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Brain Fog

Brain Fog

What is Brain Fog?

Brain fog feels like your brain is running through mud—it’s harder to think clearly, focus, or even find the right words in conversations. You might feel forgetful, struggle to concentrate, or take longer to process information. It’s not a medical term but a way to describe mental cloudiness that can happen after being sick, not getting enough sleep, or even when you’re stressed. Think of it like your mind hitting the “snooze” button when you need it to be fully awake.

Why does brain fog happen?

Brain fog happens when your brain is trying to juggle too much information at once, kind of like a computer with too many tabs open—it slows down or freezes. Your brain has a limit on how much it can handle at a time, and when that limit is reached, it feels like everything is harder: remembering things, focusing, or even making simple decisions. This happens when you’re overwhelmed with new information or distracted by other things, causing mental fatigue and that “foggy” feeling.

Symptoms of Brain Fog

Fine Motor Strength: Brain fog can make your hands feel clumsy, leading to difficulty with tasks requiring precision, like writing or buttoning a shirt.

Memory Impairment: It’s harder to recall recent events, conversations, or where you put things.

Word-Finding Difficulty: You might struggle to find the right word during conversations, leading to pauses or incorrect substitutions.

Reduced Concentration: Staying focused on a task feels challenging, and your mind might wander easily.

Decision-Making Challenges: Simple decisions can feel overwhelming, and processing choices takes longer.

Mental Fatigue: Thinking or problem-solving feels exhausting, even for tasks that were once easy.

Slower Processing Speed: It takes more time to understand or respond to information.

Emotional Sensitivity: Frustration or irritability increases as mental tasks feel harder to manage.

Physical Coordination Issues: Movements might feel unsteady or poorly coordinated, leading to more errors or accidents.

Visual Processing Difficulty: Reading or interpreting information feels more tiring, and eyes may feel strained.

Problem-Solving Difficulties: Complex tasks or puzzles feel much harder than usual, with slower progress.

Spatial Awareness Issues: You may bump into objects or misjudge distances more frequently.

Reduced Gait Speed: Walking can feel slower or require more mental effort to maintain balance and rhythm.

Grip Strength: Holding or carrying objects feels weaker or less secure.

Social Cognition: Interacting with others feels draining, and you might find it harder to read social cues or respond appropriately.

Solutions for Brain Fog

Fine Motor Strength: Engage in simple hand exercises, like squeezing a stress ball or practicing small, precise movements (e.g., threading beads).

Memory Impairment: Use external memory aids, like to-do lists, reminders on your phone, or sticky notes to keep track of important tasks.

Word-Finding Difficulty: Practice word association games or give yourself extra time in conversations to pause and gather your thoughts.

Reduced Concentration: Break tasks into smaller, manageable steps and take short, timed breaks to reset focus.

Decision-Making Challenges: Limit choices when possible, and create decision frameworks (e.g., pros and cons lists) to reduce mental strain.

Mental Fatigue: Prioritize rest, aim for consistent sleep schedules, and practice relaxation techniques like deep breathing or mindfulness.

Slower Processing Speed: Allow extra time for tasks and avoid multitasking to help your brain work through one thing at a time.

Emotional Sensitivity: Acknowledge feelings of frustration and take calming actions, such as stepping away from a task or practicing gratitude journaling.

Physical Coordination Issues: Perform slow, intentional movements like yoga or tai chi to improve coordination and reduce clumsiness.

Visual Processing Difficulty: Take frequent breaks from screens, ensure proper lighting, and adjust text sizes to reduce visual strain.

Problem-Solving Difficulties: Simplify problems by writing down the steps and working on one part at a time, or ask for input from others to clarify solutions.

Spatial Awareness Issues: Use visual or tactile markers (e.g., tape on steps) and practice mindful walking to improve awareness of your surroundings.

Reduced Gait Speed: Engage in gentle physical activities like walking or light stretching to improve muscle coordination and mental focus.

Grip Strength: Practice grip-strengthening activities like kneading dough or gripping and lifting light weights.

Social Cognition: Prepare for social situations by reviewing conversation topics ahead of time and use reflective listening to stay engaged.

