Visit 8

Abstract

In Visit 8, the last MAAT visit, the clinician emphasizes the theme of maintaining continuous mastery and refinement of MAAT principles and adaptive skills going forward in life. Visit 8 begins with a review of visualization and the degree to which visualization methods are useful and practical for the survivor. After discussion about specific experiences with visualization (modifying as necessary), discussion is turned to developing a plan to maintain the new behaviors and attitudes toward self-managing CRCI in daily life. Emphasis is placed on the notion that MAAT is not completed; rather, Visit 8 represents “the end of the beginning.” Continuous application and use of MAAT compensatory strategies will become more routine with time, and this requires maintenance of awareness and use. Cognitive performance failures will likely wax and wane due to numerous factors, including the chronic nature of CRCI. Constructing the maintenance plan entails reviewing each of the adaptive strategies with the survivor and completing a provided form. In addition, the clinician and survivor identify a schedule of at least monthly review of the survivor workbook to help maintain and adapt MAAT skills with changes in life. They also identify sources of social support to help the survivor maintain consistency. Finally, the clinician and survivor may identify a schedule of follow-up or “booster” visits to reinforce maintenance.