Most families wait for crisis.

You can act while there are still choices.

Preserve Choice.

Treasure Coast Cognition helps families navigating early cognitive changes

Logo for Treasure Coast Cognition LLC featuring a stylized brain icon in white on a black background with the company name underneath.
Dr. Luke Stoeckel, Founder of Treasure Coast Cognition, a middle-aged man with short, gray hair and a beard, wearing a light blue collared shirt, standing against a plain light-colored background.

Dr. Luke Stoeckel, PhD
Founder, Treasure Coast Cognition

Vero Beach native with 20+ years of clinical training and research leadership

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. Let’s create wealth for something that matters to us.

What is Cognitive Stewardship?

We Preserve Choice 7-10 years before a dementia diagnosis when decisions matter most.

Stay in control of your own life:

  • Where you live

  • Who decides

  • Who provides care

  • Who controls money

  • Who gets to make these decisions

We will act early, when protection works best.

Diagram illustrating cognitive changes in individuals aged 7-10 years, showing a long window of 7-10 years with subtle changes starting at year 0 and formal diagnosis typically after age 7. It highlights consequential family decisions during this period, including finances, legal planning, medical care, living arrangements, and safety, with a note on the guidance gap families face during this time.
An infographic titled "Four Pathways to Cognitive Stewardship" outlining four steps: Baseline Evaluation, Annual Monitoring, Full Cognitive Stewardship, and Alumni Network. Each step includes bullet points describing actions like remote assessments, re-evaluation, ongoing guidance, and staying connected with check-ins.

Learn More About Cognitive Stewardship

Explore more about our model and how we think about our relational work.

📖 Stories

Real families.

Real research.

Real decisions.

🧠 Evidence

Science.

Drives.

Stewardship.

💡 Practice

How.

Stewardship.

Works.

What Families Say

"In that 18-month window before diagnosis, we got to make the big decisions together - where we'd live, how we'd handle care." — Vero Beach family

"It was so challenging earlier this year to know that we were struggling but to not have permission to create a different trajectory. I believe that some of the most connected and fulfilling years of my parents' lives could be ahead."

“You struck just the right chord with our family, and I was so thrilled to hear my husband laugh and joke with you. It has been quite a long time since I've seen this with him, so thank you! He told me that he has never met a doctor that was so knowledgeable and yet put him very much at ease.

"You've listened deeply in ways that are unlike my experience with other healthcare providers—leaving us in a fundamentally different place than where we were when we began just four weeks ago."

"[This work has] the potential to be transformative for our family—which means it's priceless."

Not Sure Where to Start?

Many families know something is different but are not sure if it is time to act.

Five questions to ask yourself:

1. Have you noticed changes in how a family member handles money, plans, or makes

decisions?

2. Has your loved one’s doctor said “let’s wait and see” without clear next steps?

3. Are you an adult child worried about a parent but unsure how to raise the conversation?

4. Do you want to make important decisions — about care, finances, or living arrangements —

while you still can?

5. Would it give you peace of mind to have an expert who understands both the science and the

family dynamics?

If you said yes to any of these, a free conversation can help you understand your options.

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.

Logo of Treasure Coast Cognition LLC with a stylized brain inside a circle above the company name.