Education

Scams Against the Elderly Are HUGE: Luckily Authorities Just Stopped One Large Romance Scam

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Dr. Lande and FBI Victim Specialist Debbie Deem

Dr. Lande and FBI Victim Specialist Debbie Deem

As part of my practice I consult with and provide training to various law enforcement groups on elder abuse. Last week I provided a training for the FBI. One of the main topics I cover is victimization of seniors by mass market scams.

We have all received such solicitations. A computer phone call stating that we owe the IRS, or an email from a member of the Nigerian government who needs help smuggling money out of the country and knows that you would be the perfect person to assist, or perhaps that too good to true connection on a dating website who just never quite seems available to meet in person.

These scams work by convincing us to use emotional reasoning, rather than logical reasoning. They use visceral motivations like fear and greed, along with a sense of authority, to get us to respond. And they require urgency, so that we don’t have time to think about what we are doing.

Unfortunately, older adults are a prime target due to factors such as greater wealth concentration, loneliness, and some of the cognitive processing changes that occur as we age. Scams are a difficult crime to stop as they are cheap and easy to do, and are often based out of the country, making it hard for law enforcement to intervene.

Luckily, as you can read about in this story, Federal authorities were recently able to stop a large romance scam targeting women around the world, but with at least some of the perpetrators based in the US.

Education and awareness is often one of the best ways to prevent yourself and your loved ones from falling victim. Remember, if anyone is demanding an immediate payment, especially with any type of gift card, it is probably a scam.

Remember, you can contact law enforcement if victimized by these scams and it is important to report them. A good place to report them is the FBI’s Internet Crime Complaint Center. Sometimes, if you are quick enough it is even possible to get your or your loved one’s money back.

For a free video on the aging brain and scams, click the button below. There is also a button linking to a recent article I wrote on mass market scams.

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Want to talk about these issues in person? Please feel free to reach out to us at Insightneuropsych.com.

Don’t Let Your Child Fall Through the Cracks at School

Many parents tell me they feel their child has fallen through the cracks or gotten lost in the shuffle, and they just don’t know what to do.

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Here are a few helpful steps to take if this is you, with further descriptions of each below. And if you feel like you just want some professional help now, please feel free to reach out to us at insightneuropsych.com.

 

1. Be Involved.  You can’t know what you don’t know.

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  • Ask questions. Email or call your child’s teacher(s) and/or administrator (contact information should be available on all school websites) to see how your child is doing. Do they have concerns about your child’s academic, behavioral, or emotional progress?

  • Review work and online grade books. Most schools have online ways for you to monitor your child’s work and grades. Ask for explanations about assignments you don’t know about or understand. Have teachers show you work samples of what your child has submitted as well as an exemplary example of the assignment to compare with. Be in the know of what your child is doing at school.

 

2. Make it a team effort. If you have concerns about your child’s social, emotional, behavioral, and/or academic progress at school, you can request a Student Success Team (SST) meeting.

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Nearly all schools have SST meetings, or a similar process, to meet and discuss concerns about students. Anyone can request an SST meeting.

  • The meeting is intended to be a safe place to create a plan of action to support a student’s strengths and needs. This is a perfect forum for all the important stakeholders in your child’s education to come together and problem solve what is going on. This is also the perfect place for you to ask any and all further questions you may have of the team.

  • The meeting typically involves your child’s teacher(s), an administrator, the school psychologist, a school counselor, a special education teacher, and/or you and your child.

If you feel like you have been trying this teach approach and just want some professional help now, feel free to reach out. We are always happy to you and help problem-solve your child’s unique situation.


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3. Special Education as a Last Resort.  A SST may discuss the possibility of conducting a special education evaluation to determine if your child meets criteria of a student with a disability and requires special education supports and services to benefit from school. If your child is enrolled in private school, then your local public school would conduct the evaluation (this requires further steps to be taken).

  • Although there is a spectrum of special education supports and services, there should also be options in general education to support your child’s needs before going down the path of labeling your child as having disability.

