Therapy and assessment designed for the questions that come with aging — from late-life ADHD evaluation to retirement adjustment to the cognitive changes that deserve clear answers.
The concerns that come with aging deserve real clinical expertise — not dismissive reassurance.
The financial plan is done. But what about the identity plan? Retirement removes the structure, social connections, and sense of purpose that work provided for decades. Therapy helps you build new rhythms, redefine what meaningful contribution looks like, and embrace this chapter on your own terms.
By this stage of life, grief is often layered: a spouse, friends, siblings, physical abilities, the life you expected to have. Therapy gives you space to process each loss at your own pace, with real support from someone who understands grief as a process you move through, not a problem to fix.
Social circles naturally shrink with age. Friends move, pass away, or become less available. Isolation is one of the biggest risk factors for depression in older adults. Therapy helps you build new connections, maintain the ones that matter, and stay engaged with life.
When your body starts sending new signals and doctor visits become more frequent, health worry can become a full-time occupation. Therapy helps you manage health-related anxiety with practical strategies so concern stays productive instead of consuming.
Role reversals with adult children, differing opinions about care, navigating dependency while maintaining autonomy, adjusting to grandparenthood. Family dynamics shift significantly in later life, and therapy helps you navigate them with clarity and grace.
This stage of life is still full of possibility. Therapy helps you discover meaningful direction — whether that's volunteering, mentoring, creative pursuits, travel, deepening relationships, or something you've never tried before. Your life is still unfolding.
This is one of the most underserved areas in mental health. We take it seriously.
Many cognitive symptoms look identical on the surface. The differences are in the mechanism, the pattern, and the history. Here's what the research shows.
| Domain | ADHD | Dementia |
|---|---|---|
| Memory Problem | Information never gets encoded properly — you weren't paying attention when you set down your keys. With a cue or reminder, it comes back. | Information is stored but lost — the memory itself degrades. Cues and reminders don't help because the memory is gone. |
| Onset | Lifelong pattern. You've always been like this, even if you only just noticed. Symptoms may worsen after retirement, menopause, or loss of routine. | New and noticeable. Family and friends can point to when things changed. There's a clear "before" and "after." |
| Trajectory | Stable over time. Symptoms fluctuate with stress, sleep, and structure — but they don't progressively worsen year over year. | Progressive decline. Functioning gets measurably worse over months and years, even with support and structure in place. |
| Response to Structure | Improves significantly. Lists, routines, timers, and external cues make a real difference. The brain can do the work — it just needs scaffolding. | Helps less over time. Compensatory strategies become less effective as the underlying condition progresses. |
| Semantic Memory | Intact. You know what things are, how they work, and can access general knowledge without difficulty. | Impaired. Word-finding problems, forgetting familiar names, and losing previously known facts are hallmark signs. |
| Attention Pattern | Inconsistent. You can hyperfocus for hours on something interesting, then can't sustain five minutes on something boring. | Globally reduced. Attention declines across all tasks regardless of interest or motivation. |
| Treatment Outlook | Highly treatable. Medication, strategies, and environmental changes produce significant, often dramatic improvement at any age. | Managed, not reversed. Treatments can slow progression and support quality of life, but the underlying condition continues. |
Research shows adults with ADHD are 2.77 times more likely to receive a dementia diagnosis — not necessarily because they develop dementia more often, but because the symptoms are so frequently confused. A 2024 meta-analysis found that stimulant treatment for ADHD may actually be neuroprotective, associated with reduced dementia risk. The right diagnosis changes the entire treatment path.
You bring decades of experience and wisdom. Luke talks to you like the capable, intelligent adult you are. No condescension, no assumptions based on your age.
Luke tells you what he sees, names patterns, and gives you straight answers. You've earned the right to honest, respectful information about your own mind.
Luke understands how depression, anxiety, and ADHD present differently in older adults. He knows the distinction between normal cognitive aging and clinical conditions.
Same quality care from your living room, anywhere in Oregon. No driving, no waiting rooms. If you need help getting set up with video, we'll walk you through it.
Choose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.