Presentation is loading. Please wait.

Presentation is loading. Please wait.

The Journey is the Destination David J. Scarisbrick, Ph.D. Director of Neuropsychology Progressive Health of Pennsylvania Brain Injury: The Family’s Journey.

Similar presentations


Presentation on theme: "The Journey is the Destination David J. Scarisbrick, Ph.D. Director of Neuropsychology Progressive Health of Pennsylvania Brain Injury: The Family’s Journey."— Presentation transcript:

1 The Journey is the Destination David J. Scarisbrick, Ph.D. Director of Neuropsychology Progressive Health of Pennsylvania Brain Injury: The Family’s Journey Brain Injury Alliance of New Jersey October 18, 2014

2 General “Guiding Principles” You MUST plan for both the short-game and the long-game.

3 General “Guiding Principles” It is a LONG-GAME

4 General “Guiding Principles” ALL Plans are subject to change.

5 General “Guiding Principles” TTT- Things Take Time

6 General “Guiding Principles” The labels “Mild-Moderate-Severe” are related to the effects of the initial insult and not necessarily mapped onto the long-term sequelae.

7 General “Guiding Principles” The neurological system is a dynamic NOT static system

8 General “Guiding Principles” One must be wary of inadvertently creating problems (iatrogenic). Some individuals will begin to steal or lie to get their perceived “needs” met.

9 General “Guiding Principles” Individuals may “Grow Into” a deficit

10 General “Guiding Principles” Be aware of “control” issues and always try to respect and give as much control as possible.

11 General “Guiding Principles” “Windows of Opportunity” open and close at various and unpredictable times during one’s life

12 General “Guiding Principles” Whose GOALS are they anyway?

13 General “Guiding Principles” Topic of Hope Acute Stages: Family and therapist are viewed as sources of hope. They are helping me do something Long-term Stages: Family and therapist are viewed as trying to “stop me” from doing something.

14 General “Guiding Principles” This ain’t for sissies

15 General Overview of the Brain and Organization Brain and Spinal Cord are continuous “Lower” areas of the brain (e.g. brain tem) serve more basic automatic functions

16 General Overview of the Brain and Organization Evolution is not wasteful. Newer brain regions are added onto existing ones “Newer” regions often control “lower” areas through inhibition “Higher” functions may be lateralized to a greater extant to one side of the brain (e.g. language, emotions, facial processing)

17 Long-term Cognitive and Emotional Problem Awareness “We don’t see things are they are, we see them as we are.” Anais Nin

18 Long-term Cognitive and Emotional Problem Anger-Episodic Dyscontrol- Frustration

19 Long-term Cognitive and Emotional Problem Depression- Disorders of Mood

20 Long-term Cognitive and Emotional Problem Disinhibition-Impulsivity

21 Long-term Cognitive and Emotional Problem Memory

22 Long-term Cognitive and Emotional Problem Initiation (Motivation)

23 Long-term Cognitive and Emotional Problem Aging and Health

24 General Conclusions Give control when possible Be Specific in your feedback Check for mutual understanding Disengage when anger arises Re-engage when anger subsides Be positive and find humor when possible Look for “Windows of Openness” Try and set goals that are meaningful to all Look for positives to reinforce

25 Questions?


Download ppt "The Journey is the Destination David J. Scarisbrick, Ph.D. Director of Neuropsychology Progressive Health of Pennsylvania Brain Injury: The Family’s Journey."

Similar presentations


Ads by Google