Clinical Work

What he does




Dr. Rivera is an adult psychiatrist in private practice in Sarasota, FL.  In 1997, he  graduated from the University of Missouri School of Medicine in Columbia, and in 2001, completed psychiatric residency training at the University of South Florida in Tampa.

For the last 10 years, Dr. Rivera’s practice has been dedicated to the care of patients in nursing/rehab facilities and assisted living facilities, particularly those with dementia units. Much of the work in these units is to intervene when someone has acute changes in mental status or delirium – usually increased confusion, disorientation, waxing and waning levels of consciousness, agitation, visual hallucinations, etc.

Over 50% of consults received are for some type of agitation – from wandering, to exit seeking behaviors, from being combative or physically aggressive, to sexually inappropriate behaviors. Many residents experience increased confusion and agitation in the later parts of the day, something we call “sundowning.”  Issues with depression, anxiety, insomnia, and changes in appetite are common complaints.  Dr. Rivera has a reputation for excellence in this kind of work, even with the most difficult of patients or situations.

Dr. Rivera believes that every form of healing has it’s place.  He’s had great results with, and strongly endorses and encourages the use and implementation of holistic alternatives in the care of dementia related symptoms. Modalities like music, massage, laughter, calming rooms and bathrooms, aromatherapy, gardening, etc., can be powerful tools in minimizing the use of potentially dangerous medications.

As of July 1st, 2013 the new focus of Dr. Rivera’s practice is home-based dementia care – Taking the knowledge and expertise gained in working with those with the most severe forms of dementia, and helping those who are still at home, or at an ALF, to remain as independent and functional as possible, for as long as possible.

“I’m the Sarasota County Alzheimer’s Association Program Specialist and thought I’d drop you an email since my favorite Doc, Miguel Rivera, will be in your neck of the woods over the next few days.  I believe you have already had the pleasure of meeting him at the Harvard conference last year.  He is my magic medicine man for all of my difficult patients and has been instrumental in implementing calming rooms in many of my facilities.  He presents at the local and national forums and plans to do the New Orleans conference for the chapter there in the next couple of weeks.  His perspective and philosophy on dementia care, medication management, and caregiver rescue hold any audience spellbound.” Program Specialist from the Alzheimer’s


Some of Dr. Rivera’s holistic work was featured on the front page of the Sarasota Herald Tribune’s Sunday paper Jan, 2 2011.  Read the article.


Our goal is to maximize the quality of life of our patients with Alzheimer’s Disease and related dementias. We use a holistic approach in the management of problems like memory loss, confusion, agitation, depression, anxiety, and psychosis, that frequently affect the lives of those with dementia.


Every day we help our clients remain as independent as possible, for as long as possible. Our interventions are many times the key factor that enables a person to continue living at their current level of care, whether at home, an assisted living facility, or nursing home.


Capacity Evaluations and Emergency Services are also provided.


With a reputation of excellence, we offer outstanding medical care with a great degree of compassion, kindness, and respect.

Contact for appointment or consultaion


  • Home/facility visits.

  • Office appointments.

  • Phone/Skype consultations.

  • Capacity evaluations.


Alzheimer’s Disease
Vascular Dementia
Lewy Body Dementia
Parkinsons Dementia


Sharing research & lifestyle


I addition to clinical work, Dr. Rivera is a sought-after speaker and trainer, and as such offers local, national, and international lectures and workshops regarding medication awareness (in particular medications that can affect memory, cognition, and behavior), and the importance of lifestyle choices (like diet, meditation, yoga, stress management, etc.) and how these affect the way that we think, feel, behave, and remember. During the last several years Dr. Rivera has spoken in hundreds of venues including national level Alzheimer’s Association Conferences.

As medical director of TriYoga International, Dr. Rivera, has presented in international conferences such as the 2011 International Festival on Yoga, Culture, and Spirituality held in Haridwar, India, and the 2012 International Conference on Yoga, Naturopathy, and Arogya Expo in Bangalore, India.

