Neuro-Restorative Therapy
After primary, residential care at Bluff Plantation, many individuals elect to continue treatment with us though our Neurocognitive Rehabilitation program in conjunction with IOP/SL in order to achieve success at a much faster rate.
Program Summary:
Each patient will receive a handbook with an overview of brain anatomy, summary of how the substances they used impact the brain, copy of neuropsychological assessment, summary of various techniques, and practice pages.
In total treatment will be 12-15 sessions, depending on the patient’s needs. Sessions that are outlined below may take extra time or less time, thus accounting for 12-15 total sessions. The program will be one flat fee, regardless of sessions. The program is not available on a per session basis.
Goals are to improve cognition through the development and implementation of compensatory cognitive mechanisms, improved self-awareness with a focus on self-control, and practice of specific cognitive tasks.
Goals are to improve self-control and reduce relapse rate.
Physicians will be involved throughout the program, with pharmacological augmentation as eeded based on patient specific CNS needs.
Neuropsychologist will be involved in all aspects of the program, meeting with patient and families as needed
Success will be measured by the patient’s ability to demonstrate compensatory mechanisms, improved self-report of cognitive deficits, and improved self-awareness. This will be formally measured and data will be collected.
Session Summaries:
Session 1 - Intake/initial brief biopsychosocial interview to gather information on history of cognitive impairment. Introduction to program. Introduction on brain-behavioral relationships and functional neuroanatomy.
Session 2 - Brain-Behavior relationships and neurochemistry. How did drug use impact the brain?
Session 3 - Review of neuropsychological report. Goal setting. Begin to work on the development and implementation of compensatory cognitive mechanisms.
Session 4 - Guided self-analysis. Cognitive Behavioral Therapy overview as relates to cognitive impairment. Adjust goals based on self-analysis.
Session 5 - Introduction to cognitive rehab computer tasks, tasks in writing, and self-awareness tasks.
Sessions 6-9 - will focus on cognitive rehab via:
- Practice cognitive skills in writing, via computer, and in real life
- Further develop and augment compensatory mechanisms
- Focus on application to daily life and relapse prevention
- Continued self-analysis with a focus on examining maladaptive behavioral and cognitive patterns as relates to relapse and cognitive deficits
Sessions 10-13 - Focuses on impulsivity and self-regulation, decision making, looking towards the future, planning for challenges ahead, relapse prevention.
Sessions 14-15 - Focuses on review of program, pulling it all together, focus on the future, relapse prevention.
References
Hebben, N., & Milberg, W. (2002). Essentials of neuropsychological assessment (Vol. 35). John Wiley & Sons.
Wilson, B. A., Gracey, F., & Evans, J. J. (2009). Neuropsychological rehabilitation: Theory, models, therapy and outcome. Cambridge University Press.
Crews, W.D., Harrison, D.W. The neuropsychology of depression and its implications for cognitive therapy. Neuropsychol Rev 2005; 5:81–123
McCrady, B.S., Smith, D.E. Implications of cognitive impairment for the treatment of alcoholism. Alcohol Clin Exp Res 1986; 10:145–149
Rosenbloom MJ, O’Reilly A, Sassoon SA, Sullivan EV, Pfefferbaum A. Persistent cognitive deficits in community treated alcoholic men and women volunteering for research: Limited contribution from psychiatric comorbidity. J Stud Alcohol 2005; 66:254–265
Morgenstern J, Bates ME. Effects of executive function impairment on change processes and substance use outcomes in 12-Step treatment. J Stud Alcohol 1999; 60:846–855
Tapert SF, Brown SA, Myers MG, Granholm E. The role of neurocognitive abilities in coping with adolescent relapse to alcohol and drug use. J Stud Alcohol 1999; 60:500–508