Cognitive rehabilitation therapy helps TBI survivors regain mental function and develop compensatory strategies for lasting deficits. These therapy costs can be substantial and should be included in damage calculations.
What Is Cognitive Rehabilitation?
Cognitive rehabilitation involves therapeutic activities and strategies to:
- Restore impaired cognitive functions where possible
- Develop compensatory strategies for permanent deficits
- Improve functional abilities in daily life
- Facilitate return to work or school
Areas Addressed
- Attention and concentration – Improving focus and reducing distractibility
- Memory – Memory exercises and compensatory strategies (calendars, notes, apps)
- Executive function – Planning, organization, problem-solving
- Processing speed – Working to improve response times
- Communication – Word-finding, conversation skills
Therapy Formats
- Individual therapy – One-on-one with neuropsychologist or speech-language pathologist
- Group therapy – Practice in social settings
- Computer-based programs – Software exercises for cognitive training
- Intensive programs – Full-day rehabilitation programs
Duration and Costs
Cognitive rehabilitation may continue for:
- Weeks to months for mild TBI
- Months to years for moderate TBI
- Ongoing/lifetime for severe TBI
Costs range from $150-$400 per session, with intensive programs costing significantly more. Lifetime cognitive rehabilitation costs can reach hundreds of thousands of dollars.
Legal Considerations
- Documentation of need – Neuropsychological testing establishes deficits requiring treatment
- Evidence of benefit – Progress notes show therapy is working
- Future cost projection – Life care plans include anticipated rehabilitation needs
Conclusion
Cognitive rehabilitation is a critical TBI treatment that helps survivors regain function and adapt to lasting changes. These costs should be fully calculated in TBI damage claims.