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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.

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    Request an appointment today.

    Dr James Warner

    Dr Warner is a consultant psychiatrist specialising in older adult’s mental health. He qualified as a doctor from Charing Cross Hospital Medical School in 1986. After further training as a physician he undertook training in psychiatry in Liverpool before a series of academic appointments at Charing Cross Hospital, Royal Free Hospital and then Imperial College London.

    He has been a consultant psychiatrist at Central North West London Foundation Trust since 1998 specialising in diagnosis and treatment of dementia, depression, psychosis and other mental illnesses. His training as a physician as well as a psychiatrist enables me to provide holistic care for my patients.

    He was elected as chair of the Faculty of Old Age Psychiatry at the Royal College of Psychiatrists in 2012, he is the UK representative for Old Age Psychiatry in the World Psychiatric Association and was appointed National Professional Advisor for old age psychiatry at the Care Quality Commission in 2014. He is also the Medical Director of Red & Yellow Care.

    Expertise

    James is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Other dementias
    • Anxiety states including panic disorder and generalised anxiety
    • Schizophrenia and other causes of psychosis
    • Assessment of capacity

    Research and Publications

    Dr Warner an honorary reader in psychiatry at Imperial College London. His academic interests include research and teaching. He has led several research projects in mental health, dementia and mental capacity. He has published over 60 peer-reviewed articles and co-authored three books. Selected publications include:

    Lowery D, Cerga-Pashoja A, Iliffe S, Thuné-Boyle I, Griffin M, Lee J, Bailey A, Bhattacharya R and Warner J ‘The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial’, International Journal of Geriatric Psychiatry 29: 819-827 (2014)

    Warner J and Jenkinson J ‘Psychiatry for the elderly in the UK’, The Lancet 381: 1985 (2013)

    Graham N and Warner J, Understanding Dementia, BMJ Family Doctor Series, ISBN-13: 978 1 903474-617 (2009)

    Warner J and Nomani E, ‘Giving consent in dementia research’, The Lancet 372; 183-185 (2008)

    McCarney R, Fisher P, Iliffe S, van Haselen R, Griffin M, van der Meulen J, Warner J ‘Ginkgo biloba for mild to moderate dementia in a community setting: a pragmatic, randomised, double-blind, placebo-controlled trial’, International Journal of Geriatric Psychiatry 23: 1222-1230 (2008)

    Warner J, McCarney R, Griffin M, Hill K, Fisher P ‘Participation in dementia research: rates and correlates of capacity to give informed consent’ Journal of Medical Ethics 34: 167-170 (2008)

    Warner J, Butler R and Prabhakaran P ‘Which Treatments are effective for cognitive, behavioural and psychological symptoms in dementia?’ Evidence Based Mental Health 6: 69-71 (2003)

    Assessment and Treatment

    James provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Alex Bailey

    Dr Alex Bailey graduated in Clinical Sciences from the University of Leeds in 2003 and subsequently gained a Postgraduate Certificate in Systemic and Family Therapy and a Master’s in Education from Imperial College. He is currently working as a Consultant in Old Age Psychiatry at Westminster Older Adults and Health Ageing Community Mental Health Team, where he has lead several service improvement initiatives. His previous appointments include Clinical Advisor to the NHS Medical Director at the Department of Health and Teaching Fellow at Central and North West London NHS Foundation Trust. Teaching has always been an integral part of his practice and he is currently Foundation Champion for North West Thames Foundation School and Honorary Lecturer at Imperial College. He is also on the Old Age Faculty Executive at the Royal College of Psychiatrists and has recently published a new edition of the popular book “Alzheimer’s at your fingertips”

    Expertise

    Alex is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    Anxiety Disorders
    Depression
    Alzheimer’s disease
    Vascular dementia
    Lewy Body dementia
    Mild Cognitive Impairment
    Panic Disorders
    Capacity Assessment

    Assessment and Treatment

    Alex provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Giovanna Zamboni

    Dr Giovanna Zamboni is a Senior Clinical Fellow and Honorary Consultant Neurologist at the Nuffield Department of Clinical Neurology, University of Oxford.  She graduated in Medicine and Surgery and specialized in Neurology at the University of Modena and Reggio Emilia, Italy, where she developed a special interest in dementia and cognitive disorders and worked in memory clinics while also continuing her clinical training in general neurology. She then worked as postdoctoral fellow for almost three years at the National Institutes of Health in the United States. In 2008 she joined the Oxford Project to Investigate Memory and Ageing (OPTIMA) to lead the continued development of the neuroimaging research while working as Locum Consultant in the Oxford Memory Clinic (OXMAC) of the John Radcliffe Hospital, Oxford.  In 2012 she obtained a doctoral degree (DPhil) defending a thesis entitled “Structural and functional magnetic resonance imaging in the prediction and characterization of Alzheimer’s disease and Mild Cognitive Impairment”. She is currently responsible for the continued development of functional imaging research of the Stroke and Dementia Prevention Research Unit in Oxford. She is author of several papers and publications in the fields of imaging and dementia. Her clinical expertise is in the early detection of cognitive impairment and in the differential diagnosis of atypical dementia.

