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Online Therapists

Photo of Julia Perretta, MS, LMFT, Marriage & Family Therapist
Julia Perretta
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97206  (Online Only)
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
I specialize in providing emotion focused therapy for couples who are interested in working on issues related to communication, trust, infidelity, connection, and intimacy. I also work with individuals who are looking to heal their relationship with food, body image, stress, anxiety, substance use, depression, and manage responses to complex trauma. I welcome folx of all types, including LGBTQI and poly/ENM identifying individuals and couples. People who work with me enjoy integrating mindfulness and humor into the therapeutic tableau.
(503) 213-6255 View (503) 213-6255

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Dementia Therapists

Can dementia patients benefit from counseling?

Dementia patients can often benefit significantly from counseling. While neurologists typically treat dementia itself, counselors provide crucial emotional support for patients and their families. Therapists specializing in dementia can help clients navigate aging, end-of-life issues, social isolation, sleep challenges, and grief. They can also assist clients in adapting to the disease by addressing caregiving concerns and supporting family members. Counselors will often also collaborate with a patient's neurologist or other medical providers to manage dementia symptoms and medication needs.

How can you tell if someone has dementia or Alzheimer's?

To determine if someone has dementia or Alzheimer's disease, there are several signs and diagnostic methods that medical professionals use. Early signs of dementia often include memory loss, difficulty with problem-solving, and challenges in completing familiar tasks. Diagnosing dementia or Alzheimer's requires a comprehensive approach, as there is no single definitive test, and initial diagnosis can sometimes be difficult as symptoms tend to worsen progressively over time. To make a diagnosis, medical professionals typically use a combination of methods, including standardized questionnaires and cognitive tests to assess memory, attention, and problem-solving skills, psychiatric evaluations to understand mental health status, brain scans to look for physical changes in the brain, as well as other medical tests to rule out other conditions.

What are the first-line treatment options for Alzheimer’s disease?

There is no cure for Alzheimer's disease, but catching the disease in its early-to-moderate phases can be beneficial in order to initiate first-line treatments to help manage symptoms. Medications such as galantamine, rivastigmine, and donepezil are examples of cholinesterase inhibitors that are commonly prescribed for Alzheimer’s disease. In addition, working with a therapist or social worker can also often help patients with the disease address common behavioral and lifestyle concerns, such as anxiety, depression, irritability, sleep problems, social support, and housing changes.

When to seek treatment for Alzheimer’s?

It’s best to seek treatment at the first signs of Alzheimer's. Early warning signs of Alzheimer’s include memory problems, such as forgetting appointments or directions, as well as trouble concentrating, paying attention, retrieving words, and carrying out daily household tasks. An early diagnosis can help people slow the progression of the disease with medication and plan for the future in terms of housing, social/caregiving support, and finances.