Brain Fitness

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Keep Your Brain Healthy


Cottage Center for Brain Fitness (formerly known as CFIT) is a state-of-the-art medical center dedicated to reducing the risk of cognitive decline. Dr. Kenneth S. Kosik, Medical Director of Cottage Center for Brain Fitness, is internationally known as a leader in the field of Alzheimer’s disease and memory disorders. He was recruited from Harvard Medical School by the University of California, Santa Barbara, in 2004 to co-direct the Neuroscience Research Institute, and he is also a professor of Molecular, Cellular, and Developmental Biology at UCSB.


Dr. Kosik has been responsible for directing and integrating research and information technology developments into the Cottage Center for Brain Fitness programs.


At Cottage Center for Brain Fitness, we believe that every patient has the ability to age gracefully and to live a full active life. The key is integrating all the tools and knowledge for lifelong healthy cognition under one roof.


Kenneth S. Kosik, MD

Medical Director, Cottage Center for Brain Fitness;
Co-Director, Neuroscience Research Institute, UCSB

See Case Study below >

We understand the fears and apprehension that come with aging. Specifically, losing cognitive functioning that takes a lifetime to develop, and losing the ability to recall key moments in one’s life can be demoralizing.


With what we know today about Alzheimer’s research and other cognitive diseases, more ways are surfacing with the potential to slow the disease course or delay its onset. At Cottage Center for Brain Fitness, patients will find all the services needed for successful aging.


Cottage Center for Brain Fitness offers patients and their families a broad range of services to maintain lifelong cognitive health. We are a visionary leader in developing a transformative and integrative medical model for reducing the risk of cognitive decline.


The center creates a personalized therapeutic program just for patients, and, with the help of your personal care coordinator, our services are designed to put the patient in control. Some of our more popular therapeutic services include the Dakim Brain Fitness system, an all-in-one technological cognitive stimulating gaming device that adjusts its level of challenge to meet the user’s degree of cognitive ability; the Nu-Step, an elliptical exercise machine designed for seniors; nutritional counseling; massage therapy; yoga therapy; and much more.


We offer a broad spectrum of well-researched services that reduce the risk of cognitive decline for patients 45 and older as new research is surfacing that mild cognitive impairment (MCI) begins around that age. We develop a personalized brain wellness plan including the following: brain fitness exercises, nutrition, physical fitness, stress reduction, and social recommendations. We also offer neuropsychological testing, comprehensive medical history review and a physical evaluation. Our goal is to provide state-of-the-art, personalized, integrated care dedicated to reducing the risk of cognitive decline. We strive to provide services based on cutting-edge research and technology. And, the best part, patients will have fun while they enjoy our services.


Like all preventive measures, keeping the brain fit means adopting healthy interventions before disease strikes.


Benefits include:

  • Improved memory
  • Risk reduction of cognitive decline
  • Stress reduction
  • Balanced lifestyle
  • Healthier diet
  • Increased confidence
  • Increased energy
  • Improved physical fitness, as a result of monitoring of blood pressure, cholesterol, glucose, etc.
  • Active social life
  • Customized therapy plan

Brain fitness is quite simple and when done well should be enjoyable and engaging.


To contact the Cottage Center for Brain Fitness, call 805-899-7777.



Case Study: From Our Files

The details of this case study have been changed slightly so the patient described cannot be identified.


A 59-year-old male, JJ, presented to the Cognitive Cottage Center for Brain Fitness (CCBF) with the complaint of progressive memory loss. He was accompanied by his wife, a teenaged grandchild, and two of his children, whose spouses were linked in via their iPhones. Two other children were Skyped into our group meeting. As is customary at CCBF, our staff gathered after the initial evaluation was completed, and we reviewed the data with the client and his family. As the history unfolded, it became clear that his cognitive decline had begun as much as eight years earlier with more subtle changes like withdrawal from tracking the family finances, a task his wife took over. An MRI done five years earlier revealed a lacunar infarct in the basal ganglia. His decline was progressive with a worsening tendency to repeat himself, paucity of speech and impaired understanding of spoken language. JJ has a longstanding history of hypertension and diabetes. He had sought medical attention for both but the blood pressure was never adequately controlled. His father died in his early 60s of cerebrovascular disease.


Our evaluation showed a B/P of 147/94 and moderate impairments on neuropsychological testing. However, some curious features were notable. He failed to draw a clock probably due to not understanding the instructions, but instead wrote the word clock perfectly with very legible letters. Furthermore, when he did speak, he could be engaging, had good eye contact, and was fairly fluent. The major findings on his general neurological exam were bilateral hyper-reflexia and a tendency toward pseudo-bulbar palsy.


Taken together, this clinical picture suggests a rather pure vascular dementia. This picture is distinct from Alzheimer’s disease in several ways. There is a family history of vascular disease, a young age of onset (i.e., the mid-50s) is atypical of Alzheimer’s disease, hypertension and diabetes (both under questionable control), lacunar infarcts, bilateral sub-cortical lesions resulting in pseudo-bulbar palsy, and a more focal language disorder than one usually sees in Alzheimer’s disease.


Perhaps most importantly from the perspective of the CCBF mission was the presence of his family in the team meeting with us. It was clear that they have many of the same risk factors and share with the client a tendency toward sedentary behavior and poor nutrition. We recommended a family membership in the program to implement our measures of risk reduction intended to prevent cognitive decline. Among these measures are: 1) careful home monitoring of his blood pressure and blood sugar that should be reviewed by his physician or at CCBF on a regular basis; 2) an exercise program; 3) consultation with a nutritionist; and 4) developing a program of cognitive challenges.


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