Traumatic Brain Injury Services

Traumatic Brain Injuries include concussion and mild, moderate, and severe injuries to the brain. Many of these injuries require evaluation and long-term management.

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Amherst, NY


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Traumatic Brain Injury TBI Treatments in Buffalo NY

Traumatic Brain Injury in WNY

Western New York (WNY) has recently identified important health and wellness needs for people with traumatic brain injuries (TBI) and older adults. Counties like Niagara and Erie have high rates of TBI hospitalizations, but occurance of TBI being seen at urgent care and primary care physicians are not included. In the past, TBI research has mostly focused on young adults, but new findings show that TBI can greatly affect older adults too. The impact of one mild TBI  can have lifelong impact on cognition and behavior. 


There are various pharmaceutical treatments available to help manage dementia symptoms and slow its progression, offering potential relief for individuals dealing with the condition. Current research demonstrates promising evidence when partnering medication with activity-based interventions.

Cognitive Training

Cognitive training programs provide structured exercises and activities designed to stimulate the brain and maintain cognitive function, assisting individuals in retaining skills and enhancing memory despite the challenges of dementia. Current evidence suggests skilled activities may improve or delay symptoms. 

Lifestlye Support

Lifestyle support encompasses a range of strategies and modifications aimed at optimizing well-being and independence for those with dementia, including dietary adjustments, exercise regimens, and social engagement initiatives tailored to improve quality of life. 

Our Dementia Treatment Services

Diagnosis Education

Comprehensive Evaluation

Cognitive Training

Dual Tasking 

Lifestyle Support

Long-term Support 

Dementia Treatments require you to trust someone.
Trust us.

Schedule an evaluation and have the conversation.

Memory loss is a vulnerable aspect of health, often causing delays in seeking treatment due to fear or judgment. You deserve a provider who understands the brain and memory, committed to helping you stay in control without any judgment.

Establish a relationship with a memory specialist.

Just like you go to your primary care physician annually for a check-up, scheduling an annual comprehensive evaluation with a trained professional is highly recommended if you are concerned about memory loss or dementia. There are dementia treatments and conversations that can be conducted to help you remain in control of this area of your health. 

Stay active and seek adventure! 

One of the best things you can do for your brain is to remain physically active and seek new opportunities to learn. 

Our Therapists

 Unlike many other occupational therapy teams who provide general treatments for a variety of conditions, the practitioners at Buffalo Occupational Therapy  focus their attention only on neurological rehabilitation science to ensure the highest quality treatments for mild cognitive impairment, all forms of dementia, and neurological symptoms of traumatic brain injury, stroke, and other neurodegenerative conditions.

Michelle Eliason The Buffalo Occupational Therapist

Michelle Eliason, MS, OTR/L

Owner, Cognitive Scientist,

Hannah DiFrancesco, COTA/L, NASM-CES

Clinic Manger, Lead Practitioner, Mentor

Adrianna Brown, MS, OTR/L

Occupational Therapist

Marti Greco, MS, OTR/L

Occupational Therapist

Brooke Kirsitis, MS, OTR/L

Brooke Kirisits, MS, OTR/L

Occupational Therapist

Dementia Treatments for all types and stages.

We will meet with you, learn your story, read your medical history and diagnosis, and design a dementia treatment or memory-support path that meets your needs.


Mild Cognitive Impairment


Alzheimer's Disease


Lewy Body Dementia


Frontotemporal Dementia


Unspecified and Others

We are A Full Spectrum Memory and Motor Practice

No two people experience mild cognitive impairment and dementia the same way – even if they are diagnosed at the same time and have the same age and sex. Dementia treatment requires specialized knowledge of the brain and cognitive processes that generalized services cannot offer. Buffalo Occupational Therapy practitioners only treat memory and motor changes related to neurological injury which allows us to design a specific path for each patient based on the current research-supported evidence. 

Frequently Asked Questions

It’s completely normal to have questions, please contact us if you have a question that is not represented below. 

What is cognitive therapy for dementia, and how does it work?

Cognitive therapy for dementia involves structured interventions aimed at maintaining or improving cognitive function through exercises and activities designed to stimulate the brain.

What are the goals of cognitive therapy in dementia treatment?

The goals include, but are not limited to, improving attention, multi-tasking, improving dual-tasking like walking while talking, preserving cognitive abilities, enhancing memory, improving problem-solving skills, and promoting independence in daily activities for individuals with dementia. All goals are tailored to each person’s diagnosis, abilities, and personal goals. 

Who can benefit from cognitive therapy, and at what stage of dementia?

Individuals at various stages of dementia can benefit from cognitive therapy, as it can help slow cognitive decline and improve quality of life.

What techniques or strategies are used in cognitive therapy sessions?

Techniques may include memory exercises, problem-solving tasks, dual-tasking training (addressing movement, coordination, attention, and cognition at the same time), reality orientation, and reminiscence therapy. All dementia treatment techniques are tailored to the individual’s needs and abilities.

How often are cognitive therapy sessions typically scheduled?

Sessions are usually scheduled regularly, ranging from once a week to multiple times per week, depending on the individual’s needs and the program’s structure. Most research indicates intensive cognitive therapy (at least 2x weekly), followed by a maintenance period. This is the methodology we follow in our clinic.

Are cognitive therapy sessions tailored to each individual's needs?

Yes, cognitive therapy sessions are customized based on the individual’s specific cognitive strengths and weaknesses, as well as their preferences and goals. This is why cognitive therapy must be in one-on-one treatment sessions.

Can cognitive therapy help manage behavioral symptoms associated with dementia?

Yes, cognitive therapy can sometimes help manage behavioral symptoms by improving cognitive function and providing alternative coping strategies.

Are there any potential risks or side effects of cognitive therapy?

Cognitive therapy is generally considered safe, but it’s essential to work with a qualified therapist to ensure exercises are appropriate and tailored to the individual’s abilities. 

How long does it take to see improvements from cognitive therapy?

The timeframe for seeing improvements can vary depending on the individual and the severity of their dementia, but some individuals may start to see benefits within a few weeks to months of starting therapy. Most of our patients feel more in-control after the initial evaluation knowing there are options!

How can caregivers or family members support someone undergoing cognitive therapy for dementia?

Caregivers can provide encouragement, assistance with exercises, and reinforcement of strategies learned in therapy to help support their loved ones’ progress.

Stages of Alzheimer’s Disease

Stages of Alzheimer’s Disease

Alzheimer’s disease progresses through several stages, each presenting its own set of challenges for both the individual and their loved ones. In the early stages, memory lapses and difficulty with familiar tasks may be subtle, but as the disease advances, symptoms become more pronounced. In the middle stages, confusion and disorientation become more frequent, and individuals may require assistance with daily activities. Finally, in the late stages, communication becomes extremely limited, and round-the-clock care is often necessary. Understanding these stages can help families better navigate the journey of Alzheimer’s, providing support and planning for the road ahead.

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