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UR Medicine / Otolaryngology (ENT) / Speech Pathology / Our Services / Cognitive Communication

Cognitive Communication

What are cognitive-communication disorders?

Cognitive-communication disorders involve a problem with communication that is related to a disruption in cognitive processes.  Cognitive processes, include:

  • Orientation
  • Attention
  • Perception
  • Memory
  • Reasoning / problem solving / constructional ability
  • Planning / organization / sequencing
  • Social behavior and emotional control
  • Impulsivity and insight into deficits

Cognitive-communication disorders are typically caused by a traumatic brain injury (TBI), concussion / mild TBI, stroke, brain tumor, cancer treatment, hypoxic brain injury, viral infection, long COVID or progressive neurological diseases. These disorders can co-occur with language or speech impairments, and can impact:

  • Speaking
  • Listening
  • Reading
  • Writing
  • Pragmatic / social skills
  • Activities of daily living
  • School/work performance.

Speech-Language Pathology Evaluation & Therapy

Speech-Language Pathologists (SLP) have specialty training in evaluating individuals cognitive-communication deficits. Most patients with these types of deficits are evaluated through the Integrative Cognitive Rehabilitation Program (hyperlink).  For those who do not meet the ICRP inclusion criteria (hyperlink), an individual assessment with a Speech-Language Pathologist, will be completed.  This assessment will evaluate:

  • Attention
  • Memory
  • Executive functioning
  • Language
  • Visuospatial skills

Using this information, your SLP will identify your areas of cognitive strength and weakness, and develop a tailored therapy plan to help you meet your personal goals. A person-centered approach and focus on life participation will be used to maximize your communication and function across your daily environment.

Additional Information

Shepard Center – mTBI & Concussion

Brainline – People with Brain Injury: https://www.brainline.org/people-with-tbi

Facts About Brain Injury & Concussion

Family Caregiver Alliance: https://www.caregiver.org/resource/traumatic-brain-injury/

Mayo Clinic – Understanding Brain Injury

Brain Injury Association of America – Brain Injury Guide for Families & Caregivers

Brain Injury Association of NYS: https://bianys.org/