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Living Safely

Driving and dementia

Quick answer

Dementia eventually makes driving unsafe. The question is not whether, but when — and how to handle the transition.

Author:
Illinois Dementia Guide editorial team
Medically reviewed by:
Amarish Dave, DO, Board Certified Neurologist
Published:
August 2026
Last medically reviewed:
August 2026
Geographic relevance:
Illinois, United States

Why this matters

Driving requires rapid judgment, attention, and reaction under changing conditions. Skills can decline before the person is aware of it, and a diagnosis alone does not automatically end driving — an assessment does.

Warning signs

  • Getting lost on familiar routes
  • New dents, scrapes, or unexplained damage
  • Slow or delayed reactions at intersections
  • Drifting between lanes or confusing pedals
  • Other drivers honking frequently
  • Family members declining to ride along

What families can do

  • Request a formal driving evaluation through an occupational therapy driving program
  • Discuss concerns with the physician; Illinois physicians may report unsafe drivers to the Secretary of State
  • Plan alternative transportation before driving stops
  • Arrange rides through senior transportation and township services
  • Remove keys, disable the vehicle, or relocate the car when needed

When to get help

  • Any crash, near-miss, or getting lost while driving
  • Family disagreement about safety — ask the clinician to weigh in
  • The person insists on driving despite clear risk

Related resources

Medically reviewed. Last reviewed August 2026. This page is educational information, not individualized medical advice.

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