Home Menu

Arthritis


Help with Arthritis in later life.

Arthritis is an inflammation of the joints. The term “arthritis” is often used to refer to osteoarthritis, which is the most common form of joint disease and affects many people in some form as they get older. There are other causes of arthritis, such as rheumatoid arthritis: a highly destructive inflammatory joint disease. Osteoarthritis is often described as ‘wear and tear’ of the joints, although this is not the whole picture. It is rarely found in people under 45 but gets increasingly common in older age.

Find out more about Arthritis

How will it affect me?

Osteoarthritis can cause:

  • progressive pain and stiffness in joints, commonly in the knees and spine
  • redness or tenderness
  • bony protrusions called osteophytes

What causes it?
Over time, damage to joints begins to build up and can outstrip the body’s ability to repair itself, or can be repaired poorly, leading to further damage. Some people are more prone to developing osteoarthritis than others. Being overweight seems to be a risk factor, while regular moderate exercise may help to prevent it.

How common is it?

More than half of over 65s have symptoms, and even more will have some evidence of it on X-Rays.

How is it diagnosed?

It is usually diagnosed clinically based on history and examination. Sometimes X-Rays or MRI scans are helpful, especially if surgery is being considered.

How is it treated?

Treatment depends on the severity, but the main focus is on maintaining function and mobility. Except after an injury, rest is not helpful, and remaining mobile seems to be the best thing to keep joints healthy. Weight loss can help if you are overweight by reducing the load on the joint. Sometimes the pain or stiffness can limit activity, and careful use of painkillers can help progressive increases in movement and flexibility. In severe cases, knee or hip surgery may be effective.

We’re Red & Yellow Care, the
health experts for later life.

At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

Meet some of our consultants.

Dr Colin Mitchell

Consultant Geriatrician

Geriatrics



How we can help.

Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

Clear and simple pricing.


First appointment up to 90 minutes, priced at £450.

Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

Home visit supplements starting from £100.

Get started now

Smarter, faster, easier and
more thorough healthcare.

Expert

We have the best consultants and other specialists dedicated to the health of older people.

Fast

We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

Flexible

We fit our service around you. Planning your appointments where and when suits you best.

Comprehensive

We are committed to giving you the most thorough assessment, treatment and care.

Want to hear more? Speak with our team now.

prev next
  • The service pre appointment was excellent and the appointment was also very good.
    Daniel – husband and carer
  • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.
    Richard – husband and carer
  • The nurse was extremely informative, with a sensitive approach, which was delightful.
    Edita – daughter and carer
  • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.
    Teresa – sister and carer

    Depression

    Help with depression in later life.

    We all feel a bit down from time to time, but we can usually shrug off a low mood after a few days and it does not stop us working or living life.

    But if that mood persists and gets so bad that you cannot see anything positive about the future; if feelings of prolonged sadness and guilt sap your energy and concentration, affecting your sleep and appetite; if you even start to think life is not worth living, you may have depression.

    Because it is an illness, just like pneumonia or a broken leg, and is NOT due to a personality defect or lack of “moral fibre”, depression is also treatable. Talking therapy or antidepressants can often resolve even a serious depression in a few weeks.

    Find out more about depression

    What are the symptoms?

    No two people with depression are the same. There are many symptoms of depression including:

    • feelings of sadness or low mood that won’t go away
    • feeling anxious
    • lack of energy and a feeling of exhaustion
    • loss of interest in day-to-day activities and hobbies
    • a feeling of physically slowing up, or sometimes feeling restless
    • loss of concentration and memory
    • thoughts of self-harm or suicide

    Some of the symptoms also occur in other conditions, like anxiety disorder, thyroid disease or dementia, so it is important for it to be diagnosed by a doctor with the appropriate skills.

    What are the causes?

    Depression can come on after a life event such as retirement or bereavement, but often there is no clear trigger. People who have some physical illnesses (such as stroke or Parkinson’s disease) or are socially isolated are more prone to depression. It is thought that changes of a chemical in the brain called serotonin may be linked to depression.

    Key facts about depression

    • It affects 1 in 3 people at some point in their lives.
    • According to the World Health Organisation, it is the leading cause of disability in the world, affecting about one in 20 people at any one time.
    • Up to 10% of people with depression will attempt suicide
    • Depression can be effectively treated

    How will it affect me?

