Geriatric Psychiatry Services

At Precision Psychiatry, we are proud to expand our services to include specialized geriatric psychiatry care for older adults and their families.

Our Cognitive Impairment Protocol Memory problems. Brain fog. Slower thinking. Difficulty concentrating. Trouble staying organized. Cognitive symptoms can affect every part of life — work, relationships, confidence, and emotional wellbeing. At Precision Psychiatry, we provide a comprehensive, evidence-based approach to identifying and treating cognitive impairment and brain health concerns.

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Who May Benefit

Our Cognitive Optimization & Brain Health Program integrates advanced psychiatric care, cognitive assessment, neuromodulation, psychotherapy, and lifestyle interventions into a personalized treatment plan designed to help patients function at their best.
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This program may be appropriate for individuals experiencing:
• Memory concerns
• Brain fog
• Attention or concentration difficulties
• Executive dysfunction
• Depression-related cognitive impairment
• ADHD-related cognitive symptoms
• Post-COVID cognitive symptoms
• Sleep-related cognitive difficulties
• Mild Cognitive Impairment (MCI)
• Cognitive changes associated with stress, anxiety, or burnout
• Dementia concerns

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1

Comprehensive Assessment

Patients undergo a two-part initial assessment that includes:

  • Cognitive rating scales
  • Screening for underlying psychiatric disorders
  • Review of medical and medication history
  • Evaluation of contributing lifestyle factors
  • Ordering of laboratory testing and imaging when indicated

Our goal is to identify reversible contributors to cognitive symptoms and develop a personalized treatment strategy.

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2

Medication Evaluation

Patients are evaluated for evidence-based medication treatments that may improve cognitive functioning.

Potential treatment options are reviewed carefully with each patient, and medications are initiated only when clinically indicated and aligned with patient preferences.

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3

Evidence-Based Psychotherapy

Treatment recommendations may include:

  • Cognitive Remediation Therapy (CRT)
  • CBT for Cognitive Dysfunction
  • CBT-I for sleep optimization
  • Acceptance & Commitment Therapy (ACT)
  • Problem-Solving Therapy

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4

Lifestyle-Based Brain Health

Research consistently shows that lifestyle factors significantly impact cognitive health.

Patients receive individualized education, guidance, and coaching regarding:

  • Exercise and movement
  • Sleep optimization
  • Mediterranean/MIND nutrition principles
  • Stress reduction
  • Cognitive enrichment and learning
  • Social engagement
  • Vascular risk reduction

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5

Advanced Neuromodulation with rTMS

For appropriate patients, as part of an individualized treatment plan, Precision Psychiatry offers repetitive Transcranial Magnetic Stimulation (rTMS).

rTMS is a non-invasive treatment that uses magnetic stimulation to target brain networks involved in mood, attention, executive function, and cognitive processing.

rTMS May Help Improve:

  • Attention and concentration
  • Processing speed
  • Executive functioning
  • Mood-related cognitive impairment
  • Cognitive fatigue and brain fog

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6

Cognitive Training

When appropriate, rTMS may be paired with structured cognitive training exercises designed to strengthen:

  • Working memory
  • Attention
  • Processing speed
  • Cognitive flexibility
  • Executive functioning

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faq's

What causes cognitive impairment?

Cognitive symptoms may be associated with depression, anxiety, ADHD, sleep disorders, stress, medication effects, post-viral syndromes, aging-related changes, mild cognitive impairment, dementia, or neurological conditions.

Do memory problems always mean dementia?

No. Many cognitive symptoms are related to treatable or reversible causes, and not all memory concerns indicate dementia.

Is rTMS safe?

rTMS is FDA-cleared for treatment-resistant depression and is being studied for, and utilized off-label, to treat many other conditions including cognitive impairment. It is generally well tolerated. Our team will determine whether it may be appropriate for your situation.

How long does treatment take?

Treatment plans vary depending on symptom etiology and severity, and patient goals. Some interventions begin improving symptoms within weeks.

Follow-Up Process

After assessment, if medications are initiated, you can expect to follow up at regular intervals with your psychiatric medication provider. These appointments typically last 20 minutes, and you’ll likely discuss topics related to psychiatric medications, mood changes, potential side effects, and changes to medical health. As this is a medical appointment, you’ll also see nursing staff for measurement of vital signs and updates to your chart.

Therapeutic Relationship

At Precision Psychiatry, our main goal is that you are informed, updated, and engaged in your care.

What's in the Portal

Patient Portal

Take the First Step Toward Better Brain Health

If you or someone you care about is struggling with memory concerns, brain fog, concentration problems, or cognitive changes, Precision Psychiatry is here to help.

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