ABSTRACT
This chapter provides a case of a 66-year-old bank manager who presents with a problem 'memory loss'. He appears as an overweight, well-dressed gentleman who walks with a slow shuffling gait. He has no previous psychiatric history but has suffered from hypertension for 20 years and diabetes type 2 for 15 years treated adequately with enalapril and metformin, respectively. He has smoked 30 cigarettes a day for 50 years. He drinks socially and does not take any illicit drugs. Central nervous system examination reveals bilateral increased tone though strength and reflexes are equal all over. Funduscopic examination is normal. There is evidence of psychomotor retardation and his mood is low and anxious. There is evidence of cognitive impairment, he scored 21/30 on Mini Mental State Examination (MMSE) losing points on attention, recall, naming and construction. He seems to have a reasonable degree of insight and wants help to get better.
