Clive Ballard, University of Exeter Medical School, Exeter, UK, talks about the disparity of care pathways available for dementia treatment. Prof. Ballard explains that enhanced and improved monitoring for mild cognitive impairment is needed to stop further deterioration. He proposes updated virtual solutions to tackle this issue. On the other hand, in cases of severe dementia, he dissuades the use of antipsychotics. This interview was recorded on an online conference call with The Video Journal of Dementia (VJDementia).