Dr. Rivera presented at the following events

2nd China Int’l Yoga Industry Expo

Keep Your Brain Healthy with Optimal Aging

Yoga for Body-Mind Health & Transformation

International Festival on Yog, Culture & Spirituality 2014


Yoga for Chronic Disease


1st International TriYoga Samskruti Conference


Cognitive Health

3-day program at the Alzheimer’s Association in Massachusetts and New Hampshire • June, 2012


International Conference on Yoga, Naturopathy and Arogya Expo

Another thanks to Yogini Kaliji for the inspiration to constantly enrich yoga research and the opportunity to present at International venues.


Sarasota Memorial Caregiver Forum

You gave a wonderful presentation! The audience was hanging on every word! You get a prize for a special ability to give such meaning in a short amount of time to people who really need it! Thank you for your healing presence in our community!

International Festival on Yog, Culture & Spirituality

Dr. Rivera expresses his gratitude to Yogini Kaliji for the opportunity to accompany her to this event in India and present among other speakers.

Florida Health Care Association Conference 2011

Featured Article in Sarasota Herald Tribune

‘Under Rivera’s direction, Pines caregivers have deployed some simple spa comforts to reduce agitation. As a result, dosages of antipsychotic drugs have dropped.’ Full Article here:

Keynote Speaker ~ Dementia Care Conference

“Just got off the phone with the Executive Director in Louisiana. He said you were the best speaker they’ve had in ages. He said everyone is still raving about your presentation.I told you had a gift, I hope you believe it now!!” Program Specialist

Rotary Club

It was excellent and extremely well-received as witnessed by the rapt attention of the audience. Your talk was backed by research and showed us an alternative way to good health. I learned a great deal and enjoyed the talk thoroughly.” Rotary Club Speaker Coordinator

Florida Health Care Association

“Your presentation to a standing room only (not to mention those sitting in the isles) was uplifting and inspirational. I spoke with so many after your presentation and they were so Impressed with your approaches and are very excited to have you come back again next year.”

