fbpx

Call Now

Text Now

Call Now

Text Now

Telehealth Explorer Blog

Filter by Search or Category Selection

Telehealth Explorer Blog

Filter by Search or Category Selection

Telehealth Explorer Blog

Filter by Search or Category Selection

Providing Cognitive Enhancement Therapy to Clients with Telehealth

Cognitive enhancement therapy (CET) is an evidence-based practice that uses brain games to target specific cognitive domains, such as attention, memory, and executive functioning. This intervention is particularly valuable for clients who have early course schizophrenia, schizophrenia-spectrum disorders, or neurocognitive conditions. CET’s effectiveness may be most evident when helping clients with social cognition—being able to get the gist of what someone says, understanding emotional cues, or employing flexible thinking, among other skills.

In a phone interview with the Telehealth Certification Institute, Christa Crohurst​​—a Licensed Professional Counselor in Arizona—describes her experience of using CET with clients. Christa explains why CET is an option for telehealth and what practitioners should watch out for before they begin offering sessions. Although Christa says that many of her clients have made huge strides with CET, there are a few challenges that practitioners can expect to encounter.

One of these hurdles is remaining a supportive presence while “allowing clients to come up with answers on their own.” The coach should focus on helping the client uncover new or rediscovered abilities. Since CET coaches usually use an online website that hosts the digital games, clients who are tech-averse may feel frustrated. These clients could require additional assistance to properly log into their accounts or share their screens with their coach.

Christa explained that using CET sometimes takes a high degree of “creativity” if clients require offline options. In her experience, word searches and puzzles have been strong contenders for replicating online CET exercises. The artistry lies in how effectively coaches can connect CET skills to the real-world problems that clients are facing. A few other considerations when conducting online CET via telehealth are securing confidentiality in the virtual environment, minimizing distractions during sessions, and creating a space that’s conducive to therapy.

Once the logistics are worked out, and clients have developed a comfort for the process, remarkable progress can be made with CET. One of the upsides of using the online computer software is that it tracks client progress. This way, therapists or clinical teams can see pass/fail percentages and other statistics over time—a feature that encourages thorough documentation and treatment planning practices. Some of the areas where Christa has seen the biggest gains have been improvements in “focus, problem-solving, and [a client’s] access to skills.”

A full treatment course typically runs over 48 weekly sessions of closed group meetings with 8-12 individual clients. In groups, clients have interactive discussions, compare results of their homework exercises, and complete cognitive tasks in pairs. Weekly individual coaching with a trained practitioner is seen as an ideal counterpart to group work. A recent report showed that 85-90% of clients attended CET groups and 85% of them graduated. With CET, clients have a structured, engaging medium where they can test out solutions and skills before using them in real-life situations.

By: Michael Tugendhat

Sources:

Center for Cognition and Recovery. (n.d.). What is cognitive enhancement therapy?

SAMHSA’s National Registry of Evidence-based Programs and Practices. (n.d.). Cognitive enhancement therapy.

Media

images/Providing_Cognitive_Enhancement_Therapy_to_Clients_with_Telehealth.png

Leave a comment

Make sure you enter all the required information, indicated by an asterisk (*). HTML code is not allowed.

