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Kira Armstrong, Ph.D., ABPP-CN, Board Certified in Clinical Neuropsychology, Board Certified Subspecialist in Pediatric Neuropsychology

Dr. Kira Armstrong is a previous Member at Large of the American Academy of Clinical Neuropsychology and previous Secretary of the Massachusetts Neuropsychological Society. She is the author of Feedback That Sticks: The Art of Communicating Neuropsychological Assessment Results. And has both written about and presented on the art of communicating neuropsychological results directly to children and through our reports. More recently she was a Co-Editor for a Special Edition in The Clinical Neuropsychologist on Autism Spectrum Disorder (and she co-wrote several articles for this edition).

Dr. Armstrong previously directed a pediatric postdoctoral fellowship in neuropsychology at the Cambridge Health Alliance. She is now in private practice with an ongoing focus in pediatric neuropsychology.

The Art of Feedback in Pediatric Neuropsychology

Explaining complex neuropsychological assessment results to young people with cognitive or emotional difficulties and their worried families is one of the most difficult things we do as neuropsychologists.  When we consider the added complexity of communicating in the unique context of our patients’ family systems, we are facing a tremendously challenging task.

This presentation is based in part on the Feedback That Sticks research project, with in depth interviews of over 85 seasoned neuropsychologists. The presentation focuses on the best feedback philosophies, communication strategies, techniques and “clinical pearls” for pediatric populations. The workshop will also include instruction and applied practice examples of a comprehensive feedback model designed to provide compelling feedback messages, metaphors, and stories- that effectively synthesize complex information, so our feedback sticks.

John Axelsson, Professor. Stressforskningsinstitutet, Stockholms universitet, och Klinisk Neurovetenskap, Karolinska Institutet 

Sömnens roll för kognition och symtom.
Presentationen kommer att ta upp hur neuropsykologen ska tänka runt sömn, ge kunskap om när sömnen är drivande  avseende kognitiva nedsättningar och symtom samt vikten av att göra en sömnutredning.

Daniel Berggren, Specialistpsykolog, Östersunds Rehabcentrum, Regional STP-studierektor, Region Jämtland Härjedalen

Implementering av ny behandling inom neurorehabilitering

Forskningen kring kognitiva rehabiliteringsmetoder går stadigt framåt med ett ökande antal behandlingsmetoder med god evidens. Men att införa nya behandlingsmetoder i den kliniska vardagen kan vara en utmaning såväl för neuropsykologer som för andra professioner. I denna föreläsning presenteras erfarenheter från pågående implementeringen av Goal Management Training vid Östersunds Rehabcentrum.

Malin Einarsson, Utbildningsledare, Specialistarbetsterapeut, doktorand, Rehabiliteringsmedicinska universitetskliniken, Kognitva postcovidmottagningen, Institutionen för kliniska vetenskaper, Karolinska Institutet Danderyds Sjukhus.

Urban Ekman. Leg psykolog. Biträdande lektor på Karolinska Institutet, institutionen för neurobilogogi, vårdvetenskap och samhälle. FoUUI-ansvarig inom tema kvinnohälsa och hälsoprofessioner på Karolinska Universitetssjukhuset.

Utvärdering av psykologisk behandling för personer i tidiga skeden av kognitiv svikt.
Individer i tidiga skeden av kognitiv vikt drabbas ofta av krisreaktioner och andra hälsorelaterade problem såsom stress, depression, sömnsvårigheter och existentiell oro på grund av deras kognitiva funktionsnedsättningar och den osäkra prognosen. Dock saknas i hög grad psykologisk behandling som är modifierad att passa denna patientgrupp. Därför avser vi nu att i en storskalig RCT utvärdera behandlignseffekten av en nyutvecklad psykologisk behandling med syfte att lindra effekterna av kognitiv svikt, förbättra livstillfredställelsen, den psykologiska hälsan och relaterade biomarkörer.
 

Jörgen Herlofson, specialistläkare i psykiatri, leg psykoterapeut, handledare. Privat verksam via Empatica AB.

Personcentrerande kliniskt arbete.
Personcentrerande kliniskt arbete kan ses som ett paradigmskifte med förändrade roller för både yrkesperson och patient.

Från att ha varit främst symtominriktad kommer diagnostiken att också innefatta patientens relationella, sociala och existentiella situation liksom även kulturell och samhällelig kontext.

En utmaning med personcentrerande kliniskt arbete är mötet mellan två kontrasterande kunskapsfilosofiska skolor - den naturvetenskapligt analytiska samt den humanistiskt fenomenologiska. Patientens plats som aktivt subjekt i behandlingsarbetet i syfte att nå förbättrad hälsa blir ett huvudtema.

Mats Lekander. Professor i psykoneuroimmunologi, Stressforskningsinstitutet, Psykologiska institutionen, Stockholms universitet. Professor i hälsopsykologi, Avdelningen för psykologi och Osher centrum för integrativ medicin, Institutionen för klinisk neurovetenskap, Karolinska Institutet.

