Prior to COGx, David had received several years of speech therapy where he built a bank of vocabulary and practiced mainly conversational language. In COGx, we worked to access this language, which was pivotal to memorizing techniques as well as building awareness to transfer all skills.

David learned new and practiced new vocabulary alongside doing other language “warm up” activities before diving into memory tasks. He was introduced to memory techniques 1-2 at a time, and practiced applying these using various exercises.  He made slow yet steady progress in applying these and eventually became quite strong and natural in applying associations and using self-testing to remember information.

Simultaneously, a variety of exercises with colors, shapes, numbers and/or words were used, along with the metronome, to drill attention, working memory & processing speed. Initially, David required a lot of modifications and prompts to complete the tasks, but as he made progress these were moved.

As the tasks became more difficult, David grew resistant and less engaged. A customized reward system, involving business cards, was implemented to sustain motivation. As David made progress with the processing skills, his ability to perform high-order tasks such as comprehension and problem-solving improved too.

Along with behavior modification strategies, a personalized worksheet was used to make David more aware of his behaviors and help him regulated. For example, at the end of each session, he would have to identify if he was disruptive and when, if he met a goal and where, etc. He also was given tangible strategies to regulate his attention and impulsivity. For example, if he became too excited and disruptive, he would pull out a blank sheet to practice meditation and deep breathing (counting to 3).

Over time, David became more involved in setting goals for himself and his program included him applying techniques to memorize material for school.