Cognitive-Linguistic Therapy

A cognitive-linguistic evaluation at SNR includes a full standardized assessment of all functional cognitive domains affected, including:

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• short and long-term memory,

• orientation,

• problem-solving/safety awareness,

• executive function skills (such as planning and thought organization),

• and other functional cognitive skills.

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The speech-language pathologist then develops an individualized program for cognitive retraining that targets the affected areas. This includes structured exercises to improve the areas affected in cases where direct improvements can be made (such as a stroke, post-concussion syndrome, or other types of traumatic brain injuries). The SLP offers cognitive treatment for all levels and areas, ranging from improving attention span and short-term memory to higher-level functional cognitive skills such as medication and money management skills for individuals working toward regaining independence at home.

 

In progressive cases where cognition is deteriorating and actual improvements cannot be made (such as in dementia), the SLP provides education of compensatory strategies to help patients adapt to their environment as they progress through the stages of cognitive decline. For example, the SLP may develop a caregiver plan for improving functional skills at home (e.g., providing information on environmental aids and how to set up the home routine in a way that reduces problematic or unsafe behaviors in an individual with dementia).