full story of this patient’s journey and recovery here.

In many cases, the real diagnosis turns out to be a Parkinsonian dementia — such as Lewy Body Dementia or Parkinson’s Disease Dementia — where subtle Parkinsonian or Lewy Body symptoms have not been fully recognised. This can easily happen in private psychiatry-led services, GP-led memory clinics, or remote-only assessments where these signs are often missed.

Why Choose a Lewy Body Dementia Specialist in London?

Because our clinic is led by a specialist consultant geriatrician with expertise in both cognitive and movement disorders, we are uniquely positioned to:

  • Detect Parkinsonian features that other services overlook
  • Diagnose Lewy Body Dementia and Parkinson’s Dementia earlier and more accurately
  • Avoid years of misdiagnosis and inappropriate treatment
  • Provide a holistic care plan that considers the whole patient — physical health, cognition, and day-to-day function

Specialist in Parkinson’s Disease Dementia Diagnosis – Why Remote and Non-Specialist Services Fall Short

  • Remote-only dementia assessments: Video calls cannot reliably detect subtle movement changes, facial expression changes, or gait abnormalities.
  • Private psychiatry-led and psychology-led clinics: Focus on cognitive testing without examining for Parkinsonian features.
  • GP-led memory services: Provide general care but lack subspecialty movement disorder training.

A Note on Remote Assessments at Our Clinic
While we strongly recommend an in-person consultation for the most accurate diagnosis, we also offer specialist-led remote assessments in certain circumstances — for example, for patients with mobility challenges or those living further away.
These are conducted by the same consultant geriatrician and include targeted questioning and visual checks designed to identify possible Parkinsonian or Lewy body features.

If remote findings suggest a complex diagnosis, we always arrange an in-person follow-up to complete the neurological examination. This ensures patients who can’t initially attend in person still benefit from specialist expertise and a thorough diagnostic process.

Questions to Ask Before Choosing a Dementia Clinic

  1. Who will be assessing me?
  2. Do they have specialist training in both cognitive and movement disorders?
  3. Will I be examined in person?

Your diagnosis — and your treatment — depends on it.

About the Specialist

Dr Soumit Singhai is a Consultant in Geriatric Medicine based in London, with rare dual expertise in cognitive disorders and movement disorders.
He is recognised as a Lewy Body Dementia specialist and has extensive experience diagnosing Parkinson’s Disease Dementia, atypical Alzheimer’s disease, and other complex memory problems.

As the lead clinician at a private dementia clinic in London, Dr Singhai combines detailed cognitive assessment with a full physical and neurological examination. This integrated approach allows him to detect subtle Parkinsonian featuresthat are often missed in GP-led, psychology-led, or private psychiatry-led dementia services.

His goal is to give every patient an earlier, more accurate diagnosis and a tailored care plan — ensuring the right treatment and support from the very first consultation.