HomeNeuropsychologyAfter a diagnosis
You have the diagnosis. Nobody told you what happens on Monday.
There is a report, a word said in a consultation, and a house that still does not know what to do on Monday. Always in person, at your home in Granada.
How it works
- Reading what already exists. The reports, the tests, the letters. Half of what a family needs at this point is what those documents actually say, said once, slowly, in English.
- Looking again where it is needed. If the cognitive picture was never described, or was described a while ago, it gets measured directly. In person, at your home in Granada.
- Cognitive work. Built on what was found rather than on exercises out of a catalogue, and aimed at the things that make up a day: the routine, the paperwork, following a conversation, getting out of the house.
- Working with the household. What to observe, what to stop correcting, how to divide it up, and how to deal with the medical team without one person carrying the whole thing.
The diagnosis names it. It does not tell you how to live with it.
There is a point where something is known — a report, a word said in a consultation, a scan — and the house is no better off than it was. Nobody has said whether he should still be cooking, how to hold a routine together, what to do about driving, or which of this week's arguments are the illness and which are simply him.
When the family is international it fragments further. One of you is here and sees everything; another is in another country and gets a summary by phone; the medical team speaks Spanish to whoever attended the appointment. Decisions end up made by whoever happened to be in the room, and resentment builds without anybody intending it.
What can be done at this stage is concrete rather than dramatic: describe the cognitive functioning properly, work on the things that make up an actual day, and give the household one shared version of what is happening. None of that reverses a diagnosis. It changes what the week looks like, and the week is what you are living in.
What you get out of it
Not a cure and not a promise. A week that is organised rather than improvised.
- Everyone at home works from the same account of what is happening and what to expect.
- The cognitive work is aimed at the specific things that have become difficult, not at exercises in general.
- You know what to watch for, and what does not need reporting to anybody at eleven at night.
- The load gets divided on purpose, including with the family who are not in Spain.
Who it is for
If there is already a diagnosis, a report or a clear question from a doctor, and what is missing is what any of it means for an ordinary week — particularly if the whole thing arrived in Spanish and the family is spread across two countries.
- What the report actually says about day-to-day functioning, in plain English.
- What can be worked on, what is worth watching, and what is not going to change.
- Cognitive work built on what the tests found rather than on generic exercises.
- How the household organises itself, so that it does not all rest on one person.
Who it is not for
I do not replace the neurologist and I do not issue medical diagnoses. I do not promise to halt anything, and I will not put a timeline on how this goes. The testing and the cognitive work are done in person, never by video call.
When it makes sense to get in touch. When there is a diagnosis and no plan; when a report exists and the week has not changed; or when one person at home has quietly become responsible for all of it.
The first consultation is free.Book the free consultation →
Frequently asked questions
The diagnosis was made in another country. Does that matter?
No, bring it. Reports travel better than people expect, and the medical side stays with the doctors. What I add is a description of how thinking is working now and what to do with it here.
Half the family lives abroad. Can they be part of this?
Yes, and it usually helps. The sessions where I explain what was found and what we are doing can include people joining by video call from another country, while the testing and the work with the person themselves happen in person, at home in Granada.
Is cognitive stimulation just puzzles and apps?
No. Exercises chosen without reference to a profile mostly train the exercise. What is worked on here comes out of what the tests found, and it is aimed at the things that make up the day: following a conversation, holding a routine, managing money, getting out of the house.
Is it too late for this?
That question deserves an honest answer rather than a reassuring one, and it depends on the diagnosis and on where things are. Bring it to the free first consultation and I will tell you what I think can be worked on and what cannot.