  • Ask about ALL the supports available to students at the school. Ultimately your parental consent is required in order for the school to conduct a special education evaluation. You may also choose to request the school conduct an evaluation; the request must be submitted to the school in writing.


Interested in Learning More, or want an Assessment or Advocacy Services for your Child?

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At Insight Neuropsychology we provide personalized assessment and treatment services to promote cognitive health and well-being. We help you learn about how your child’s brain is functioning and how their environment is affecting them, as INSIGHT is the first step in improving your mental functions.

For more information about what questions to ask, what signs to look for, and/or how to navigate the school system to best help your child, please contact me, Dr. Skye Stifel, at Insight Neuropsychology.  As a former special education teacher, a Nationally and California Certified School Psychologist, and licensed Educational Psychologist, I have the knowledge and experience to help you ensure your child does not get lost in the shuffle.

What is Dementia AKA Major Neurocognitive Disorder?

Do you remember when we used to talk about going senile?

Have you noticed it doesn’t pop up much anymore?

There is a reason for this. Many people believe that as we get older our mental faculties – our memory and thinking skills – start to decline. Even the medical field believed this. The medical diagnosis for this was “Senile Dementia,” and it literally meant mental deterioration that comes with aging.

Now though, we know this isn’t really accurate. Although there are some changes in our thinking abilities, usually related to being slower and less efficient, we now know that dementia is not part of healthy aging.

Two things give this away. We have identified many of the conditions that cause dementia, and we have identified people, sometimes called super-agers, who don’t show a significant decline as they age. One of the innovative studies that explored this was the “Nun Study” by Dr. David Snowdon. They examined almost 700 elderly nuns over 15 years, including cognitive testing, gene studies, and even information from early in their lives by studying autobiographical essays they wrote in their 20s. If you would like to learn a little more, check out Dr. Snowdon’s book. You can click on the photo to reach it.

So What is Dementia?

Nowadays, when doctors use the term dementia, it is meant as a description of a person’s functioning. Dementia describes a person’s current level of thinking and functioning. It is not the cause of that level of functioning, it is simply describing it.

It means that a person is showing a significant decline in thinking skills (like memory or language functions) often measured by neuropsychological assessments such as those I conduct (look here to learn more about the testing process), and the deficits are significant enough that they are also causing limitations in a person’s functional skills, their daily life. In a few paragraphs we will talk about causes of dementia, and how these can result in different types of symptoms and challenges.

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Besides just the label of dementia, we try often try to give more descriptive labels that describe how significant the impairment is. So a person might have early dementia, where they may show a little tendency to get lost when driving or to have trouble remembering to pay bills. Or perhaps moderate dementia, which tends to marked by disorientation to date or address, or difficulty remembering the names of grandchildren.

I mentioned in the previous paragraph that there are different causes or types of dementia, but they all tend to be similar in the end. We describe severe dementia as loss of the ability to communicate and requiring complex care.

If you are interested in learning more about these labels, look into some of the scales used to classify dementia, like the Global Deterioration Scale or the CDR (Clinical Dementia Rating) check them out here (https://www.dementiacarecentral.com/aboutdementia/facts/stages/).

You might have noticed in the graphic above, there is another term I haven’t yet identified, Mild Cognitive Impairment. This term, like dementia, is a description of functioning, rather than a disease. It indicates that a person has obvious new impairment on cognitive tests, but is not yet showing any decline in daily functioning. It is considered a red flag for possible future dementia, so it identifies patients that physicians should monitor.

Want to talk about these issues in person? Please feel free to reach out to us at Insightneuropsych.com.

One last point on terminology.

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Recently the DSM, which is the diagnostic manual for mental health professionals, put out a new edition that has changed the terminology. Now they the use the terms Major Neurocognitive Disorder, which is equivalent to dementia and Mild Neurocognitive Disorder, which is equivalent to Mild Neurocognitive Disorder. While I prefer to use dementia as it is term that is easily recognized and understood, I do think the change to Mild Neurocognitive Disorder helps, as Mild Cognitive Impairment was just too generic and confused people.

