Welcome to the Center for Management of Adult Cognitive Disorders
Welcome to Community and Long-Term Care Psychiatry, led by Dr. Ernest Graypel. We offer comprehensive, personalized mental health services, including medication management, psychotherapy, and esketamine treatments, ensuring exceptional patient care and support.
About Center for Management of Adult Cognitive Disorders
At Cognitive Management Center, we specialize in providing comprehensive psychiatric care for adults with cognitive impairments.
Our dedicated team offers personalized treatment plans to enhance the quality of life for our patients and their families. We provide a range of services, including medication management and psychotherapy, and are able to do secure video visits, ensuring that our patients receive the best possible care tailored to their unique needs.
In addition to management of true cognitive impairments, such mild cognitive impairments or dementias, our expertise extends to managing conditions that may interfere with cognitive functioning, such as depression, anxiety, PTSD, or other mood or anxiety disorders. We recognize and believe in properly addressing adult attention deficit disorders.
Explore our services to see how we can support your mental health journey and help you achieve a better quality of life. We are committed to delivering compassionate care and effective treatment strategies to help you live a healthier, more fulfilling life.
About Dr. Ernest Graypel
Dr. Ernest Graypel, Medical Director of his Community and Long-Term Care Psychiatry practice, has extensive experience as an Associate Professor, clinical practitioner, and researcher. After training abroad, he practiced internal medicine in the former Soviet Union before moving to the U.S. over 30 years ago. He managed a home healthcare business and assisted living facilities before transitioning to psychiatry. Dr. Graypel integrates medications, psychotherapies, and esketamine treatments to address various psychiatric conditions. His leadership roles include serving as medical director of behavioral health at St. Anthony’s Hospital and statewide psychiatric director for the Missouri Department of Corrections.
Dr. Graypel provides psychiatric care in long-term care facilities and outpatient settings, and consults for several hospitals in St. Louis. He authored “Graypel’s Review of Dementias and Adult Cognitive Impairments for Non-Psychiatrists” and serves as a Clinical Associate Professor at A.T. Still University and a clinical instructor at Saint Louis University. His commitment to the community and his dedication to healthcare earned Dr. Graypel a lifetime membership in Trademark Top Doctors of America.
Graypel’s Review of Dementias and Adult Cognitive Impairments for Non-psychiatrists
The decline in cognitive function can make a negative impact on all aspects of the individual’s life. Their ability to think, and as a result their personality and behavior, may be affected to the point of this individual appearing as a different person. This, being initially mild, eventually becomes a point of severe concern for those around them.
While psychiatrists and neurologists are still working on deeper understanding of this condition and looking for solutions, it is imperative for everyone – even the layperson, to be educated on distinct types of, and different reasons for cognitive impairments, to be able to recognize these conditions and to provide an appropriate care for the affected individual.
This book is intended for those who deal with cognitively impaired patients on a daily basis. This includes primary care physicians, non-psychiatric providers in hospitals and long-term care facilities, home healthcare workers, and medical and nursing students entering the healthcare field. The book is written in layman’s language to be understood by a caregiver of any educational background. A special emphasis is placed on social aspects of the affected individual’s care.
Graypel's Review of Dementias & Adult Cognitive Impairments for Non-Psychiatrists
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Dr. Graypel has been fantastic with my dad. He is very responsive and understanding of his needs. My dad is complex and Dr. Graypel is always ready for what curveball is coming next. He is knowledgeable, communicates well and has great bedside manner. Our family is very lucky to have found Dr. Graypel!
McK 77 I was blessed to find Dr. Graypel about 2 years ago and I can say with confidence I will be with him until he chooses to retire which I hope he never does. Dr. Graypel cares and he is a gifted Doctor who has a gift for helping people. Furthermore the office employees are Kind and Respectful every time I call, they are never rude or short on the phone. The office staff consistently treat me with a bright and caring attitude. I would recommend this Dr. and they're office to anyone including my own family. Dr. Graypel and his staff are a Blessing to their patients, thanking Dr. Graypel & Staff for all you do!!!
Dr. Graypel assembled a great team in his office. I was his patient for quite some time and recently was switched to his NP, but every time I talk to her I see that she was trained by Dr. G. They have the same style, same bedside manners, and I feel very comfortable with this switch. Unfortunately I can't afford to have therapy now, but when I had it last year it was very beneficial to me, and I appreciate Dr. Ernest making me understand that it was a missing piece of my long psychiatric journey. I highly recommend this office!
My overall experience with Dr Graypel and his office staff has been great. I have been a patient of Dr Graypel’s for just over a year and have had nothing but excellent experiences. The first time I talked to Dr Graypel I felt like he knew me already and he had never met me before. I’m doing a lot better now than I was before meeting with Dr Graypel and his staff. I have come a long way in such a short amount of time. If you’re looking for a experienced psychiatrist to connect with you, Dr Graypel is it.
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Experience personalized treatment at Cognitive Management Center. Our expert care includes therapy, medication, mindfulness, and lifestyle coaching. Schedule your consultation today for a healthier, more fulfilling life.