Changes in cognition can happen as result of a stroke, traumatic brain injury, brain surgery, or dementia. Speech and language therapists assess the following domains of cognition:
EXECUTIVE FUNCTIONING
- Difficulty initiating, planning, or organizing tasks
- Impaired ability to perform daily tasks (e.g., reading a calendar, managing medications, using your phone)
- Deficits in problem solving and reasoning
MEMORY
- Memory impairments in short or long-term memory
- Difficulty with working memory
- Trouble with orientation to person, place, or time
SOCIAL COGNITION
- Difficulty regulating emotions
- Trouble understanding nonverbal cues in conversation
- Poor insight into deficits
- Difficulty with topic selection and maintenance in conversation
- Inability to take other perspectives
ATTENTION
- Slow processing skills
- Inability to multitask
- Trouble sustaining attention on a specific task
- Now easily distracted by background noises
LANGUAGE
- Inability to process abstract language/concepts
- Difficulty finding the right words to express yourself
VISUOSPATIAL SKILLS
- Visual neglect such as not seeing written words on the left side of a page