    Depression can affect all aspects of your life. You may notice that you are not able to work as efficiently. You may withdraw from friends and social activities and not enjoy life as much. You may notice that you lack energy to do even simple things like mowing the lawn or walking the dog. Some people with depression cry for no reason or get more irritable.

    How is it diagnosed?

    The only way to diagnose depression is for a doctor who is experienced in making the diagnosis to assess your mood. They will take a full account of your symptoms, background, current circumstances, and medical history. There are no blood tests or scans that will aid the diagnosis, but a doctor may order these to rule out medical problems that mimic the symptoms of depression.

    What is the treatment for depression?

    A lot can be done to help people with depression. Firstly, just talking through your symptoms with an experienced professional can help. You realise you are not alone and that help is at hand.

    A course of antidepressant tablets can be very effective. They usually take a couple of weeks to begin to work so it is important to persevere. The doctor will advise on the best tablets for you (there are many different types of antidepressants) and will monitor any side effects.

    Talking therapy such as cognitive behavioural therapy (CBT) is also effective. This consists of meeting with a therapist every week for about 12 weeks. The good thing about CBT is that it may protect you from future relapse of depression. Quite often a doctor will advise having antidepressants and CBT at the same time.

    Just as important as medical treatment for depression is making sure that you have enough, and the right kind of, social support. It may be you need help with some daily tasks for a few weeks while you recover, or have someone to help you pay bills so you have one less thing to worry about.

    If you have any medical conditions (such as diabetes and high blood pressure) these may have an impact on your depression, and your depression may affect the treatment for these conditions! For this reason, holistic management , looking after all your medical and psychological needs in a joined up way is really important.

    We’re Red & Yellow Care, the
    health experts for later life.

    At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

    Meet some of our consultants.

    Dr James Warner

    Consultant Psychiatrist

    Psychiatry

    Dr Hema Ananth

    Consultant Psychiatrist

    Psychiatry

    Dr Brian Parsons

    Consultant Psychiatrist

    Psychiatry

    How we can help

    Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

    We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

    Clear and simple pricing.


    First appointment up to 90 minutes, priced at £450.

    Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

    Home visit supplements starting from £100.

    Get started now

    Smarter, faster, easier and
    more thorough healthcare.

    Expert

    We have the best consultants and other specialists dedicated to the health of older people.

    Fast

    We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

    Flexible

    We fit our service around you. Planning your appointments where and when suits you best.

    Comprehensive

    We are committed to
    giving you the most thorough assessment, treatment and care.

    Request an appointment today – call us on 0203 7000 163

    prev next
    • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

      Natalie – daughter and carer
    • The fact that you promised to tailor your service around my mother and give full and constant support was very attractive and not something we had come across previously.

      Philip – person with depression
    • Dr Warner was amazing, we found him fantastic, and not just because the diagnosis was what we wanted. My father doesn’t always respond well to people but he responded to Dr Warner and we would all very much like to see him again.

      Anita – daughter and carer
    • Your team have been amazing. I’m happy again; laughing, walking, talking, playing the piano, and have no worry.

      Harry – person with mild cognitive impairment

      Parkinson’s Disease


      Help with Parkinson’s Disease in later life.

      Parkinson’s Disease affects the brain, damaging nerve cells that help control movement. It typically causes a tremor of the hands as well as general stiffness and slowing of movement.

      There are various treatment options, generally involving careful adjustment of medications to counter the symptoms, but there is no outright cure. Other movement disorders, which can look like Parkinson’s disease but may progress differently, have different causes and treatment.

      Find out more about Parkinson’s Disease

      Parkinson’s disease causes stiffness, slowness and tremor. It tends to start on one side of the body, and then progresses to affect the other side too. The tremor can affect how you use your hands, but it is typically the slowness and stiffness that cause more problems. It can also affect memory, vision and mood.

      How will it affect me?

      Parkinson’s can cause a number of problems including

      • Affecting social activities and hobbies such as gardening and golf
      • Affecting ability to work
      • Difficulty in writing
      • Difficulties with daily activities such as dressing

      What causes it?

      The exact cause isn’t fully understood, but it relates to damage of specific areas of the brain that control movement. The nerves in these areas use a chemical called dopamine to signal information about movement, and when they are damaged, there is a reduction in dopamine transmission in the brain. Other conditions that look like Parkinson’s disease are caused in different ways – including medication side effects or small strokes.