Senior Friendship Center

Memory Walk 2010

Contact for speaking invitation


In their own words


For anyone who is in need of Dr. Rivera’s services - you could not find a more compassionate, caring, and extremely knowledgeable individual. As the owner of a private Home Healthcare agency I have found it necessary to reach out to Dr. Rivera to help us with some of our more challenging cases / clients and the results have been “miraculous”.  Not only is he extremely knowledgeable and gets great results, but he is very unique in how he always assures that all parties are involved in his client’s care. Whether it be the client, a family member, or anyone else involved, Dr. Rivera is easily accessible and available (for which we are so grateful). The results we have seen time and again are amazing. He is capable of reversing symptoms, conditions, behaviors, etc. that other medical professionals deemed “irreversible”. He is, as we call him, the miracle worker!
Dr. Rivera,
It has been beyond a pleasure working with you. Every client of ours has made substantial progress once under your care. It has been amazing to watch their transformation and the joy you bring to their once time of difficulty. Not only are your medication changes life changing, your bedside manner surpasses anything I have ever witnessed. We are so lucky to have you in our clients lives. Thank you for all you do!
Dr. Rivera is a deeply caring, loving, and super attentive human being. With his skillful navigation we weathered a months-long psychiatric crisis with our dear mom who is 93. We deeply appreciate having constant access to his extensive knowledge and expertise, but we appreciate even more how open-minded and flexible he has been with us all as we experiment with one treatment after another. We’ve had excellent results with mom, and just wish that everyone in our situation could work with Dr. Rivera. He has been a healing balm for our whole family.
Dr. Rivera:
My father is Tom L. and I understand you have been treating him for a few months. My sister informed me that you are willing to continue his treatment at no charge. Words cannot begin to express how grateful we are. Your act of kindness and generosity has touched our whole family. It is very comforting to know that there are people in this world that have a kind and giving heart and you are definitely one of them. Thank you for your kindness and please know we are so very grateful. I hope to meet you next time in an in town.
Dear Dr. Rivera:
Thank you for having been for me not only a healer, but an inspiration. Your treatment of my anxiety disorder, which returns on occasion, but in reduced, much more bearable form, provided me great relief and encouragement. Your impact on my spiritual life, at the same time, has been profound. I am most grateful for you.
Dr. Rivera:
I would like to thank you so much for your kind and gentle way with my mom. You may already know, she went home to be with the Lord on Thursday. After your testing she was diagnosed with Stage 4 Lymphoma, and passed 3 weeks later. Mom was an amazing woman, full of life and beauty. She will be missed. Again, I thank you for the kindness and respect you showed my mom.
Thank you for taking such good care of my mother. You made her journey so much better for her. You allowed her to live calmly, and experience joy, not fear. I so appreciate you always responding to my messages - no matter the issue. Mom lived most of her life as an independent, strong, sweet woman. Thank you for letting her think she was that way till the end.
We were incredibly fortunate to have Dr Rivera work with our dad as dementia overtook him. As a highly perceptive physician with the warmest of hearts, he treated my dad with kindness, compassion and friendship. As family members, we, too, were beneficiaries of the depth of his medical knowledge and positive outlook.
Dr. Rivera has taken excellent care of my mom who has severe Alzheimers/dementia. Mom has suffered a number of episodes requiring hospitalization which resulted in her becoming very unbalanced due to the change in surroundings and unauthorized changes in her meds. Dr. Rivera has always been able to nurse her back to emotional stability which is all one can hope for with such an illness. Though we pay him out of pocket, the money is well spent because of the knowledge, skill, and compassion that he brings to his practice.
My name is Adie Rubin. I have suffered my whole adult life with debilitating depression. The most recent descent into hell was a year-and-a-half ago. It was so severe that I was bedridden from fear and anxiety. I could no longer eat. I no longer wanted to live. During this period of time, my husband Dave was my primary caregiver. He shopped, cleaned, prepared my meals, read to me, took me for walks, accompanied me to doctor appointments, and made sure my meds were in order. He chanted deeply for my health and well-being. As he said, our Gohonzon (buddhist scroll) room became a battlefield, and every day he had to pick up his sword so he could do battle with his own demons first— and then mine. My leaders and co-members visited with me, read to me from the World Tribune and Living Buddhism, walked with me and, most importantly, recited buddhist prayers and chanted with me. Each day Dave and I read the quote: "As practice progresses and understanding grows, the three obstacles and four devils emerge in confusing form, vying with one another to interfere. One should be neither influenced nor frightened by them." My meds were simply not working any more, and my condition was worsening. We were encouraged by several doctors to consider electroconvulsive therapy. After lots of research and chanting, I started ECT. The treatments produced no clear relief, and I was diagnosed with bi-polar disorder. Isabel knew I was struggling, and yet asked me if I would consider becoming a group chief. She was throwing me a lifesaver, hoping I would reach out and grab on, all the while never pressuring me. I accepted, and did my best to support the members while challenging my debilitating suffering. And that suffering continued, mostly because the drugs had so many severe side-effects. Dave and I chanted with a never-give-up spirit, and consulted with another psychiatric doctor who happened to be a friend of ours, Dr. Miguel Rivera. That very first session, after learning everything he could about me, he formed a plan for me that had one simple goal: To restore my life and my happiness. He carefully took me off my strongest drugs, and provided another regimen with far fewer drugs in very small doses, and many behavioral tools. But it was his fierce encouragements that set me on the track to victory. These included: • I needed to take ownership of my life and my circumstances— only then could I change it. • Dave couldn’t fix me, nor could my doctor. I needed to fix me. • I needed to find a mission larger than my life. • He told me the past didn’t matter! It starts with today! • And lastly, he told me I needed to "pick up my sword!” - The psychiatrist actually prescribed lots of powerful chanting as part of my regimen! That’s what I did everyday, battling my internal demons with the sword of faith and Nam-Myoho-Renge-Kyo (our buddhist chant). My transformation has been remarkable. It’s as though a light has just gone on, as though a fever has broken. Dave says this was more than just getting the old Adie back. It’s as though a brand new human being has emerged. Now he has to figure out how to get along with me!! I now watch my thoughts carefully, and, I’m careful about what