Tips for Fiduciaries Managing Complex Family Dynamics

As a neuropsychologist in Los Angeles, I often see how complicated families can be. I recently presented at a conference for professional fiduciaries on navigating the ethics of complex family dynamics, and spoke to many fiduciaries afterward about their experiences. When family issues mix with the important job of a fiduciary (like a trustee, executor, or financial advisor), things get even harder.

Fiduciaries are legally bound to act in the best interest of their clients. This often means dealing with money and very personal decisions. But when clients are part of a family with old emotional wounds, the job needs more than just knowing laws and money. It requires understanding people and skills to handle difficult feelings. The main challenge for a fiduciary is that even though their duty is to the trust or the estate, they’re often dealing with many family members. And these family members might not agree.

Each person brings their own past, hopes, and complaints to the table. These feelings can quickly turn simple money decisions into emotional disagreements and irrational behavior. These tensions can be especially heightened when fiduciaries are managing estates where questions about testamentary capacity arise. Disagreements over whether a loved one had the capacity to make certain decisions can further complicate already strained relationships.

Why Family Feelings Are So Strong

First, it’s important to know that money, especially inherited money, is rarely just about numbers. It often means love, being valued, control, fairness, or even old hurts. Brothers and sisters might act out old childhood rivalries. Adult children might feel like one sibling was always the favorite. A new spouse might be looked at with suspicion by the original family. These aren’t logical thoughts; they’re deep emotional patterns.

That’s why it’s important to remember that testamentary wishes aren’t always interpreted the same way by every family member. What one person sees as honoring a loved one’s intent, another might see as unfair or misguided.

Second, families with problems often don’t talk directly. They hint at things, get emotional, or don’t talk at all. People make assumptions, feel insulted, and remember past events in their own way. Family members may have been estranged for years. As a fiduciary, you might be the first person in a long time to try and get them to have an honest, if hard, conversation.

Tips for Fiduciaries: Being Fair While Being Kind

So, how can a fiduciary handle these tough situations? Here are some simple tips based on

psychology:

1. Always Be Fair (and Show It):

Your legal duty comes first. From the start, make it clear that your job is for the trust, the estate, or the best interest of the person who benefits – not to please individual family members or their personal wishes. Write down everything: all your talks, decisions, and why you made them. Being open like this helps build trust, even if some family members don’t like the outcome.

2. Listen Carefully and Show You Understand, But Don’t Take Sides:

Family members want to be heard. Listen closely to their worries, their side of the story, and their upset feelings. Show that you understand how they feel (“I know this is a very hard time for you”, or “I hear your frustration about X”). This is not the same as agreeing with them or their demands. Validating feelings can calm things down and make people feel respected, even if your final decision isn’t what they wanted.

3. Set Clear Rules and Expectations:

Right from the first meeting, explain your job, what you can and can’t do, and how things will work. Clearly state how often you’ll talk, how you'll talk (phone, email), and what kind of information you’ll share. If you expect arguments, think about setting ground rules for meetings. Boundaries are your best friend in your professional role!

4. Take Care of Yourself:

Dealing with very emotional people can be tiring. It’s important for fiduciaries to know what makes them upset and to stay professional. Practicing good self-care outside of work sets you up for success in complex dynamics at work. Taking short breaks, using mindfulness, or seeking consultation with a trusted colleague (while keeping client details private) can help you stay calm and fair. Don’t take sides, share your personal opinions about the family, or get pulled into their arguments.

5. Suggest a Mediator If Needed:

For very sticky disagreements, suggest or even require professional mediation. A skilled mediator can help people talk constructively, find common ground, and explore solutions in a calm, neutral way. This often prevents expensive legal battles and can help keep family relationships intact.

6. Explain the Process, Not Just the Result:

Family members often react badly because they don’t understand the legal, financial, or practical reasons for your decisions. Patiently explain why you’re making certain choices, what the law requires, and what the long-term effects will be. When people understand why something is happening, they’re more likely to accept it, even if they don’t like it.

Handling tricky family situations as a fiduciary is tough, but it’s very important. By mixing your knowledge of law and money with a good understanding of people, you can not only do your job well but also help families get through hard times with more clarity, fewer fights, and maybe even a way to heal. One fiduciary I have worked with joked with me that her job was 25% fiduciary and 75% psychologist sometimes, and in some cases, I’m sure this feels true!

