Welcome to Thrive Life Counseling, LLC

Madeline V Gardiner, M.Ed., LPC, NCC
"Vicki"
  • Sign In
  • Create Account

  • My Account
  • Signed in as:

  • filler@godaddy.com


  • My Account
  • Sign out

  • Home
  • Thrive Life Counseling
  • About Vicki
  • Books
  • Let's Connect
  • CogniChange
  • More
    • Home
    • Thrive Life Counseling
    • About Vicki
    • Books
    • Let's Connect
    • CogniChange
Madeline V Gardiner, M.Ed., LPC, NCC
"Vicki"

Signed in as:

filler@godaddy.com

  • Home
  • Thrive Life Counseling
  • About Vicki
  • Books
  • Let's Connect
  • CogniChange

Account


  • My Account
  • Sign out


  • Sign In
  • My Account
CogniChange logo and tagline with four steps: Assess, Understand, Plan, Support.

A simple, therapy-integrated way to understand the changes you are noticing and then turn those observations into a practical care plan.

You deserve a clearer conversation when something feels different.


Memory and thinking concerns rarely happen in isolation. Mood, anxiety, grief, sleep, medications, sensory changes, pain, and daily routines can all affect how a person feels and functions.


CogniChange gives patients, families, and clinicians a structured way to notice patterns, decide what needs monitoring, and identify when medical follow-up or added support may be helpful.

1- Start with context

2 - Screen thoughtfully

2 - Screen thoughtfully

We begin by understanding the concern, recent changes, medical factors, mood, sleep, medications, sensory needs, and daily functioning.

2 - Screen thoughtfully

2 - Screen thoughtfully

2 - Screen thoughtfully

Brief tools may be used when appropriate. Scores are considered alongside the whole picture, not treated as a diagnosis by themselves.

3- Review patterns

3- Review patterns

3- Review patterns

Findings are discussed in plain language, including reassuring signs, areas to monitor, and factors that may be affecting therapy or everyday life.

4- Plan next steps

3- Review patterns

3- Review patterns

The result is a practical care plan for therapy, routines, supports, monitoring, and medical coordination when follow-up is appropriate.

CogniChange is not a diagnosis or a replacement for medical or neuropsychological evaluation. It helps clarify patterns that may affect therapy, safety, independence, and care coordination.

Services

Cognitive concern screening

Mood, sleep, and function review

Mood, sleep, and function review

A therapy-integrated screening process for adults noticing changes in memory, attention, organization, communication, or daily follow-through.

Mood, sleep, and function review

Mood, sleep, and function review

Mood, sleep, and function review

A structured look at factors that can mimic, worsen, or clarify cognitive concerns, including anxiety, depression, grief, sleep, pain, medications, vision, and hearing.

Family or caregiver input

Therapy-informed care planning

Therapy-informed care planning

Optional collateral input from someone the patient trusts, used only with consent and focused on concrete observations over time.

Therapy-informed care planning

Therapy-informed care planning

Therapy-informed care planning

Recommendations for pacing, reminders, routines, supports, communication, safety, and care coordination that can be used inside psychotherapy.

Ready to take the next step?



CogniChange is not a diagnosis or a replacement for medical or neuropsychological evaluation. It helps clarify patterns that may affect therapy, safety, independence, and care coordination.

Get Started

Copyright © 2025 Vicki Gardiner - All Rights Reserved.


Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept