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Dementia is a condition which involves progressive brain degeneration with loss of memory, orientation and ability to perform daily activities. There can also be paranoia, hallucinations, agitation and disorientation. Taking care of people with dementia puts a tremendous strain on relatives. Identifying dementia early at the stage of mild cognitive impairment, identifying any reversible causes, implementing strategies to improve quality of life are important first steps in managing dementia. At the same time acknowledging and reducing the burden of caregivers is equally important. Our approach involves, early cognitive screening, medical and neurological evaluation, cognitive retraining, behavioral interventions and family counseling to improve quality of life.