For learning disabilities, head injury, age-associated cognitive decline, and other problems of brain dysfunction, cognitive remediation is often recommended. This consists of structured exercises designed to improve weak cognitive abilities which can be determined by a neuropsychological evaluation.
After the basic principles of cognitive remediation are learned, the same principles can be applied to more real life situations. The treatment is customized to the client’s needs as delineated by the findings from the neuropsychological evaluation and the client’s specific concerns. Homework can be given for some exercises so that the patient can practice in between sessions.
Child cognitive remediation, both for learning disabilities and brain injury, is also available. Tutoring for the SAT and similar exams fits into this broad area, with the goal of increasing the cognitive abilities of speed, accuracy and depth of understanding, such that the young person’s cognitve abilities are improved in all spheres of life, not just in exams. Tutoring sessions are held by someone with a PhD in school psychology who has a post doctoral certificate in neuropsychology. Ordinarily, sessions are twice per week, at $175 per 45 minute session. Double sessions can be arranged. Insurance ordinarily does not reimburse these sessions although they can be tax deductible as an educational expense. Typically, progress is not likely to be seen until 20-40 sessions have transpired.
Participating in cognitive remediation while also doing neurofeedback can be especially effective. By determining where the weak areas are in the brain, and under what cognitive task conditions, these areas can be trained to improve. A specialized QEEG assessment under different cognitive tasks is recommended to do this type of treatment.
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