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Specifics of Psychological Consulting of Patients After TBI According to the Structure of Neuropsychological Deficit

Published online by Cambridge University Press:  23 March 2020

M. Kovyazina
Affiliation:
Lomonosov Moscow State University, Department of Psychology, Chair of neuro and abnormal psychology, Moscow original, Mytishchi, Russia
O. Dobrushina
Affiliation:
Moscow Institute of mental health, Moscow Institute of mental health, Moscow, Russia
G. Aziatskaya
Affiliation:
The scientific center of neurology, Moscow, Russia
E. Zarudnaya
Affiliation:
Lomonosov Moscow State University, Department of Psychology, Chair of neuro and abnormal psychology, Moscow, Russia
D. Spiridonov
Affiliation:
Lomonosov Moscow State University, Department of Psychology, Chair of neuro and abnormal psychology, Moscow, Russia
N. Varako
Affiliation:
Lomonosov Moscow State University, Department of Psychology, Chair of methodology of psychology, Moscow, Russia

Abstract

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Introduction

Present article introduces the case of a patient who had traumatic brain injury (TBI) in 2010. During examination V. demonstrated mild sensory aphasia, frontal lobes deficit, memory disorder, limiting beliefs, lack of adequate coping strategies, emotional reactions and disability to describe his feelings and body awareness.

Objectives and aim

Neuropsychological, correction and psychological counseling performance, considering neuropsychological deficit profile.

Methods

counseling was carried out over six weeks in the form of 2 hour sessions once a week. Speech perception impairment was taken into consideration. The process was started with frontal lobe deficit correction. Goal management training was used in conjunction with external control of distractions. Training in structured organization of information has highly improved memorization. Techniques of CBT were used to work with cognitive distortions, dysfunctional beliefs, and self-restricting behavior. Body-oriented therapy was offered to cope with stress factors and vegetative reactions.

Results

V. compensated memory disorder using external sources and motivation. Some adaptive strategies of interaction with people and the outer world were formed. He improved time management skills and learned to follow the priority of current task without distractions. Moreover, he actively started to use body-oriented techniques to regulate his emotional condition. A considerable progress was achieved in understanding his limits and difficulties in everyday life.

Conclusion

Implementation of psychological consulting according to neuropsychological deficit profile may be effective in interdisciplinary holistic rehabilitation of patients after TBI.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Rehabilitation and psycho-education
Copyright
Copyright © European Psychiatric Association 2017
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