Problem Solving Therapy Program


A Model-Based Approach 

493 pages
8.5 x 11
© 2010


Growing numbers of older adults with mild cognitive impairment (MCI), early memory loss, and other neurological disorders want effective ways to improve their cognitive capacity. If you are a rehabilitation or other intervention specialist, the Problem Solving Therapy Program (PSTP) is a groundbreaking tool that lets you meet this need with a wealth of engaging problem-solving tasks to help your clients enhance their cognitive functioning.

PSTP is a thoroughly researched, evidence-based approach developed by two experts in the communications disorders field that links core problem-solving strategies with the cognitive skills required for everyday life. It includes over 400 intervention exercises that can be targeted to specific cognitive deficits. Its user-friendly organization allows you to select the tasks that are right for each individual, whether the underlying disorder involves traumatic brain injury, dementia, MCI, attention disorders, aphasia, or stroke.

Unlike many other therapeutic methods, PSTP emphasizes a self-directed approach that allows individuals to work through each task in their own way while observing their performance.

Everything you need to implement the PSTP approach is included:

  • Step-by-step instructions for use
  • Tips for discussing PSTP with clients
  • 422 intervention exercises
  • Scripts and prompts for using each type of problem-solving task
  • Space to record quantitative results and qualitative notes
  • Scoring forms and graphs to track client progress

For easy reference, PSTP groups exercises by five major functions involved in problem-solving:

  • Attention
  • Higher-order inferences
  • Formulation of strategies
  • Cognitive flexibility
  • Evaluation of outcome

Each section includes tasks that engage cognitive skills specific to that problem-solving component, such as self-monitoring, distributing attention to selected stimuli, employing search strategies, and using working memory.

Speech-language pathologists, rehabilitation specialists, and any other clinician who work with people with mild cognitive deficits will love the PSTP’s easy implementation as well as its results. Order today and watch your clients’ improve in their everyday functioning and autonomy.

About the Authors

Problem Solving Therapy Program

  • Overview
    • About this Program
    • What is Problem Solving?
    • Impaired Problem Solving Skills in Various Populations
    • Implications of Impaired Problem Solving
      • Problem Solving and Functional Use of Skills
        • Communicating Despite Aphasia
        • Re-employment Despite Stroke
      • Problem Solving and Functional Carryover of Skills Trained in Rehabilitation
        • Functional Carryover of Aphasia Therapy
        • Functional Carryover of Swallowing Therapy
      • Treating Problem Solving and Related Skills
        • Treatment of Individuals with Alzheimer’s Disease
        • Treatment of Individuals with Mild Cognitive Impairment
        • Treatment of Individuals with Aphasia
      • Model for Problem Solving Therapy Program
        • McCarthy and Warrington Framework for Problem Solving
        • Focused and Distributed Attention
        • Higher-Order Inferences
        • Formulation of Strategies
        • Cognitive Flexibility
          • Evaluation of Outcomes
          • Summary
        • Candidates for the Problem Solving Therapy Program
        • Recommended Tests for PSTP Candidacy Evaluation
      • Instructions for Clinicians—The PSTP Philosophy
        • The Typical Approach to Treatment
        • The PSTP Approach to Treatment
        • Getting Started: Client/Patient Education and Self-Determination
        • General Guidelines for PSTP Implementation
          • Introducing the Program to Clients/Patients
        • General Instructions
        • Quantitative Task Analyses: Scoring Procedures
        • Qualitative Task Analyses: The Process Approach
        • PSTP Section Tasks


Coming soon!

Nancy Helm-Estabrooks, Sc.D., CCC-SLP

Nancy Helm-Estabrooks, Sc.D., CCC-SLP is Professor Emeritus and former Brewer-Smith Distinguished Professor in the Department of Communication Sciences and Disorders at Western Carolina University. She was affiliated with the Harold Goodglass Aphasia Research Center and Boston University School of Medicine for 32 years. She also held the positions of Research Scientist at the National Center for Neurogenic Communication Disorders, University of Arizona, and Research Professor at the University of North Carolina (Chapel Hill) where she retains an adjunct research professor position. She is Board Certified by the Academy of Neurologic Communication Disorder (ANCDS). Her awards include American Speech and Hearing Association and ANCDS Honors. She is an ASHA Fellow. Dr. Helm-Estabrooks has published over 100 peer-reviewed papers, seven books, 21 chapters and six standardized tests.

Colleen M. Karow, Ph.D., CCC-SLP

Colleen M. Karow, Ph.D., CCC-SLP is an Associate Professor at The College of Saint Rose in Albany, New York. She teaches coursework in the neurological sciences including adult language and cognitive disorders. She conducts research on clinical treatments for individuals with normal cognitive aging, mild cognitive impairment and acquired cognitive-communication disorders. She has published research and clinical articles in highly regarded journals such as; Aphasiology, American Journal of Speech-Language Pathology, Seminars in Speech and Language, Schizophrenia Research and Brain Injury. She is an expert clinician with over 25 years of experience treating people with acquired language and cognitive-communication disorders.


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