COGNITIVE RETRAINING                                            

Dr. Baker provides cognitive retraining to children, adolescents, and adults presenting with
various issues (e.g., attention problems, learning disorders/difficulties, neurological illness/injury,
developmental disabilities, memory problems, etc.). Cognitive retraining involves learning
strategies for improving cognitive/thinking skills, which includes domains such as
attention/concentration, memory, organizational skills, and problem-solving. Interventions are
tailored to the specific problems clients are struggling with. For instance, for individuals with
problems related to attention/concentration and disorganization, interventions may focus on
improving the person’s ability to focus their attention (e.g., self-talk strategies to refocus
attention when drifting off, organizing materials and time, and decreasing distractions). For
clients with learning/memory problems, treatment is focused on developing compensatory
strategies for improving functional memory in everyday life. This may involve teaching the client
techniques for making information more vivid and meaningful, as well as providing repetition of
this information (e.g., using a voice recorder and rehearsing new material, etc.). For individuals
with memory retrieval problems, interventions are often focused on providing the person with
cues to improve their ability to recall learned information. For individuals with problems
remembering appointments and important events, treatment is often focused on teaching the use
of external aids (e.g., day planner, PDA, etc.). Dr. Baker provides clients with notes about
information discussed in sessions to facilitate learning, as well as various handouts explaining the
use of cognitive retraining techniques. Cognitive retraining interventions are often time-limited,
and at times may only involve 2-3 sessions (e.g., a first session to develop a plan and teach
specific interventions; a second session to assess progress since the first session and revise the
plan; and a third session to provide additional follow-up and final revisions to the plan). Family
members are welcome to attend cognitive retraining sessions, and Dr. Baker encourages clients
to use a voice/tape recorder during sessions to facilitate learning and retention of information
discussed within sessions.

          ADHD COACHING

ADHD coaching involves many of the components of cognitive retraining, with a greater
emphasis on teaching higher-level strategies in areas of weakness for children and adults with
attention problems. Clients with attention-deficit disorders often demonstrate chronic problems
with disorganization, difficulty focusing/sustaining attention, and impulsivity/impulse control.
Clients are taught concrete strategies for improving attention, organizational skills, and impulse
control. Homework assignments are given between sessions to make specific changes in
behavior and/or the environment, and Dr. Baker follows up to determine whether these have
been helpful and any modifications that seem appropriate.

See "Payment/Scheduling" section of this website for additional information about the cost of
Cognitive Retraining and ADHD Coaching.