Are Alzheimer’s and Dementia The Same Thing?

Auguste Deter, first person diagnosed with Alzheimer's disease

Auguste Deter, first person diagnosed with Alzheimer's disease

This is a common question we get in our practice. People want to know if they are the same, or if it is better to have one or the other. So let’s clarify this by discussing the causes and types of dementia. Alzheimer’s disease is a disease process causing deterioration and death of neurons in the brain. It eventually leads to dementia (though there is some recent evidence that the condition is present long before we realize it…) and is in fact the most common cause of dementia. This tends to be the one that everybody thinks about and is our stereotype of dementia. Alzheimer’s disease is the dementia associated with loss of memory and language skills. It starts in the temporal lobe of the brain, which happens to be the part of the brain very responsible for memory formation and processing of language.

While Alzheimer’s disease is a common form of dementia, it is only one of many. Many of us remember the Mad Cow scare back in the 1980s. Well, that disease is a type of dementia, just a very rapid form. It kills within 1 year once the condition develops. It is called a spongiform encephalopathy. Here in the United States it was not quite as much of a scare as it was in Europe, but we do have a similar condition that occurs here in Elk. It is called wasting illness. It can spread to humans through hunting. Unfortunately, the elk that is easy to shoot is sometimes the sick one wandering in circles. Cooking the meat does not remove the pathogen that leads to the brain damage and dementia.

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Mad Cow disease is a rare form of dementia and Alzheimer’s disease is a very common form. Other types of dementia you might hear of include vascular dementia, Parkinson’s dementia, and Lewy body dementia, among others. Vascular dementia is related to damage in the blood vessels in the brain. Due to damage to the blood vessels the brain cannot get enough oxygen or energy in the affected areas. Whereas Parkinson’s dementia is related to impaired neurons that stop producing enough of the neurotransmitter dopamine. It initially causes movement problems, but some people will develop cognitive impairment and dementia. Lewy body dementia is one that we are only recently becoming more aware of. In the past it might have just been seen as an atypical Alzheimer’s dementia. Now though it is seen as almost a mix of Alzheimer’s and Parkinson’s features. It is marked especially by variability in cognitive skills, with good and bad periods, and also a tendency to have visual hallucinations.

Contemplating dementia can be frightening, but it is important to remember that there are things you can do, both to try and stave it off, but also to help yourself or your loved one if it is present. Feel free to look over the blog archives for ideas on keeping your brain strong, or feel free to reach out to us at Insightneuropsych.com. We are happy to answer questions and we provide comprehensive evaluations to determine if dementia is present and to figure out how to help and support dementia sufferers.

Interested in Learning More?

Need an Assessment?

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At Insight Neuropsychology we provide personalized assessment and treatment services to promote cognitive health and well-being. We help you learn about how your brain is functioning, as INSIGHT is the first step in improving your mental functions.

Our neuropsychologists have served Ventura and Santa Barbara Counties since 2003. We have experience working in hospital settings, with universities, and with neurology and other medical specialties.

Can a Neuropsychological Assessment Help?

Something on Your Mind?

It can be easy to feel like something is wrong with your brain, or a loved one’s.

Perhaps you can’t get your life organized, and a friend tells you to investigate ADHD. Or perhaps you worry that a recent time when you just couldn’t think of a word might have been an early sign of dementia. Perhaps a loved one has had a brain injury, but you are not sure how it is has really affected them. You just know they are not the same.

This Is Where Neuropsychology Comes In

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Neuropsychology is the study of how our brain relates to our behavior. As neuropsychologists we study a person’s thinking skills and behavior to determine if there is something to these worries. We explore a person’s strengths and weaknesses to help them gain insight about their brain. The goal is to help protect it, strengthen it, and thrive.

How Neuropsychology Works

You may have seen one of phrenology models before. Unfortunately, it’s not this simple.

One of the best ways to learn how your brain is functioning is to see a neuropsychologist. A clinical neuropsychologist is a licensed psychologist who has obtained further training and specialization in brain functioning, allowing us to better understand and treat conditions that involve both the brain and behavior.

