Cognitive Rehabilitation


Just like psychotherapy, cognitive intervention includes several types of approaches and strategies. All cognitive interventions would target cognition, but the various programs available would use different methods and have different goals. A recent literature review suggests a nomenclature: cognitive stimulation, cognitive training and cognitive rehabilitation (Linda  Clare & Woods, 2004). This nomenclature has been used in a few literature reviews (Bahar-Fuchs, Clare, & Woods, 2013b; Jean, Bergeron, Thivierge, & Simard, 2010; Kasper et al., 2015) and provides a precise shared language to refer to the various interventions in the field of cognition.

  • Cognitive stimulation attempts to improve cognitive and social functioning using general mental activation (e.g., conversation, games, quizzes) (Aguirre, Woods, Spector, & Orrell, 2013). This category implies using cognition without necessity seeking metacognition (thinking about one’s own mental processes). It can be used without the need of a therapist (Linda  Clare & Woods, 2004).
  • Cognitive training aims to maintain or improve specific cognitive functions (e.g., attention or memory), with the help of guided execution and repetition of standardized tasks (Kasper et al., 2015).
  • Cognitive rehabilitation (CR) aims at maintaining or improve everyday skills (Kasper et al., 2015) with the use of compensatory strategies, ranging from an adaption of the environment to the use of external aids (e.g. automatic reminders). CR is generally an individualized approach, but it also offered in group (Huckans et al., 2013; Storzbach et al., 2016; Twamley, Jak, Delis, Bondi, & Lohr, 2014; Twamley et al., 2015)


Services offered for :

  1. adult ADHD
  2. subjective memory complaints




Cognitive behavioral intervention for adults who struggles with organisation, prioritization, procrastination and associated mood disturbances.

While medication may help with focus, it has little to no impact on organisation skills.

Recommendations for optimal treatment of adult ADHD is concomitant medication and intervention (Biderman et al 1996; Wender et al, 1998; Wilens et al, 1998, etc).

Dr Genevieve Gagnon offers interventions grounded in research. Combining Evidenced Based interventions and strategies from executive coaching research, to help patients gain control of their life, be more proactive and be aware of their own functioning.

This program is offered in a one-on-one basis. 10-13 sessions, every 2 weeks. Contact us for more information.





Targeting better use of cognitive functions (memory, attention, organisation, etc). Synapse has been developed for patients with subjective cognitive complaints who want to learn how to increase the quality of their attention and memory and get better organised in everyday life.

This program has been adapated from the Compensatory Cognitive Training (CCT) developed in the United States from Dr Elizabeth W. Twamley from university of California, San Diego and Marilyn Huckans, Oregon University Health & Science. This program was initially validated United States (Storzback et al 2016) . We are proud to offer this program in Quebec, as it’s been translated to French and adapted for Quebec population by Dr Marjolaine Masson, neuropsychologist and post-doctorate trainee, along with Dr Genevieve Gagnon, neuropsychologist and researcher.

The program Synapse is offered at the Douglas Mental Health Institute by Lucile Agarrat, psychologist, and Lisa O’Reilly, recreational therapist. This innovative program was also part of a research project led by Dr Genevieve Gagnon, neuropsychologist and researcher.

Program is also offered in Salaberry-de-Valleyfield, Montérégie-Ouest (CISSS Montérégie-Ouest). Local professionals who have been trained at the Douglas institute for this research project by Dr Genevieve Gagnon, neuropsychologist and researcher and Dr Marjolaine Masson, neuropsychologist and post-doctorate trainee.

Dr Genevieve Gagnon also offers this program to clients, on a one-on-one basis,  outside of these institutions. Contact us for more information. Duration of the program: 10-13 sessions, every 1 or 2 weeks.