In some cases, families may benefit from a professional evaluation to clarify a loved one’s ability to make decisions at the time documents were signed. When questions arise, a qualified neuropsychologist in Los Angeles, CA can provide insight into testamentary capacity, helping fiduciaries navigate decisions with clarity and legal backing.

Hopefully these tips help.

Ready to Approach Family Conflict with Clarity? Consult a Neuropsychologist in Los Angeles, CA

When tensions rise over financial decisions or estate planning, it’s not just about money—it’s about trust, history, and honoring someone’s wishes. Before a loved one can legally appoint a fiduciary, it’s essential to understand whether they have the capacity to make that choice clearly and confidently.

A capacity assessment offers critical clarity in emotionally complex situations. As a trusted neuropsychologist in Los Angeles & the South Bay, CA, Dr. Stacy Reger provides thoughtful, evidence-based evaluations that support families navigating challenging legal and relational decisions. Her approach is both compassionate and clinically precise—empowering families to move forward with respect and confidence. Take the next step today:

• Call (424) 262-1925 to schedule a private consultation

• Meet with a licensed neuropsychologist for a comprehensive capacity evaluation

• Make informed decisions rooted in clarity, care, and professional expertise

More Support from Dr. Stacy Reger in Los Angeles, CA

In her role as a neuropsychologist and geropsychologist, Dr. Stacy Reger understands how intertwined cognitive health, legal responsibilities, and family dynamics can be. She offers a range of services that help individuals and families navigate challenging transitions—especially when emotions run high and decisions carry long-term impact.

Dr. Reger’s neuropsychological assessments help clarify cognitive conditions like dementia, ADHD, and traumatic brain injury—diagnoses that can affect someone’s ability to make informed choices about money, medical care, or legal matters. In addition to capacity evaluations, she provides med-legal assessments, workers’ compensation evaluations, and pre-surgical screenings to support thoughtful, evidence-based planning.

She also offers individual therapy for older adults facing emotional or cognitive changes, and serves as a resource for fiduciaries, attorneys, and families through consultation, training, and community presentations. Visit Dr. Reger’s blog to learn more about capacity, fiduciary roles, and the tools that help families make decisions with confidence and care.

The Unseen ROI of a Mental Health Presenter: How Prioritizing Mental Health Elevates Your Business

As a clinical psychologist, my work increasingly intersects the modern workplace. It might seem counterintuitive to link individual mental well-being with business strategy, or it may seem like an unnecessary expense to hire a psychologist to present to your members, but the evidence is overwhelmingly clear: a mentally healthy workforce isn’t just a moral imperative, it’s a profound competitive advantage.

In today’s fast-paced, demanding professional landscape, the mental well-being of your employees directly impacts your bottom line in ways you might not immediately recognize. We’re not just talking about reducing absenteeism due to stress leave or fewer workers’ comp claims, though those are certainly tangible benefits. We’re delving into a much deeper, more pervasive influence on productivity, innovation, retention, and ultimately, profitability.

Consider the human brain as the ultimate processing unit of your organization. When it’s functioning optimally – free from the debilitating weight of chronic stress, anxiety, or depression – it’s capable of remarkable feats. Employees with good mental health are more focused, engaged, and resilient. They approach challenges with a problem-solving mindset, contribute innovative ideas, and collaborate effectively. They are, in essence, operating at their peak performance.

Conversely, a workforce struggling with mental health challenges is a workforce operating at a significant deficit. Productivity plummets as focus wanes and decision-making becomes impaired. Creativity is stifled, and the ability to adapt to change diminishes. Employee morale erodes, leading to increased conflicts, higher turnover rates, and a pervasive sense of disengagement. The “presenteeism” phenomenon – where employees are physically at work but mentally absent – is a silent killer of efficiency, and it often stems directly from unaddressed mental health concerns.

So, how does a business actively foster a mentally healthy environment?

It starts with a strategic, multifaceted approach.

1. Destigmatize and Open the Dialogue:

The first and most crucial step is to create a culture where talking about mental health is normalized, not stigmatized. Leadership plays a pivotal role here. When leaders openly acknowledge the importance of mental well-being and share their own experiences (where appropriate), it sends a powerful message that self-care is valued and that seeking help is a sign of strength, not weakness. Training managers to recognize signs of distress and approach conversations with empathy is also vital.