      How common is it?

      There are over a hundred thousand people in the UK with Parkinson’s disease, although some cases are never diagnosed. It gets more common as people age, with few cases among under 65s.

      How is it diagnosed?

      Experts in movement disorders clinically diagnose the disease. Brain scans can be helpful to rule out other problems or clarify the diagnosis in unclear cases, but may not give a definitive answer.

      How is it treated?

      Parkinson’s disease is usually treated with medicines to increase dopamine levels – either by increasing the brain’s own levels or supplementing them. This requires careful adjustment, and treatment plans may change as the disease progresses and depending on which symptoms are more troubling for you.

      We’re Red & Yellow Care, the
      health experts for later life.

      At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

      Meet some of our consultants.

      Dr Giovanna Zamboni

      Consultant Neurologist

      Neurology

      Dr Colin Mitchell

      Consultant Geriatrician

      Geriatrics

      How we can help

      Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

      We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

      Clear and simple pricing.


      First appointment up to 90 minutes, priced at £450.

      Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

      Home visit supplements starting from £100.

      Get started now

      Smarter, faster, easier and
      more thorough healthcare.

      Expert

      We have the best consultants and other specialists dedicated to the health of older people.

      Fast

      We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

      Flexible

      We fit our service around you. Planning your appointments where and when suits you best.

      Comprehensive

      We are committed to giving you the most thorough assessment, treatment and care.

      Request an appointment today.

      prev next
      • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.
        Julia – daughter and carer
      • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.
        Richard – husband and carer
      • Gwyn Grout has been very helpful and supportive of my mother & family and has co-ordinated her care very well. She has been objective and listens well to the difficulties we have experienced.
        Michael – son and carer

        Lewy body dementia


        Help with Lewy body dementia in later life.

        You are sitting watching TV when you notice a cat on the chair next to you, which bursts into flames. You glance away, then back – it has gone. This could be a symptom of Lewy Body Dementia. This relatively rare form of dementia can cause visual hallucinations, as well as confusion and memory loss that fluctuate dramatically from day to day. Stiffness and shaking, similar to Parkinson’s Disease, can also be symptoms.

        Lewy Body Dementia develops slowly over the years. With an early and accurate diagnosis, help can be given so that those with the condition can have a good and fulfilling life.

         

        Find out more about Lewy body dementia

        What are the symptoms?

        Common symptoms of Lewy Body Dementia include:

        • memory loss, particularly of recent events
        • confusion which fluctuates day to day
        • visual hallucinations
        • shaking or feeling stiff
        • increased falls
        • feelings of anxiousness or depression
        • changes in personality and behaviour

        What causes it?

        The cause of Lewy Body Dementia is not known. People with this condition have microscopic particles in their brains called Lewy bodies. These contain clumps of a naturally occurring brain chemical called alpha synuclein but scientists have not yet worked out why this chemical is deposited in the brain.

        Key facts about Lewy body dementia

        • Of the 750,000 people with dementia in the UK, around 30,000 will have Lewy Body Dementia.
        • The risk of developing Lewy Body Dementia increases with age
        • The condition is very similar to dementia caused by Parkinson’s disease.
        • Some medicines should not be given to people with Lewy Body Dementia, so an early and accurate diagnosis is important.

        How will it affect me?

        People with Lewy body dementia may not be aware of any problems and may not want help, it is others around them who notice changes. The problems with movement such as stiffness and tremor may affect day-to-day tasks such as walking, writing and dressing. The confusion and changes in concentration and alertness (which tend to come and go in severity) can also affect daily living and place a strain on relatives and friends. As the illness progresses over years people may need more and more help.

        How is it diagnosed?

        Some of the symptoms also occur in other conditions (like depression, anxiety or Parkinson’s Disease), so it is important to be diagnosed by a doctor with the appropriate skills.

        Assessment involves taking an account of your symptoms and how they developed, your background and current circumstances and the results of brain-function tests and a brain scan such as an MRI. A specialist brain scan called a PET scan can also help in some instances.

        How is it treated?

