Aim: To evaluate the feasibility and impact of therapist-led, hybrid individualized Cognitive Stimulation Therapy (iCST) on cognitive, functional, and psychosocial outcomes in a person living with dementia.

Methods: A therapist-led, hybrid iCST programme delivered through a combination of home visits and online sessions, was conducted twice-weekly over 8 weeks (14 sessions) to a 78- year-old person living with dementia. The intervention comprisied structured, personcentered, cognitive activities tailored to the patient’s interests, strengths, and therapeutic goals. The cognitive outcomes were assessed using Addenbrooke's Cognitive Examination-III (ACE-III) and Montreal Cognitive Assessment (MoCA) before and after intervention. Functional and psychosocial changes were documented through clinical observations throughout the intervention.

Results: The patient demonstrated clinically meaningful improvements across multiple domains following a therapist-led, hybrid iCST programme delivered through a combination of home visits and online sessions. ACE-III scores improved from a total score of 66/100 preintervention to 84/100 post-intervention, with gains observed in attention, memory, and visuoconstruction. MoCA scores improved progressively from 19/30 pre-intervention, 26/30 during the intervention, and 28/30 postintervention. Clinically, improvements were observed in fine motor skills, initiation and completion of activities, mood, social engagement, and humor, reflecting enhanced participation and overall quality of life.

Conclusion: The case suggests that therapist-led, hybrid iCST may represent a feasible option for people living with dementia who are unable to attend group CST due to mobility limitations, behavioural symptoms, geographical barriers, or personal preference. This case demonstrated clinically meaningful improvements not just in cognition but also in functional abilities, emotional well-being, and social participation. Although findings from a single case cannot establish efficacy or generalisation, they highlight the potential of therapist-led, hybrid, personcentered iCST to support cognitive, functional, and psychosocial outcomes and underscore the need for further controlled research.

Mrunal Gokhale is a Clinical Psychologist and founder of Mrunal's Counselling Services, an independent practice based in Pune, India. She completed her Master's degree in Clinical Psychology from Savitribai Phule Pune University (SPPU). Her clinical experience includes working with children, young adults, older adults, stroke survivors, and individuals living with dementia. Her practice integrates psychological counselling with evidence-based cognitive rehabilitation and Cognitive Stimulation Therapy, with an emphasis on person-centred care and improving functional independence and quality of life. Her research interests focus on dementia rehabilitation, interventions, cognitive ageing, neuropsychological interventions and accessible non-pharmacological approaches for neurological conditions. She has presented her work at the Indian Federation of Neurorehabilitation Conference ’25 (IFNR) and Organisation for Psychological Research into Stroke ’25 (OPSYRIS). Through both clinical practice and research, she is committed to advancing evidencebased rehabilitation strategies that improve the lives of individuals living with neurological and cognitive disorders.