I watch on TV. I’ve reconnected with friends I haven’t seen in years. The negativity in my mind has been replaced with gratitude and appreciation. I look forward to waking up each day. I have never been on such solid footing nor have I ever felt this kind of joy. And, I know that because life has more challenges in store, I must make causes each and every day to keep moving forward. I  had always thought that it was all about my brain chemistry. But now I understand that it was all about my human revolution. In my heart, I was never good enough, smart enough, pretty enough, lovable enough. I had to learn to believe— in my heart— that I AM ENOUGH! I now know that BECAUSE of this illness, my chanting is clearer and stronger. BECAUSE of this illness, I now understand why I practice and how to practice for victory. BECAUSE of this illness, I now know the value of my life. I always bemoaned the fact that I didn’t have a mission in life. Well, I have one now: to reach out to others who suffer from this debilitating illness and let them know there is hope beyond the darkness. I’d like to finish with a passage from Sensei: “Even places that have been shrouded in darkness for billions of years can be illuminated. Even a stone from the bottom of a river can be used to produce fire. Our present sufferings, no matter how dark have certainly not continued for billions of years— nor will they linger forever. The sun will definitely rise. In fact, its ascent has already begun.” Thank you!
Dr. Miguel Rivera is an incredible human being. I would like to briefly tell you of all the good he has done for my family. Dr. Rivera first started working with my mother, Mary, quite a few years ago. In Feb of 2010, mom fell in her home and broke a hip. After spending time in rehab, she fell again in April of the same year and broke the other hip. Along with this, she was in the early stages of dementia, and glaucoma was robbing her of her eyesight. Sounds depressing - and it was - but Dr. Rivera entered our lives, and he made all of our lives better. Dr. R worked his magic with my mom - a major music lover and self taught musician of a sort. She played the ukulele and piano by ear with no formal training or lessons. Dr. R brightened the days for my mom. Although she developed full blown dementia, and ended up totally blind - Dr. Rivera brought her happiness through his visits and through music. All the while, my father, who was in relatively good health through all of this, praised Dr. R for all he had done for Mary. Dad loved her so much - visiting her for hours - every day - while she was at Sarasota Memorial Nursing and Rehab. April 2014 was the time my father, Marshall, had to move into an assisted living facility. He had the beginning symptoms of dementia. Dad continued to visit Mary every week - getting rides to SMN&R from Palmer Ranch. Mom passed on March 9, 2015. Dr. R made her life better. Now he is working with my father, assisting in any and every way. Dad was recently diagnosed with Stage 3 Multiple myeloma and has started with hospice care. Dr. R continues to work with my dad, updating me with every visit. He truly cares for his patients. Some doctors, in my experiences, are too quick to dismiss the elderly. Dr. R strives to help his patients to attain the highest quality of life possible. If it weren’t for Dr. R's persistence, we would not have even found out about dad’s myeloma! It was he who sensed something was wrong with dad - something he couldn't put his finger on, and he called the primary doctor who did nothing about it. So Dr. R followed his instincts and ordered the blood tests and when the results came back, he knew something was wrong - something more serious. He ordered more blood work and got us a consult with a cancer specialist. It was then we received the results that dad had cancer. Dr. R will continue his work with my dad till the end - and for all he has done for my family - I am eternally grateful. Paul Ziring
Dr. Rivera changed my life. As someone who has suffered from depression most of her life (I even failed ECT), I sought help from many physicians. I was always given a pill and told that I had a “chemical imbalance”. I was resigned to taking medication for the rest of my life. Dr. Rivera showed me a different path. He showed me that I had the power within to determine my own reality. Living in the moment and being present for the here and now were the only things that counted. The journey, not the destination is what ultimately brings us happiness. Dr. Rivera equipped me with tools such as yoga, meditation, affirmations, positive thinking and mindful eating to overcome the bad habits that fuel depression. Most importantly, Dr. Rivera taught me that gratitude is everything. Many of us mistakenly believe that we are grateful because we are happy. Instead, it is gratitude that brings us happiness. Gratitude allows us to savor each moment and abandon such toxic behaviors such as rumination, obsessing, and negative thought patterns. Ultimately, loving and serving others is what brings us joy. Through Dr. Rivera, I was not only empowered to “pick up my sword” and fight my own battle, I was given the knowledge that everything is always changing. My suffering today did not mean that tomorrow would bring more. I am forever grateful to Dr. Rivera. He is an innovative, creative, and gifted thinker. He demonstrates a great deal of compassion and concern for his patients. He helped me conquer my depression and build an arsenal to battle any future depressions. Thanks to him, I now know that all we need to do is get up each morning and do our best.
My wife and I wanted again to thank you for all you did for my mother. She was on the verge of her demise when you first met her. Through your understanding and intellect, you gave her 8 more months of quality of life. I understand that in the end, there was nothing more that could be done for her and that the disease had overtaken any medications to control it. As you put it, "Your mom has completed her journey here on earth". It was a Godsend that she had caring and concerned people like you to help her through the end of that journey. I also wanted to personally thank you for your candor and straight forward communication with me on her condition and the disposition of her final moments. You were a great help in making the tough decisions that were necessary to fulfill her wishes. I would sincerely recommend you to those patients and families that were in similar situations. If you ever have a reluctant client, please feel free to use me as a reference either via a phone call, email or even in person. Even though your practice is private pay, I honestly believe that potential patients cannot afford to be without your service. I know that was the case for us.
My husband has dementia and back in May of this year was in a very bad state - very agitated and aggressive, especially at night. With a history of bad reactions to medications, I did not know what to do. I received two recommendations to call you. They both said you were very very good with medication problems as well as being the best psychiatrist they knew. They spoke the truth. I am very grateful that you agreed to see my husband. I believe that it was the best thing that I could have ever done for him. He no longer show signs of aggression and is very seldom agitated. Truly he is a changed and much improved person. Not only were you such a great help to my husband, but you also took into account my feelings and have therefore been a great help to me personally. Thank you once again.