        There are drug treatments available for Lewy Body Dementia called cholinesterase inhibitors. These may help improve memory and reduce confusion but do not stop the illness progressing. They do not work for everyone but for some people the effects are very good. The doctor will want to monitor how you are responding to the treatment.

        Most people with Lewy Body Dementia will have additional symptoms such as visual hallucinations or feeling anxious. Changes in behaviour such as losing motivation, or becoming excitable, especially at night during sleep, also need specialist assessment and treatment.

        People with Lewy Body Dementia and their families and friends need a lot of support, practical help and education to help them understand the diagnosis, how the illness will progress, how to plan for the future and how to get help now. A specialist should be able to help put you in touch with people that can help.

        We’re Red & Yellow Care, the
        health experts for later life.

        At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

        Meet some of our consultants.

        Dr James Warner

        Consultant Psychiatrist

        Psychiatry

        Dr Hema Ananth

        Consultant Psychiatrist

        Psychiatry

        Dr Brian Parsons

        Consultant Psychiatrist

        Psychiatry

        Dr Giovanna Zamboni

        Consultant Neurologist

        Neurology

        How we can help.

        Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

        We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

        Clear and simple pricing.


        First appointment up to 90 minutes, priced at £450.

        Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

        Home visit supplements starting from £100.

        Get started now

        Smarter, faster, easier and
        more thorough healthcare.

        Expert

        We have the best consultants and other specialists dedicated to the health of older people.

        Fast

        We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

        Flexible

        We fit our service around you. Planning your appointments where and when suits you best.

        Comprehensive

        We are committed to giving you the most thorough assessment, treatment and care.

        prev next
        • Red & Yellow have made a huge difference to my life. I no longer feel I am fighting a battle alone. They have given me help, guidance and the strength to support my husband.

          Rebecca – wife and carer
        • I have got my dad back. We’ve seen massive improvements – his morning confusion is gone, he’s not forgetful or perplexed, and his motivation has improved.

          Natalie – daughter and carer
        • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.

          Teresa – sister and carer

          Request an appointment today.

          Frailty


          Help with frailty in later life.

          Frailty is a common syndrome affecting older people but can be difficult to define. This is partly because there is no single test, cause, or defining characteristic of frailty, and partly because culturally we often accept common changes in ageing as ‘normal’ even if they are not necessarily part of healthy ageing. For example, memory loss, slow walking pace, weakness and tiredness are all frequently seen in older people – but they are not all inevitable. You may also see a 90-year old riding a pushbike!

          Find out more about frailty

          What are the symptoms?

          When changes in health are clearly related to a single disease (e.g. a heart attack) in a previously healthy person, this may result in a functional change such as reduced mobility, but this is not necessarily frailty. If the problem is self-limiting and recovery is complete it may not result in any further problems.

          However if recovery is incomplete or other problems occur, over time this reduced mobility may lead to progressively reduced strength and fitness, with resulting muscle loss, reduced cardiovascular vigour, and lowered appetite. This may be the beginnings of frailty, and if this process continues it becomes a cycle – worsened health leads to reduced activity, which causes reduced fitness, predisposing to further health problems. Sometimes the initial event causing the decline may not be so clear as a heart attack – gradually worsening arthritis, reduced social contacts leading to less outdoor mobility, low mood, loss of confidence after an accident or fall – all of these can trigger or contribute to a decline in fitness.

          How will it affect me?

          People with frailty are more likely to acquire new health problems and also have less ability to deal with those problems. This is called ‘reserve’. If a healthy person gets a viral infection, it may make them tired but they can still move around and look after themselves. However a frail person with exactly the same illness may become unable to get out of bed – they were already operating at 100% of capacity just to live their normal everyday life, and have no extra ‘reserve’ to bring to bear when unwell.

          If all this sounds somewhat fatalistic there is some good news at least: frailty may be difficult to reverse (although an acute decline can respond to good treatment and rehabilitation) but if it is spotted early, contributing problems are well managed, and particularly if you are able to progressively increase your activity levels then it can be delayed or stopped, preserving independence and quality of life.

          How is it treated?

          If you want help, please contact us and we can arrange a doctor to see you and assess for causes and effects of frailty. This is a complex process and may take more than one visit, and quite possibly more than one type of health professional. A geriatrician may make an overall assessment but may require input from other specialists, maintaining a holistic overview, and input from allied professionals (e.g. a physiotherapist) may also be important to evaluate frailty and execute a treatment plan.

