What every Fiduciary should know about Anosognosia

Barney Nelson, from Portland, OR. spent 2 decades working for a global technology company, then became an entrepreneur and ran a very successful business. In 2018, he noticed he was beginning to feel overwhelmed. It was more difficult to multitask and keep up with the pace of his business. He also started to experience tremors and hallucinations, leading to a Lewy Body Dementia (LBD) diagnosis in early 2019. He is now a Dementia Advocate and serves on the Dementia Action Alliance Advisory Board and Speakers Bureau, and is a PAC Core Team Member with Teepa Snow’s Positive Approach To Care Organization.

Paula Marks moved to the Bay Area from Canada to attend UC Berkeley as a visiting graduate student in sociology, feel in love with the Bay Area and never left.  She holds both a bachelor's and master's degree in criminology from Simon Fraser University.  

Paula has worked in the academic, nonprofit, and private sectors always in a capacity where she is helping to solve complex social problems.  Over the last decade she has applied those skills to finding care solutions for older adults and has been recognized by her peers as a thought leader in applying novel solutions to pressing problems. Today Paula will be presenting on effective problem solving with families and stakeholders when Anosognosia may be presenting. 

Lise McCarthy is a licensed professional fiduciary and owner of McCarthy Fiduciary Services based in San Francisco, California. She is also a Doctor of Physical Therapy and Board-Certified Clinical Specialist in Geriatric Physical Therapy. Pre-pandemic, she served her community through her clinical practice for 20 years by providing comprehensive examination and treatment for people impacted by complex movement-related impairments and limitations impacted by cognitive and mental health illnesses and disorders. She has been an Assistant Clinical Professor, Volunteer Faculty member at the University of California at San Francisco, Department of Physical Therapy and Rehabilitation Science since 2014. She served as the Founding Chair of the Cognitive and Mental Health Special Interest Group of the American Physical Therapy Association Geriatrics where she focused her efforts on collaborating with other similarly minded physical therapists and physical therapist assistants (all over the United States and internationally) in publishing multi-media materials (e.g. peer-reviewed and clinical articles; assistant editor, guest editor and board member of GeriNotes; national lectures for APTA, Family Caregiver Alliance; development of PTNow Test and Measures; poster presentations.) For her exceptional service and commitment to the APTA’s Academy of Geriatric Physical Therapy, she received the 2018 Presidents award. She has worked with researchers and developers at UCSF, Samuel Merritt University, and In-Step Mobility. She has also delivered multiple local, state, and national talks and speeches, in addition to workshops and videos on topics related to cognitive and mental health, fall risk, and pain, including as the Keynote Speaker for California’s 13^th Senate District for Senator Elaine Alquist’s Women’s Health Forum in 2011. Since 2018, she has worked as a fiduciary and sees many opportunities for clinical home health education to help advance the work she now does as a fiduciary and in her role as San Francisco’s chapter president of the Professional Fiduciary Association of California.

I specialize in evidence-based therapies with adults and couples experiencing role transitions, stress, burnout, anxiety, and depression. I often work with high-achieving people in demanding fields (e.g, physicians, attorneys, entrepreneurs) who are facing burnout or feeling overwhelmed with relationship or other life transitions and conflicts. I also have a background in health promotion and health behavior change. I completed my education at Stanford (BA), the London School of Economics and Political Psychology (MSc), and The University of California, San Diego (SDSU/UCSD; PhD). I completed my clinical internship at UCLA. I was previously Director of the Internship Training Program and Assistant Professor at CSPP/Alliant LA and am volunteer clinical faculty at UCLA.