I will never forget you and your remarkable compassion as you deliver your medical expertise. You made such a difference in my mother's life and gave her as much quality of life as possible. You stood by us until the end.  Your thoughtfulness meant so much to us... With a grateful heart.

Norma passed this morning. Thank you for giving her 6 more months of quality life. Without you we would likely have played this scenario out the first time she went down. You are truly a miracle worker.

I am extremely happy to be able to testify to Dr. Miguel Rivera's compassion and expertise as a Psychiatrist.

My personal story is that my mother is 93 and suffers from blindness and severe Dementia as well as being wheel chair bound. After being given various Anti-Psychotic drugs in an attempt to control her behavior she became a different person. When Dr. Rivera met her she was unable to tell him who she was and was screaming out in terror from delusions and hallucinations. Dr. Rivera immediately took over her treatment and withdrew most medicines in order to start from scratch. He became involved in her care on a daily basis and maintained close communication with me and the facility where she lives. He truly micro-managed her care even if he was needed in the middle of the night.

Because of his care, I feel as if he has given back my mother. Of course, she still has Dementia and the rest of her physical issues, but she is calm and free of the severe delusions and hallucinations which truly made her suffer. She can now smile, sing and enjoy people.

Dr. Rivera has given my mother the opportunity to live with a better quality of life and given me peace of mind. I highly recommend his services with an unqualified salute to his caring, compassionate and extraordinary expertise. He stands at the top of the medical profession.

Psychiatry Rotation Lessons for Life

My rotation with Dr. Rivera has been an incredible journey.  In a few short weeks, I have learned skills to become a better clinician, but more importantly, I have learned to strive to become a better person.  He has opened my eyes to a healthier lifestyle and to a better mental state, not only to feel good, but to avoid preventable diseases and disabilities that our society increasingly suffers from.  Because of his guidance, I have changed the way I eat, and I already feel healthier and have more energy.  He has taught me “not to sweat the small stuff,” which helps reduce anxiety and stress in my life.  I have learned to focus on the present and on the positive, and to care less about what others think of me.  This has truly helped me with managing stress in my life, and has made me realize that a healthier state of mind leads to a healthier physical being.

I have also learned that patience is a great virtue.   When it comes to his interactions with residents, Dr. Rivera always sits down to talk to them, and comes off as more of a friend than a physician.  It’s amazing to see how quickly these residents respond to that, and how, in that one moment, they connect with Dr. Rivera.  Even if their thoughts are scattered and racing, there is a certain moment in time where that all stops and they make a connection.  I feel that this is an inner ability that some of us have and some of us lack, but it teaches us that if we take time and try to connect with a person, they will respond to that.  Although one can’t learn how to make connections with people, one can certainly learn how to take a moment to step into their world and give them the time of day.  This will help me as I start my journey in the healthcare field, where even though work will be busy, I will keep in mind how powerful it is to sit down with the patient and give him or her a moment of my time.