We conduct testing to determine an individual’s pattern of strengths and weaknesses in attention and concentration, learning and memory, language skills, and judgment and reasoning and other cognitive skills. The tests are noninvasive and mostly verbal or paper and pencil. A subject might be asked to solve puzzles or remember a story. Neuropsychological testing does not involve needles or cause hurt or discomfort. Depending on your condition we may or may not use computer-based tests.

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Once you finish testing, we compare the results to your peers, other people of your age and education. We call this data norms, or normative data, and it lets us see how your performance relates to everybody else. Yes, your brain slows down a bit as you age, but that doesn’t mean you have dementia. We compare you to other people your age for that reason.  This can help us understand how you learn and identify the types of problems that are holding you back. Analysis of your patterns of performance, along with consideration of medical history and life story can help us understand what is occurring, including what your condition is or what might be holding you back.

Then we get to the important part.

Assessment is just one piece of the process, even if it is the part that everyone thinks about when they think of neuropsychological assessment. Once we assess you, we make recommendations to help you. Good recommendations should be thorough and wide-ranging. We might teach you some new ways of learning or remembering information, or we might suggest breathing techniques that can help overcome test-taking anxiety. We will make recommendations about further education and support for you and family members, and we will discuss how you can adapt your environment to be more efficient and successful. One hint, if you make a place where you always leave your keys or purse, like a bowl on your dresser, you are going to be a lot less likely to lose them. Think an assessment might help you or someone you know, feel free to contact us at insightneuropsych.com today and learn how we can help!

How

Neuropsychology

Helps

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1.       Neuropsychological assessment is the best way to measure how your brain’s functioning affects YOU. Although MRIs and other brain scans are important, none examine a person’s actual thinking abilities.

2.       Neuropsychological assessment determines what abilities are truly impaired, by using standardized tests to compare your actual performance to your peers. It is also the most systematic method for monitoring a person’s condition over time to determine if treatment changes are needed.

3.       Neuropsychological assessment assists diagnosis, by identifying patters of performance that are characteristic of certain conditions. It also detects subtle impairments that can cause later problems as people return to their regular activities. This can help target problems that still need to be worked on.

4.       Neuropsychological assessment provides treatment recommendations that are tailored to you to help you be more successful. The goal is to help you improve weaknesses or better compensate for them.

When Should Neuropsychological Assessment Be Sought?

  • If you struggle with concentration or memory or it has held you back at times, an assessment may help to clarify the issues and suggest how you can address them.

  • If you notice a change in mental functions (such as memory, reasoning, or attention) in yourself or someone else that is affecting the person’s ability functional skills (like forgetting to pay bills or how to use a cell phone), it is time to seek an evaluation to clarify and confirm the difficulties.

  • It is especially important in the first few months following a brain illness or injury, as treatment is most effective when it occurs soon after the change in functioning.

Interested in Learning More, or Want an Assessment?

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At Insight Neuropsychology we provide personalized assessment and treatment services to promote cognitive health and well-being. We help you learn about how your brain is functioning, as INSIGHT is the first step in improving your mental functions.

Our psychologists have served Ventura and Santa Barbara Counties since 2003. We have experience working in hospital settings, with school settings from elementary to university, and with neurology and other medical specialties.

Dr. Lande's article on chronic scam victimization in the elderly has published!

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Here is the link to the article. I co-authored it with Debbie Deem, FBI Victim Advocate Specialist. This addition of the Journal focuses on Elder Justice issues, and so we discuss chronic scam victimization of the elderly, including contributing factors and ways to address it with government and local community resources. 

It is in the US Attorney Bulletin, AKA Department of Justice Journal of Federal Law and Practice

Transnational Scam Predators and Older Adult Victims: Contributing Characteristics of Chronic Victims and Developing an Effective Response - by Debbie Deem and Erik Lande

https://www.justice.gov/usao/page/file/1121446/download
It is page 181 of the pdf (which is actually page 177 of the journal itself)