The Living with Dementia report, the first of its kind to survey Australians with dementia and their carers directly, has exposed significant gaps in diagnosis and post-diagnosis care. Published by the Australian Institute of Health and Welfare, the survey gathered responses from 266 people living with dementia in the community and over 1,600 carers between 2025 and January this year.
Dementia is now the leading cause of death in Australia, and estimates project one million Australians will be living with the condition over the next 35 years, making it what many experts call the defining health crisis of the 21st century.
The survey found that getting a diagnosis is often a complicated process. Around one-third of people with dementia said they did not associate their symptoms with the condition. One 68-year-old participant recalled: "I didn't think I had a problem. I thought, you know, it's just, I'm forgetting things. I've got a lot on my mind."
Seeking help did not always speed things up. Respondents reported delays accessing specialist appointments and tests, and some GPs attributed symptoms to other causes. Research has previously shown that dementia patients, particularly women, are often misdiagnosed with depression or stress. A 59-year-old participant said: "I'd raised this with my GP and I had the usual 'it's probably menopause or your chronic fatigue syndrome'."
Dementia Australia's Kaele Stokes said too often healthcare professionals displayed a sense of "nihilism" and avoided discussing dementia with patients. "There's a sense that dementia is an inevitable part of aging, which it isn't," she said.
Professor of healthy aging at the University of Sydney, Yun-Hee Jeon, said it was unacceptable that two in five people waited three years for a diagnosis. "People are left in limbo and might miss out on accessing drugs that could help manage the symptoms of cognitive impairment or simply the opportunity to plan their future," she said.
The survey also found that about 40 per cent of respondents received no information about support services after their diagnosis. Although most described their diagnosis as a positive experience, some felt it was impersonal and lacked compassion. The daughter of one person living with dementia said: "When we got the diagnosis, we got a couple of different brochures and things. That was probably it. There was no referring back to the doctor. There was no 'these are the next steps'."
Dr Jeon noted that clinicians often did not know what services were available, leading many to miss out on important rehabilitation.
Experts have urged governments and healthcare professionals to pay close attention to the findings and improve both diagnostic pathways and support services for the growing number of Australians affected by dementia.