Occupational Therapy for Brain Fog Symtpoms Symptoms

A comprehensive approach to rehabilitation, tailored specifically for those experiencing Brain Fog as a result of aging, traumatic brain injury, stroke, or other neurodegnerative condition includes multiple strategies designed to address both cognitive and physical challenges:

+ Cognitive Remediation Therapy: Therapy focuses on improving memory, attention, and problem-solving skills through targeted exercises tailored to the individual’s cognitive challenges, fostering better thinking and processing abilities.

+ Physical Remediation: Interventions aim to rebuild balance, stability, and endurance, supporting individuals in regaining physical independence and mobility while addressing the physical fatigue often associated with brain fog.

+ Dual Tasking Training: Combining mental and physical tasks, this method helps retrain the brain and body to work together efficiently, improving multitasking, coordination, and overall functional abilities.

+ Symptom Tracking and Clinical Direction: Continuous monitoring of symptoms ensures early identification of new or worsening challenges. Rehabilitation plans are adjusted as needed, with referrals to specialists when additional expertise is required.

+ Lifestyle Adaptive Training: Focused on modifying daily routines, this strategy maximizes independence and efficiency by helping individuals create sustainable, goal-oriented solutions for managing brain fog-related limitations.

+ Psychosocial and Behavioral Support: Rehabilitation includes emotional and psychological guidance to help individuals adapt to living with chronic conditions. Support fosters resilience and a focus on thriving, enabling individuals to regain confidence and control over their lives.

 

Alzheimer’s Disease Medications for Memory

Alzheimer’s Disease Medications for Memory

Dementia Treatments

Alzheimer’s Disease Medication

Introduction 

People are increasingly interested in the latest advancements in Alzheimer’s disease medications as they seek to safeguard their brain health through the most cutting-edge scientific developments. Alzheimer’s disease, a progressive neurodegenerative disorder characterized by memory loss, cognitive decline, and behavioral changes, poses significant challenges for both patients and their loved ones. As awareness of Alzheimer’s grows and its prevalence rises, there is a growing sense of urgency to explore all available options for prevention, treatment, and management.

Leqembi

+ Leqembi is an IV medication for early-stage Alzheimer’s, targeting and removing beta-amyloid from the brain.

+ While not a cure, it’s the first FDA-approved treatment addressing Alzheimer’s biology, aiming to slow down cognitive decline and maintain independence.

+ It’s only for those with confirmed elevated beta-amyloid levels and hasn’t been tested for advanced stages or those without symptoms.

Aduhelm

Aducanumab

+ Aducanumab (Aduhelm®) has gained accelerated FDA approval for treating early Alzheimer’s and Mild Cognitive Impairment (MCI) due to Alzheimer’s Disease.

+ It’s the first therapy to demonstrate that reducing beta-amyloid in the brain can slow cognitive and functional decline in early-stage Alzheimer’s by targeting and removing specific forms of beta-amyloid plaques.

+ Administered via intravenous infusion every 4 weeks, Aducanumab aims to reduce beta-amyloid accumulation, potentially aiding other brain functions in memory, thinking, learning, and behaviors.

Aricept

Donepezil

Donepezil (Aricept) : Approved to treat all stages of Alzheimer’s Disease. Its primary mechanism of action involves inhibiting an enzyme called acetylcholinesterase. This enzyme normally breaks down acetylcholine, a neurotransmitter involved in memory and learning. By inhibiting acetylcholinesterase, Aricept increases the levels of acetylcholine in the brain, temporarily improving communication between nerve cells.

Exelon

Rivastigmine

Rivastigmine (Exelon): Approved for mild-to-moderate Alzheimer’s disease and mild-to-moderate dementia associated with Parkinson’s disease. This is another medication used to treat Alzheimer’s disease. Its mechanism of action is similar to Aricept but extends to inhibiting both acetylcholinesterase and butyrylcholinesterase enzymes. By doing so, Rivastigmine increases the levels of acetylcholine in the brain, supporting improved communication between nerve cells. This helps alleviate cognitive symptoms in individuals with Alzheimer’s, providing symptomatic relief without modifying the underlying progression of the disease.

Razadyne

Galantamine

Galantamine (Razadyne): Approved for mild-to-moderate stages of Alzheimer’s disease. Its mechanism of action involves acting as a reversible acetylcholinesterase inhibitor, similar to Aricept and Rivastigmine. By inhibiting the breakdown of acetylcholine, a neurotransmitter crucial for memory and learning, Galantamine temporarily increases its levels in the brain. This enhancement of acetylcholine communication between nerve cells aims to alleviate cognitive symptoms associated with Alzheimer’s disease.

