Early intervention works best. Most act too late.
Cognitive Stewardship is proactive care before diagnosis when decisions matters most.
🟢 ACCEPTING:
5 Founding Family spots available for early 2026
Proactive brain health is a national campaign.
American Academy of Neurology: The Brain Health Imperative in the 21st Century—A Call to Action
Dr. Luke Stoeckel, PhD
Founder, Treasure Coast Cognition
Vero Beach native with 20+ years leading cognitive aging research
Harvard Medical School • NIH • Massachusetts General Hospital • UAB
Think of it as a wealth advisor for your brain. Just as you wouldn't wait until bankruptcy to manage your finances, you shouldn't wait until crisis to protect your cognitive future.
Not crisis management after a diagnosis.
Not "wait and see" monitoring.
Not hoping things stay stable.
What is Cognitive Stewardship?
The Early Window: When Protection Works Best
Stage 1
Something feels “off.” Small shifts in memory or judgment.
Stage 2
Quiet compensations. Loved one fill gaps, routines change.
Stage 3
The pivot point. Family worry rises but capacity is still (barely) intact.
Stage 4
Loss of agency. Decisions are made for us, not with us.
Decisions that matter most must be made before Stage 3.
I work with families specifically during Stages 1 and 2 — the last point where we can still fully participate in decisions about our future.
The Decision Timing Difference
TYPICAL APPROACH
Crisis-Driven Approach
🏥 DIAGNOSIS & CARE
Too late, fewer options
Label without roadmap
Family overwhelmed and alone
Fragmented medical care
🚗 DRIVING
Accident prompts
Family conflict
Keys and autonomy taken away
💰 FINANCIAL MANAGEMENT
Loss leads to action
Exploitation or poor decisions
High vulnerability
📋 ESTATE PLANNING
Too late – capacity questioned
Documents incomplete
Attorney uncomfortable
🏠 HOUSING TRANSITIONS
Forced by crisis or fall
Traumatic emergency move
"We had no choice"
❌ HIGH FAMILY REGRET
"We should have acted sooner..."
COGNITIVE STEWARDSHIP
Proactive Guided
🏥 DIAGNOSIS & CARE
Early detection, more effective options
Planning tool with clear steps
Expert guidance through transition
Coordinated care
🚗 DRIVING
Evaluation before incident
Gradual, planned transition
Person participates in decision
💰 FINANCIAL MANAGEMENT
Phased oversight approach
Safety with preserved autonomy
Collaborative protection
📋 ESTATE PLANNING
Optimal timing identified
Person meaningfully participates
Legal affairs in order
🏠 HOUSING TRANSITIONS
Planned 6-12 months ahead
Person considers options and chooses
Buy-in and adjustment support
✅ LOW FAMILY REGRET
"We did everything at the right time"
These aren't different diseases or different people. These are different approaches to the same 7-10 year journey. The decisions are the same—medical, driving, finances, housing, estate planning. The timing, and the outcomes, are completely different.
How We Protect What Matters Most
The Critical Window for Timely Intervention
What Matters Most:
✓ Remembering loved ones
✓ Staying independent
✓ Continuing meaningful activities
✓ Making your own decisions
✓ Living in your own home
✓ Being yourself
By the time traditional care pathways identify cognitive concerns, many individuals have already progressed beyond the window where interventions work best.
How We Protect These Priorities:
We can slow disease and protect what you value most.
We identify and coordinate interventions:
✓ Medical optimization – Treat sleep disorders, depression, manage cardiovascular risk, review medications, coordinate disease-modifying therapy when appropriate
✓ Lifestyle protocols – Structured exercise, nutrition, and cognitive training programs produce cognitive benefits equivalent to 1-2 years of delayed aging
✓ Psychosocial support – Address depression and social isolation that accelerate decline
✓ Sensory optimization – Address hearing loss and vision loss
✓ Environmental modifications – Technology aids, safety, structured environment for optimal decision architecture
Structured, coordinated interventions can slow cognitive decline equivalent to ~1-2 years of delayed aging compared to self-guided approaches.
Result: Extended time at current functional level, preserved dignity and quality of life, reduced family burden.
While we cannot stop neurodegenerative disease, we address modifiable factors that accelerate decline.
Evidence: 2024 Lancet Commission (Lancet, 2024) | US-POINTER Trial (JAMA, 2025)
Four Pathways to Cognitive Stewardship
We meet families where they are, from initial assessment to intensive guidance:
🔷 Baseline Evaluation ($3,500)
Remote assessment to establish your cognitive and functional baseline, develop plan, and discuss appropriate next steps.
🔷 Annual Monitoring ($2,500/year)
Annual re-evaluation, trajectory tracking, and priority access to full Stewardship if changes warrant closer monitoring.
🔷 Full Cognitive Stewardship ($9,500 per 6-month cycle)
In-home assessment for real-world evaluation. Ongoing guidance for families actively navigating cognitive changes and high-stakes decisions. Includes regular check-ins, family meetings, decision guidance, and care coordination.
🔷 Alumni Network (No fee)
Stay connected with annual check-ins and priority scheduling if concerns emerge later.
The first step is always a 30-minute consultation to understand your situation and determine which pathway makes sense for your family.
The Founding Families Program
🪴 Accepting 5 Founding Families
📅 Beginning in early 2026
Each family co-develops their care plan. They are participants, not clients — early collaborators shaping a new care model.
We will establish our partnership and co-create a protective framework for proactive care. Families can continue with ongoing stewardship as new inflection points emerge.
🤝 YOUR FIRST STEP
Schedule a complimentary 30-minute consultation. We'll discuss:
- Your current situation and concerns
- Which inflection points are most relevant for you
- Whether this is the right time for stewardship
- What the 6-month engagement would look like
The purpose is to clarify where you are and what would make your life better.
Contact me directly:
☕ Let’s have coffee!
Be Part of Something New
We're launching Cognitive Stewardship with a select group of founding families who understand that brain health deserves the same proactive attention we give to cardiovascular fitness or cancer screening.
If you're ready to move from waiting to stewardship, we're ready to guide you.
Why Florida’s Treasure Coast?
By 2030, 32.5% of Florida's population will be 60+ — one of the highest concentrations of seniors in the nation.
World-class science. Local care. Built with families on the Treasure Coast.
Licensed Clinical Neuropsychologist
Florida • Massachusetts
© 2025 Treasure Coast Cognition LLC.
Cognitive Stewardship™ is a trademark of Treasure Coast Cognition LLC.