Cognitive Therapy

EDSP 162

Attention therapy

• Working memory exercises

• Pacing strategies

• Environmental modification strategies

  • can impact cognitive load

    • Ex: messy desk

• Multisensory stimulation

Neglect therapy

• level of awareness can change the level of difficulty based on the clients needs

• Environmental modification

• Scanning and tracking activities

  • reading left to right

    • a menu or scanning for an image

• Reminders - not the best

Memory and orientation therapy

• Rehabilitative: working and prospective memory

• Compensatory: episodic and semantic

• External - notes app, notifications, alarms

• Internal - visual cues, memories

External memory strategies

• Material devices used to allow compensation for memory deficits

• Low-tech devises

  • Checklists, alarms, memory pads, calendars, diaries

• High-tech devices

  • Smartphones and computers

Internal memory strategies

• Rehearsal training

• Mnemonics

  • imaging and visual association

• Reasoning:

  • categorizing

  • identifying

  • Deduction and inferencing

Executive function tasks

• Problem-solving tasks

• Route finding tasks

• Mazes

• Planning scenarios incorporating time management

Prosodic impairment of expression tools

• Read scenario and cue to produce targeted emotion

• Educate on the use of prosody

Prosodic impairment of comprehension tools

Discriminate changes in pitch or prosody by listening production of same utterances multiple times with varried prosody

Pragmatic impairment treatment

• Explicit education

  • Talk it out

• Video tape review

  • Let’s them see it

• Group therapy

  • Peer feedback

  • More impactful than individual therapy