Namenda

Memantine

Memantine (Namenda): Approved for moderate-to-severe Alzheimer’s disease. Unlike acetylcholinesterase inhibitors, Memantine works by modulating the activity of glutamate, an excitatory neurotransmitter in the brain. It acts as an NMDA receptor antagonist, helping regulate the activity of glutamate and preventing excessive stimulation. This mechanism aims to protect nerve cells from damage caused by overstimulation, which is implicated in the progression of Alzheimer’s. Memantine provides symptomatic relief by addressing a different aspect of neurotransmission compared to acetylcholinesterase inhibitors, offering a complementary approach in the treatment of Alzheimer’s disease.

Namzaric

Donepezil and memantine (Namzaric): Approved for moderate-to-severe Alzheimer’s disease. Namzaric is a combination medication that includes both donepezil and memantine. Each component targets different aspects of Alzheimer’s disease to provide a comprehensive treatment approach. Together, the combination of donepezil and memantine in Namzaric aims to enhance cognitive function and provide symptomatic relief in individuals with moderate to severe Alzheimer’s disease. It represents a synergistic strategy by targeting both acetylcholine and glutamate to address different aspects of the disease’s underlying pathology.

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Stages of Alzheimer’s Disease

Stages of Alzheimer’s Disease

“Memories are the threads that weave the fabric of our lives, shaping who we are and who we become.” – Elizabeth Loftus

    Stages of Alzheimer’s Disease

    Alzheimer’s disease is a complex condition that affects millions of individuals worldwide, impacting not only those diagnosed but also their families and caregivers. Understanding the progression of Alzheimer’s is crucial for providing appropriate care and support at each stage of the disease. In this article, we’ll explore the seven stages of Alzheimer’s Disease, highlighting the areas of the brain affected, common symptoms experienced, and available treatments for each stage.

    Stage 1 – No Impairment

    Area of the Brain: No noticeable changes.

    Symptoms: No memory problems or cognitive decline.

    Treatments: Focus on maintaining a healthy lifestyle, including regular exercise, a balanced diet, and mental stimulation.

    Stage 2 – Very Mild Decline

    Working Memory

    Working Memory

    Do you find it challenging to remember things you just learned or heard? This could be a sign of dementia.

    Area of the Brain: Minimal changes, primarily in the hippocampus.

    Symptoms: Occasional forgetfulness, such as misplacing keys or forgetting names.

    Treatments: Continued emphasis on lifestyle factors, along with memory aids and cognitive exercises.

    Stage 3 – Mild Decline

    Slower Retrieval and Rapid Forgetting

    Slower Retrieval and Rapid Forgetting

    Finding it takes longer to recall information, and forgetting things more quickly.

    Immediate Recall Difficulty

    Immediate Recall Difficulty

    Struggling to remember information right after learning it.

    Area of the Brain: Further deterioration in the hippocampus and other regions involved in memory and learning.

    Symptoms: Noticeable memory lapses, difficulty finding the right words, and challenges with planning and organization.

    Treatments: Introduction of medications such as cholinesterase inhibitors to help manage cognitive symptoms, along with support from caregivers and memory care programs.

    Stage 4 – Moderate Decline

    Prospective Memory Challenges

    Prospective Memory Challenges

    Difficulty remembering to perform tasks in the future without external reminders.

    Episodic Memory

    Episodic Memory

    Trouble remembering specific events or experiences from your past.

    Area of the Brain: Significant damage in multiple brain regions, including the frontal and temporal lobes.

    Symptoms: Increased memory loss, difficulty performing tasks independently, mood swings, and confusion about time and place.

    Treatments: Additional medications, such as memantine, may be prescribed to manage cognitive symptoms. Occupational therapy and support services become more important for daily functioning.

    Stage 5 – Moderately Severe Decline

    Autobiographical Memory Changes

    Autobiographical Memory Changes

    Memories across your lifespan become less detailed and more vague.

    Area of the Brain: Extensive damage throughout the brain, affecting communication between neurons.

    Symptoms: Severe memory impairment, inability to recall personal details, challenges with basic activities of daily living, and behavioral changes.

    Treatments: Intensive support from caregivers, including assistance with personal care and supervision. Behavioral interventions and communication strategies are crucial.

