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Speech Language Pathologist (SLP) to introduce MCI interventions?
Brain & Nervous System | Last Active: Jul 26 8:33pm | Replies (3)Comment receiving replies
I was referred to her by my neurologist. It’s a new service and I think she is the only one doing it in the rehab department.
She seems competent. I was tested a year ago by a neuropsych and while i had some gaps, it wasn’t saying Alzheimer’s yet. We have repeated a good bit of that. But i have APOE 3/4 and blood work that also puts me at higher risk. Plus I have a profound family hx. So it’s coming down the tracks 🙂
I tend to be very candid when i am retrieving a word. And if it doesn't come to the surface quickly I substitute or describe- whatever seems appropriate . But I am not trying to mask what is happening. The SLP wants me to focus on flow of communication and substitute quickly. That’s just one simple example that suggests we may have a different concept. The rest of what we talked about was whether and what my processes are for ensuring I take my meds and make my appointments. I don't know. It just seems simplistic. My biggest issue is that she immediately booked 15 appointments and there are two a week. That seems intense. I will speak to her about that.
I had an early career in Neurophysiology and then 20 years in Banking Regulatory Compliance program design. I am pretty good at problem solving. But I will continue to give it the college try. And I really appreciate your input.
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@pb50 There are a variety of strategies that one can use for word retrieval. In my opinion your strategy of work substitution or description sounds good to me.
It almost sounds to me that she doesn't know you and your skills well enough at this point to figure out what might work best for you. Instead of getting right to the "work" can you ask the SLP to get to know you better by asking you questions about you. What would she like to know? What do you do very well that has not changed over time? Do you continue to problem solve well? Your early career and then and your 20 years in Banking Regulatory Compliance program design is fascinating to me. Would you like to share more about that? What are your interests and hobbies? It would be best to include your interests and your preferences in the treatment objectives. Two times a week for how long each session? Yes, for outpatient treatment that does seem intensive to me but then I don't know. how these sessions are done on an outpatient basis these days. Scheduling you for all those sessions in advance does seem overwhelming. It's really up to you whether or not you want to go two times per week for 15 sessions.
These are my thoughts as they've occurred to me. I'm sharing the kind of information I shared with my students and how I worked with patients.
It's rather frightening to know about the APOE gene and your family history. It's good that you had thorough testing by a neuropsychologist.
What other things are you doing for yourself? Do you socialize with friends and family? Go for walks? Work out in the gym?