Explore Cognitive communication Impairment therapy
Cognitive communication therapy supports adults who experience challenges with thinking, communication, and self-management related to executive functioning differences, ADHD, brain injury, stroke, or other neurological conditions. These skills continue to develop through the college years and into young adulthood, and difficulties can become more visible as academic, professional, and life demands increase.
Adults with executive functioning challenges often describe persistent difficulty sustaining attention, managing distractions, and keeping track of information. This may include forgetfulness, short-term memory challenges, losing important items, or needing to reread information because key details do not stick. Many individuals find it hard to organize thoughts, papers, digital materials, or belongings, which can make everyday responsibilities feel overwhelming.
Planning and follow-through are also common areas of concern. Clients may struggle to break large projects into manageable steps, estimate how long tasks will take, or create and maintain realistic timelines. Time can feel difficult to sense, leading to rushing, missed deadlines, or being late despite effort. Starting tasks and maintaining motivation can be challenging, and procrastination is common even when tasks are important.
Executive functioning challenges often affect task completion and decision-making. Some adults shift between tasks frequently, try to manage too many priorities at once, or spend excessive time on low-priority activities. Others report difficulty choosing where to start, staying focused long enough to finish multi-step tasks, or adjusting plans when situations change. Self-monitoring progress, regulating emotions, and recognizing when an approach is no longer working can also be difficult.
Communication demands may add another layer of strain. Adults may have trouble following conversations, holding onto key points, organizing ideas for emails or written work, or communicating clearly in professional and social settings. Over time, these challenges can affect confidence, relationships, work performance, and overall work–life balance.
Our speech-language pathologists work collaboratively with adults to understand how their brain manages information in real-world contexts. Therapy focuses on building practical, individualized systems for attention regulation, memory, planning, time management, task follow-through, and effective communication. Intervention is goal-driven, functional, and designed to support everyday life at work, school, and home.
Cognitive communication therapy helps adults strengthen independence, improve clarity and follow-through, and participate more fully in their personal and professional lives. Book a consultation to learn whether this approach is a good fit for you or a loved one.