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Brain Injury

Cognitive Changes (Thinking & Memory)

What Are Cognitive Changes?

Cognition refers to thinking skills such as attention, memory, problem-solving, and organization.

After a brain injury or stroke, your loved one may:

  • Have trouble remembering information
  • Struggle to focus
  • Have difficulty completing tasks
  • Feel easily overwhelmed

How You Can Help

  • Give one instruction at a time
  • Speak clearly and keep directions simple
  • Reduce distractions (turn off TV, limit noise)
  • Use calendars, notes, or phone reminders
  • Create a consistent daily routine
  • Allow extra time for thinking and responding

Helpful Tips

  • Break tasks into small steps
  • Repeat important information if needed
  • Be patient—processing may take longer

When to Seek Help

Contact your care team if:

  • Confusion suddenly worsens
  • Safety becomes a concern
  • Your loved one becomes very frustrated or withdrawn

Cognitive changes are common after a brain injury or stroke and can affect memory, attention, and problem-solving. Patients do best with simple directions, a calm environment, and extra time to process information. Caregivers can help by supporting routines, using reminders when helpful, and being patient during tasks and conversations. If you have any questions or need additional support, please reach out to your speech-language pathologist or healthcare providers.