Mastering Problem Solving and Overcoming Daily Challenges

Navigating daily challenges, particularly after a brain injury or while managing a neurological condition, can feel overwhelming. With the right tools and strategies, however, individuals can regain confidence and control in their lives. Here, I’ll share key insights from my recent presentation for the BIA-MA on problem-solving.

Question 1: “How do I Choose the Best Calendar System?

"What’s the best calendar system for me?" This is a common question, and the answer depends on several factors including:

  • Past Experience: Have you used a calendar system before? What worked or didn’t?

  • Cognitive, Physical and Visual Abilities: There’s no “perfect” system. It’s important to consider strengths and challenges with memory, attention, time management, task follow through, mobility, vision and more.

  • Portability: Do you need it on the go?

  • Purpose: What are you using this calendar for? Are you tracking appointments, to-do lists, or both?

Options range from electronic systems like smartphone apps to whiteboards, written planners, or even virtual assistants like Alexa and Google Home.

Question 2: “Why is Writing in a Notebook so Important?

Writing things down is only effective if it’s organized. Ask yourself:

  • How much detail is necessary?

  • How often should I update it?

  • Where will I keep it? (Choose a consistent and visible spot!)

Other important considerations include avoiding duplication of systems and remembering to add the date/topic header to each page so you can find it later.

Question 3: “Why is it so hard to remember to write? I never used to have this difficulty.”

“Remembering to remember” is the first step towards successfully encoding information. Writing is not only a good way to look back on completed tasks but also serves as an encoding support for the present information.

If memory aids feel like a chore, try:

  • Repetition to reinforce information.

  • Mnemonic devices or visual cues.

  • Keeping notes simple and tailored to your daily needs.

  • Writing one thing down at a time, then adding a second once writing one is easier.

Question 4: "I get so overwhelmed with planning. How can I get more done?"

Two words: **SMART goals** (Specific, Measurable, Achievable, Relevant, Time-bound). Combine this with consistent note-taking to streamline your day.

Question 5: "Why do my skills still fluctuate?"

Daily variances in cognitive or physical abilities can be due to fatigue, pain, distractibility, emotional lability, medication side effects, metabolism and a whole host of other reasons. Check in with yourself regularly while completing tasks:

  • Are you focused?

  • Do you need a break? Respect your body’s signals and lean into short movement or mindful breaks.

Question 6: "Why do I communicate clearly sometimes but not always?"

Similarly to fluctuating skills, communication is heavily reliant on our thoughts and emotions. Planning helps! Before an important conversation, take a moment to outline your thoughts. Reviewing your notes or a quick mental rehearsal can make a big difference.

Question 7: "How can I create habits that stick?"

Start small. It’s okay to do the minimum on tough days—what matters is consistency. Over time, even small tasks become second nature.

Question 8: "Why is my progress different from others?"

No two brains are alike. Factors such as developmental history, educational level, type of injury, location and medical complications are just some of the factors that impact progress. Embrace your unique journey and avoid comparisons. Remember: progress, no matter how small, is still progress. If you have a hard time seeing change, ask someone you trust for feedback, or take videos and watch your changes unfold yourself.

Question 9: "How will I know when I’m done improving?”

The concept of neuroplasticity highlights our brain’s ability to adapt and grow. Key principles include:

1. "Use it or lose it"

2. "Use it to improve it"

3. Specificity

4. Repetition matters

5. Intensity matters

6. Time matters

7. Saliency matters

8. Age matters

9. Transference

10. Interference

Improvement is a lifelong process.

Question10: "What else can I do to get better?"

The fundamentals: sleep, nutrition, exercise, socialization, meditation, and purpose. Holistic wellness supports cognitive and physical recovery.

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Let’s Stay Connected

If you’re looking to build these skills in a supportive environment, consider joining one of my online groups for communication and cognitive enhancement. Together, we can practice skills, build confidence, and foster connections.

Visit my website at www.SLPAmyKaras.com or email me at SLPAmyKaras@gmail.com for more details.

Amy Karas, MS, CCC-SLP |(617) 893-8807

Owner/Speech-Language Pathologist

Certified Brain Injury Specialist & Trainer

Certified in LSVT®, SPEAK OUT!® and PhoRTe

SLPAmyKaras@gmail.com | North Shore, MA