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Cognitive Rehabilitation

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Enabling Access Cognitive Rehab Program

Our Cognitive Rehabilitation Program is an Occupational Therapy–driven service designed to support individuals experiencing cognitive challenges that impact daily life, work roles, learning, independence, and overall well-being.

 

Using a holistic, individualized approach, we address cognitive functioning through both compensatory and remedial interventions, while integrating psychosocial and environmental supports to optimize performance and participation.

How Occupational Therapy Helps

Occupational Therapy focuses on how cognitive challenges affect real-life activities. Through individualized assessment and intervention, our Cognitive Rehabilitation Program helps clients translate cognitive skills into meaningful, functional performance. 

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Our Occupational Therapists can support clients to: 

  • Identify meaningful goals and priority occupations 

  • Assess functional cognitive demands across daily life, work, and school 

  • Co-develop personalized cognitive strategies, routines, and compensatory tools 

  • Strengthen cognitive and executive functioning skills, including attention, concentration, memory, information processing, planning, and organization 

  • Apply pacing and energy management strategies to improve tolerance for daily, work, and academic demands 

  • Reduce cognitive load through task simplification and environmental modification 

  • Use CBT-informed cognitive and behavioural strategies to support coping, confidence, and symptom management.

  • Gradually increase participation through graded exposure to cognitive, sensory, and functional tasks.

  • Strengthen participation and confidence with independent living skills 

  • Complete worksite assessments to identify critical demands and appropriate accommodations 

  • Support stay-at-work and return-to-work planning 

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Who is this Cognitive Rehab Program Designed For?

Our Cognitive Rehabilitation Program is designed for adults (18+) experiencing cognitive changes that interfere with daily life, work, learning, or independence. Clients may present with a single diagnosis or with overlapping medical, neurological, and psychosocial factors contributing to cognitive difficulty.

 

The conditions listed below are examples and are not exhaustive. If you are experiencing cognitive challenges related to a condition not listed, please reach out to discuss whether this program may be a good fit.

 

Neurological Conditions and Brain Injury including individuals with cognitive challenges related to:·

  • Concussion or mild traumatic brain injury (mTBI)

  • Transient ischemic attack (TIA)

  • Acquired brain injury (e.g., post-surgical, hypoxic injury, aneurysm)

  • Brain tumours (pre- or post-treatment)

 

Medical and Chronic Health Conditions Affecting Cognition including cognitive changes associated with:·

  • Chronic pain

  • Fibromyalgia

  • Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)·

  • Long COVID or post-viral syndromes

  • Lyme disease with cognitive fatigue or attention difficulties

  • Renal or hepatic impairment (encephalopathy-related cognitive effects)

  • Sleep disorders (e.g., sleep apnea, chronic insomnia)

  • Uncategorized, Mild Cognitive Impairment (MCI)

  • Hormonal and life-stage cognitive changes (perimenopause, menopause, post-menopause)

 

Attention and Learning Differences including:·

  • Attention Deficit/Hyperactivity Disorder (ADHD), particularly where cognitive challenges impact daily functioning, work performance, or role balance

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Cognitive Functional Capacity Evaluations 

 

A Cognitive Functional Capacity Evaluation (CogFCE) is similar to a physical functional capacity evaluation, but it emphasizes measuring cognitive abilities and capacity for conducting cognitive demands.

 

A CogFCE is an evidence-based, comprehensive assessment that uses measurable, objective testing methods to obtain an accurate representation of your cognitive abilities such as attention, planning, memory, problem-solving, and executive function.

 

A Job Match CogFCE uses the cognitive demands of the target job to test the client's abilities in determining if the job tasks are within their capabilities and can be used to guide possible workplace accommodations. 

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Typically, these in depth cognitive evaluations are requested and funded by an employer, insurer or lawyer.

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Guiding
Principles

​Holistic Approach: Recognizing that cognition is influenced by mental health, physical health, environment, habits/routines, and task demands.

 

Client-Centred Care: Goals and treatment plans are developed collaboratively, reflecting each individual's values, roles, life context, and priorities.

 

Function-Focused: Interventions target meaningful daily activities, work tasks, independent living skills, and occupational engagement.

 

Evidence-Informed Practice: Using standardized and non-standardized cognitive assessments, functional performance evaluations, and research-supported interventions.          

​ Funding and Referral Sources 

 

Services may be accessed through: 

  • Private / self-referral 

  • Provincial vehicle insurance programs (e.g., Manitoba Public Insurance) 

  • Provincial workers’ compensation programs (e.g., Workers’ Compensation Board of Manitoba or equivalent agencies) 

  • Employer-based extended health or private insurance plans​​

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Our Cognitive Rehabilitation Program is delivered in-person and/or virtually over secure video conferencing, depending on client needs and accessibility.

 

Sessions may include direct therapy, guided home programming, caregiver/partner consultation, and collaboration with workplaces, educators, or other healthcare providers as appropriate.

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