    Expertise

    Giovanna is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    Alzheimer’s disease
    Vascular dementia
    Lewy Body dementia
    Fronto-temporal dementia
    Posterior cortical atrophy and other atypical dementias
    Mild Cognitive Impairment
    Parkinson’s disease
    Atypical Parkinsonian syndromes – Progressive Supranuclear Palsy, Corticobasal Degeneration Syndrome, Multisystem Atrophy
    Epilepsy & seizures
    Sleep Disorders
    Neuropathy
    Headache

    Assessment and Treatment

    Giovanna provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 60 minutes incl. report, priced at £300.

    Initial assessment of 90 minutes incl. report, priced at £450.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Brian Parsons

    Dr Brian Parsons is a Consultant Psychiatrist specialising in the mental health of older adults. He studied Medicine at University College, Dublin. After completing his Medical and Surgical residency posts he trained in General Practice and obtained membership of the Irish College of General Practitioners. Dr Parsons then went on to train in psychiatry in Ireland, Australia and the United Kingdom gaining a CCT (Certificate of Completion of Training) in General Adult and Old Age Psychiatry with an endorsement in Liaison Psychiatry. He took a substantive consultant post with Surrey & Borders Partnership NHS Foundation Trust in 2007 where he is currently working as a Community Consultant Old Age Psychiatrist.

    Dr Parsons has previously managed in-patients with functional mental illness and dementia, as well as providing Liaison Psychiatry services to St. Peter’s Hospital in Chertsey. He was the Trust Clinical Lead for the “Enhancing Quality Programme for Dementia” and his Memory Service has been accredited as “Excellent” by the Memory Services National Accreditation Programme (Royal College of Psychiatrists) in 2015.

    Dr Parsons has recently completed a four year term as an Elected Member of the Executive Committee of the South East Division of the Royal College of Psychiatrists. He became a member of the Royal College of Psychiatrists in 2002 and was awarded a Higher Diploma in Healthcare Risk Management in 2003.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Mild cognitive impairment
    • Panic disorders
    • Capacity assessment
    • Psychosis

    Research and Publications

    Das K, Davis R, Du Toit B, Parsons B ‘Sporadic Creutzfeldt-Jakob disease: a description of two cases’,
    International Psychogeriatrics  24(7): 1183-1185 (2012)

    Parsons B, Agrawal N ‘Acute confusional state’, British Medical Journal, e-learning on-line programme
    http://learning.bmj.com/learning/search-result.html?moduleId=10007766

    Campbell F, Parsons B, Loane R ‘An analysis of referral letters to a department of Old Age Psychiatry’, Irish Journal of Psychological Medicine  25(1) (2008)

    Parsons B, Kennedy M ‘A review of recorded information given to patients commenced on clozapine and the development of guidelines on disclosure, a key component of informed’,  Journal of Medical Ethics  33:564-567 (2007)

    Walsh I, Regan J, Sowman R, Parsons B, McKay AP ‘Prevalence of language, communication and swallowing disorders in mental health service attenders’, Irish Journal of Psychological Medicine  24(3):89-93 (2007)

    Campbell F, Parsons B ‘Anxiety disorders mental health distance learning module’, Forum, Journal of the Irish College of General Practitioners  23(12): module 112 (2006)

    Murphy M, Nathan M, Lee E, Parsons B, Gunasekera L ‘Oedipism: autoenucleation in a patient with schizophrenia’, case report
    Irish Journal of Psychological Medicine  23(4): 159-160 (2006)

    Parsons B, McCabe B ‘Diagnosis and management of anxiety disorders in primary care’, Forum, Journal of Irish College of General Practitioners 6(1): 14-18 (2006)

    Bedford D, Igoe G, White M, Parsons B, Foyle D, Howell F, Corcoran, R ‘The acceptability of pneumococcal vaccine to older persons in Ireland’, Irish Medical Journal 93 (2): 48-9 (2000)

    Parsons B ‘General Practice and the ageing Irish’, Forum, Journal of the Irish College of General Practitioners 12 (3): 38-40 (1995)

    Assessment and Treatment

    Brian provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Ana Saiz

    Dr Saiz qualified as a medical doctor in the Basque Provinces in the North of Spain; she then undertook psychiatric training in London “Guy’s and St Thomas’ training programme” and obtained the Membership with the Royal College of Psychiatrist in 1995.

    Dr Saiz is a Consultant Psychiatrist specialised in older adults services (people over 50). She has been a Consultant for Oxleas NHS Foundation Trust since 1999. Her special interest is the assessment, diagnosis and treatment of neurodegenerative conditions like dementia. She has been the Clinical Lead for the Memory Services in the Trust for the past three years having contributed to the development of this service and the subsequent accreditation with the Royal College of Psychiatrist.

    She has done a lot of work in primary care settings helping to promote early diagnosis of dementia and early interventions to improve the prognosis of this condition.

