Remedial Therapy for Adults in Kolkata

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Remediation therapy is a tool which is used for increasing the functioning of particular skill sets through training. Remediation therapy is used to bridge the gap between the expected and current level of functioning. It is generally tailor made to suit an individual’s need and also takes the individual’s current functional capacity into account. Now the most relevant question is, in adulthood how remedial therapy can be helpful? In adulthood, the remedial training is used in situations where

  1. Abilities which were achieved but diminished due to some mental illness /brain disorder/ brain injury
  2. It is required to focus on some ability which could not develop properly, age appropriately

In the first situation, when some brain functions diminish due to mental illness (like schizophrenia, Bipolar Disorder, Substance use disorder) or due to brain injury, organic illness, cognitive remediation therapy is used.

  1. Cognitive Remediation Therapy

Cognitive Remediation Therapy (CRT) is a “behavioural-training based therapy which aims to enhance cognitive processes like memory, attention, executive function, metacognition, and social cognition. Cognitive remediation therapy focuses mainly on individuals with schizophrenia, bipolar disorder, depression, and substance abuse. CRT exercises can be both computer or paper-pencil-based. Usually, CRT has many practice sessions and practice usually happens between sessions. Research suggests that CRT works best when it is paired with other support services. Some of the common cognitive remediation techniques are:

Types of Cognitive Remediation Therapy

Areas Addressed

Techniques Used

Integrated Psychological Therapy

Differences in cognition, social perception, communication, social skills, problem solving

Card Sorting exercises, Verbal concept exercises, Discussing social relations, different perceptual exercises, Paraphrasing W-Questions Topical questions Focused communication, Cognitive analysis Role-playing, Problem solving technique Generalisation

Cognitive Enhancement Therapy (CET)

Neurocognitive Rehabilitation and Improvement Of Social Cognition

Neurocognitive training module through computer games

Social cognition training through structured group exercises

Cognitive Remediation Therapy (CRT)

Thinking flexibility and set-shifting ability

Line bisection, Cancelation tasks, Figure/Ground pictures, overlapping figures, Card sorting, number shift, visual illusions, Stroop exercises, Finger tap, hand flip, palm lifting

Table reference: Penadés & Catalán 2017

Cognitive remediation therapy can be used in individual and group setups. The time required to implement cognitive remediation therapy could be 6 weeks to 6 months. The changes achieved through remediation are gradual and time consuming and applicable generally with other treatment modalities.

2 Remediation therapy is used for adults with intellectual disabilities and learning disabilities:

Individuals with intellectual disabilities (ID, formerly mental retardation) and learning disorders can be intervened using remediation techniques which breaks down processes in smaller steps. The number of tasks presented at once is limited and usually brought forward in the step method. It breaks down learning tasks in small steps and moving to the next step depends on mastery in previous step. Sometimes individuals going through Depression, anxiety, obsessive compulsive disorder also requires remedial therapy to catch up with previous level of functioning. There is no fixed duration for remedial education. It depends upon each individual’s characteristic needs.

Also read,

What is remedial therapy? When is the right time to take remedial therapy?

Mental health problems in adults with intellectual disabilities.

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