Clinical Services

I am a licensed clinical geropsychologist, meaning that I specialize in attending to and addressing the unique needs of older adults and their families including coping with age-related illness, cognitive changes including dementia, mental health disorders, role transitions related to caregiving, and finding meaning in the “third chapter” of life.

My theoretical orientation is best described as integrative with a strong emphasis on a biopsychosocial model complimented with cognitive-behavioral (CBT), short-term problem solving, and dialectical behavioral therapy (DBT) techniques. The pivotal underpinning of my theoretical framework is the therapeutic alliance, which I believe is the primary element of change. Through a comprehensive assessment of the biomedical, interpersonal and social aspects of a client’s life, I attempt to form a holistic concept of the person’s world. My consideration of symptoms, co-morbidities, medication interactions, self and body image, cognitions, beliefs, strengths, personality and interpersonal styles, the nature and meaning of relationships, and one’s sense of spirituality are primary in my conceptual process.

Additionally, I view the person and their symptoms in the context of a larger system, which is defined by cultural, social, and political factors that shape and govern behavior. I am keenly aware how people are challenged by cohort differences, social stigmatism, and access to resources. By listening to my client’s personal narrative, I strive to view the world through their eyes, put meaning to their words, and tailor my interventions accordingly to assist that individual in living the fullest life possible.

According to the Alzheimer’s Association, 5.7 million Americans are living with Alzheimer’s disease. By 2050, the number is expected to increase to 14 million. It is estimated that someone in the U.S. develops Alzheimer’s disease every 65 seconds. While Alzheimer’s disease in only one of many forms of dementia, the numbers are staggering and illustrate the importance of early screening.

Early detection of cognitive changes through appropriate screening and testing is vitally important in understanding an older adult’s current strengths and challenges, and to aid families with information critical to future planning. I employ a battery of age-normed neuropsychological tests to garner diagnostic data and offer person-centered recommendations to enhance or maintain current cognitive functioning, as well as plan for the progression of the disease process. Additionally, I provide psychoeducation on dementia and the important role of medical and psychological comorbidities that may be impacting an individuals cognitive functioning.

Experts estimate that up to 40% of persons with a diagnosis of Alzheimer’s disease also suffer from depression. Symptoms of major depression include the following:

• Social isolation
• Disruption in appetite
• Disruption in sleep
• Agitation or slowed behavior
• Irritability
• Fatigue
• Feelings of worthlessness
• Recurrent thoughts of death

When left untreated, depression can negatively impact a person’s overall functioning, including brain health.