Accommodations for Cognitive Impairments

A- A+

Accommodations for Cognitive Impairments

Below shows examples of proposed accommodations for possible cognitive impairments in the course of providing Cognitive Behavioral Therapy for Traumatic Brain Injury (CBT-TBI). Click on the images below to learn more.

Slowed speed of information processing and responding

  • Present information at slower rate
  • Speak slowly
  • Allow patient more time to respond
  • Check for understanding

Impaired attention and concentration

  • Minimize environmental stimulation and distractions during session
  • Focus on one topic at a time
  • Frequently repeat and summarize key points
  • Use shorter sessions

Impaired learning and recall

  • Provide written summary of session
  • Review concepts and strategies from prior session
  • Assign simple written homework between sessions
  • Focus on process and practical steps of CBT

Impaired verbal abilities

  • Minimize emphasis on verbally mediated aspects of CBT
  • Emphasize behavioral activation and pleasant events scheduling

Impaired initiation and generalization

  • Include support person in treatment planning
  • Reinforce scheduling activities
  • Devote 2 sessions to generalization and relapse prevention at end of intervention

Impaired motivation

  • Use motivational interviewing techniques to engage patient
  • Focus on depression mitigating tasks that are intrinsically rewarding
  • Make reminder call prior to each session
  • Maintain flexibility to accommodate patient preferences