Samverkan mellan hjärnan och immunförsvaret.
Hjärnan kan visserligen reglera många funktioner i övriga kroppen, men samtidigt påverkar signaler från periferin hur vi känner oss och vad vi vill göra. När immunförsvaret aktiveras skickar det signaler till hjärnan och orsakar en så kallad sjukdomsrespons, vilket ger den för de flesta välbekanta sjukdomskänslan, med nedstämdhet, smärta, trötthet, kroppsfokus och förändrad motivation. Mats Lekander berättar om forskning när friska människor görs sjuka över en dag, och hur detta påverkar hjärnan och kroppen på ett sätt som ses som en modell för mer långvariga somatiska och mentala ohälsotillstånd.

Martina Nelson, leg psykolog, under utbildning till specialist i neuropsykologi.

Författare till boken ADHD på jobbet - om hjärnan, forskning och strategier och Svart bälte i föräldraskap - att lösa vardagen i NPF-familjer.

Psykologiskt ledningsansvarig och verksamhetschef på SMART Psykiatri.

Neuropsykiatriska tillstånd (NPF) i arbetslivet - Om hjärnan, forskning och strategier  Vilka problem uppstår ofta på jobbet för personer med ADHD och autism, och hur kan man komma runt utmaningarna? Med rätt kunskap behöver NPF inte vara ett hinder i yrkeslivet och med rätt strategier kan man fungera bra och nå sin fulla potential. Det handlar om anpassningar som är bra för alla, men särskilt viktigt om man har en diagnos. Du får kunskap, råd och får lära dig strategier utifrån aktuell forskning om NPF.

Colette M. Smart, Ph.D., R.Psych. Associate Professor of Psychology, University of Victoria

Dr. Colette Smart is a Registered Psychologist and Associate Professor of Psychology at the University of Victoria, British Columbia, Canada. For more than a decade she has served as part of the Core Faculty in the CPA-Accredited Doctoral Training Program in Clinical Psychology (Neuropsychology Emphasis). She teaches and supervises graduate students in neuropsychological assessment and neuropsychological rehabilitation, and maintains an active research lab of undergraduate and graduate students. She previously spent many years focusing her research on cognitive aging and subjective cognitive decline, and has published two books on this topic. In recent years, she has moved her research focus to the intersection of trauma and neurological illness, examining the role of self-regulation as a transdiagnostic mechanism and target for treatment. She has also spent many years designing, implementing, and evaluating mindfulness-based protocols in the neurorehabilitation context. Dr. Smart is an award-winning teacher and leverages her understanding of cognitive rehabilitation and self-regulation into her classroom activities and additional research on the scholarship of teaching and learning. Outside of the university, Dr. Smart maintains a private practice where she provides psychotherapy and cognitive rehabilitation to adults with acquired neurological disorders, including those with medical PTSD, taking an attachment-focused and existential-humanistic approach to her work.

Trauma-Informed Practice in Neurorehabilitation
After a life-threatening or traumatic event, a minority of people will go on to develop post-traumatic stress disorder (PTSD). While the estimated lifetime prevalence of PTSD is roughly 8%, persons dealing with a major medical event such as a traumatic brain injury (TBI) or stroke may be at even higher risk for experiencing PTSD. Estimates of post-stroke PTSD are high as 23% in the first year post-illness, and PTSD and mild TBI as likewise common comorbidities.   Additionally, adults who have experienced adverse childhood experiences (ACEs) such as abuse and neglect are known to be at increased risk of medical illnesses such as heart disease and cerebrovascular disease. If not asked about directly, traumatic stress can go undiagnosed and significantly interfere with treatment outcomes. Many healthcare providers are afraid to ask about trauma for fear of retraumatizing clients and being unsure how to provide follow-up care and support. Trauma-informed practice (TIP) refers to a set of principles and practices that acknowledges that (1) exposure to traumatic events is common, (2) such exposures can affect ways in which individuals think, feel, and act, and (3) that environments that are meant to heal can often unknowingly retraumatize such individuals. When an environment is “trauma-informed”, patients can feel welcome and included even when trauma is not being treated directly. While TIP has gained traction in various sectors of healthcare such as primary care and mental health, there is limited evidence to indicate its systematic implementation in the rehabilitation context. This talk will review clinical research and theory regarding the application of TIP to the neurorehabilitation context, including emerging data from our lab. Attendees will also be provided with suggestions for how to consider bringing this framework into their own clinical endeavors.

Workshop, 1 februari:

Trauma-Informed Practice in Neurorehabilitation: Skills and Strategies for Clinical Practice
Exposure to traumatic stress is relatively common amongst persons who may be seeking neurorehabilitation. Yet many clinicians may not have received explicit training in trauma care, which means they may miss opportunities to diagnose and treat traumatic stress disorders (TSDs) in their clients. Not only do TSDs negatively impact mental health, they can significantly interfere with an individual's progress in neurorehabilitation, as well as overall levels of disability and quality of life. Even more confusing is the fact that symptoms of TSDs may mimic symptoms of dysregulation commonly seen in acquired brain injury and other neurologic diagnoses. In this workshop, we will discuss the three-phase model as a way of conceptualizing traumatic stress in the neurorehabilitation context, including both diagnosis as well as treatment planning. As a result of participating in this workshop, attendees will be able to (1) articulate the main symptoms of TSDs and how they may manifest in persons with acquired brain injury and other neurologic diagnoses, (2) how to conceptualize treatment for persons with comorbid neurologic and TSDs, and (3) potential treatment strategies.

Senast uppdaterad: 23 januari 2023