Graduate it: restrictions first, formal driving evaluation, the doctor as the messenger. Dementia makes it absolute - and always replace the transport, never just remove it.
What to do
Common questions
How do I get my parent to stop driving?
Taking the keys is taking independence, and the parents who resist are not being difficult - they are defending their autonomy. NIA's driving safety guidance gives the approach that works better than the ambush. Start early and gradual, before crisis: normalize driving check-ins the way you would discuss any health change. Use the graduated path: first restrictions - no night driving, no highways, familiar routes only, a driving refresher course or formal driving evaluation, which exists specifically for this and carries third-party authority. Watch for the objective signs: dents and scrapes accumulating, getting lost on familiar routes, near-misses, traffic tickets, slow reactions, confusion at intersections. When retirement is necessary, use the leverage points: the doctor's office can write a driving cessation recommendation - many parents accept from a clinician what they reject from a child, so ask the provider to own it; the formal driving evaluation provides objective evidence; and some states allow reporting concerns to the licensing authority. Replace rather than remove: the conversation lands better with a transportation plan - family driving schedules, senior transport services, ride services taught patiently - isolation is the real harm to prevent. The dementia case is absolute: NIA is direct that a person with moderate dementia cannot drive safely - frame it around the diagnosis, not their capability, and disable or remove the car if needed for safety. Pymander is a free AI doctor, 24/7 by text. Describe what you are seeing, and it can help you plan the conversation.