2. Provide Accessible Resources:

Offering confidential and accessible mental health resources is non-negotiable. This could include Employee Assistance Programs (EAPs) that provide free counseling sessions, access to mindfulness apps, or partnerships with mental health presenters and professionals for workshops and educational sessions. I have presented on employee wellness, substance abuse, mindfulness, self-care, menopause, and other mental health topics for various organizations and employers, and consistently receive the feedback that staff greatly appreciate this investment in their wellbeing. The easier it is for employees to get help, the more likely they are to utilize it before issues escalate.

3. Champion Work-Life Balance:

The relentless pursuit of “more” often comes at the cost of employee well-being. Encourage and model healthy work-life boundaries. This includes promoting reasonable work hours, discouraging constant connectivity outside of work, and offering flexible work arrangements where feasible. When employees feel they have control over their schedules and time for personal pursuits, their stress levels decrease, and their engagement at work increases.

4. Foster a Culture of Psychological Safety:

A psychologically safe workplace is one where employees feel comfortable taking risks, admitting mistakes, and speaking up without fear of punishment or humiliation. This environment reduces anxiety and fosters a sense of belonging, which are fundamental to good mental health. When employees feel safe, they are more likely to innovate, collaborate, and contribute their best work.

5. Invest in Training and Development:

Equipping employees with stress management techniques, resilience-building skills, and emotional intelligence training can have a profound impact. These aren’t just “soft skills” they are essential tools for navigating the complexities of modern work and life. In my work as a mental health presenter, I have seen employees learn real, meaningful skills from workplace wellness training that impacts the broader company culture.

The return on investment for prioritizing mental health in the workplace is substantial, though not always immediately quantifiable in a spreadsheet. It manifests in reduced healthcare costs, lower turnover rates, increased productivity, enhanced creativity, and a more positive and collaborative work environment. Ultimately, it leads to a more resilient, adaptive, and successful organization – one that understands that its greatest asset walks in the door every day.

As a clinical psychologist, I urge business leaders to see mental health not as an HR checklist item, but as a core pillar of their strategic growth. Invest in the well-being of your people, and watch your business thrive. If you are interested in a tailored psychological consultation or mental health education training for your organization, feel free to reach out.

Are You Exploring the Value of Mental Health Presenters in Los Angeles?

If you're seeking meaningful ways to improve employee well-being, engagement, and retention, bringing in a mental health presenter might be the strategic move your organization needs. The impact goes far beyond awareness—it’s about building a culture where people feel seen, supported, and equipped to thrive.

As one of the experienced mental health presenters in Los Angeles, Dr. Stacy Reger offers tailored workshops and consultations on topics like stress management, emotional resilience, mindfulness, and workplace wellness. Her sessions combine clinical expertise with real-world application, giving teams the tools they need to perform at their best—both professionally and personally. Ready to invest in your people? Here’s how to get started:

• Call (424) 262-1925 to discuss your organization’s goals

• Schedule a customized presentation focused on your team's unique mental health needs

• Watch your workplace culture transform as well-being becomes a foundation for growth and success

OTHER SERVICES OFFERED BY DR. REGER IN LOS ANGELES, CA

In addition to her clinical work, Dr. Stacy Reger partners with organizations to support employee well-being and cultivate healthier, more productive workplaces. As a licensed neuropsychologist, she offers dynamic mental health presentations and trainings tailored to address key topics like stress management, burnout prevention, resilience, mindfulness, emotional intelligence, and substance use in the workplace.

Dr. Reger also provides neuropsychological assessments for ADHD, cognitive changes, traumatic brain injury, and dementia—helping individuals better understand their mental functioning and make informed decisions about work, healthcare, and life transitions. Her additional services include med-legal assessments, capacity evaluations, workers’ compensation evaluations, and psychotherapy for older adults navigating emotional or cognitive shifts.

Whether you're an HR leader seeking engaging wellness programming or an individual navigating a specific concern, Dr. Reger brings compassionate expertise and practical insight. Visit her blog for valuable resources on mental health, workplace wellness, and whole-person care.

Concepts in Capacity (Part 1): What Is a Fiduciary?

As a geropsychologist and neuropsychologist, a significant part of my work involves assessing an individual's capacity to make decisions – particularly as they age. This isn't just about whether someone remembers what they had for breakfast; it's a complex evaluation of their cognitive abilities, understanding of consequences, and ability to act on their own behalf. And often, when we talk about capacity, especially in financial or legal matters, a crucial term comes up: fiduciary.

