Support that fits where you are.

What it is

Every family begins the same way, with a single ninety-minute Strategy Session. It is one focused conversation built to do one thing, take the situation that is keeping you up at night and turn it into a plan you can actually act on. You bring the diagnosis and what it means for your family, what the days look like and where they break down, the care team and who is missing from it, the legal and financial questions hanging unanswered, and the part most people are never asked about, what all of this is doing to you. Nothing is too small or too tangled to bring.

Inside the session we move through four steps together. First we get oriented, you describe the landscape and I help you see it whole. Then we name the one thing driving the most stress right now, because there is almost always a single threat sitting underneath the rest. From there we map the next thirty to ninety days into concrete moves, the questions to bring to the doctor, the safety changes that matter, the resources worth your time, the planning that cannot wait. And you leave with a written action plan that puts it all in order.

How it works

Where it leads

For some families the Strategy Session is the whole of what they need, a clear plan and a sense of order, and they take it and go. For others it is the beginning of a longer relationship, and the work flows straight into ongoing navigation. You do not have to know which you are when you reach out. We figure that out together in the session itself. When a family continues into navigation within sixty days, the $300 already paid is credited toward the first month, so the step into ongoing work costs nothing extra at the start.

What it is

Ongoing Navigation is a continuing relationship for caregivers of someone in the early to moderate stages and beyond. It opens with the Dementia Roadmap, a structured first ninety days that builds your footing, and then continues month to month as the situation changes. Dementia is not static. What worked three months ago may not work today, and new challenges keep coming. This is built to keep pace with that.

Your first ninety days: the Dementia Roadmap

Most families are handed a diagnosis and sent home to figure it out. The Roadmap replaces that free fall with structure. Over six sessions, we work from a single idea that changes everything once you see it: the behavior in front of you is not the problem to be managed, it is a person trying to tell you something they can no longer say plainly. Confusion, resistance, repetition, agitation. Each one is communication. When you learn to read it, the days stop feeling like a series of battles and start making sense.

The work is built around your family, not a script. In the Strategy Session we name what is hardest and order the six sessions accordingly, then adjust as the ground shifts under you across the ninety days. The cadence below is fixed because rhythm matters. What fills each session is yours.

The six sessions draw from the domains that define this stage of caregiving: understanding what is actually happening in the brain and the behavior, the independence and safety tightrope, the daily care that wears families down, behavior as communication and what to do when it escalates, legal and future planning, and your own sustainability as the person holding it all together. Which of these lead and which recede is decided by your situation, not a template.

Where you stand when it is finished

Ninety days in, two things have changed. The future no longer feels like a cliff in the dark. You know the shape of what is coming, which means you can prepare for it instead of bracing against it, and dread gives way to a hard but real steadiness. And your relationship with the person has changed, because you have stopped fighting the disease through them and learned to meet them where they are. You know how to read a difficult moment and shift your own response instead of forcing theirs. That is the turn the final session is named for. Most families do not want to stop there, which is why the Roadmap opens into ongoing navigation rather than ending.

How the ongoing relationship works

After the first ninety days, we meet once a month in a scheduled session set aside to talk through where things stand, what has changed, and where you need new information or support. Between sessions, I am available by phone and email for questions, brief follow-up, and time-sensitive situations.

Dementia care is rarely one doctor and one plan. It is a neurologist, a primary care physician, maybe a geriatrician, a pharmacist, a social worker, an elder law attorney, and a handful of community resources you may not even know exist. None of them talk to each other. Each one sees a slice of your loved one and assumes someone else is holding the whole. You become the messenger between people who never compare notes, carrying information you were never trained to carry, and the things that fall through the cracks are often the things that matter most.

Part of what I do is help you see the full landscape of care that is actually available to your family, much of which goes unused simply because no one tells you it is there. I help you understand how the pieces are supposed to fit, what each member of the team is responsible for, and where the handoffs break down. Across the whole engagement, I maintain a Care Coordination Log: a running record of your family's situation, what each provider has said, changes in condition, medications, and next steps. That document is yours. It means nothing gets lost between appointments, and when you walk into a visit, you walk in prepared instead of scrambling to remember what the last doctor said three months ago. When something unexpected happens, you have someone who already knows your situation and can help you respond rather than react.

Who this is for

Caregivers of someone in the early to moderate stages who want real, structured support over time and a steady hand as the disease progresses. Families who are managing but feel underprepared for what is coming. Anyone who has left a doctor’s office feeling more confused than when they walked in, and who wants one person holding the whole picture going forward.