Cognitive recovery after TBI: neuropsychology and SLP, in one place.
Comprehensive neuropsychological evaluation paired with speech-language pathology for cognitive-communication recovery. Built for traumatic brain injury, post-concussion syndrome, and the “invisible” cognitive symptoms that standard imaging misses.
Two specialties. One coordinated cognitive recovery plan.
When the brain is injured, the symptoms that follow are often invisible to imaging and easy to dismiss. Neuropsychology measures and documents what’s happening. SLP rebuilds the daily-life skills that make recovery real.
Neuropsychological evaluation
A comprehensive evaluation that measures cognitive function objectively. Validated, standardized tests measure what symptoms feel like to the patient and translate that experience into data the medical, legal, and rehabilitation system can act on.
Cognitive function: memory, attention, processing speed, executive function
Performance and symptom validity testing built in
Detailed report on real-world functional impact
Foundation for treatment planning, vocational opinions, and life-care plans
Speech-language pathology (SLP)
Cognitive-communication therapy that addresses the daily-life impact of brain injury — word-finding, comprehension, attention, executive function, and the practical communication skills that work, school, and family life require.
Cognitive-communication assessment and individualized treatment
Restorative and compensatory strategies
Return-to-work and return-to-school protocols
Functional documentation for medical and medico-legal use
Coordinated cognitive recovery
Neuropsychology identifies the problem and defines its scope. SLP rebuilds practical function. When both work together — and when the rest of the clinical team is already in the same system — recovery is faster and documentation is consistent.
Single coordinated team for evaluation and treatment
Shared documentation across neuropsych, SLP, psychiatry, and therapy
Internal referrals without restarting intake
Single point of contact for case managers and attorneys
Documentation that translates
Cognitive-communication impairments are notoriously hard to convey. Our reports translate complex test results into the functional, real-world language that physicians, attorneys, employers, and adjudicators can use.
Standardized scores with functional interpretation
Day-to-day impact statements (work, school, home)
Causation analysis when injury context is documented
Recommendations for accommodations and ongoing care
Who it's for
Cognitive recovery for the people most often missed.
Mild TBI and post-concussion symptoms frequently look invisible. The clients we serve are the ones whose imaging is “normal” but whose lives have changed in measurable ways. We document those changes and help rebuild function.
Concussion and mild TBI after motor vehicle accidents, falls, and assaults. We document cognitive impairment objectively and treat the cognitive-communication symptoms that affect work, relationships, and daily life.
Workplace TBI — falls from height, struck-by events, motor vehicle crashes on duty. Our cognitive evaluation and SLP cognitive-communication therapy support both recovery and return-to-work documentation.
Treating physicians refer for neuropsychological workup when cognitive symptoms persist or exceed what physical findings explain. Our team delivers the diagnostic clarity and rehabilitation roadmap.
How it works
From cognitive testing to practical recovery.
Cognitive recovery is a sequence: evaluate first, treat with the data in hand, document progress along the way. Below is the typical pathway from referral through ongoing care.
01
Referral & history review
Treating provider, attorney, or self-referral initiates. We collect medical and accident records, prior imaging, and any earlier cognitive testing. This shapes the evaluation.
02
Neuropsychological evaluation
A multi-hour evaluation administered by a licensed neuropsychologist. Standardized testing across cognitive domains. Performance and symptom validity built in.
03
Treatment planning
The evaluator’s report identifies areas of impairment and recommends next steps. For most TBI cases, this includes SLP cognitive-communication therapy and often other team services.
04
Ongoing SLP & coordinated care
Speech-language pathology sessions targeting the specific cognitive-communication challenges identified. Progress measured and documented. Care coordinated with the broader team.
What we evaluate and treat
Conditions our neuropsychology and SLP team work with.
The conditions below are the most common reasons for referral. Cognitive evaluation and SLP therapy are appropriate for many other presentations as well — consult during intake about specific concerns.
Traumatic Brain Injury (TBI) — mild, moderate, severe
Post-concussion syndrome
Cognitive-communication disorders
Memory impairment after injury
Attention and concentration deficits
Processing speed slowing
Executive function impairment
Word-finding difficulty (anomia)
Reading comprehension difficulties post-TBI
Cognitive fatigue
Return-to-work cognitive readiness
Return-to-school after concussion
PTSD with cognitive overlay
Mild cognitive symptoms with normal imaging
Differential evaluation: TBI vs. PTSD vs. depression
What does a neuropsychological evaluation actually measure?
A neuropsychological evaluation uses standardized, validated tests to measure cognitive function across several domains: memory, attention, processing speed, language, visuospatial skills, and executive function. The tests are scored against population norms, and the results show how the person performs relative to expected ability based on age, education, and other factors. Performance and symptom validity measures confirm that the test results are a credible representation of true ability.
How is this different from regular cognitive testing my doctor does?
Brief cognitive screens (like the MoCA or Mini-Mental Status Exam) are useful for ruling out severe impairment but are not designed to detect the subtle cognitive changes common after mild TBI or concussion. Neuropsychological evaluation is a multi-hour, multi-domain assessment specifically designed to detect those changes and to document them with the precision required for medical, vocational, and legal purposes.
What is cognitive-communication therapy?
Cognitive-communication therapy is provided by speech-language pathologists who specialize in the thinking-and-communication challenges that affect daily function after TBI. It addresses memory strategies, attention training, word-finding, comprehension, executive function (planning, organization, time management), and the practical communication skills required for work, school, and home. Treatment is individualized to each client’s goals.
Can SLP and neuropsychology be done virtually?
Yes. Cognitive-communication therapy translates well to telehealth and is supported by the American Speech-Language-Hearing Association. Neuropsychological evaluation has well-established remote-administration protocols for many tests; where a specific instrument cannot be administered remotely with adequate fidelity, we adjust the battery and document the choice in the report.
How long does the neuropsychological evaluation take?
A full evaluation is typically 4–6 hours of testing, often split across two appointments to manage cognitive fatigue. Initial intake adds another 60 minutes; report writing follows the testing day. Total turnaround for the written report is generally 14–28 days, expedited when needed.
My MRI was normal. Can I still have a TBI?
Yes. Most concussions and mild TBIs do not show abnormalities on standard MRI or CT — this is well-documented in the clinical literature and explicitly acknowledged by the CDC. Standard imaging is designed to detect bleeding, fractures, and gross structural changes. The microstructural and functional changes that produce cognitive symptoms typically aren’t visible on those scans. Neuropsychological testing is one of the few methods that can document these changes objectively.
Cognitive symptoms are real, even when imaging is normal.
Comprehensive neuropsychological evaluation plus SLP cognitive-communication therapy. Built for the people whose injuries don’t show up on a scan.
