Mitchell Clionsky, PhD, is a board-certified neuropsychologist who specializes in evaluating and treating patients with cognitive impairment, dementia, ADHD, and traumatic brain injury.

A husband-and-wife team, they have a combined 70 years of professional and clinical experience in medicine and neuropsychology and have treated 20,000 patients.

They partner at a private practice, Clionsky Neuro Systems, Inc., based in Springfield, Massachusetts. Their work can be found on their website which is :

03:00 Dr Clionsky Background in Dementia and Brain Testing

  • 10% chance in 60’s to get dementia, risk doubles in 70’s and in 80’s people can have a 40% risk
  • He’s been thinking about how to help prevent dementia for a long time in his practice

06:00 Difference between Dementia and Alzheimers

  • Alzheimers is a particular form of dementia, but not the only form.
  • Vascular dementia’s stem from not have enough blood flow to the brain
  • Being hit in the head too many times can also cause dementia
  • Parkinson’s disease: about 25% of people with parkinsons will get dementia
  • There are other dementia’s as well
  • Current treatments are similar for all forms of dementia

12:20 Are All Functions Impacted With Dementia’s?

  • Early signs of dementia are problems with short term memory
  • Executive functions in the brain start to deteriorate quickly as well

15:00 How To Diagnose Early Signs of Dementia?

  • It’s best to go to a doctor first
  • Dr Clionsky wants to release his test that can be used at home
  • Ask for a blood tests, brain scan or get referred to another practitioners

17:40 Is Dementia Genetic or is it Lifestyle Related?

  • There is a certain genetic component, but its localized to people from certain small regions of the world
  • But other genetic risk factors such as diabetes, high blood pressure, sleep apnea can all lead to dementia
  • There is a gene called APOe4 that can increase risk of dementia

20:35 What Is The Dementia Prevention Checklist that Dr Clionsky has Come Up With?

  • High blood pressure, high homocysteine, B9 and B12, vitamin D
  • Cardiovascular risks: smoke cigarettes, hypertension, blood sugar, exercise, drinking
  • Over the counter medications may be depleting acetylcholine in the brain
  • Benzodiazepenes, valium, xanax can all increase risk of dementia

27:45 Is There A Blood Test To Detect Early Signs of Alzheimers?

  • Dr Clionsky is not a big fan of this test
  • It only tests for alzheimers
  • Alzheimers is only 20-30% of all dementias
  • The other problem is that some people with elevated amyloids that does not cause Alzheimers

30:40 How To Increase Blood Flow To Reduce Signs of Vascular Dementia?

  • First test the carotid artery for plaque
  • Then look at heart health including medications and exercise
  • Diabetes can worsen blood flow
  • Sleep apnea is a big reason for reduced blood flow
  • Sleep apnea risk goes up with age: use CPAP’s

36:25 Where To Find Dr Clionsky’s Work?

  • Go to
  • Get the book on Amazon or library, or any other platform
  • The book is called Dementia Prevention: Using Your Head To Save Your Brain

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