This study has been ongoing since 2011 established in an outpatient clinic setting. The program is individually designed based upon neuropsychological evaluation and each plan is patient specific based upon NP testing. Neurocognitive training occurred in the context of psychotherapy session addressing behavioral health issues as well as related neurological and neuropsychological deficits and concerns. Re-evaluation was completed, using the same testing at the same time of day, after generally six months of treatment to ascertain changes and efficacy of the program. The study now consists of 77 patients referred by their treating physician or specialist, diagnosed with memory deficits related to mild cognitive decline and/or dementia. Six months was the average for elapsed time between pre and post testing. Educational level ranged from high school to graduate degrees. Findings indicate that numerous areas of memory function improved using an individually designed program of activities/games to improve neurocognitive function delivered in the context of a therapy session addressing all aspects of the individual’s behavioral health. The individualized therapeutic program appears to be effective in enhancing memory function in a clinical outpatient population of varying degrees and types of dementia or cognitive decline.