Major-neurocognitive disorders can present a challenge to clinicians both from a diagnostic point of view and in its management. The many variations in its presentations and also aetiology, necessitate a good understanding of conditions that are less likely to be diagnosed. While there is diagnostic criteria, many patients have symptoms that are hard to categorize, Vascular Dementias can pose a particular challenge in clinical practice. With our rapidly aging population, COVID and the rising cost of investigations, there are key clinical symptoms of which one needs to be aware. This course will cover issues around accurate diagnosis of this commonly encountered clinical presentation.