The first question most families ask, reasonably, is who pays for this. The answer is: you do, a flat fee per session, in full, with no referral fee from any facility, agency, or insurance product recommended along the way. That is the entire reason the advice can be blunt.
No care happens here. This practice does not staff caregivers, run a facility, or sell a service plan. What it does is sit across the table from you, look at your specific situation, and lay out the real options in plain terms - including the option to do nothing yet.
A typical arc: an initial consultation to understand the stage and the timeline, a facility comparison or funding review once real choices are on the table, and a follow-up when the situation changes - which it does, usually sooner than families expect.
