The standard MCI experience: a worrying screen, a shrug, and "we'll recheck in a year" — while the interventions with actual guideline support (structured exercise above all, plus cognitive training) go unprescribed [1]. MindForge provides instrumented MCI evaluation and the structured program layer in Dallas — on the terms this diagnosis demands: no one reverses dementia, no one here will claim to, and MCI is not dementia. Free 15-minute call · (214) 730-6463.
MindForge doesn't bill insurance — by design. Direct-pay is what makes an individualized, intensive program possible rather than care shaped by billing codes. HSA/FSA and financing options exist, and a written Good Faith Estimate precedes any commitment.
What MCI is and isn't: measurable cognitive change beyond normal aging that doesn't yet impair independence — with a real annual conversion risk toward dementia (commonly cited at 10–15%/year [1]) AND a real fraction who stay stable or improve. Detection is poor in primary care [1], which means many people carry the worry without the workup. What the guidelines actually support: regular structured exercise — the best-supported intervention, with six-month programs likely to improve cognitive measures — plus cognitive training, sleep and metabolic housekeeping, and management of reversible contributors [1]. Delivered, in most of medicine, as a pamphlet. Delivered here as a program: instrumented cognitive baseline → structured, supervised exercise and cognitive-training blocks → metabolic/sleep workup (FM lane) → scheduled re-measurement.
The fence, both directions: worried but healthy → brain longevity (prevention practice); progressing impairment affecting independence → neurology/memory-clinic care first, and we make that referral ourselves. Evaluation: Discovery Day — age-normed cognitive battery, contributing-factor workup (sleep, metabolic, mood, medication review with your prescriber), functional instruments. Family welcome at findings. Programs: individualized — pricing on your free 15-minute call + GFE. What treatment looks like: Discovery Day → supervised exercise + cognitive training blocks → re-test on the same instruments.
Frequently asked questions
Is MCI dementia?
No — and conversion isn't destiny: real risk [1], a real stable-or-improving fraction, and modifiable factors worth working.
Can you reverse cognitive decline?
No one can promise that, and we never will. Guideline-supported interventions, delivered at dose, measured on your own baseline — that's the whole offer.
Should I see a neurologist first?
If you haven't been evaluated medically, often yes — and our findings letter supports that visit either way.
What about my worried-but-fine spouse?
See brain longevity — prevention is the other side of this fence.
Do you take insurance?
We're direct-pay, with superbills provided — see ways to pay.
Sources: [1] MCI detection gaps in primary care; 10–15%/yr conversion risk; guideline-recommended non-pharmacological interventions (exercise strongest; 6-month programs) (Care-Seeking §§14/19: AAN guideline PMC5772157; PMC10995024; PMC9130435).