          How we can help.

          Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

          We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

          Clear and simple pricing.


          First appointment up to 90 minutes, priced at £450.

          Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

          Home visit supplements starting from £100.

          Get started now

          Smarter, faster, easier and
          more thorough healthcare.

          Expert

          We have the best consultants and other specialists dedicated to the health of older people.

          Fast

          We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

          Flexible

          We fit our service around you. Planning your appointments where and when suits you best.

          Comprehensive

          We are committed to
          giving you the most thorough assessment, treatment and care.

          Request an appointment today.

          prev next
          • The service pre appointment was excellent and the appointment was also very good.
            Daniel – husband and carer
          • Gwyn Grout has been very helpful and supportive of my mother & family and has co-ordinated her care very well. She has been objective and listens well to the difficulties we have experienced.
            Michael – son and carer
          • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.
            Julia – daughter and carer

            Insomnia


            Help with Insomnia in later life.

            Most of us have nights where we find it hard to fall asleep. This is normal, and it will often resolve itself after a short time. However, if you have lack of sleep (insomnia) that lasts weeks, months or years, this can start to have an impact on your day-to-day living. Insomnia is a common problem for people over the age of 65 due to various long term conditions prevalent in this age group that affect sleep.

            Find out more about sleep problems

            How will it affect me?

            It can affect your energy levels, moods and concentration. It can also impact on your relationships and social life, and may affect your ability to carry out usual tasks.

            What causes it?

            Common causes are:

            • a poor sleep routine – going to bed too early or too late, or not relaxing properly before bed
            • a poor sleep environment – uncomfortable or with too much light or noise
            • changes to sleep patterns – working night shifts or sleeping in a new place
            • physical illness – being uncomfortable or in pain, having a physical sleep condition such as snoring or sleep apnoea, or having a hormone or neurological disorder such as an overactive thyroid or Parkinson’s disease
            • alcohol, street drugs and stimulants – including caffeine and nicotine
            • medication –such as epilepsy and asthma drugs or antidepressants
            • stress, worry and anxiety – feeling nervous about a specific issue, such as work, money, family or relationships; or a specific event, such as an interview
            • trauma –after experiencing a traumatic event, such as an accident or a bereavement
            • mental health problems:
              • mood disorders, such as depression and bipolar disorder
              • anxiety disorders, such as anxiety, obsessive compulsive disorder (OCD) and social anxiety
              • psychotic disorders, such as schizophrenia

            How common is it?

            More than 50% of elderly people have sleep disturbance or insomnia. Sleep disorder is the third most common complaint in old age, behind headaches and the common cold.

            How is it diagnosed?

            Diagnosis is usually based on your history so it is important to keep a sleep diary.

            How is it treated?

            Your doctor will discuss and treat any potential physical causes of your sleep problems. If you think they are caused by medication, it’s important to discuss this with the doctor as well.

            We’re Red & Yellow Care, the
            health experts for later life.

            At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

            Meet some of our consultants.

            Dr Giovanna Zamboni

            Consultant Neurologist

            Neurology

            Dr James Warner

            Consultant Psychiatrist

            Psychiatry

            How we can help

            Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

            We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

            Clear and simple pricing.


            First appointment up to 90 minutes, priced at £450.

            Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

            Home visit supplements starting from £100.

            Get started now

            Smarter, faster, easier and
            more thorough healthcare.

            Expert

            We have the best consultants and other specialists dedicated to the health of older people.

            Fast

            We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

            Flexible

            We fit our service around you. Planning your appointments where and when suits you best.

            Comprehensive

            We are committed to
            giving you the most thorough assessment, treatment and care.

            Request an appointment today.

            prev next
            • The service pre appointment was excellent and the appointment was also very good.

              Daniel – husband and carer
            • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.

              Richard – husband and carer
            • The nurse was extremely informative, with a sensitive approach, which was delightful.

              Edita – daughter and carer
            • When I spoke to you on the telephone when I was at my wits end, I felt that I was at last speaking to someone who understood, really understood my situation.

              Sandra – wife and carer
            • The meeting on Wednesday evening eased my sore heart and deep anxiety about George, as I know how fortunate we are to have found you all.

              Teresa – sister and carer

              Mild Cognitive Impairment (MCI)


              Help with MCI in later life.

