Treatment of Individuals with Dementia, TBI, Concussion, Stroke and Cognitive Decline; Foundations in Brain Science as it Relates to Cognitive Rehabilitation and Neuroplasticity

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Sherrie All, PhD Related seminars and products

Chicago Center for Cognitive Wellness

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Sherrie All, PhD, is a neuropsychologist and an engaging speaker and writer whose expertise in the principles of neuroscience, functional neuroanatomy, and diagnostics give her a unique insight into the correlation between mental health disorders, therapeutic approaches, and what happens to the brain itself.

Dr. All is the owner of the Chicago Center for Cognitive Wellness where she combines her strong background in CBT with mindfulness techniques, motivational interviewing and dynamic interpretations to help her clients manage depression, stress, anxiety, mental illness and cognitive challenges. A trained neuropsychologist who received her PhD from Rosalind Franklin University, she also brings her detailed understanding of the brain to uniquely address the needs of people with traumatic brain injuries, dementia, and other conditions.

Speaker Disclosures:
Financial: Sherrie All is the owner of Chicago Center for Cognitive Wellness. She receives royalties as a published author. Sherrie All receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-Financial: Sherrie All is a member of the American Psychological Association. the Illinois Psychological Association, and the International Neuropsychological Society.

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Objectives

1. Evaluate the usefulness of cognitive screeners such as the MOCA and SLUMS versus when to refer out to a qualified neuropsychologist.
2. Design treatment interventions based on realistic treatment goals and the evidence supporting compensatory vs. restorative strategies.
3. Determine the effect of client anxiety and false beliefs to inform the clinician’s choice of treatment interventions.
4. Utilize motivational interviewing techniques and appropriate selection of rehabilitation interventions to improve client engagement.
5. Utilize specific interventions to enhance attention, memory, visuospatial, language and executive skill functioning.
6. Implement treatment interventions to improve holistic brain health in clinical settings.

Outline

THE FRAMEWORK AND SCIENCE OF COGNITIVE REHABILITATION: NOT ALL BRAIN GAMES ARE REHABILITATION

• Brain plasticity and the latest research
• Associated brain regions and functions
• Compensatory vs. restorative strategies
• Cognitive stimulation, cognitive training and cognitive rehabilitation

ASSESSMENT APPROACHES FOR COGNITIVE DECLINE

• What the MOCA and SLUMS are telling you and not telling you
• When to refer for a full neuropsychological assessment
• Make the most of assessment results including neuropsychology reports
• Static (TBI / stroke) vs. progressive decline (Alzheimer’s disease): Set and maintain realistic treatment goals
• Taking care to not “over-pathologize” concussions: Know the difference between concussion, TBI, CTE and dementia
• The use of mood and personality measures

INTERVENTION APPROACHES FOR BARRIERS TO REHABILITATION: MOOD, MOTIVATION & ANXIETY

• Motivational interviewing to cultivate engagement and brain health interventions
• Treat anxiety and false beliefs to improve cognition
• Adjustment to illness and grief: Counseling the brain impaired patient

THE COGNITIVE DECLINE TOOLBOX:
Real World Treatment Strategies for Each Cognitive Domain

ATTENTION & WORKING MEMORY

• The neural bases of attention impairment
• Help clients understand working memory capacity as a means of improving metacognition
• Improve attention and reduce errors by following the DIRECT model and using PEAS & LEAP
• “Focused drilling” to expand working memory capacity and generalizing to other outcomes
• Mindfulness training to help clients shape attention and improve focus

MEMORY: PROSPECTIVE, ENCODING & RECALL

• The neural bases of memory impairment
• Frontiers in Alzheimer’s disease management
• Tailor memory training interventions to level of severity & motivation
• Effective use of calendars and other external memory aids for effective daily functioning
• Elaborative encoding techniques using visualization, linking and chunking
• Memory aids in traditional psychotherapy treatments
• Strategies for effective recall of learned information

EXECUTIVE FUNCTION

• The neural bases of executive function impairment
• Stroke and cerebrovascular disease
• Improve planning for greater goal attainment with the use of a reverse timeline worksheet
• Expand flexible thinking with 6-step problem solving
• The neural basis of stress management and emotion regulation

VISUOSPATIAL & LANGUAGE

• The neural bases of visual and language impairment
• Useful Field of View Training (UFOV) for driving independence
• The “language wallet” for independence among people with aphasia
• Supported conversation and script training for aphasia

HOLISTIC BRAIN HEALTH INTERVENTIONS

• Shape the brain’s destiny: Cognitive reserve to build resistance and resilience to cognitive decline
• The impact of socialization on brain health and recovery
• Psychotherapy’s impact on brain health
• Effective cognitive stimulation: The truth about brain games & crosswords
• Teach clients how their brain works through metacognition intervention

RESEARCH, LIMITATIONS AND RISKS

Target Audience

• Social Workers
• Psychologists
• Counselors
• Neuropsychologists
• Occupational Therapists
• Physical Therapists
• Speech-Language Pathologists
• Nurses
• Nursing Home Administrators
• Assisted Living Facility Administrators
• Long Term/Acute Care Professionals
• Case Managers
• Marriage & Family Therapists
• Psychiatrists