A neurological exam will assess cognitive, physical, emotional, and balance-related symptoms. Guidelines for rest, followed by a gradual return to physical and mental activity, sleep, and hydration, will be established, and targeted medications will be used when appropriate to control headaches, sleep disturbances, neuropathic pain, or mood symptoms.

A complete analysis of cognition, including attention, concentration, visual and verbal long- and short-term memory, language, visual-spatial skill, and executive functioning (reasoning, processing speed, self-regulation, organization and planning) as well as motivation, social-emotional skills and behavior will guide each student’s treatment plan.

Neuropsychological and/or educational evaluations may be used to delineate treatment goals. Tailored visits use strengths to offset challenges. Techniques are designed to teach thinking skills that target attention, concentration, working memory, language, and executive function. Mindfulness meditation may be incorporated.

Physical therapy following a concussion may be aimed at the vestibular (balance), oculomotor (vision), and autonomic nervous systems. As neck injuries are common with concussions, techniques to relieve neck pain and tension that contribute to headaches and dizziness may be incorporated into a care plan. Research indicates that early engagement in physical therapy can lead to quicker symptom resolution and a faster return to normal activities.

The power of combining modern medicine and psychiatry with holistic healing helps adolescents and adults find their true potential. Mind and body are treated as a single entity by integrating traditional psychiatric medication management with psychotherapy, sleep and nutrition counseling, lifestyle guidance, and lab assessments if indicated.

Emotional and behavioral changes are common in the context of neurocognitive conditions. These may manifest in anxiety, depression, panic disorder, aggression, mood swings, restlessness, or apathy- all of which may be ameliorated with counseling or coaching. Treatment may include Cognitive-Behavioral Therapy (CBT), Acceptance Commitment Therapy (ACT), or other modalities.

Families that are coping with cognitive or behavioral challenges may benefit from the facilitation of better parent-child, sibling, spousal, or significant other connections and cooperation. Using a non-judgmental, supportive approach such as Parent Management Training (PMT) or Couples Therapy, loved ones learn strategies of positive reinforcement that help improve social, academic, work, and daily functioning skills.

Some individuals require specific academic or work-based support in addition to or in place of cognitive remediation to ensure optimal performance. Sessions honor individual learning and production styles and incorporate strategies that maximize each individual’s strengths. We aim to increase confidence and performance.

In addition to providing documentation for accommodations in the school or work setting, we are available to communicate with educators, coaches, supervisors, and co-workers. This level of support helps to expedite the process of recovery, whether through reinforcement of cognitive/behavioral strategies or compensatory techniques.