Visit 4

In Visit 4, the survivor and clinician focus on four goals. First, they conduct a review of the verbal rehearsal strategies taught in the last visit—which verbal rehearsal strategies were used, for what, when, and where, and modify as needed. Second, the clinician and survivor work together to review the cognitive restructuring skills of realistic probabilities and decatastrophizing, primarily reviewing how helpful these methods are in re-thinking memory problems or barriers, and which method appeared to aid coping. Next, the external strategies of keeping a schedule and memory routines are taught, including the rationale for keeping a day planner; simplifying the schedule; and assuring daily review of the schedule. Finally, memory routines are discussed and homework is assigned to apply a chosen compensatory strategies.