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Woman Standing on Docks

Services for People Living with Dementia and Their Care Partners

By the time you're eighty years old you've learned everything.

You only have to remember it.

~ George Burns ~
But, what if you forget?

SERVICES:

  • Specialized diagnostic testing:  differential psychiatric diagnosis,  dementia diagnosis and staging 
  • Bredesen ReCode Reversing Cognitive Decline Protocol implementation 
  • Functional Medicine laboratory testing - based care planning: nutrigenomics, nutraeval, comprehensive GI assessment 
  • Consultation and individualized care planning: medications, therapy, life-style modifications, hypnosis, biofeedback, medicinal foods
  • End of life planning and support for care partners who's loved one is at the end of their life
  • Care Partner and Family support: psychiatric care for care partners (diagnosis and treatment), care planning family conferences
  • Psychiatric Medical Home Model: Small group shared medical visits for persons with dementia and their caregivers. Provides opportunity to learn from others who are facing similar challenges and to spend more time with the clinician 
  • Group therapy for geriatric depression, anxiety, caregiving challenges
  • Coordination of care with primary care clinicians and other health-care professionals
  • Comprehensive Frailty Assessment and Care Planning 
  • Consultationsfor psychiatric and primary care clinicians
  • Supervisionof graduate students that may provide pro bono cognitive screening and therapy at the Psychiatric Wellness and Dementia Care, LLC

Medications management, therapy, biofeedback, neurofeedback, clinical hypnosis, neutrogenomics

   
What to expect from your appointments:
 
Please fill out new patient forms
and bring them to our first appointment. 
  • Our first two intake appointments will be 60 minutes each. 

In-person initial evaluation is preferred, but telemedicine appointment (via video conferencing) can sometimes be offered. 
 

We will have an opportunity to: 

  • Get to know each other
  • Review your medical, psychiatric history and medications (please bring your medication containers and recent lab results if available)
  • Work in close partnership to start identifying target symptoms and establishing therapy goals
  • Persons with dementia will participate in cognitive screening, psychiatric and basic neurological evaluations.Every person with dementia is requested to attend initial evaluation with their caregiver
  • Caregivers that establish individual psychiatric care will receive psychiatric evaluation, cognitive screening, caregiving stress and caregiver activation (knowledge, readiness for caregiving) screening
  • Follow-up therapy and medication management appointments range from 30-50 minutes
    • These appointments can be scheduled in person or via telemedicine (video conferencing)
    • In many cases we will continue screening and evaluation during the first follow-up appointment
    • You may be asked to obtain laboratory tests and or neuro-imaging
    • You may receive prescription medications and a recommendation for over the counter supplements. Please remember that it is crucial to take medications daily as prescribed
    • To monitor medications effectiveness and potential side effects, please fill out daily symptom monitoring work-sheet

      Questions? Please contact Dr. Sadak for further information (click here)

 

Psychiatric Wellness and Dementia Care, LLC is place where elderly dementia patients receive highest quality evidence-based comprehensive dementia care.  Care Plans include solutions to address physical, emotional/behavioral/psychiatric symptoms, life style modifications; conservative medications management, recommendations of appropriate resources and
care partner support.

 
Dr. Sadak will coordinate plans of care with your Primary Care clinician, other specialists and your family/friend care partners.
 

                                                       

                                                        

Dr. Sadak is trained in implementing Dr. Bredesen's ReCode: the reversal of cognitive decline protocols. Her focus is on life-style modification components of this protocol. If she identifies endocrine, toxins, or hormonal underlying causes of cognitive impairment, she will refer you for an evaluation and collaborative treatment with a functional medicine primary care clinician.  She combines ReCODE evaluation and testing with advanced genetic and nutrigenomics evaluation.

The best introduction to these protocols is Dr. Bredesen's book (also available in Kindle and audibles)

                                                         

After reading the book, please take a look at this website:

https://www.drbredesen.com/thebredesenprotocol

Now, please review the following scientific articles:

/userfiles/2607091/file/Bredesen protocol 2014.pdf

/userfiles/2607091/file/MEND-Overview.pdf

/userfiles/2607091/file/Another role of APOE.pdf

Please Review Introductory Videos

The End of Alzheimer's? The heralded arrival of prevention and reversal with Dale Bredesen MD
Reversing Alzheimer’s Disease- Dr. Dale Bredesen, MD. Silicon Valley Health Institute

Dale Bredesen - ApoE4 Mechanistics

This program requires 3-6 months commitment. You have to closely adhere to the care plan in order to see clincially significant changes.  Program is designed for people with subjective or mild cognitive impairment, or very early stages of dementia NOT for people with moderate to severe dementia. If diagnostic testing will indicate that you have significant issues with hormonal imbalance, blood sugar regulation or detoxification Dr. Sadak will refer you to one of her Functional Medicine Colleagues. 

If you are interested in implementing these protocols, please call to schedule an appointment. 

 
Alzheimer's and Dementia Care Partner Care

Focus on OPTIMIZING WELLNESS

Dr. Sadak works with dementia care partners individually and within small group settings to provide them with information, inspiration and support.  She carefully assesses and monitors caregiver’s stress, spends time to get to know both the person who is living with dementia and their care partners and family members.

  • Address caregiving issues
  • Diagnose and treat depression and anxiety
  • Stress management
  • Self-care and sleep optimization
  • ReCODE Reversal of Cognitive Impairment Protocol implementation 

Road Map for Dementia Caregivers

Click on the link above to view the Road Map

Caring for someone with dementia is a labor of love, but it can be very stressful.  Being a caregiver impacts every aspect of daily life and functioning. As dementia progresses, caregivers face tests of stamina, problem-solving, resiliency and patience. The harder the challenges, the more important is for caregivers to maintain their emotional and physical wellness. 

NEW         memorylossinfowa.org

The enhanced, user-friendly, web-based "point of access" dementia portal. WA State Community Living Connections

The Healthy Brain Initiative’s (HBI) 

grandfather holding his grandson and granddaughter

State and Local Public Health Partnerships to Address Dementia2018-2023 charts a course for state and local public health agencies and their partners to act quickly and strategically to prepare all communities by stimulating changes in policies, systems and environments. To focus the public health response, experts developed 25 actions for public health leaders. Alignment of HBI Road Map actions with Essential Services of Public Health ensures that initiatives to address Alzheimer’s can be easily and efficiently incorporated into existing public health initiatives.

A Caregiver's Bill of Rights

By Jo Horne 

I have the right:

To take care of myself. This is not an act of selfishness. It will give me the capability of taking better care of my loved one.

To seek help from others even though my loved ones may object. I recognize the limits of my own endurance and strength.

To maintain facets of my own life that do not include the person I care for, just as I would if he or she were healthy. I know that I do everything that I reasonably can for this person, and I have the right to do some things just for myself.

To get angry, be depressed, and express other difficult feelings occasionally.

To reject any attempts by my loved one (either conscious or unconscious) to manipulate me through guilt, and/or depression.

To receive consideration, affection, forgiveness, and acceptance for what I do, from my loved ones, for as long as I offer these qualities in return.

To take pride in what I am accomplishing and to applaud the courage it has sometimes taken to meet the needs of my loved one.

To protect my individuality and my right to make a life for myself that will sustain me in the time when my loved one no longer need my full-time help.

To expect and demand that as new strides are made in finding resources to aid physically and mentally impaired persons in our country, similar strides will be made towards aiding and supporting caregivers.

 

 

Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE