Therapy | Rehabilitation
CCC provides comprehensive neuropsychological assessments, treatments, and support for adults and children who struggle with cognitive deficits. Neuropsychology is a subspecialty of clinical psychology that is focused on understanding the brain–behavior relationship. Neuropsychology seeks to uncover the cognitive, behavioral, and emotional difficulties that can result from known or suspected brain dysfunction. Neuropsychological evaluation consists of a comprehensive examination of cognitive and behavioral functioning. Evaluations comprise measures that are standardized, scored objectively, and have established psychometric properties.
The neuropsychological evaluation includes a clinical interview with the patient, a collateral interview with caregivers/family, and review of relevant medical records. The evaluation is administered by paper and pencil and computer-based assessments and measures patient’s cognitive strengths and weaknesses. The multiple areas of cognition that are assessed:
- executive functioning
- working memory
- speed of processing
- learning and memory
- visual spatial skills
- fine motor skills
Based on the results of the evaluation, follows a report that we share with the referring physician that includes a cognitive profile, detailed recommendations, objective information about the patient’s functioning, and cognitive training may be recommended to help improve functioning. CCC also offers neuropsychological re-evaluation. The purpose of the re-evaluation may effectively measure improvement associated with the cognitive treatment and determines if further treatment is warrant.
The approach to cognitive rehabilitation used in CCC is restorative in nature. That is, based upon an analysis of the functions assessed by the neuropsychological evaluation, a determination is made as to the cognitive strengths and weaknesses presented by the patient, and a program of intervention or treatment plan is designed. Cognitive rehabilitation is based on the principle of neuroplasticity, meaning that the human brain is not a static organ but capable of physically changed. These changes can occur through neural pathways and synapses after exposure to enriched environments. Cognitive remediation provides such an enriched environment.
CCC offers cognitive treatment that consists of exercises through the use of computer software based on a number of theoretical models of cognitive functions, for example, attention, memory, executive function and others. The parameters usually monitored in the cognitive rehabilitation interventions used at the CCC include reaction time, level of exercise difficulty, average number of correct responses, and average number of incorrect responses, among others. The proportion of successes in any session is closely monitored by our trained therapists. The overall purpose is to restore, reinforce, compensate and teach compensatory strategies in order to reach optimal cognitive improvement.
CCC Psychotherapy Services: Individual and Group Psychotherapy
Psychotherapy, otherwise known as talk therapy, is a method of mental health treatment aimed at helping people with a variety of psychiatric disorders and stressors. Therapy can help reduce suffering, provide a different way of conceptualizing a difficult situation, improve problem-solving skills, help individuals achieve their respective goals, and increase overall quality of life. Furthermore, according to the National Institutes of Health, there is growing evidence to show the relationship and importance of understanding the mind-body connection. In other words, understanding the bidirectional relationship between our thoughts, feelings, and behaviors, and physical wellbeing.
At CCC, each mental health professional collaborates with the patient to carefully devise a treatment plan using a variety of evidence-based psychotherapies in accordance with his or her training and expertise. Evidence-based therapy uses psychological techniques based on empirical scientific research. Traditionally, evidence-based psychotherapy is structured, goal-oriented, and present focused and has been shown in the research to be effective in treating a variety of comorbid psychiatric and medical conditions. The focus of treatment varies depending on each individual’s presenting concerns and can be provided on an individual and/or group format as needed.
Individual Psychotherapy is a collaborative process between a trained mental health professional and patient in psychotherapy with a focus on improving his or her subjective emotional wellbeing, stress management, and coping strategies. Individuals seek therapy for a variety of reasons, be it to process major life stressors and/or adjustments or to increase self-knowledge or growth. At CCC, our providers’ work with the patient on a one-to-one basis in a safe and confidential environment to explore stressors, set goals, and provide each patient with tools to increase their autonomy and overall emotional well being.
Group therapy is a form of psychotherapy that involves one or more therapists working with a group of patients to discuss common problems and challenges. Group therapy provides a platform to help individuals with emotional difficulties through interactive and constructive feedback, a supportive environment of peers with similar experiences, and reduce feelings of loneliness and social isolation. As each patient has a unique approach to learning, our team provides therapy material in various formats (e.g. paper, smart-phone application, audio/video presentation etc).
Psychotherapy for TBI/Concussion
At CCC, we provide psychotherapy for a number of patients diagnosed with a traumatic brain injury and/or concussion. Often times, post brain injury, many patients commonly experience difficulties controlling emotions (“mood swings”) for a variety of reasons, personality changes, and/or challenges adjusting to significant changes in relationships and responsibilities. As a result, patients may experience depression, anxiety, anger, and a general sense of ‘loss.’ Far too often, coping with a brain injury and/or mental illness is often categorized under the umbrella of being diagnosed with an ‘invisible illness’; however, as providers, we are determined to educate, advocate for, and empower each patient to maximize their recovery.