Today, in Part 1 of our "Concepts in Capacity" series, we're going to demystify what a fiduciary is, why this role is so vital, and why understanding it is paramount for older adults and their families.

What Exactly Is a Fiduciary?

At its core, a fiduciary is a person or entity that acts on behalf of another person (the "principal") in a position of trust and confidence. The fiduciary is legally and ethically bound to act solely in the best interest of the principal. This is not a casual relationship; it's one that carries significant legal duties and responsibilities.

Think of it this way: if someone is acting as your fiduciary, their own personal interests, preferences, or financial gain must always take a back seat to yours. Their duty is to protect your assets, make sound decisions for your well-being, and manage affairs exactly as you would, or as is demonstrably in your best interest if your capacity is diminished.

Common Examples of Fiduciary Relationships

You might already be more familiar with fiduciary roles than you realize. Here are some common examples relevant to older adults:

• Agent under a Power of Attorney:

  This is perhaps the most common fiduciary role for many families. If you've appointed someone with a Durable Power of Attorney for finances or healthcare, that person is your fiduciary. They are legally obligated to manage your money or make healthcare decisions according to your wishes and in your best interest.

• Trustee:

  If you've set up a trust, the person or institution named as the trustee is a fiduciary. They manage the assets within the trust for the benefit of the beneficiaries, following the terms of the trust document.

• Guardian or Conservator:

  When a court determines an individual lacks the capacity to make their own decisions, it may appoint a guardian (for personal decisions like healthcare and living arrangements) or a conservator (for financial decisions). These appointed individuals are fiduciaries with a very high legal duty to the protected person.

• Executor of a Will:

  The executor is responsible for carrying out the instructions in a deceased person's will, managing their estate, paying debts, and distributing assets. They act as a fiduciary to the estate and its beneficiaries.

• Financial Advisor (specifically a "fiduciary advisor"):

  While not all financial advisors are fiduciaries, those who are registered investment advisors (RIAs) or hold specific certifications (like Certified Financial Planner - CFP, under certain conditions) are legally required to act as fiduciaries, putting their client's interests first. This is a critical distinction to ask about when choosing a financial professional.

Why Is Understanding "Fiduciary" So Important for Older Adults and Their Families?

1. Protection Against Exploitation: Unfortunately, older adults are vulnerable to financial exploitation. A clear understanding of fiduciary duties can help families identify when someone in a position of trust is not acting in the principal's best interest. This can be a red flag for potential abuse.

2. Ensuring Wishes Are Honored: When you appoint someone as your agent in a Power of Attorney, you are entrusting them with significant power. Knowing they have a fiduciary duty means they are legally bound to follow your instructions and act as you would have wanted, particularly regarding healthcare and end-of-life decisions.

3. Peace of Mind: For older adults, knowing that the people managing their affairs or making decisions on their behalf are legally obligated to act in their best interest provides immense peace of mind.

4. Guiding Difficult Conversations: For adult children, understanding the fiduciary role can help guide discussions about managing a parent's affairs. It frames the conversation around responsibility and trust, rather than control or personal gain.

5. Legal Recourse: If a fiduciary breaches their duty (e.g., misuses funds, makes decisions against the principal's clear wishes without good reason, or benefits themselves at the principal's expense), there are legal avenues for recourse. This legal accountability is what gives the fiduciary relationship its weight.

The Interplay with Capacity

This brings us back to capacity. For a fiduciary relationship to be established properly (e.g., through a Power of Attorney), the principal must have the capacity to understand the document they are signing and the implications of granting such authority. If capacity is questioned, a court may need to step in to appoint a guardian or conservator, who then assumes the fiduciary role.

In the upcoming parts of this series, we will delve deeper into different facets of capacity – what it means clinically, how it's assessed, and the nuanced areas of decision-making that often arise as we age. But for today, remember this: the concept of a fiduciary is a cornerstone of trust and protection, especially for our aging loved ones. Understanding it is a vital first step in ensuring their well-being and honoring their legacy.

This blog series will cover several concepts important to understanding the issue of capacity. Stay tuned for Part 2!