    Stage 7 – Very Severe Decline

    Area of the Brain: Severe neuronal loss and widespread brain damage, resulting in complete dependence on others for care.

    Symptoms: Loss of verbal communication, minimal responsiveness, and severe physical impairment.

    Treatments: End-of-life care focuses on comfort and dignity, with a focus on pain management and emotional support for both the individual and their loved ones.

    Stage 6 – Severe Decline

    Area of the Brain: Severe atrophy and damage in all brain regions, leading to profound cognitive and physical decline.

    Symptoms: Loss of awareness of surroundings, difficulty recognizing familiar faces, incontinence, and limited mobility.

    Treatments: Palliative care focuses on maximizing comfort and quality of life. Supportive therapies, such as music and art therapy, can provide comfort and stimulation.

    Bottom Line:

    Understanding the stages of Alzheimer’s disease is essential for navigating the challenges and providing appropriate care and support throughout the journey. While there is currently no cure for Alzheimer’s, early diagnosis and intervention can help manage symptoms and improve quality of life for individuals and their families. With ongoing research and advancements in treatment, there is hope for a future where Alzheimer’s is more effectively managed and ultimately cured.

    Warning Signs of Dementia

    Warning Signs of Dementia

    “Memory is the diary that we all carry about with us.” – Oscar Wilde

    Warning Signs of Dementia

    Memory changes as we age can be unsettling, leaving many of us wondering if what we’re experiencing is just a normal part of getting older or something more serious, like dementia. It’s important to recognize that there’s a subtle overlap between age-related memory changes and the warning signs of dementia. In this article, we’ll explore these warning signs in a way that’s easy to understand.

    Consider the following symptoms of Dementia: 

    Working Memory

    Working Memory

    Do you find it challenging to remember things you just learned or heard? This could be a sign of dementia.

    Episodic Memory

    Episodic Memory

    Trouble remembering specific events or experiences from your past.

    Immediate Recall Difficulty

    Immediate Recall Difficulty

    Struggling to remember information right after learning it.

    Slower Retrieval and Rapid Forgetting

    Slower Retrieval and Rapid Forgetting

    Finding it takes longer to recall information, and forgetting things more quickly.

    Prospective Memory Challenges

    Prospective Memory Challenges

    Difficulty remembering to perform tasks in the future without external reminders.

    Autobiographical Memory Changes

    Autobiographical Memory Changes

    Memories across your lifespan become less detailed and more vague.

    What can ‘offset’ these changes or help you cope with them?

    Intelligence, expertise, and using compensatory strategies can help cope with memory changes.

    Examples: 

    • Using tools like calendars or setting reminders on your phone to help remember important dates or tasks.
    • Using mnemonic devices to remember important information.
    • Writing notes to yourself to remember tasks or appointments.
    • Creating a daily routine to help remember daily tasks and activities

    Note: Memory specialists are trained with information that greatly exceeds these very simple everyday strategies found on the internet. Clinical oversight is recommended if you feel some of these symptoms have described you. 

     

    Bottom Line:

    If you or a loved one are experiencing these warning signs of dementia, it’s essential to seek help from a local memory specialist. While it can be challenging to confront these changes, getting an evaluation and discussing options early on can lead to better outcomes and quality of life. Remember, you’re not alone, and there are resources available to support you through this journey.

    References

    Baddeley, A. D., Kopelman, M. D., & Wilson, B. A. (2004). The essential handbook of memory disorders for clinicians. Chichester, West Sussex, England ;: J. Wiley.

    Cohen, C., Culver, C., Gomberg, D., Magai, C., & Malatesta, C. (1996). Emotional Expression During Mid- to Late-Stage Dementia. International psychogeriatrics, 8(3), 383-395. doi:10.1017/S104161029600275X

    Early Signs of Dementia in Women

    Early Signs of Dementia in Women

    “Memory is the treasure house of the mind wherein the monuments thereof are kept and preserved”.  Thomas Fuller

    Early signs of dementia in women:

    Early: This refers to the beginning stages or the initial phase of something. In the context of “early signs of dementia,” it means recognizing symptoms at an early stage before they become more severe or noticeable.

    Signs: Signs are indications or signals that suggest something is happening or present. In this case, “early signs” of dementia are the first noticeable changes or behaviors that may indicate the presence of dementia.

