Loading in 2 Seconds...
Loading in 2 Seconds...
Emotional Rehabilitation: Learning about and Living with the Emotions of a New Brain.
Tedd Judd, Phd, ABPP-CNClinical Neuropsychologist, Bellingham, WA,Teddjudd@gmail.ComPresented At:Washington State 2010 Traumatic Brain Injury ConferenceBeyond Survival: Thriving After A Traumatic Brain InjuryMay 1, 2010, Seatac, WA
Neuropsychotherapy is the use of neuropsychological knowledge in the psychotherapy or counseling and related interventions for people with brain disabilities and those close to them. It is specialized in content, technique, and social context to address the emotional and behavioral issues of brain disability.
Antonak, et. al, 1993; Livingston & Brooks, 1988; Morton & Wehman, 1995
Skills needed to do effective Emotional Rehabilitation:
Skills NOT needed to do effective Emotional Rehabilitation:
Candidates for doing Emotional Rehabilitation (in at least a limited sense):
Share of responsibility for the behavior of the person with brain disability
Share of the person with brain disability
Executive Function Rehabilitation Schema
You have a new brain. It doesn’t handle emotions the way it used to. You need to learn how it functions now and how to get along in the world with the way it functions now.
Learning how to live with your new brain takes time and practice. Each time you have an emotional problem it’s a chance to learn how your new brain is working. We’re here to help.
Use Evaluation to Guide Intervention
Overestimation of Disability Due to:
Underestimation of Disability Due to:
Distinguish Knowledge from Action Crosson, et al, 1989
MY ANXIETY SIGNS
Quiet, alone with other person
No TV, radio, music
Not doing anything else
Face other person, eye contact
Don't interrupt or react (bite tongue)
Repeat other person's feelings
Use written outline
Practice alone and with friend
Have friend in audience
Short relaxation before going on
"I can do it! I know my stuff. They are friendly and want to hear me."
Find friend in audience
Speak to back of room
Slowly and clearly
Stop and Think
To my friends:
My stroke makes me cry and laugh at times when I am not feeling particularly upset or amused. Please don't be frightened by it, and remember that I'm still the same me underneath that. Sometimes when I cry I will look up, or when I laugh I will rub my mouth. That helps me control it. Thanks for your understanding. Emilio
Tips on Use
Variations on Exercise Application
Roles in Emotional Rehabilitation
Emotional Rehabilitation uses cognitive compensations and family and community resources to help people rehabilitate from the emotional, behavioral, and social challenges resulting from brain disabilities. It is specialized in content, technique, and social context.