    Expertise

    Ana is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Dementia of Alzheimer’s
    • Vascular dementia
    • Lewy-body dementia
    • Other less common types of dementia
    • Advise to families and carers on the impact of dementia on behaviour, and other associated mental health problems
    • Younger people with dementia
    • Depression
    • Anxiety disorders
    • Bipolar disorder
    • Other psychotic conditions
    • Assessment of capacity

    Assessment and Treatment

    Ana provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Ramin Nilforooshan

    Dr Ramin Nilforooshan is a Consultant Psychiatrist, specialising in Older Adult Mental Health. He completed his psychiatric training in Guy’s and Maudsley Rotation and has been a Consultant Psychiatrist for Older Adults in Surrey and Borders Partnership NHS Foundation Trust since 2011 and is now also Associate Medical Director for research and development.

    He is specialty lead for dementia research for Kent, Surrey and Sussex, Honorary Senior Clinical Lecturer at University of Surrey and Senior Research Fellow at King’s College London.

    Expertise

    He is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy body dementia
    • Assessment of Capacity
    • Schizophrenia and all psychosis

    Assessment and Treatment

    Ramin provides thorough diagnostic assessments, treatment and ongoing reviews. He aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.

    Dr Hema Ananth

    Dr Hema Ananth qualified from UCL in 1995 and has now been established as a Consultant Psychiatrist for 12 years. She completed her Psychiatric training on the Royal Free Training Scheme. Hema was awarded the Fellowship of the Royal College of Psychiatrists in 2012 for her contribution to Psychiatry. Her NHS work is in Hertfordshire, where she is the lead for the local Memory Service. This involves close work with the Alzheimer’s Society, with whom she has been involved in a voluntary capacity. Hema is the Chair of the Herts Old Age Psychiatry Group and also sits on the Ethics Executive. She has been involved in private practice for 10 years.

    Hema is actively involved in Medical Education of Junior Doctors and is a Tutor and enrolled in a Masters in Medical Education. She was elected Secretary of the Psychiatry Council at The Royal Society of Medicine where she promotes Psychiatry and inputs into conferences. She has previously been on the Liaison Faculty and Women in Psychiatry Group at The Royal College of Psychiatrists and remains an active member of the Old Age Faculty.

    Expertise

    Hema is specialised in the diagnosis and treatment of older adults (aged over 50) with a wide range of conditions including:

    • Anxiety Disorders
    • Depression
    • Alzheimer’s disease
    • Vascular dementia
    • Lewy Body dementia
    • Mild Cognitive Impairment
    • Panic Disorders
    • Capacity Assessment
    • Cognitive Behavioural Therapy (CBT)

    Research and Publications

    Beveridge E A, Ananth H, Scurlock H J ‘What protection for the unborn child of a psychologically vulnerable adult?’ Journal of the Royal Society of Medicine.96(2):92-93, February 2003.

    Ananth H, Jones L, King M and Tookman A ‘The Impact of Cancer on Sexual Function:A Controlled Study’ Palliative Medicine, 2003; 17: 202-205

    Invited speaker at Marie Curie Research and Development Conference 2002, 2005 and St George’s Hospital 2002.

    Campbell PG and Ananth H ‘Graduates: In: Jacoby R, Oppenheimer C, eds: Psychiatry in the Elderly’ Oxford: Oxford University Press, 2002, pp 762-799.

    Ananth H, Popescu I, Good CD, Critchley HD, Frackowiak RSJ, Dolan RJ ‘Cortical and Subcortical Gray Matter Abnormalities in Schizophrenia: Optimized Volumetric Voxel-Based Morphometry of Structural Magnetic Resonance Imaging’ Am J Psychiatry 159:1497 – 1505, September 2002

    Poster presentation at International Schizophrenia Conference, Davos 2002.

    Critchley HD, Ananth H, Popescu I, Good CD, Frackowiak RSJ, Dolan RJ: Cortical and thalamic grey matter abnormalities in Schizophrenia: optimized volumetric Voxel-based morphometry of structural magnetic resonance imaging Schizophrenia Research 53, Suppl A181

    Currently collaborating with Research & development team looking into category-specific object naming in dementia: Category-Specific Object Naming in Dementia of Probable Alzheimer Type: naming pictures of living and non-living things, actively recruit for DENDRON.

    Posters at Royal College of Psychiatrists: 2012 Prevalence of Depression in non-referred patients in the General Hospital, 2015 Eating Disorders in the Elderly and Developing a Template for GP letters following a Memory Clinic Assessment

    Assessment and Treatment

    Hema provides thorough diagnostic assessments, treatment and ongoing reviews. She aims to see you within a matter of days from referral and can see you at your home or at our consulting rooms at The Medical Chambers Kensington or Queen Square Private Consulting Rooms.

    Appointment prices

    Initial assessment of 90 minutes incl. report, priced at £450.

    Comprehensive diagnostic & capacity assessment of 120 minutes incl. report, priced at £750.

    Optional follow-ups at £300 for 60 minutes, and £200 for 30 minutes.

    Home visit supplements starting from £100.