I have learned that touch is more powerful than words or medications.  These residents respond to hugs and hand holding, which is evident from the smiles on their faces.  It taught me that patients are people, and that a simple gesture such as a hand shake or a hug can truly impact a provider-patient relationship.   It doesn’t take much to shake a hand or give a hug, but most of us don’t even think about it.  It’s as if we are opposed to making a physical connection with our patients.  It was eye opening for me to see that Dr. Rivera treats his residents as human beings instead of patients and charts.  He knows their stories and they know his.

Another important lesson I learned is that dosage increase in medications does not always heal the patient.  Dr. Rivera believes that conservative therapy is best in order to avoid side effects and drug interactions, especially in the geriatric patient population.  He believes that starting small and even decreasing dosage is better for the patient, and this is especially true in geriatric patients.  His motto of “start low, go slow, but go” is one of the most important lessons I have learned as a student. Wherever I end up, I know that that mentality will help to prevent me from making mistakes when it comes to patient care.

He has taught me that there are alternative treatments to chemicals, such as music, massage, meditation, activities, and calming rooms.  His patients have responded positively to these alternative treatments, and it has inspired me to think creatively and utilize some of these tools when I become a clinician.

I have been beyond blessed to have had the opportunity to do a rotation with Dr. Rivera.  I have learned so many great lessons, and I hope to one day inspire somebody like he has inspired me.  Every day was a lesson, and there are too many to list.  Being a good person cannot be taught, but there are certain things we all can do to ensure the safety and health of our patients.  I believe that this rotation will make me a better clinician, regardless of which career path I choose.


Senior year Physician Assistant student Nova Southeastern University

By now you have probably heard from the wonderful staff at the facility that our dad, Bobby S., passed away last Sunday.  I just wanted to personally thank you for all the care you gave Dad, especially these past few months when he needed so much compassion.  It meant a lot to us that you took the time to call me, so that we as a family could provide as much support as we could from afar.  Though we visited Dad often, we are sorry that we never had the opportunity to actually meet you in person.  Thank you so very much.  We send special blessings your way.

Thank you so very much for the care you gave my father.  Your expertise in medication usage for mental illness and dementia is amazing.  You gave my father two and a half years that I could not have given him by living with me, of clearer thinking, and finally accepting when it was time to go.

It was wonderful that you used music to help him, and I will always remember the video of him conducting that you showed me.  Thank you for taking the time to come in on the day that dad passed, and helping me deal with his passing.  I was feeling very alone until you came.  Thank you for listening to me.

Recently, my family had the privilege of having Dr. Miguel Rivera, treat our mother for stroke related dementia. Her illness began in June of 2012. She had three hospitalizations at Sarasota Memorial Hospital, the last one in November 2012, requiring ten days in the Physical Rehabilitation Unit. During this time her dementia progressed significantly, and we were now faced also with the agitation of sundowning episodes when she would become more confused, angry, and at times think we were trying to hurt her. I would check on her during the night four and five times because she would get out of bed on her own. She was in the category of high risk for falling. My husband and I were not getting any beneficial sleep. She was impossible to deal with during the day because her mind was not functioning normal. Being a single caregiver I felt frustrated, hopeless, and helpless and was advised by my doctors that my health was declining, and that I needed to place her in a long term care facility.

In December 2012 we contacted Dr. Miguel Rivera to handle her case. The improvement was immediate, and over the period of six months Dr. Rivera’s treatments have been able to eliminate the sundowning, totally improve her memory, her physical strength and improve her quality of life on a daily basis. I consider this exceptional considering my mother is 94 years old. The difference from the beginning up until now, under Dr. Rivera’s care, is truly amazing. Because of Dr. Rivera we are able to still care for our mother in our loving home environment.

We are so grateful to Dr. Rivera for giving us our mother and grandmother back to us as she is such a beloved member of our family.

I have a patient, early onset ALzheimer’s, escalating pretty fast.  His wife tells me he is more depressed, lethargic, mood swings, restless, wandering at night.  She is only 47 years old w/ a 15 yr. old daughter.  Her husband is only 54!!  I took the liberty of giving her your number in hopes that you can assist her in some way. She is barely hanging on.  She came to the support group at Arden Courts last Wednesday and fell apart every time she opened her mouth.  The rest of the group all yelled out your name to her.   Mike said, if anyone can help your husband it’s Dr. Rivera…..I hear those kinds of remarks all the time.   Thanks for what you do.

