Elderly is the last stage in the growth stage, and is a natural process that cannot be avoided by every individual. The aging process is characterized by changes in both anatomical, biological, physiological, and psychological. The changes experienced by the elderly cause the elderly to easily experience depression (Gita Fahas, 2011). Decreased ability to adapt to changes and environmental depression often causes psychosocial disorders in the elderly. Some patients with depression have symptoms of cognitive impairment that can be difficult to distinguish from those of dementia. This study aims to determine the relationship between depression level and dementia in the elderly in the village of bindang, subdistrict of Pasean, Pamekasan. The design of this research is correlational analytic with a cross-sectional approach, which is a type of research that emphasizes the time of measurement or observation of independent and dependent variable data only once at a time. The population in this study were all the elderly in the Pasean Pamekasan sub-district as many as 78 elderly. Using purpusive sampling with 32 respondents who met the inclusion criteria. Based on table 4.7 the results of the analysis using SPSS statistical test Spearman Rank correlation obtained p = 0.000