From: Cognitive remediation for bipolar patients with objective cognitive impairment: a naturalistic study
Module | Target domain | Description of contents |
---|---|---|
I | Introduction in cognitive skills and learning style (1 session) | Explanation of the aims of the CR program and collection what are the expectations of the patients, to increase the intrinsic motivation and engagement of the patients |
Introduction and demonstration of the software | ||
Psychoeducation about cognitive functions (what cognitive skill is needed for a certain task) and identification of individual learning strengths/weaknesses and learning style (e.g. time factor, sensory style, organization of learning material, social component) of the patients | ||
II | Attention (2 sessions) | Discussion of the differences between attention and concentration |
Patients are familiarized with the concept of mindfulness as possibility to build sustained attention, and a first exercise is performed | ||
Working out possibilities to reduce the level of distraction in daily life | ||
III | Memory (2 sessions) | A theoretical model of learning and memory is explained |
Teaching of mnemonic techniques and simple encoding and compensatory strategies | ||
Assisting in the use of environmental aids (e.g. notes, checklists, electronic support) | ||
IV | Problem solving and planning (4 sessions) | Strategies for being organized, time management and planning in daily life are introduced |
Discussion, how information can be gathered, organized and contrasted | ||
Strategy for problem solving (concept of D’Zurilla and Goldfried) | ||
Patients work at several exercises (e.g. complex logical problems) and are asked to verbalize the steps for successful solution (e.g. how to break down a task down into manageable parts) | ||
V | Communication (2 sessions) | Discussion of how the social-emotional context affects cognitive functioning |
Promoting optimal conditions to be concentrated in the interaction with others | ||
Skills for social interaction, practical exercises (role play) | ||
Strategies to handle trouble finding words. | ||
VI | Healthy living (1 session) | Talking about the importance of good sleep, healthy living (e.g. nutrition, alcohol) and physical exercise for mental abilities |
Summary of the learned strategy and transfer of the acquired cognitive skills to everyday life | ||
Encouraging patients to train their brain in future by challenges of daily life (e.g. reading newspaper regularly, to go without a shopping list) |