I’m the Sarasota County Alzheimer’s Association Program Specialist and thought I’d drop you an email since my favorite Doc, Miguel Rivera, will be in your neck of the woods over the next few days.  I believe you have already had the pleasure of meeting him at the Harvard conference last year.  He is my magic medicine man for all of my difficult patients and has been instrumental in implementing calming rooms in many of my facilities.  He presents at the local and national forums and plans to do the New Orleans conference for the chapter there in the next couple of weeks.  His perspective and philosophy on dementia care, medication management, and caregiver rescue hold any audience spellbound.

It seems there are no words to express the depth of our gratitude for supporting our dad with the gentlest of hands.  You’ve given him back to us in his true essence, one that spreads joy to all.  Hoping to see you soon – with our heartfelt appreciation.

Although you contact with my Uncle was brief, your care and concern for his well being was quite amply demonstrated.  I sincerely appreciate your efforts in trying to improve the quality of life of my Uncle’s final days.  You were a great comfort to him, and especially to me.


It has been such a pleasure and privilege to host the last two events featuring "The One and Only Dr. Miguel Rivera" here at Reflections!! The response to both of these events has been so positive. You have such a beautiful way of communicating with people and making a real "connection". I look forward to working with you in the future as we strive to make a difference in the lives of loved ones who are coping with dementia as well as our own life choices. Thank you sincerely for all that you do.

I’m the Sarasota County Alzheimer’s Association Program Specialist and thought I’d drop you an email since my favorite Doc, Miguel Rivera, will be in your neck of the woods over the next few days.  I believe you have already had the pleasure of meeting him at the Harvard conference last year.  He is my magic medicine man for all of my difficult patients and has been instrumental in implementing calming rooms in many of my facilities.  He presents at the local and national forums and plans to do the New Orleans conference for the chapter there in the next couple of weeks.  His perspective and philosophy on dementia care, medication management, and caregiver rescue hold any audience spellbound.

Two years ago I attended a lecture by you at Manor Care in Venice.  While I did not totally adopt a vegan lifestyle, as you recommend, I went part way on that journey, and added turmeric and many of the foods you recommend to my diet.  I have lost twenty pounds. I attend a TOPS group that meets at the Senior Center in Venice, and I give those great ladies full credit too.  I heard you speak again today, and am ready to take the next step, and to lose another 20 pounds.

Thank you for being a holistic practitioner who believes in preventive medicine and gives sound research-based advice.  I wish everyone could hear you speak.  I’m a believer!

I can’t tell you how much I have enjoyed your presentations, and how much I have learned. I have lupus and a multiple of other autoimmune conditions, and my husband has big time heart disease, so over the years we have each made lifestyle changes that have truly made a difference in our health and how we feel. Now we are incorporating many of your ideas into our daily routine. I just put together a “cognicity” notebook of your handouts, and my notes. You truly are a gem, and I hope you write that book so both the medical and lay community can benefit from your ideas and expertise. We all need to rethink and take responsibility for our own medical well-being.

Thanks so much.

This is the best lecture series I’ve ever attended.  Just superb practical information that everyone can incorporate in their lives.  I could listen to you forever!

Thank you, Dr Rivera for your kind, compassionate manner of speaking. I was at your workshop yesterday – My hushand has cognitive impairment, but not Alzheimer’s as of yet. I’m at the stage of learning anything I can to further my knowledge of how to cope.

Your comparison of a loved one with Alzheimer’s being like a death was wonderful. That is SO true. Having been divorced after the death of two sons that my husband could not cope with (so he left)- was exactly the same – grieving was like a death that you had to work through, but he wasn’t deceased – in some ways even more difficult.

I already journal, walk,exercise, keep busy with volunteering, but wanted to add another special thing that works for me – Listening to music at every available chance. I have an IPOD and have it in my ear whenever “negative thoughts” come to mind. I appreciated meeting you and thank you for the wonderful things you are doing for the elderly. It is most appreciated.

Thanks again.

I want to thank you for your presentation at the Florida Health Care Conference in Orlando, Wednesday July 7th.

