Mr. Doe is a 72-year-old retired accountant referred by his primary care physician for evaluation of memory decline. He reports misplacing items and repeating questions over the past 18 months, which his daughter first noticed in 2023. A brain MRI showed mild generalized atrophy, and he scored 23/30 on the MoCA, losing most points on delayed recall.
He described getting lost driving to a familiar store and endorsed low mood since retirement, with a PHQ-9 total of 9.