Very informative! Well organized! Takeaway- protect yourself- know your ethical code and standards/ be insured.
Brenda Staerker
Private practice / Thaxton Holistic Wellness
The training was well structured and presented by a knowledge individual. Information shared in the training was useful, clear, and concise and can easily be incorporated into future practice techniques.
Dora Falls
LPC, MAC Private Practice - / Private Practice
Easily one of the best online or in-person workshops I have ever attended. The information was unbelievably relevant to current practice with our students doing e-learning and having to provide online therapy and support. Thank you so much for this workshop and the information.
Vincent Amador
School Psychologist / Thornridge High School
Wonderful free training. Helpful discussion on how to aid clients in breaking out of the negative thought trap.
Jaime Wright
It was one of the best courses I’ve attended; clear, well-structured, creative, transparent and professional! Bravo.
Elizabeth Tramonte, PsyD
Private Practitioner / Elizabeth Tramonte PC
I took the Board Certified-TeleMental Health Provider Training Certification Course in 2018, I feel so lucky to have found the TeleHealth Certification Institute. It's a top notch training center which has continued to provide me with tools and the knowledge to grow my private teletherapy practice. I recently participated in the TeleMental Health Preparedness Summit 2020 and was definitely not disappointed. The excitement and enthusiasm from the participants and TeleHealth Certification Institute staff is contagious. I've been inspired, since, to look into taking more courses, and joined their FaceBook group. I will likely join their consultation group in the near future. I don't believe there is another training institute out there that is as good as this one for everything telebehavioral health. Thank you Ray! You are a visionary!
Larissa Golloub, LCSW-R
Psychotherapist, solo practitioner / Larissa Golloub, LCSW
This course was very interesting and allowing me to understand the way telementalhealth services need to work correctly.
Patricia A Hill
Mental Health Counselor II and LCDC, MAC / Central County Services
Amazing and relevant information conveyed over excellent format. This is a professional organization worth joining.
Summer Allan Wilson LCSW-S; Nationally Certified TFCBT
Pediatric Psychotherapist / East Texas Family Guidance Center
This was quite beneficial. You explained well at a comfortable pace and you provided sufficient details for me to develop an Emergency Management Plan. Thank you!
Dr. STEPHEN KIURI GITONGA
I really gained a deeper understanding of Telehealth. I think this course helps pave the way for success in our field. This was very convenient. I am so blessed to take a course like this during the crisis we are facing as a nation. This course really helps me perform at a high level for my job. THANKS!!!!!!!
Jackie Tanna
Therapist / Region One Mental Health
This course was extremely helpful understanding the legal requirements for interstate telehealth counseling.
Donald Kirk Henderson
Licensed Professional Counselor / Milestone Family Resources
I learned a lot in this course and will put what I learned into practice when I move my home office space.
Raymond Corbo
Clinical Supervisor and Counselor / Redeemer Counseling Services
Very informative. I learned things that I wasn't aware of about state laws!
Tamara Coleman
Counselor / Tamara Coleman Counseling LLC
Great, course. Really helped me during this challenging time to connect with students.
Priscilla Robinson
School Counselor / Baltimore County Public Schools
Courses were very informative! Extremely helpful!
Carron D. Alexander
LPC / Premier Counseling Services
The course was so informative and I was glued to my screen for the entire duration. I received so much knowledge concerning ethics in telehealth and I am greatly encouraged to read about all the standards and policies that pertain to my practice. Thank you!
Bridgette Nalumu
Public health consultant / Green and Purple Consultancy Network
Very informative training, instruction was clear and easy to follow
Jill Bogan-El
Therapist
This course is more comprehensive than all the other HIPAA courses I've taken combined.
Michelle R. Gould, LMHC
Mental Health Counselor
Very well done. Encourages active engagement in telemental health process while guiding effectively.
Chris Brotherton
Marriage and Family Therapist / Addiction Counselor / Brotherton Counseling LLC
Necessary technological guidance!
Frances D Murdock
Educational and informative content that was easy to follow and comprehend.
Scott Lipp, Ph.D., LMHC, LAC, NCC
Licensed Mental Health Counselor; Adjunct Professor / Greater Things, LLC; Florida Atlantic University
The training was very informative, there was more in-depth information to the details of privacy and HIPAA on an electronic level that I was not aware of. The more technological part of it was new information to me.
Nellie Decker
Therapist II / Yakama Nation Behavioral Health

The course was very detailed and informative. It covered everything that is necessary to work with Tele mental health.

Cynthia Allison
Mental health Counselor / Friendly Therapy LLC
This course is providing me with valuable information that will be helpful in providing competent and effective services for clients.
Nancy Sweet-Holp, LMSW
Therapist / Liberty House of Albany
This course was eye opening and highlighted some definite areas for improvement to better address emergency management planning.
Nikkita Scott
Director of Counselling & Student Activities / Bbermuda College
Brillant concept and a great way to support counselors as they transition into on-line therapy/services.
Bianca Abrams
License Professional Counselor / The Wellness Institute of Atlanta
Thank you for an informational, relevant course to help me obtain my TMH certificate. Excellent presentation.
Tomica Horton
counselor/therapist / Jodi Province Counseling Services
This course was very informative and very relevant to today's telehealth practices!
Keith Ayson
Housing Case Manager / Bridgeways
Vey helpful and user friendly. Most importantly informative. Very good information to enhance an individual's practice.
La Keicia Boyd
Licensed Professional Counselor / Private Practice
Joomla Extensions