Dementia

      Although Alzheimer's Disease is universally feared, it is not the reason for every case of memory loss.  Depression can mimic dementia and dementia can mimic depression.   Medication can cause memory difficulties as well.  Strokes and other circulatory problems can impair memory too.  Even malnutrition affects memory.  Thus, with memory problems in the elderly, it is essential to know the cause and the extent because some memory problems are readily treatable with medication, adjustments in medication, and with nutrition.

     A neuropsychological evaluation can help the clinician, the patient, and family members determine the diagnosis.  It also leads to the best plan, such as in-home care, assisted living, medication trials, and/or adult day care. 

     I have worked as a psychologist in nursing homes, assisted living facilities, and hospice, consulting on behavior problems and providing support around resident adjustment and emotional issues. 

     I have training and experience in this domain which helps me evaluate and advise patients, families, and caretakers.  I have a year of formal postdoctoral supervised training in clinical neuropsychological assessment through the Mt. Sinai School of Medicine Alzheimer’s Disease Unit.  I have an additional year of one-on-one training and case consultation with a neuropsychologist.  Further, I am involved in on-going continuing education through the Columbia University’s Department of Neurology, Division of Aging and Dementia.

     I work  very closely with the main caretaker, who may be in the middle of multiple difficult pulls in a system: caring for an elderly parent versus a spouse and managing adult children, and grandchildren.  Decisions about elder care, adult day care, rehabilitation, removing driving privileges, and bringing in a home health aid are difficult.  I support the caregiver through the assessment process and help guide decision making with regard to the senior’s cognitive strengths and weakness.  The evaluation helps in setting the stage for a loved one to live out his or her later years with dignity and as much autonomy as possible.