Does Your Loved One Have the Capacity to Appoint a Fiduciary? Start with a Capacity Assessment in Los Angeles, CA

Before someone can legally designate a fiduciary—whether for financial decisions, healthcare, or estate planning—they must have the capacity to fully understand what that means. A capacity assessment in Los Angeles, CA provides the clinical insight needed to determine whether an individual can make informed, intentional choices about their future.

As a trusted neuropsychologist in Los Angeles, Dr. Stacy Reger offers compassionate, comprehensive evaluations that help families navigate complex legal and cognitive questions with confidence. Her assessments are designed to honor the individual while ensuring clarity for all involved. Take the next step:

• Call (424) 262-1925 to schedule a private consultation

• Meet with a licensed neuropsychologist for a detailed capacity evaluation

• Make informed decisions grounded in expert assessment and genuine care

OTHER SERVICES OFFERED BY DR. REGER IN LOS ANGELES, CA

In her work as a neuropsychologist and geropsychologist, Dr. Stacy Reger offers a range of services designed to support sound decision-making, safeguard autonomy, and guide families through complex transitions. Her neuropsychological assessments help clarify diagnoses such as ADHD, dementia, and traumatic brain injury—conditions that can directly impact a person’s ability to manage finances, health care, or legal affairs.

In addition to capacity evaluations, Dr. Reger provides med-legal assessments, workers’ compensation evaluations, and pre-surgical screenings to support thoughtful, well-informed planning. She also offers individual therapy for older adults, focusing on the emotional and cognitive shifts that come with aging. Whether you're seeking guidance for a specific concern or planning ahead for a loved one’s care, Dr. Reger is available for consultations, presentations, and community education.

Visit Dr. Reger’s blog to learn more about capacity, fiduciary roles, and the tools that help families make decisions with confidence and care.

Navigating Family Disagreements When a Loved One’s Capacity Is in Question

Family disagreements are an inevitable part of life, even in the most loving and cohesive units. However, these disputes take on an entirely different, often heart-wrenching, dimension when they revolve around a loved one whose cognitive or decision-making capacity is in question. As a neuropsychologist who offers capacity assessments, I’ve witnessed firsthand the strain these situations place on families.

When a parent, grandparent, or sibling begins to show signs of diminished capacity – whether due to dementia, a stroke, a progressive illness, or even a sudden injury – their ability to express their wishes, understand complex information, or manage their own affairs becomes uncertain. This ambiguity opens the door to well-intentioned, yet often conflicting, interpretations among family members about what’s best for their loved one.

The Common Flashpoints

Here are some of the most frequent areas of disagreement I encounter:

• Medical Decisions:

This is often the most critical and emotionally charged area. One sibling might advocate for aggressive medical intervention, believing it’s what their parent would have wanted, while another might argue for a more palliative approach, focusing on comfort and quality of life. The challenge is compounded when the loved one can no longer clearly articulate their own preferences or advance directives are unclear or non-existent.

• Financial Management:

Concerns about a loved one’s ability to manage their finances can lead to accusations of undue influence, exploitation, or simply poor judgment. Siblings might disagree on who should have power of attorney, how assets should be protected, or whether certain expenditures are appropriate.

• Living Arrangements:

Deciding whether a loved one can safely remain at home, needs assisted living, or requires a higher level of care is a huge decision. One child might prioritize independence, while another prioritizes safety, leading to heated debates about the best environment.

• Driving Privileges:

Taking away car keys can be a deeply painful and contentious issue, often viewed by the loved one as a loss of independence. Family members may be divided on when this step is necessary, fearing both the safety of their loved one and others on the road, versus the loved one’s desire for autonomy.

• Caregiving Responsibilities:

Even with a plan in place, the day-to-day burden of caregiving can lead to resentment and conflict if it feels unequally distributed amongst siblings or other family members.

Why Disagreements Escalate

Several factors contribute to the intensity of these family conflicts:

• Grief and Anticipatory Loss:

Families are often already grieving the gradual loss of their loved one’s former self. This emotional distress can heighten sensitivities and make rational discussion more difficult.

• Pre-existing Family Dynamics:

Long-standing sibling rivalries, unresolved past conflicts, or differing communication styles often resurface and are amplified under the stress of these circumstances.

• Guilt and Fear:

Family members may feel immense guilt about making “the wrong”decision or fear the consequences if they don’t act. This can lead to rigid stances and an inability to compromise.

