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Services for Patients with Concussion & TBI

Steps to Treatment:

  1. Phone call with Sucheta
  2. Initial Evaluation
  3. Individual Treatment
  4. Possible Group Treatment










Back to Training

Training Options:

To say the least, life is disrupted after a brain injury. The injury to the brain where the damage is invisible or minimal can be quite devastating as the effects emerge only after one returns to multifaceted life which may happen much after than the initial injury. At Cerebral Matters we serve those who have endured Mild Traumatic Brain Injury (MTBI), Concussion, Traumatic Brain Injury (TBI) or other neurological problems who suffer from cognitive, behavioral and emotional symptoms. In many cases, the complaints begin with difficulty in focusing or a few memory lapses and may escalate into depression and anxiety as these symptoms are subtle and pervasive so the disruption they cause is only tangible to the individual who is suffering from the diagnosis.

We at Cerebral Matters differentiate between the conventional cognitive rehabilitation where the goal is to help patients make a community reentry after TBI from that of helping them to make an academic or professional reentry as a highly versatile and competent individual. After a TBI/Concussion, these individuals begin to experience subtle and insidious changes in focus, memory, thinking and management abilities, which prove to be extremely disruptive. Most often, individuals with TBI and Concussion are unable to juggle the responsibilities of day-to-day life due to impaired attention, memory and executive functions. They may have additional struggles such as depression, anxiety or overall feeling of stress and dissatisfaction as a result of these cognitive deficits. Finally, individuals with TBI/ Concussion also describe experiencing generalized difficulty in relating to loved ones or the community who is baffled by patients' inconsistent and unreliable behaviors.

At Cerebral Matters, the TBI/Concussion Training Programs focus on restructuring thinking related to attention, memory, planning, organization, time management, goal setting and social cognition in order to return to independent and self-sufficient life-style. Through discussions, practice and exercises-based training patients are eventually expected to harnesses new thinking skills. The therapeutic process is designed to train the impaired brain to develop habits, insight and motivation.


Cognitive Symptoms

  • Difficulty with concentration (often distracted)
  • Cannot do multiple things at one time
  • Misses details and needs repetition
  • Problems in concentrating when reading or retaining what was read
  • Difficulty remembering names, faces, or events
  • Difficulty remembering to do things at a later time
  • Poor math skills (difficulty doing math in your head or understanding word problems
  • Slowed thinking
  • Difficulty in making decisions
  • Difficulty initiating tasks or maintaining interest
  • Poor self-regulation and self assessment skills
  • Poor insight and judgment

Physical Symptoms

  • Headaches/Headaches from having to concentrate
  • Mental fatigue
  • Post-traumatic Vision Syndrome
  • Sleep Disorder or poor sleep regulation
  • Ringing in the ears
  • Loss of sense of taste or smell

Behavioral/Emotional Symptoms

  • Emotional Lability (cry easily or laugh without a reason)
  • Apathy or flat emotional affect
  • Lack of Initiation
  • Quickness to irritability and anger
  • Quickness to frustration
  • Poor self-confidence/poor self-esteem

Vocational Challenges

Difficulty in:

  • expressing and defending a point of view/opinion
  • using appropriate persuasive strategies
  • interacting with coworkers and supervisors in an appropriate manner
  • being flexible and see other person's perspective
  • being able to see the 'big-picture'
  • receiving feedback/criticism from supervisors/coworkers
  • complaining in an appropriate manner
  • asking questions in a manner that facilitates cooperation

Academic Challenges

Difficulty in:

  • maintaining mental stamina to pursue prolonged hours of academic work
  • expressing and defending a point of view/opinion
  • comprehending class lectures and written text
  • interacting with peers and teachers in an appropriate manner
  • completing assignments on time
  • taking formal tests with time constraints
  • incorporating feedback/criticism from professors to make changes in written projects
  • asking questions in a manner that facilitates cooperation

Interpersonal-Social Challenges:

  • Following social p's & q's in a appropriate way to promote interpersonal bond
  • Relating to others in a congenial and inviting way to promote social connections
  • Steering conversation and preventing oneself from going on a tangent or getting derailed
  • Using humor appropriately or banter of any kind in a temped way
  • Preventing others from perceiving oneself to be imposing or annoying
  • Recognizing breakdown in social interactions with appropriate problem solving
  • Showing sensitivity to others' feelings and perceptions
  • Presenting oneself in a positive light


Adults may have the following diagnosis:
  • Mild Traumatic Brain Injury (MTBI) as a result of a car accident or a fall or injury to the head
  • Post aneurysm surgery or post aneurysm rupture
  • Post Brain-Tumor resection
  • Anoxic injury (lack of blood supply to the brain)
  • Post cardiac surgery
  • Electrocution
  • Other neurological diagnosis such as Multiple Sclerosis or Seizure disorder
Adults who may have challenges:
  • Executive dysfunction due to Attention Deficit Disorder or Obsessive Compulsive Disorder
  • Atypical Neuropsychological profile
  • Highly accomplished adults with significant managerial responsibilities