As a geropsychologist with a background in neuropsychology, I often meet families who are concerned about a loved one’s memory lapses, confusion, or changes in decision-making. These signs can be unsettling, and many wonder: Is this normal aging, or something more serious?
Cognitive decline is a natural part of aging, but when it begins to interfere with daily functioning, it warrants a closer look. My role is to assess, clarify, and guide—helping older adults and their families understand what’s happening and what can be done.
Understanding the Aging Brain
First, it’s important to recognize that not all cognitive changes are pathological. Processing speed may slow, and multitasking becomes more difficult, but these shifts don’t necessarily signal dementia. All of us will experience minor changes in cognition as we age. However, when memory loss, disorientation, or impaired judgment begin to affect safety, day-to-day life, independence, or relationships, we need to evaluate further.
That’s where neuropsychological assessment comes in. It’s a powerful tool that allows us to measure brain function through standardized tests, offering a detailed profile of strengths and weaknesses across domains like memory, attention, language, executive functioning, and visuospatial skills.
The neurological Assessment Process
When I assess an older adult for cognitive decline, I begin with a comprehensive interview. I want to understand their medical history, medications, mood, sleep patterns, and daily functioning. Depression, anxiety, and chronic illness can all mimic or exacerbate cognitive symptoms, so context is key.
Next comes testing. Neuropsychological batteries are tailored to the individual and take several hours. These tests are not invasive—they’re paper-and-pencil or computer-based tasks designed to challenge specific cognitive abilities. For example, I might ask someone to recall a list of words, solve puzzles, or interpret visual patterns.
The results help differentiate between normal aging, mild cognitive impairment (MCI), and various types of dementia, such as Alzheimer’s disease, vascular dementia, or Lewy body dementia. This distinction is critical for treatment planning and future care decisions.
Management and Support
Once we understand the nature of the cognitive decline, we can begin to manage it. While some causes of decline are reversible—such as vitamin deficiencies or medication side effects—others are progressive. In those cases, the goal shifts from cure to support.
Management often includes:
Cognitive rehabilitation: Structured exercises to strengthen attention, memory, and problem-solving.
Environmental modifications: Simplifying routines, labeling items, and using calendars or alarms to support independence, among other strategies.
Psychotherapy: Addressing the emotional impact of cognitive changes, including grief, anxiety, and identity shifts.
Family education: Helping caregivers understand the condition, communicate effectively, and prevent burnout.
I also collaborate with physicians, occupational therapists, and social workers to ensure a holistic approach. For example, if testing reveals early Alzheimer’s, I may refer the patient for medication evaluation, while also helping the family plan for future care needs.
The Human Side of Assessment
Beyond the data, my work is deeply human. Older adults often fear losing autonomy or being labeled. I strive to create a safe, respectful space where they feel heard and valued. A diagnosis doesn’t define someone—it’s a tool to help people live with dignity and purpose, and plan for the future.
I’ve seen clients thrive with the right support. One woman, diagnosed with MCI, began using memory strategies and joined a cognitive fitness group. Her confidence grew, and she remained independent for years. Another client with early dementia found joy in art therapy and reconnected with family through storytelling.
Cognitive decline is not a one-size-fits-all experience. As a geropsychologist, my job is to illuminate the path forward—whether that means reassurance, intervention, or long-term planning. With compassion, science, and collaboration, we can help older adults navigate these changes with grace.
If you or a loved one are noticing cognitive changes, don’t wait. Early assessment can make all the difference.
WORRIED ABOUT COGNITIVE DECLINE IN A LOVED ONE? CONSULT A GEROPSYCHOLOGIST IN SOUTH BAY, CA
Cognitive decline can bring uncertainty—for individuals, families, and care teams alike. Whether you’re noticing subtle memory changes or navigating more significant shifts in decision-making or independence, having expert insight can make all the difference.
As a trusted geropsychologist in South Bay and Los Angeles, CA, Dr. Stacy Reger provides compassionate, evidence-based evaluations that clarify cognitive abilities and inform next steps in care, planning, and support. Her assessments help families approach these transitions with understanding, confidence, and respect for each person’s unique story. Take the next step today:
Call (424) 262-1925 to schedule a private consultation
Meet with an experienced geropsychologist for a cognitive evaluation
Gain the clarity and guidance needed to make informed, compassionate decisions
MORE SUPPORT FROM DR. STACY REGER IN LOS ANGELES, CA
As a geropsychologist in South Bay, CA, Dr. Stacy Reger understands that cognitive decline can impact not only memory and daily functioning but also emotional well-being, relationships, and independence. She offers specialized services to help older adults and their families navigate these changes with clarity, compassion, and confidence—providing both clinical insight and emotional support through each stage of the journey.
Her neuropsychological assessments evaluate conditions such as dementia, mild cognitive impairment, ADHD, and traumatic brain injury—helping individuals and families understand cognitive strengths and challenges, and guiding decisions around safety, care, and quality of life. In addition to capacity evaluations, Dr. Reger provides med-legal assessments, workers’ compensation evaluations, and pre-surgical screenings to ensure informed and thoughtful planning.
Dr. Reger also offers therapy and consultation for older adults and caregivers navigating the emotional impact of cognitive changes. She partners with families, fiduciaries, and professionals through education, training, and community presentations. Visit Dr. Reger’s blog to learn more about cognitive health, aging, and strategies for supporting independence and well-being.