              Have you ever gone into a room and forgotten what you went in for? That’s quite normal. We all forget things from time to time, especially when preoccupied or distracted – and as we get older we all experience subtle memory loss. This would not usually cause any difficulty except for mild inconvenience.

              But if you begin to forget things more frequently it may be a sign of Mild Cognitive Impairment. This is a condition in which there is a slightly more obvious problem with memory (or other aspects of brain function such as planning, recognition or use of language) but not so much as to be diagnosed as Dementia.

              Find out more about MCI

              What are the symptoms?

              Often the only symptom of MCI is having problems with remembering things such as names, appointments or conversations. This is not bad enough to affect day-to-day living and often the lost memory will return later. 

              What are the causes?

              With some people, MCI is a symptom of early dementia. However, others may have symptoms of MCI because they are depressed or anxious. For others no cause for the MCI can be found and it will not progress over time. At the moment it is not really possible to tell for sure which people with MCI will go on to get dementia.

              Key facts about MCI

              • Because of problems in defining and identifying MCI, studies have come up with very different figures about how common it is.
              • It probably affects somewhere between 5% and 30% of older people.
              • About 1/3 of people with MCI will develop dementia over 5 years.

              How will it affect me?

              MCI usually causes nothing more than mild inconvenience. It may be embarrassing to forget someone’s name, or a recent conversation. It may also make you worried that something more serious is the cause.

              How is it diagnosed?

              MCI is diagnosed by taking a full account of the symptoms and how they have developed over time. A test of brain function, known as a cognitive test, is also helpful. Sometimes a brain scan will be needed to exclude other conditions as causes. Because the symptoms may be caused by Depression or Anxiety, the doctor will want to take a full account of your mental health too.

              How is it treated?

              Keeping fit and healthy, taking exercise and exercising your brain (reading, doing crosswords or Sudoku puzzles or playing bridge are just a few examples) is thought to be important in maintaining a healthy brain. If you have diabetes or high blood pressure these should be controlled well. Anti-dementia drugs are not thought to be helpful in MCI. If the person with MCI has Depression or Anxiety, treating these conditions may help the symptoms.

              We’re Red & Yellow Care, the
              health experts for later life.

              At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

              Meet some of our consultants.

              Dr James Warner

              Consultant Psychiatrist

              Psychiatry

              Dr Hema Ananth

              Consultant Psychiatrist

              Psychiatry

              Dr Brian Parsons

              Consultant Psychiatrist

              Psychiatry

              Dr Giovanna Zamboni

              Consultant Neurologist

              Neurology

              Dr Colin Mitchell

              Consultant Geriatrician

              Geriatrics

              Smarter, faster, easier and
              more thorough healthcare.

              Expert

              We have the best consultants and other specialists dedicated to the health of older people.

              Fast

              We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

              Flexible

              We fit our service around you. Planning your appointments where and when suits you best.

              Comprehensive

              We are committed to
              giving you the most thorough assessment, treatment and care.

              How we can help

              Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

              We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

              Clear and simple pricing.


              First appointment up to 90 minutes, priced at £450.

              Further appointments at £300 up to 60 minutes, £200 for 30 minutes.

              Home visit supplements starting from £100.

              Get started now

              Request an appointment today.

              prev next
              • The fact that you promised to tailor your service around my mother and give full and constant support was very attractive and not something we had come across previously.

                Matt – son and carer
              • My decisions, greatly helped by my wife, family and friends, were also sustained by the team from Red & Yellow Care.

                Bernard – person with dementia
              • Your team have been amazing. I’m happy again; laughing, walking, talking, playing the piano, and have no worry.

                Harry – person with mild cognitive impairment

                Panic disorder


                Help with Panic disorder in later life.

                It is normal to feel anxious from time to time. Taking a driving test or exam, going on a new “date” or giving a public speech are situations where feeling anxious is normal. However if the anxiety mounts up quickly and for no reason, to the extent that you feel paralysed with fear, heart pounding and feeling sweaty and shaky then that could be a panic attack.

                Panic disorder is an illness where someone experiences sudden but fairly short-lived intense feelings of fear, with physical symptoms including shaking, panting, dry mouth, “butterflies”, headache or nausea. If the panic attacks go on for more than a month, the condition is called panic disorder. The difference between panic disorder and general anxiety is that panic tends to come in short intense bursts. Certain things such as spiders, heights or enclosed spaces may trigger panic attacks. In these cases, the condition is called phobia.

