Assessing and treating

Memory, Attention, and Reasoning Skills

Occupational therapists and speech-language pathologists provide evaluation and treatment for cognitive disorders such as traumatic brain injury (TBI), infection, tumors, stroke, Alzheimer’s disease, and other forms of dementia.

Cognition is the mental function of acquiring and understanding information through processes that include orientation, attention, perception, problem-solving, memory, judgment, language, reasoning and planning. Deficits in any of these areas will affect a person’s ability to manage tasks and activities of daily living.

Cognitive evaluation

How can you tell if someone might have a cognitive disorder?

Friends and family are often the first to recognize when someone is having problems with cognition and could benefit from diagnosis and treatment. Signs that you or someone you know may have cognitive difficulty include:

  • Losing the thread of conversations or difficulty finding the right words in conversation
  • Forgetting recent events and conversations
  • Feeling distracted or disorganized
  • Having trouble getting around familiar places
  • Feeling overwhelmed when following instructions or planning how to accomplish a task
  • Having difficulty making decisions
  • Forgetting about upcoming appointments or events

Who can you see for diagnosis and treatment advice?

At Glencoe Regional Health, providers in our family medicineinternal medicine, and neurology departments can diagnose medical conditions that cause cognitive impairment. Depending on the type of cognitive problem and underlying medical condition, there may be a variety of treatment approaches available. Your provider will recommend the appropriate treatments for your specific diagnosis. One option may be cognitive evaluation and treatment from a trained occupational therapist or speech-language pathologist.

How can occupational therapy or speech-language pathology help?

The goals for therapy will be specific to your situation, but may include:

  • Preventing future disability
  • Improving your ability to perform activities at home, school, or work
  • Promoting safety in the home and community
  • Improving short-term and long-term memory

What can you expect during evaluation and treatment?

At the first visit, your therapist will perform a cognitive evaluation to better understand your condition and its impact on daily tasks and activities. Next, your therapist will create an individualized treatment plan, if appropriate. Your therapist will discuss the treatment plan with you, including the number of treatment sessions and activities that will be included in future therapy sessions to reach your treatment goals.

Occupational therapists and speech-language pathologists use a number of different approaches to address cognitive problems, such as:

  • Designing modifications to daily activities so they are easier to perform
  • Recommending ways to adapt your environment for safety
  • Performing exercises to improve memory, attention, problem-solving and perception, including use of the Dynavision D2
  • Developing a home program to address cognitive deficits
  • Providing caregiver training as needed

Who provides cognitive evaluation and treatment?

Depending on your situation, you may see an occupational therapist or a speech-language pathologist for cognitive evaluation and treatment.