About Dr. Amy Paul
You don’t have to wait for symptoms to protect your brain.
I built Flourish Cognitive Health because most people start thinking about dementia prevention at least a decade too late. I’m here to change that, especially for women.
My Story
“When dementia touches a family, it changes everything”
I’ve spent my career walking with families during their most frightening moments. The hardest ones were navigating a new diagnosis of dementia, trying to understand what comes next and wondering what could have been done differently.
As a fellowship-trained geriatrician, I have seen dementia at every stage. What strikes me again and again is that we miss the window for meaningful prevention. Most people do not realize that brain changes associated with dementia begin 20 years before any symptom appears. That means that your 40s and 50s are not too early to act. They are exactly the right time.
“I created Flourish because prevention shouldn’t be an afterthought. It should be the foundational plan.”
Our family caregivers are unfortunately disproportionately affected by dementia as they shoulder the overwhelming caregiving responsibilities. Yet, the guidance they receive for their own brain health is often vague, scattered or arrives much too late.
Flourish Cognitive Health exists to give family caregivers a real, structured, impactful and evidence-based plan before any crisis begins.
Why This Is Different
Traditional medicine typically waits for symptoms before addressing memory loss. But the research clearly tells us that by the time symptoms appear, decades of brain changes have already occurred. At Flourish, we flip that model. We assess your risk early, identify what’s driving it, and build a personalized, measurable, physician-led plan that targets the real biological levers of brain health, before there is anything to treat.
“This is what a proactive approach to your brain health looks like.”
The MEMORY™ Framework
Six pillars. One measurable plan. Built around your brain
Lifestyle Medicine is an accredited medical specialty that underpins everything we do. It is evidence-based medicine with a decades-long research foundation. . At Flourish Cognitive Health, we apply it with Geriatric Medicine throughout our structured clinical methodology that is our Signature MEMORY™Framework.
Each letter represents a pillar of brain longevity. Together, they form a measurable personalized plan targeting the modifiable risk factors that determine your cognitive future.
M
METABOLIC HEALTH
Blood sugar dysregulation, insulin resistance and cardiovascular risk are among the most powerful and overlooked drivers of cognitive decline. We assess and address your metabolic picture first.
E
EXERCISE
Movement is the single most evidence-backed intervention for brain longevity. We build a structured personalized plan that fits your life and actively protects your neurons.
M
MENTAL ENGAGEMENT
Cognitive challenges build cognitive reserve, your brain’s resilience against future decline. We incorporate targeted mental engagement as a clinical tool.
O
OPTIMAL NUTRITION
What you eat shapes your brain’s future. We focus on reducing neuroinflammation and metabolic risk through evidence-based dietary strategies, personalized to your biology.
R
REST & STRESS REGULATION
Sleep is vital for your brain’s ability for repair. Chronic stress elevates cortisol and damages the hippocampus. We treat both as the medical priorities they are.
Y
YOUR CREATIVE PRACTICE
Drawing, music, writing, dance. These are not hobbies. They are neuroplasticity tools that build cognitive reserve in ways no supplement can replicate. Creative engagement activates neural pathways that keep your brain flexible, adaptive and resilient.
I am proud to bring a rare combination of deep clinical experience with dementia patients at every stage of disease, layered with specialized training in the lifestyle interventions that prevent it. It is a joy to now take my years of experience at the bedside and apply them upstream. I founded Flourish Cognitive Health to offer what the traditional heath care system rarely does - a structured, practical, personalized, physician-led program for people who want to stay ahead of their risk and not react to it.
Training & Credentials
Doctor of Medicine, Saint George’s University, School of Medicine, Saint George’s, Grenada
Internal Medicine Residency, Lincoln Medical and Mental Health Center, Bronx, New York
Master of Science in Health Administration, Virginia Commonwealth University, Richmond, Virginia
Geriatric Medicine Fellowship, Cleveland Clinic, Weston, Florida
Diplomat, International Board of Lifestyle Medicine (DipIBLM)
Specialization in Brain Longevity & Dementia Risk Reduction
LEADERSHIP & ADVISORY
Alzheimer’s Association - Board Member, Central and Western Virginia
Member, ISTAART - Alzheimer’s Association International Research Society
Virginia GUIDE Roundtable - Member
Community Educator & Volunteer - Alzheimer’s Association
Ready to Start?
Your brain’s future starts now.
If you are in your 40’s, 50’s, 60’s or 70s and wondering whether it’s too early to think about this, it is not. Now is the perfect time. Let’s build your plan together.