Your presentation to a standing room only (not to mention those sitting in the isles)  was uplifting and inspirational.  I spoke with so many after your presentation and they were so impressed with your approach and are very excited to have you come back again next year.

The presentation on dealing with caregiver stress is something everyone needs to hear and you touched on so many important issues including choices in lifestyle, nutrition, exercise and of course non-pharmacological approaches.  I know that getting this information out is so very important.

As a caregiver myself  I wish I had known you when I was going through the stress of caregiving.  I also want to thank you for reminding us all that it is a privilege to be a caregiver and to appreciate what we do when we give to others. I am looking forward to working with you and continuing to spread this information.

I believe you will create a culture change.

This comes to you with an attitude of gratitude.

The following is from O magazine on Live Your Best Life.  I really liked it and I think it speaks to what you are promoting.

“What might my life be like were I to give in to the rhythms of my own ragged dance? Like this, I imagine, walking down the trail, past the grapevines and winecups and huisache blooming in the sun. Just like this attentiveness, this pleasure, this being present to the world.” Susan Hanson

Since I have been attending your lectures, I have made the following changes in my day:

  • Do my morning yoga to music rather than the Today show
  • Have added tumeric to many of my recipes
  • Do conscious breathing more during my day
  • Have stopped taking 10mg of amitriptyline at bedtime
  • Meditate at night before going to bed (I picture myself sitting by the Koi Pool at Selby Gardens and try to bring to mind all the things of beauty in my life, no matter how big or small.

You are truly making a difference for so many.

Thanks so much.

What a wonderful day and evening yesterday.  You are an amazing teacher.  I observed the reactions of the Floyd team while you were speaking and it was such a thrill to behold.  You held them spellbound throughout much of the time.  They are so impressed and inspired by you.  I know something BIG is going to happen and I couldn’t be more happy for you.  My friend was totally enthralled by every word you said.  She told me later that this experience has transformed her, not just regarding her position at work, but as a human being.  You have that effect on people my friend.  You are meant to do great things, trust me.

We wanted to let you know how beneficial your two lectures have been for us.  On the way home today, we talked about dietary changes we could make slowly that might forestall our physical and mental decline. Your approach, not to throw a medication at a symptom, but to look at the root cause and see if something less drastic can fix it coincides with our approach.  Mind you, we each take some prescribed medicines, but we give it a “risk analysis approach” before we do and after your lectures, will give it more.

We would be interested in workshops you and your wife might offer  on various aspects of lifestyle.

Again, thank you for your expertise, willingness to share with the public, and for your wife’s time, experience and enthusiasm. You are quite a team.

I attended your recent presentation at the Senior Friendship Center in Sarasota and found it very interesting.  As a result, I reviewed my medications and and found an anticholinergic in the list and contacted my physician and asked him to review my medications.  I came across this article re: the Beer’s list with a Canadian twist and thought you would be interested.  The attachment seems well organized: attachment

Your lecture was just wonderful! It was interesting and enlightening, and we learned a lot.  We particularly enjoyed the breathing lesson, we felt much calmer and peaceful afterwards.  You are so inspiring and give lots of food for thought. I could listed and learn all day!

Your presentation was so informative on so many levels.  I feel inspired to change my own lifestyle, and to use many of your recommendations for my husband who suffers from Alzheimer’s Disease.  Not only was your information excellent, you were so helpful with individual questions.  Thank you!

Thank you for your presentation on alzheimer’s disease before the Lakewood Ranch Rotary Club today. It was excellent and extremely well-received as witnessed by the rapt attention of the audience. Your talk was backed by research and showed us an alternative way to good health. I learned a great deal and enjoyed the talk thoroughly.

Thank you for a very interesting, engaging talk; the best I’ve heard in years.  It was a revelation for me about how bad some of the OTC drugs can be for our memory.   Thank you for all your research, your “discoveries” are fascinating!  Keep spreading the word!

Excellent lifestyle presentation!  Keep talking!  Baby Boomers are seekers of self care knowledge to live a better life.  Thank you for helping me understand the relationship between anticholinergics and Alzheimer’s Disease. I will be making some new decisions in my life after today.


Get in touch


Local appointments can be scheduled in Dr. Rivera’s office or as a house visit (to your home or facility)

Phone & Skype consultations are available.

Phone numbers:

+1 941 921 9576


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