Service · Therapy
Cognitive remediation
Cognitive remediation builds on the conclusions of a neuropsychological assessment to answer one central aim: improving quality of life. It works on the functions identified as impaired and, where recovery proves too difficult, puts in place strategies that get around the difficulty.
Indications
When is cognitive remediation indicated?
It follows a neuropsychological assessment that has shown significant difficulties. The assessment remains the prerequisite: it is what indicates which functions to work on.
After an acquired brain injury
Stroke, cerebral haemorrhage, traumatic brain injury, anoxia, among others.
In the context of a neurodevelopmental condition
Attention deficit hyperactivity disorder, autism spectrum disorder, specific learning disorders.
In the context of a neurodegenerative condition
Alzheimer’s disease, Lewy body disease, vascular neurocognitive disorder, among others.
Method
The two strands of remediation work
Depending on the clinical profile, the work is built around two strands, often carried out together.
Strand 1: restore
Improving the functions identified as impaired during the assessment, in order to restore the affected capacities as far as possible. The work is targeted: one does not train “memory” in general, but the precise process the assessment found wanting (encoding, working memory, inhibition or cognitive flexibility, for example).
Strand 2: compensate
Compensating for the difficulties, where recovery proves too complex, by putting in place alternative strategies that get around them. The aim is no longer to repair the function, but to reduce its concrete impact on daily life.
Format
How the sessions work
The work is organised around weekly sessions using playful, personalised cognitive exercises aimed at the targeted functions.
Regularity matters more than the length of each session: it is spaced repetition that turns strategies into automatic habits. Two formats are offered (a short session of about 30 minutes and a long session of about one hour), chosen according to the person’s fatigability and age.
Remediation sessions will be held at the practice only. Home visits can be considered for people living in the area close to Sainte-Marie-aux-Chênes, while the practice is waiting to open within the future health centre.
Where it is useful, time with parents or carers can be offered, to extend the work between sessions. That is the purpose of support for relatives and carers.
Fees
Session fees
The fee depends on the format of the session, short or long. It is set out, together with every other service offered by the practice, on the fees page.
The practice is not contracted with the French statutory health insurance (Assurance Maladie) and does not take part in the “Mon soutien psy” scheme, so sessions are not reimbursed by the state. Many complementary health insurers (a mutuelle in France, or your employer’s scheme if you work in Luxembourg) do refund part of the fee. An itemised receipt is issued after every session. Payment can be spread over several instalments on request.
Has an assessment shown significant difficulties?
Write to me with your contact details, the reason for your request and, if you have them, the conclusions of your assessment. We will define together which functions to work on and the pace that suits you.
Request an appointment