Cognitive Remediation Therapy

What Is Cognitive Remediation Therapy?

Cognitive remediation therapy is a form of therapy that is used to improve cognitive functioning in people with cognitive impairment. Cognitive remediation therapy is mainly provided to people with schizophrenia, bipolar disorder, depression, and other psychological disorders. Cognitive remediation therapy consists of practicing cognitive skills with computerized cognitive training, using printed worksheets, performing functional bridging activities, and discussion that facilitates the transfer of practiced cognitive skills to the real world.

The NEAR Approach

 

Now more than ever, cognitive remediation is widely accepted and used as an intervention method. There are many different methods used in cognitive remediation, but one that has proven to be successful with our activities is an approach called “NEAR”. The acronym NEAR stands for “Neuropsychological Educational Approach to Remediation”. As Dr. Alice Medalia states, NEAR emphasizes individualized training done in groups that combines techniques developed in both the neuropsychological and educational models to target cognitive deficits as they affect information processing and cognition.

Does it Work?

Cognitive remediation therapy has been studied and found to be effective in remediating cognitive complications experienced by those living with psychological disorders. By undergoing a combination of individual and group therapy techniques, individuals can learn strategies and build the cognitive skills needed for getting back to work or schooling, maintaining relationships, and living independently.

 

There is a lot of research surrounding the efficacy of cognitive remediation therapy. Here are some of the many studies evaluating the efficacy of cognitive remediation therapy for psychological disorders:

Best, M. W., Gale, D., Tran, T., Haque, M. K., & Bowie, C. R. (2019). Brief executive function training for individuals with severe mental illness: effects on EEG synchronization and executive functioning. Schizophrenia Research, 203, 32-40.

 

Medalia, A., & Freilich, B. (2008). The neuropsychological educational approach to cognitive remediation (NEAR) model: practice principles and outcome studies. American Journal of Psychiatric Rehabilitation, 11(2), 123-143.

 

Miles, A., Crosse, C., Jenkins, Z., Moore, G., Fossey, E., Harvey, C., & Castle, D. (2021). ‘Employ Your Mind’: a pilot evaluation of a programme to help people with serious mental illness obtain and retain employment. Australasian Psychiatry, 29(1), 57-62.

 

Thérond, A., Pezzoli, P., Abbas, M., Howard, A., Bowie, C. R., & Guimond, S. (2021). The efficacy of cognitive remediation in depression: a systematic literature review and meta-analysis. Journal of Affective Disorders, 284, 238-246.

Conditions that Benefit from Cognitive Remediation

PTSD 

Post-traumatic stress disorder (PTSD) may occur after someone experiences a traumatic experience, such as active combat. PTSD can cause individuals to suffer from severe depression, suicidal thoughts, and cognitive disability. Currently being investigated for its efficacy, cognitive remediation therapy may be an effective therapeutic approach to help those living with PTSD.

Bipolar Disorder

Bipolar disorder can cause someone to have trouble regulating their emotions, thoughts, and experience memory loss. Cognitive remediation therapy can help people living with bipolar disorder stay on top of their daily responsibilities and learn strategies to regulate their behavior to avoid experiencing manic or depressive episodes.

Schizophrenia

Often thought of as a disorder that only results in hallucinations, schizophrenia may cause cognitive impairment, poor motor coordination, reduced speech, and social cognitive problems. People living with schizophrenia can benefit from cognitive remediation therapy in order to help them gain employment, stay in college, and make friends.

Depression

Depression causes people to experience processing speed, memory, attention, and executive functioning problems. Cognitive remediation therapy can help your patients living with depression stay sharp and learn effective strategies to combat depression and manage it.

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What People Say About Our Program

” I loved trying to find out how I could support them, how I could learn what they knew and how I could learn to tap into their knowledge and make communicating easier for them.”

Louise KavanaghSpecial Education TeacherDubai British School Jumeirah ParkJumeirah Park, Dubai, United Arab Emirates

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“[Clients] never get to a point where they are bored, because I have a lot of flexibility that way to keep them challenged and keep them moving. The cognitive remediation programs we are using have [those features] built in anyway”

Debra BushongMS, LPC-SHOPE Program at UT Southwestern Medical CenterDallas, TX – United States

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“I’ve been able to set up a lot of HappyNeuron Pro programs for clients who did not want to meet for therapy in person. What HappyNeuron Pro has allowed us to have is a structure so we could underpin the client’s day and start their day with HappyNeuron Pro. HappyNeuron Pro allowed us to engage with clients by allowing us to look at their scores and have a conversation around that…”

Natalie MckenzieLCSWBIS ServicesKent, England – United Kingdom

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Improving control allows the client to see that they can do something that is challenging. This helps the client build confidence in themselves, which in turn brings optimism.

Taher ChughSports Medicine, MDToronto Concussion ClinicToronto, ON, CA

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I’m thankful for the timing when we met [the HappyNeuron Pro team] that we were able to get HappyNeuron Pro up and running because it was an important part of our transition to virtual occupational therapy.

Heather CondelloOTComplex Injury RehabPickering, ON, Canada

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I have seen positive behavioral changes in the people that I work with. The staff and clients love HappyNeuron Pro.

Dyana HagenB.S.W.InterCommunity Inc.’s Common Ground Learning CenterEast Hartford, CT, USA

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“[people considering using HappyNeuron Pro] should go for it. It’s worth the investment”

Ruth MwauraClinical PsychologistThalia PsychotherapyNairobi, Kenya

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“There are other companies I like. After 10 years of working with HappyNeuron Pro, the “gamelike” design is why we stuck with it.”

Kristin HoffmanRehab Specialist & SLPiN2LDenver, CO, USA

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Every kid needs to be doing HappyNeuron Pro. Every school needs to be working on these skills. Every school in America should have a cognitive skill curriculum..

Kyra MinichanSLPThe Cognitive EmporiumHendersonville, TN – USA

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Our favorite thing is to be able to break down into core cognitive domains, knowing every task the patient is doing touches upon overlapping cognitive skills, and it gives participants a sense of what skills they are working on.

Vocational CoachWISE EmploymentMelbourne – Australia

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This program is something that really can benefit the well-being of the clients we serve. It gives us more resources and tools to help people.

Lisa RaeDirector of Business DevelopmentIntegrative Group Psychology ServicesChicago, IL – USA

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“The team at HappyNeuron understands our customers’ needs and how iN2L can fit as a solution. It is an important aspect of any relationship, but in situations like this, it is particularly valuable.”

Chris KrauseDir. of Research and OutcomeiN2LDenver, CO, USA

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It was just enjoyable to see the results right at the moment. So once a patient is done with the group, I was able to get the results immediately and see what they did well on and what needed to still be improved. HappyNeuron Pro is just easy and accessible.

Hector SiglerDirector of OperationsFamily Recovery CenterLantana, FL – USA

We love this program! One of my success stories was the man who had a stroke. As a matter of fact, everybody noticed his progress after using HappyNeuron Pro.

Laura ArgentineLCSWIntegrative Group Psychology ServicesChicago, IL – USA

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