Dr. David L. Raffle - Brain Injury Rehabilitation and Cognitive Rehabilitation Therapy Specialist

The goal of Brain Injury Rehabilitation, OR Cognitive Rehabilitation – “Cog Rehab” – is to examine patients’ needs, challenges, and strengths from physical, cognitive, emotional, and social perspectives, and then develop a program of education, instruction, and training to (1) help improve their cognitive and behavioral skills, (2) help them compensate for specific challenges, and (3) help them understand and manage emotional reactions to changes in functioning. The Cog Rehab program gives patients a more accurate understanding of strengths and challenges, which will lead to empowerment, self-control, and self-sufficiency.

Cog Rehab is an individualized program of direct instruction that uses a variety of techniques and strategies to improve attention, concentration, memory, reasoning, and problem-solving skills. It teaches both new and compensatory skills, facilitates self-regulation of behaviors, and modifies negative or disruptive thoughts, feelings, and emotions. The ultimate goal of Cog Rehab is to help patients build a better life for themselves and their families. For a Cog Rehab Plan to be successful, it requires a strong therapeutic alliance between the therapist, patients, family members, and other caregivers.

There are six areas to work on – called Domains – in a Cog Rehab program. Some domains do not have to be addressed in the beginning, while other domains will have greater challenges and require more interventions. The six Domains are:

  1. Medical: Illnesses that affect the brain, such as brain cancer and/or exposure to chemotherapy, stroke, encephalitis, epilepsy, etc.
  2. Sensory: Changes or problems in vision, hearing, smell, taste, or touch, as well as balance and orientation in space (e.g., bumping into walls).
  3. Cognitive: Awareness and orientation, memory, attention and
    concentration, and executive function (planning and problem solving).
  4. Communication: Language ability, pragmatics and interpersonal skills, and social skills.
  5. Psychological: Depression, anxiety, self-regulation, and anger management.
  6. Functional: Ability to handle day-to-day activities, such as personal hygiene, household chores, and activities done on the job.

For more information on brain Injury specialists Dr. David Raffle and the Raffle Brain Institute, please call (800) 450-9799 or contact us at info@rafflebraininstitute.com.