When attention and thinking
get in the way of communication
After a stroke, brain injury, or concussion, and with long-COVID brain fog, everyday thinking can change. Attention, working memory, planning, and staying on track shape how you follow a conversation and get through your day. I work with adults to rebuild these cognitive-communication skills with concrete strategies you can practice in real life. The goal is getting back to work, relationships, and the routines that matter to you.
Cognitive-Communication Support for Adults
I work with adults whose thinking and communication changed after a stroke, traumatic brain injury, or concussion, and with those living with long-COVID brain fog. Executive functions are the brain skills you use to organize, plan, focus, and keep track of time. When they shift, ordinary tasks can feel overwhelming, and I understand how frustrating that is.
Together we build practical skills for attention, organization, and self-regulation, using strategies you practice in your real daily life. My aim is to help you regain confidence and independence, and to get back to the work, relationships, and routines that matter to you.
- Cognitive-communication rehab after stroke, TBI, and concussion
- Support for long-COVID brain fog
- Strategies for attention, memory, and organization
- Adult ADHD and learning-difference support
Enhance Your Executive Skills
Focused Attention
Practical techniques to improve concentration and sustained attention for work and daily tasks.
- Attention training exercises
- Distraction management strategies
- Mindfulness and focus techniques
- Environmental modification support
Organizational Skills
Strategies to keep daily tasks and spaces orderly, reducing overwhelm and increasing efficiency.
- Task prioritization methods
- Workspace organization systems
- Digital organization tools
- Daily routine development
Time Management
Practical methods to enhance scheduling and meet deadlines with confidence and reduced stress.
- Schedule planning techniques
- Deadline management strategies
- Time estimation skills
- Procrastination intervention
Conditions I Support
Stroke & Brain Injury
Cognitive-communication rehab after stroke, traumatic brain injury, and concussion.
Long-COVID Brain Fog
Support for attention, memory, and word-finding changes after long COVID.
Adult ADHD
Support for focus, organization, and self-regulation in daily and working life.
Learning Differences
Support for adults whose learning differences affect executive-function skills.
How We Work Together
Evaluation
We start with a careful look at your current thinking and communication skills, your challenges, and the demands of your daily life. This includes standardized measures and real-world task analysis so I understand what you need most.
Strategy Development
From there, we build strategies that target your specific challenges and fit your life, your goals, and how you like to work. We focus on the tasks that matter to you at home and at work.
Skill Building & Practice
In regular sessions, we practice and refine these skills in real-world contexts. You'll learn practical methods for attention, organization, and time management that you can use right away.
Ongoing Support & Carryover
I keep supporting you as you use these strategies in daily life. Family members and the people around you can be coached too, so the skills carry into the settings where they matter.
Ready to rebuild your focus and communication?
Take the first step toward better attention, organization, and daily communication.
Virtual across Tennessee, Kentucky, California & North Carolina. marina@affinitytherapytn.com
Frequently Asked Questions
Why a specialist
Adult neurologic communication recovery is my specialty
After a stroke or brain injury, the person is still fully there. Their thoughts, their humor, their personality are all intact. What's changed is the bridge between thought and word, and that bridge can be rebuilt. Helping adults do that, after aphasia, brain injury, and stroke, is the work I trained for in skilled-nursing and outpatient rehab, and the work I care most about.
Credentialed and trained for it
M.S., CCC-SLP, licensed in four states, with clinical training in skilled-nursing and outpatient rehab supporting adults after stroke and brain injury.
Methods that fit you
Approaches with a track record, chosen for your goals and the life you want back.
Virtual across four states
Telehealth in Tennessee, Kentucky, California, and North Carolina, from home.