                Find out more about Panic disorder

                What are the symptoms?

                Panic attacks usually start suddenly and develop rapidly over minutes to a peak of fear or intense dread, before settling down. Often panic attacks have physical symptoms such as:

                • fluttering in the chest (palpitations)
                • shaking
                • dry mouth
                • shortness of breath
                • dizziness
                • feeling sick or vomiting
                • feeling hot or sweaty

                What causes it?

                Panic disorder may start for no reason, but it may run in families or start after traumatic experiences. Physical conditions such as heart disease and thyroid gland problems may mimic symptoms of panic. 

                Key facts about panic disorder

                • About 1 in 20 people will experience panic attacks in their lifetime, with about 1 in 50 having it in any one year.
                • Panic attacks can occur as part of other conditions such as depression, agoraphobia or post traumatic stress disorder
                • Panic attacks can also be caused by physical illnesses such as lung and gut disorders.

                How will it affect me? 

                People with panic disorder may lose confidence, stop socialising or have problems at work. In severe cases it can be very disabling, resulting in stopping many usual activities.

                How is it diagnosed?

                If you think you have panic attacks you should see a doctor. The first thing to do is exclude other conditions that may be causing the panic symptoms. Only after doing this and taking a full account of your background, symptoms, medical history and assessing your current situation, will the doctor be able to confirm the diagnosis.

                How is it treated?

                A lot can be done to help people who have panic disorder. The mainstay of treatment includes psychological therapies such as relaxation and cognitive behavioural therapy. This will involve meeting with a therapist to set the goals for the treatment, and then meeting up each week for a few weeks and learning about your symptoms, where they come from and how to control/combat them. With an experienced therapist, this is a very effective treatment. In some situations (for example phobias) you can set goals in stages and work each week to achieve these goals.

                Sometimes medication can help too. There are a lot of different treatments available including antidepressants which can be effective to treat panic too, and medication which directly combats the physical symptoms.

                If symptoms of panic are due to other conditions it is important to look after these illnesses as well. For this reason treatment by a team that can look after all medical and psychological symptoms is important. The majority of people with panic attacks will get better with the right treatment.

                We’re Red & Yellow Care, the
                health experts for later life.

                At Red & Yellow Care we specialise in diagnosis, treatment, care and advice for older adults. Our approach is unique – we build a complete picture of the individual – and we treat them like an individual. We guarantee fast and flexible appointments with the very best specialists.

                Meet some of our consultants.

                Dr James Warner

                Consultant Psychiatrist

                Psychiatry

                Dr Hema Ananth

                Consultant Psychiatrist

                Psychiatry

                Dr Brian Parsons

                Consultant Psychiatrist

                Psychiatry

                How we can help.

                Because we are the specialists in health for older adults, we can offer all the expertise you need from one source.

                We usually visit you at home, or alternatively can see you at our Consulting Rooms. We aim to arrange all appointments within a matter of days.

                Clear and simple pricing.


                First appointment up to 90 minutes, priced at £450.

                Further appointments at £300 up to 60 minutes, £200 up to 30 minutes.

                Home visit supplements starting from £100.

                Get started now

                Smarter, faster, easier and
                more thorough healthcare.

                Expert

                We have the best consultants and other specialists dedicated to the health of older people.

                Fast

                We aim for our specialists to see you within a matter of days, and within 24 hours for urgent appointments.

                Flexible

                We fit our service around you. Planning your appointments where and when suits you best.

                Comprehensive

                We are committed to
                giving you the most thorough assessment, treatment and care.

                Request an appointment today.

                prev next
                • John was inspired by Dr Smith, it’s been a revelation. He’s not as scared about everything, not fearing the future as much and is feeling more positive.

                  Deborah – wife and carer
                • We are indeed very pleased with the attention and excellent service we have received for my wife, with the health issues that currently concern us.

                  Richard – husband and carer
                • My father has seen a lot of Consultants with his health and Dr Warner was the nicest person we have seen. It’s been quite an exhausting process for my dad and it was lovely to have someone who put him so much at ease.

                  Julia – daughter and carer