CRT is a specific therapeutic approach that aims at enabling persons with cognitive disabilities to regain or improve their cognition. Traumatic brain injury, stroke, neurodegenerative diseases such as dementia, and other neurological or psychiatric conditions may lead to cognitive impairments.
Cognitive rehabilitation aims to improve cognitive abilities and ability to do day-to-day activities. CRT is customized for different personalities to suit specific requirements, thus consisting of multiple activities and strategies. Some common components of cognitive rehabilitation therapy include:
The individual undergoes a thorough evaluation that points out their particular weaknesses and strong points. These can include standardized cognitive tests, interviews, and observations.
This helps in having achievable and measurable objectives as part of an effective plan for the rehabilitation process.
In partnership, the therapist and the client agree on measurable objectives of reasonable scope and meaning. This way, they mainly focus on improving particular cognitive functions, daily functioning, or accomplishing a certain life goal.
Individualized Treatment Plan
The therapy is then based on the assessment and setting of objectives by the development of an individualized treatment plan. The implementation plan identifies the interventions, strategies, and activities targeting the discovered cognitive inadequacies.
They involve specialized “cognitive” exercises and activities to address particular cognitive functions. These could include memory training, attention drills, or problem-solving as therapy session activities. Adjusting the complexities and difficulties in a task depends on an individual’s abilities.
This intervention focuses on teaching of compensatory strategies that enable individuals with cognitive problems to respond to challenges they encounter during life experiences. Some of these strategies might involve using memory aids (i.e., including calendars or notes in daily chores), organizing procedures, or developing new routines.
The therapist can suggest some adjustments to minimize cognitive loads within the individual’s environment. To that end, this may include changing the setting of an apartment and introducing various aid technologies.
Feedback and Monitoring
Continuous monitoring, appraisal and review forms part of CRT. These regular check-ins also serve to check on the progress, identify possible difficulties, and make changes in the treatment plan where necessary.
The therapist and the individual collaborate in arriving at a solution for any required changes in the interventions.
The individual or their families may be educated on the nature of cognitive impairments, the brain’s plasticity, and the ways they could manage the cognitive deficits.
Sometimes, technology-based interventions like computer-aided cognition retraining programs should be considered in designing the rehab centre.
The therapist supports independence as the person improves by gradually encouraging the use of developed skills and strategies in actual conditions.
However, it’s worthwhile mentioning that the CRT can be quite dynamic and change in nature depending on the situation (Collins & LaVoi, 2012). The therapist keeps on evaluating how an individual responds to interventions and tailors the treatment plan for the same. The length of CRT meetings may vary according to the unique condition for every individual depending upon his improvement and progress. There are other factors that can also dictate how effective the cognitive rehabilitation becomes inclusive of the degree of participation of the individual and the extent at which they adhere to using the techniques they have been introduced in the absence of a session.
Effectiveness of cognitive rehabilitation depends on many variables like the nature and intensity of cognitive impairment, motivation of the patient, and consistency of therapy.
Tulasi Healthcare is one such facility in Delhi NCR, Gurgaon, and India where Cognitive Rehabilitation Therapy. Our team of experienced psychiatrists and therapists at the Psychiatric hospital excels in cognitive rehabilitation therapy (CRT)