Cognitive Remediation: Strategies for Memory Problems. Memory Treatment Program Northeast Regional Epilepsy Group Co-Directors Robert W. Trobliger, Ph.D. Keren Isaacs Lebeau, Ph.D. Memory.
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Northeast Regional Epilepsy Group
Robert W. Trobliger, Ph.D.
Keren Isaacs Lebeau, Ph.D.
Aspects of cognitive functioning that might be involved in complaints….
Working with a neuropsychologist to determine strengths and weaknesses, using the results of a comprehensive neuropsychological evaluation.
-Short-term memory *
* Short-Term Memory typically area of complaint for patients –
- I can’t remember what people tell me.
- I can’t remember what I tell people.
- I can’t remember where I leave things.
- I can’t remember what happened over the past few days.
Forming and retrieving memories is a complicated process, with multiple parts:
The brain’s idea of things that are important:
Things that are:
- Related to emotions
So am I going to have more and more difficulty as I get older?
As we get older, it’s likely that we’ll have more and more difficulty. However, there are things we can do to minimize the effects of aging.
are susceptible to:
- Fatigue/Energy Level/Illness
- Trying to do too many things at once
Improvements in attention/memory functioning are associated with:
- How physically active you are
- How mentally active you are
- How well you can compensate for any problems you are having
There isn’t any.
Improvements fall on the patient and the patient’s family – a matter of practicing new techniques and following through with them day after day
1) Ictal and interictal activity
2) Location of seizure focus
3) Anti-epileptic drug side effects
where and when I have to be somewhere during the day.
A matter of prospective Memory – Remembering to remember.
- Other people
A matter of language:
Working around a word
Build up vocabulary
- Read challenging material
- Do crosswords
- Play scrabble
- Retracing steps
- Wait for the person to mention their name
-Wait for enough information to figure it out
- Ask someone afterwards
- Ask the person, admitting, “I’m bad with names”
- Pairing the name with some attribute about the person
-Using the name a few times with the person at times of new meetings
-Writing new names down
Is this a matter of too many distractions?
Find a quiet place to read. Or wear earphones to block distractions out.
Is this a matter of energy?
Pick the best time of day to read.
Is the information still not sticking?
Take a picture with cell phone
Write down parking notes
Put things away ASAP
Put things where they belong.
Papers in labeled folders, labeled boxes
The need to practice and follow through on these strategies
We don’t necessarily need to remember everything in our lives—we just need to know where the information we need is, how to get to it, and how to use it efficiently.
To enhance understanding of memory processes and the ways that epilepsy can affect it
To develop and consistently use compensatory memory techniques
To clarify understanding of personal strengths and weaknesses in cognition
To improve planning, organization, and time management skills
How memory works
Improving organizational skills
Patients will be asked to do homework that will be discussed the following week.
Patients will also be provided with handouts to reinforce concepts discussed during the sessions.
Patients who express concerns regarding their memory functioning can be referred to the group
Patients should be seen for neuropsychological evaluation first in order to obtain a baseline
Memory Treatment Groups are currently being offered at HAKO and OVLK
By January of 2011 (or before), treatment sites will also include MDO, STAO, and WPO
Dr. Vazquez-Casals will also provide a Spanish Memory Treatment Group