    Dementia: Dementia is a general term used to describe a decline in cognitive function (thinking, memory, and reasoning) severe enough to interfere with daily life. It is not a specific disease but rather a set of symptoms associated with various underlying causes.

    Introduction

    You may have heard that more women than men show early signs of dementia, but let’s set the record straight. Recent studies suggest there’s not enough evidence to support this claim. So, if you’re a woman, don’t fret – your risk of dementia isn’t higher just because of your gender (Beam et al., 2018).

    Understanding early signs of dementia in women isn’t easy. Dementia affects everyone differently, no matter their gender, but let’s try to develop our understanding of it!

    The Facts:

    Let’s start by looking at what recent studies tell us about dementia and its risk factors.

    According to Neergaard et al. (2016), there are certain things we can’t change (non-modifiable risk factors), like getting older and genetics that might make us more likely to develop dementia.

    There are other things we can change (modifiable risk factors), like how much we exercise, nutrition, chronic stress, sleep, and whether we smoke that play a big role in whether or not we begin experiencing early signs of dementia. Norton et al. (2014) found that things like not exercising enough and smoking could make us more likely to get dementia.

    Surprisingly, Neergaard et al. (2016) discovered that being a bit overweight when we’re older might not matter as much as we thought! Being obese doesn’t seem to make much of a difference according to the evidence. So, it’s not just about being thin or fat – it’s more complicated than that!

    Sex Differences in Early Symptoms:

    Now, let’s talk about the early signs of dementia and whether they’re different for women and men.

    In a study by Edahiro et al. (2023), they found that women with early-onset dementia were more likely to have trouble with their memory. Men, on the other hand, were more likely to feel irritable.

    Mendez (2012) also discovered that the first signs of dementia might not always be about forgetting things. Sometimes, they can be about having trouble with things like seeing things around us and paying attention.

    The most common symptoms of early-onset dementia across gender are as follows:

      1. Loss of memory (Edahiro et al., 2023)
      2. Difficulty in word generation (Edahiro et al., 2023)
      3. Loss of motivation (Edahiro et al., 2023)
      4. Increased mistakes in the workplace or domestically (Edahiro et al., 2023)
      5. Unusual behaviors or attitudes (Edahiro et al., 2023)
      6. Visuo-spatial dysfunction (Mendez, 2012)
      7. Executive dysfunction (Mendez, 2012)
      8. Attention impairment (Mendez, 2012)

    What can you do?

    Stay physically active: Engage in regular physical activity, such as walking, swimming, or dancing, to promote brain health and reduce the risk of dementia

    Manage depression: Seek support and treatment for depression if needed, as depression has been identified as a potential risk factor for dementia

    Stay mentally active: Keep your brain stimulated by engaging in activities that challenge your cognitive abilities, such as puzzles, reading, learning new skills, or socializing with others

    Monitor and manage other health conditions: Take steps to manage other health conditions that may increase the risk of dementia, such as diabetes, hypertension, and smoking

    Be mindful of early signs: Pay attention to any changes in memory, cognition, or behavior, and seek medical advice if you notice any concerning symptoms. Early detection and intervention can be crucial in managing dementia

    Bottom Line:

    So, what’s the bottom line? Even though some studies say women might show early signs of dementia more than men, it’s not necessarily the case. That said, there are some gender differences like women being more likely to experience memory difficulties in the early stages of dementia than men.  Dementia is a complicated thing, and lots of factors can play a part in whether we get it or not.

    I will forever tell everyone I know that there is no harm in seeking functional oversight of your cognition! Find a board-certified medical professional trained in memory, cognition, and neurological-based pathologies to evaluate you. This will allow you to remain in control of your brain health and manage modifiable risk factors.

    References

    Beam, C. R., Kaneshiro, C., Jang, J. Y., Reynolds, C. A., Pedersen, N. L., & Gatz, M. (2018). Differences Between Women and Men in Incidence Rates of Dementia and Alzheimer’s Disease. J Alzheimers Dis, 64(4), 1077-1083. doi:10.3233/jad-180141

    Edahiro, A., Okamura, T., Arai, T., Ikeuchi, T., Ikeda, M., Utsumi, K., . . . Awata, S. (2023). Initial symptoms of early‐onset dementia in Japan: nationwide survey. Psychogeriatrics, 23(3), 422-433. doi:10.1111/psyg.12949

