The Review of Aging: Forget-Me-Not Pathological or Not?


Presented by:
Stephanie Garayalde, MD
Ashley Lewis, MD
Geriatric Fellows
Class of 2023

Faculty Disclosure:

Drs. Garayalde and Lewis have disclosed that they have no relevant financial relationships. No one else in a position to control content has any financial relationships to disclose.

Conflict of interest information for the CME Advisory Committee members can be found on the following website: All relevant financial relationships have been mitigated.

Release Date: June 2, 2023
Expiration Date: June 1, 2025

Target Audience: All physicians; LCSW, LMHC, LMFT licensed only in Florida

Learning Objectives:

As a result of participation in this activity, participants should be able to:

  1. Define typical versus atypical aging patterns.
  2. Identify both reversible and non-reversible causes of dementia.
  3. Recognize appropriate dementia work-up, screening tools, and treatment options.
  4. Describe neuro-behavioral symptoms and other complications of dementia and their appropriate interventions.

Requirements for successful completion: Certificates are awarded upon successful completion (80% proficiency) of the post-test.

Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This program has been approved for 1.0 clinical hours of continuing education for clinical social workers, mental health counselors, and marriage & family therapists by Shands at the University of Florida, Patient and Family Resources,

BAP-7. CEU credits for LCSW, LMHC, LMFT licensed ONLY IN FLORIDA. Certification of completion provided to all participants regardless of state.

Resources for further study:

  1. Dziechciaż, M., & Filip, R. (2014). Biological psychological and social determinants of old age: bio-psycho-social aspects of human aging. Annals of agricultural and environmental medicine: AAEM, 21(4), 835–838.
  2. Soto-Perez-de-Celis, E., Li, D., Yuan, Y., Lau, Y. M., & Hurria, A. (2018). Functional versus chronological age: geriatric assessments to guide decision making in older patients with cancer. The Lancet. Oncology, 19(6), e305–e316.
  3. US Census Bureau. (2022). The population 65 years and older: 2021. Retrieved from
  4. Orenstein, G. A., & Lewis, L. (2022). Eriksons Stages of Psychosocial Development. In StatPearls. StatPearls Publishing.
  5. Chen, P. Y., Ho, W. C., Lo, C., & Yeh, T. P. (2021). Predicting Ego Integrity Using Prior Ego Development Stages for Older Adults in the Community. International journal of environmental research and public health, 18(18), 9490.
  6. Critical Developmental Milestones You won’t want Your Child to Miss – Integrated Learning Strategies (
  7. Centers for Disease Control and Prevention (CDC) (2022). Memory Loss is Not a Normal Part of Aging [Video]. YouTube.
  8. Harada, C. N., Natelson Love, M. C., & Triebel, K. L. (2013). Normal cognitive aging. Clinics in geriatric medicine, 29(4), 737–752.
  9. Ota, Y., & Shah, G. (2022). Imaging of Normal Brain Aging. Neuroimaging clinics of North America, 32(3), 683–698.
  10. Burnes, D., Henderson, C. R., Jr, Sheppard, C., Zhao, R., Pillemer, K., & Lachs, M. S. (2017). Prevalence of Financial Fraud and Scams Among Older Adults in the United States: A Systematic Review and Meta-Analysis. American journal of public health, 107(8), e13–e21.
  11. Faverio, M. (2022). Retrieved from
  12. Gill, M. (2022, October 7). Senior scam statistics 2023: Is elder fraud on the rise?. Comparitech.
  13. Burnes, D., James, B. D., Boyle, P. A., & Bennett, D. A. (2014). Correlates of susceptibility to scams in older adults without dementia. Journal of elder abuse & neglect, 26(2), 107 122.
  14. Henderson, C. R., Jr, Sheppard, C., Zhao, R., Pillemer, K., & Lachs, M. S. (2017). Prevalence of Financial Fraud and Scams Among Older Adults in the United States: A Systematic Review and Meta-Analysis. American journal of public health, 107(8), e13–e21.
  15. Thakur, M. E., et al.  (2014). Clinical Manual of Geriatric Psychiatry. Washington, DC: American Psychiatric Publishing.
  16. Steffens, D. C., Blazer, D. G., & Thakur, M. E. (2015). Chapter 8. Dementia and Mild Neurocognitive Disorders.  The American Psychiatric Publishing Textbook of Geriatric Psychiatry, Fifth Edition. essay, American Psychiatric Publishing, Inc.
  17. Steffens, D. C., Blazer, D. G., & Thakur, M. E. (2023). Chapter 8. Dementia and Mild Neurocognitive Disorders.  The American Psychiatric Publishing Textbook of Geriatric Psychiatry, sixth Edition. essay, American Psychiatric Publishing, Inc.
  18. AlzheimersResearch UK (2016, October 13). What is dementia? Alzheimer’s Research UK [Video]. YouTube.
  19. Hugo, J., & Ganguli, M. (2014). Dementia and cognitive impairment: epidemiology, diagnosis, and treatment. Clinics in geriatric medicine, 30(3), 421–442.
  20. Edemekong PF, Bomgaars DL, Sukumaran S, et al. Activities of Daily Living. [Updated 2022 Nov 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from:

If you have any questions please feel free to contact Nancy Boyd at (352) 594-4298 or at