Clarity, dignity, and hope at every step of the dementia journey
Compassionate, evidence-based psychology services for individuals with dementia, their care partners, and the communities they call home.
“Where flowers bloom, so does hope.” – Lady Bird Johnson
Perennials as Our Symbol
Perennials remind us that resilience is not the absence of hardship, but the promise of renewal. Year after year, they rise again offering beauty, hope, and the assurance that growth is always possible.
At Perennial Pathways, we understand that dementia is not defined solely by memory loss or other cognitive declines—it is about what those changes mean for you, your identity, and your family as you navigate this journey together.
We provide holistic, person-centered mental health care for individuals with dementia and their care partners, empowering you to achieve your wellness goals. Whether you are facing depression, anxiety, behavioral changes, or care partner stress, we collaborate with you to create individualized, evidence-based treatment plans. Through our Dementia Bridges Collaborative, we also work to build compassionate, dementia-informed communities that foster inclusion, resilience, and connection. We are here to help you move forward with clarity, dignity, and hope at each step of the dementia journey.
Contact Us
Perennial Pathways Practice Address:
Located within the office of:
Moore Life Counseling
4090 Westown Pkway, #E
West Des Moines, IA 50266
Business Hours
- Monday - Thursday: 9AM-5PM
- Fridays: 9AM-12PM
Who We Serve
Perennial Pathways serves those with any of the following established or suspected issues:
- Memory, cognitive, and/or behavioral changes in aging
- Mild Cognitive Impairment
- Alzheimer’s disease
- Dementia with Lewy Bodies
- Parkinson’s disease dementia
- Frontotemporal Dementia (Behavioral Variant or Primary Progressive Aphasia)
- Vascular dementia
- Other neurodegenerative disorders (e.g. Progressive Supranuclear Palsy, Corticobasal Syndrome, Huntington disease)
- Care partner mood changes, burnout, grief, and stress.
Grounded in Evidence, Rooted in Compassion
At Perennial Pathways, we are dedicated to older adults with suspected or confirmed dementia and their families. Our mission is to provide evidence-based, compassionate assessment, treatment, support, and community—all guided by your unique goals and values, with focus on what matters most to you and your loved ones.
What We Offer
Comprehensive intake evaluations with individualized treatment recommendations
Cognitive evaluations for diagnostic clarity and to guide personalized care
Psychotherapy for common mental health and adjustment concerns experienced by individuals with dementia and their care partners
Dementia behavioral consultation for care partners.
Care partner group education and support through the Care Partner R.I.S.E. Program
Grief and bereavement services
Accessible services, including the option for in‑home care through the Heart at Home Program*
Opportunities for professionals, organizations, and communities to join the Dementia Bridges Collaborative and strengthen dementia‑informed care
*Eligibility for the Heart at Home Program is based on certain criteria.
Understanding the Journey
Terminology FAQs
Dementia – now formally referred to as major neurocognitive disorder – is an umbrella term for a group of brain diseases that cause changes in a person’s thinking abilities (e.g. memory, language, judgment) that are significant enough to interfere with daily life. It is more than normal aging—dementia reflects a decline from a person’s usual abilities, and Alzheimer’s disease is just one of many possible causes. Other types include Lewy Body, Parkinson’s disease, frontotemporal, and vascular dementias. A related condition, Mild Cognitive Impairment (MCI), involves changes in thinking without loss of independence, and not everyone with MCI develops dementia.
Dementia often brings changes in mood, personality, and behavior—such as anxiety, depression, psychosis, agitation, or withdrawal—that may appear at different points along the dementia journey. These symptoms can be shaped by an individual’s awareness of their decline, the physical and chemical changes occurring in the brain, or environments that do not adequately support their cognitive, emotional, physical, or social needs.
Most importantly, these changes may be understood as a form of communication for those who may no longer be able to express or manage their needs directly. As care partners, our responsibility is to listen to what these behaviors are telling us and to respond with relief, comfort, and support—meeting unmet needs in ways that promote wellness, stability, and dignity.
The term care partner has come to replace caregiver because it better reflects the shared journey of supporting someone with dementia. Care partners may be informal—such as unpaid family members or friends—or formal, including paid professionals who help meet daily needs as an individual’s functioning declines over time.
In progressive dementias, care partners gradually take on more and more responsibility until the person becomes fully dependent. This role can be deeply meaningful but also very demanding, and high rates of stress and burnout are common. Supporting the mental wellness of care partners is just as important as caring for the person with dementia, ensuring both can move forward with resilience, stability, and dignity.
A geropsychologist is a psychologist who specializes in the mental health and well-being of older adults (typically, those ages 65+). They assess and treat age-related concerns such as depression, anxiety, memory changes, dementia, grief, and adjustment to life transitions, while also supporting families and care partners.
Because geropsychologists are trained to understand the complex interplay of aging, medical conditions, and mental health, they bring rare skills to helping older adults maintain dignity, resilience, and quality of life.
Payment & Insurance Information
Insurance Accepted
- Aetna
- Wellmark Blue Cross Blue Shield
- Medicare
Out-of-Pocket Fees
All out-of-pocket fees will be collected at the time of service.
- Initial Appointment
- $300 (60-90 min)
- Follow-up (25-30 min)
- $175
- Follow-up (45-50 min)
- $195
- Follow-up (51-60 min)
- $225
Under the No Surprises Act, those who do not have insurance or who will not be using insurance to pay for services have the right to receive a Good Faith Estimate from their health care provider. For more information, visit cms.gov/nosurprises
- Schedule a free 20 minute Pathways Call to and begin your journey towards hope.
Contact Us Today
Temporary Notice:
Our contact form is currently experiencing a technical issue and may not be delivering messages reliably.
If you are trying to reach us, please call (515) 421-8554 directly or email info@perennial-pathways.com so we can respond promptly.
We appreciate your understanding and are working to resolve this as quickly as possible.