    Fitzpatrick, A. L., Kuller, L. H., Lopez, O. L., Diehr, P., O’Meara, E. S., Longstreth, W. T., Jr., & Luchsinger, J. A. (2009). Midlife and late-life obesity and the risk of dementia: cardiovascular health study. Arch Neurol, 66(3), 336-342. doi:10.1001/archneurol.2008.582

    Mendez, M. F. (2012). Early-onset Alzheimer’s disease: nonamnestic subtypes and type 2 AD. Arch Med Res, 43(8), 677-685. doi:10.1016/j.arcmed.2012.11.009

    Neergaard, J. S., Dragsbæk, K., Hansen, H. B., Henriksen, K., Christiansen, C., & Karsdal, M. A. (2016). Late-Life Risk Factors for All-Cause Dementia and Differential Dementia Diagnoses in Women: A Prospective Cohort Study. Medicine, 95(11). Retrieved from https://journals.lww.com/md-journal/fulltext/2016/03150/late_life_risk_factors_for_all_cause_dementia_and.64.aspx

    Norton, S., Matthews, F. E., Barnes, D. E., Yaffe, K., & Brayne, C. (2014). Potential for primary prevention of Alzheimer’s disease: an analysis of population-based data. Lancet Neurol, 13(8), 788-794. doi:10.1016/s1474-4422(14)70136-x

    Lewy Body Dementia and Rehabilitation

    Lewy Body Dementia and Rehabilitation

    Lewy Body Dementia is a condition that looks different for each person, but the way the disease works in the brain, known as pathogenesis, follows the same general pattern. Some specialized physical, occupational, and speech therapists are trained in understanding how the disease spreads through the brain and how it impacts different functions over time. These changes are specific to Lewy Body Dementia, making your journey with LBD different from someone with Alzheimer’s, frontotemporal dementia, or Parkinson’s.

    If you’ve been diagnosed with LBD, it’s important to start building your long-term management team. While you won’t need therapy or medical appointments all the time, you will benefit from having periods of therapy when changes in your body or function start to appear. Having someone to contact when these changes happen ensures you can get the right support at the right time. Early diagnosis and intervention are key to maintaining as much independence and function as possible throughout the course of the disease.

    What is Lewy Body Dementia?

    Lewy Body Dementia (LBD) is the second most prevalent progressive neurodegenerative diagnosis causing dementia. It is second to Alzheimer’s disease (AD), but differs in many ways. It is signified by lewy body proteins that appear in various parts of your brain affecting thinking, functional activities, judgement, executive function, functions of the autonomic nervous system, and mobility.

    The Lewy Body Association  has more information regarding the difference between Alzheimer’s Disease (AD) and Lewy Body Disease (LBD).

    What do I do if I’ve been diagnosed with Lewy Body Dementia (LBD)?

    After receiving an LBD diagnosis, it is important to establish a long-term therapy team including occupational therapy, speech therapy, and physical therapy familiar with the progression of this diagnosis. By establishing a small therapy team that will be able to remain with you throughout the stages of Lewy Body Dementia, you will be able to maximize your physical function, maintain your performance in functional activities, and ensure you remain in control of your symptoms instead of the other way around.

    Symptoms of Lewy Body Dementia

    • Runny Nose
    • Visual hallucinations (detailed)
    • Delusions 
    • Agitation and frustration
    • Difficulty multi-tasking or remaining on task 
    • Information processing difficulties 
    • Stooped posture (similar to Parkinson’s disease)
    • Overall movements and mobility slowing down
    • Balance and coordination decline 
    • Walking turns into a ‘shuffle’ 
    • Voice becomes more quiet 

    For more symptoms of Lewy Body Dementia, head to Alzheimer’s Association

    What are my options after receiving an LBD diagnosis?

    Although there are neurocognitive enhancement medications, one of the most important things you can do for yourself is to seek out a team of therapists as early as possible. With the right early intervention strategies you can improve your symptoms and/or control the speed at which you experience decline.

    What type of intervention is used by a neuro-centered rehabilitation team?

    How can outpatient occupational therapy help after a dementia diagnosis?

    • Once given a dementia diagnosis, we can ‘stage’ your dementia progression through specific screens and assessments so that you always feel in control of your circumstances.
    • Make recommendations for adaptive equipment, durable medical equipment, and mobility aids throughout each stage
    • Provide a hybrid approach to rehabilitation and maintenance grounded in neurocentric principles offering you an inclusive rehab program.