• Differing Values and Beliefs:

Each family member brings their own unique values, beliefs, and experiences to the situation, which can lead to genuinely different perspectives on what constitutes “best care”.

• Lack of Clear Communication and Planning:

The absence of open conversations about future care preferences before capacity diminishes is a major contributor to later disagreements.

Strategies for Navigating Conflict: A Psychologist’s Perspective

While there’s no magic bullet, here are some strategies I recommend to families grappling with

these difficult situations:

1. Prioritize the Loved One’s Best Interest (and Presumed Wishes):

This should be the guiding principle. While it’s natural to have personal feelings, try to shift the focus to what the loved one would have wanted, or what truly serves their well-being, even if it’s uncomfortable. If they had expressed wishes when they had capacity, those should be paramount.

2. Seek Professional Assessments:

When capacity is genuinely in question, obtaining a comprehensive cognitive and psychological assessment from a neutral professional (like a geropsychologist) is crucial. This provides objective data to guide decisions and can help defuse arguments based on subjective interpretations.

3. Facilitate Open and Structured Communication:

• Scheduled Family Meetings: Regular meetings, perhaps with a neutral facilitator (a therapist, social worker, or trusted family friend), can provide a structured environment for discussion.

• “I” Statements: Encourage family members to express their concerns using “I” statements (I’m worried about Mom’s safety when she drives) rather than accusatory & You statements (You’re letting Mom endanger herself).

• Active Listening: Encourage true listening, not just waiting for your turn to speak. Try to understand the underlying concerns and fears of other family members.

4. Explore Legal Avenues (When Necessary):

If consensus cannot be reached and the loved one’s safety or finances are at risk, seeking legal counsel regarding guardianship or conservatorship may become necessary. While this can be a difficult step, it provides a legal framework for decision-making.

5. Educate Yourselves:

Learn about the loved one’s specific condition. Understanding the progression of dementia, for example, can help manage expectations and inform decisions.

6. Focus on Shared Goals, Not Just Differences:

While disagreements will exist, try to identify common ground. Everyone wants their loved one to be safe, comfortable, and cared for. Starting from these shared desires can help bridge divides.

7. Seek External Support for Yourselves:

This is immensely stressful. Individual therapy or family therapy can provide a safe space to process emotions, develop coping strategies, and learn more effective communication skills. Support groups for caregivers can also be invaluable.

8. Practice Self-Compassion:

These situations are incredibly tough. Acknowledge your own feelings of frustration, sadness, and even anger. You’re doing your best in challenging circumstances.

Navigating family disagreements when a loved one’s capacity is in question is one of the hardest journeys a family can undertake. It demands patience, empathy, and a willingness to prioritize the well-being of the loved one above personal agendas. While the path may be fraught with tears and tension, remember that by seeking professional guidance, fostering open communication, and anchoring decisions in compassion, families can navigate these stormy waters with greater clarity and ultimately, with the loved one’s best interest at heart.

Is It Time for a Capacity Assessment in Los Angeles, CA?

When questions about a loved one’s decision-making ability spark conflict, it can be hard to know how to move forward—especially when emotions run high and family members disagree. A comprehensive capacity assessment in Los Angeles, CA offers objective insight into your loved one’s cognitive strengths and limitations, helping you make informed, compassionate decisions.

Dr. Stacy Reger provides expert neuropsychological evaluations tailored to clarify capacity concerns in complex family situations. Whether you’re navigating a potential diagnosis, seeking clarity for legal or medical planning, or simply want to do what’s best for someone you love, we’re here to support you with care and professionalism. Take the first step today:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with an experienced neuropsychologist for an assessment

3. Gain clarity and confidence as you navigate critical decisions with your family.

OTHER SERVICES OFFERED BY DR. REGER IN LOS ANGELES, CA

In addition to supporting families through capacity-related challenges, Dr. Reger offers a wide range of psychological services designed to provide clarity and guidance during difficult times. Her neuropsychological assessments address concerns such as ADHD, dementia, and traumatic brain injury—helping individuals and families better understand changes in cognitive functioning. She also conducts capacity evaluations, med-legal assessments, workers’ compensation evaluations, and pre-surgical screenings to support informed decision-making. For older adults, Dr. Reger offers psychotherapy that honors the unique emotional and cognitive changes that come with aging. She is also available for consultations and presentations. Visit Dr. Reger’s blog for thoughtful guidance and expert insights.