Cognitive Therapy
Cognitive Therapy That Sharpens Memory, Focus, and Problem-Solving
Cognitive therapy in Friendswood, TX at Autumn Oak is a structured, evidence-based program for adults whose attention, memory, executive function, or problem-solving skills have changed after stroke, brain injury, concussion, or a progressive neurological condition. After a comprehensive cognitive-communication evaluation, your speech-language pathologist designs a treatment plan with functional tasks — managing medications, paying bills, returning to work, planning the day — that rebuild the skills you actually use, not just abstract drills.
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Cognitive Therapy South Houston Families Trust
Autumn Oak was founded by Dr. Michelle Saltarrelli on rare dual certification in audiology and speech-language pathology — and a deep understanding of how the brain coordinates listening, language, attention, and memory. Our Friendswood, TX speech-language pathologists treat cognitive-communication disorders after stroke, traumatic brain injury, concussion, brain tumor, and early-stage dementia, drawing on evidence-based protocols and tight coordination with neurologists, neuropsychologists, and rehabilitation teams when that supports your recovery.
Request a ConsultCognition Therapy Resources
Hear our team discuss cognitive speech therapy — how it supports recovery from brain injury, neurological change, and the everyday communication challenges that come with both.
How cognitive speech therapy supports recovery, communication, and daily functioning.
Cognitive Therapy FAQs
Common questions about cognitive therapy at Autumn Oak in Friendswood, TX — including who benefits, what evaluations involve, and how progress is measured during treatment.
Cognitive-communication therapy helps anyone whose thinking and communication have changed because of a brain event — stroke, traumatic brain injury, concussion, brain tumor, brain surgery, or progressive conditions like early-stage Alzheimer's, Parkinson's-related cognitive change, multiple sclerosis, and primary progressive aphasia.
You may notice trouble paying attention in conversations, forgetting appointments and names, losing track of multi-step tasks, getting lost in routines that used to be automatic, or feeling that your thinking is slower than it used to be. Our Friendswood speech-language pathologists evaluate the specific cognitive systems affected — attention, memory, executive function, problem-solving, social communication — and build a plan around the skills you most need to rebuild.
Neuropsychologists diagnose cognitive disorders, characterize their severity, and document changes over time using comprehensive standardized testing. Speech-language pathologists treat the cognitive-communication skills that show up in everyday function — attention, memory, organization, problem-solving, social communication — through targeted, hands-on therapy.
The two roles complement each other. Many of our Friendswood patients arrive with a recent neuropsychological evaluation, which helps us design a more focused therapy plan. Others come to us first, complete an evaluation here, and are referred for neuropsychological testing when a fuller diagnostic picture is needed. Either order works — we coordinate with neuropsychology, neurology, and rehab teams to make sure your care fits together.
Yes — cognitive therapy is a core part of post-concussion recovery when symptoms like brain fog, slowed processing, attention problems, memory lapses, or word-finding difficulty persist beyond expected recovery timelines. Many people improve quickly after a concussion but a meaningful subset experience ongoing cognitive-communication changes that respond well to structured therapy.
Our Friendswood speech-language pathologists evaluate the specific cognitive systems affected, build a graded therapy plan, and coordinate with your physician, neurologist, or sports medicine team. Treatment often integrates pacing strategies, return-to-work or return-to-school planning, and metacognitive tools so you can monitor your symptoms and protect recovery as you ramp activity back up.
Progress is measured against functional, real-life goals — not just test scores. At your evaluation, we identify the specific situations where cognitive-communication challenges show up: forgetting steps in a recipe, losing the thread of a meeting, missing medications, struggling to plan the week. Goals are written around those situations and re-measured at regular intervals.
Our Friendswood speech-language pathologists also use standardized cognitive-communication tasks and self-report measures to track underlying skills like attention, memory, and executive function. Patients and families see structured progress reviews so the direction of treatment stays clear, and the plan adjusts as you regain skills or face new demands.
Patient Reviews
Hear from Friendswood, TX patients who trust Autumn Oak for speech pathology and audiology — rated 4.9/5 across 199+ Google reviews.
Hear More, Speak Clearly — Book Your Friendswood Visit
Trusted by Friendswood families since 2011 — dual-certified speech and hearing care at two convenient locations.
Take the First StepServing Friendswood & the Greater South Houston Area
Our Locations
Autumn Oak has two dedicated locations on South Friendswood Drive — our Speech Pathology office at 820 and our Audiology office at 699, both in Friendswood, TX.
- (346) 474-4626
- support@speechhearingtherapy.com
- Fax: (832) 569-4696
- Serving Friendswood since 2011
- Parking available at both locations
- Wheelchair accessible
“My son has been coming here for years and we love it. Everyone — from the front office to the therapists — is kind and helpful. His therapist's patience and skill have helped him reach so many goals, and they give parents guidance for home. Highly recommend for any child with a speech delay.”— Monica Gonzalez
Speech Pathology
Speech820 S Friendswood Dr, Suite 100
Friendswood, TX 77546
| Monday | 8:00 AM - 6:00 PM |
| Tuesday | 8:00 AM - 6:00 PM |
| Wednesday | 8:00 AM - 6:00 PM |
| Thursday | 8:00 AM - 6:00 PM |
| Friday | 8:00 AM - 6:00 PM |
| Saturday | Closed |
| Sunday | Closed |
Audiology
Hearing699 S Friendswood Dr, Ste 104
Friendswood, TX 77546
| Monday | 9:00 AM - 4:00 PM |
| Tuesday | 9:00 AM - 4:00 PM |
| Wednesday | 9:00 AM - 4:00 PM |
| Thursday | 9:00 AM - 4:00 PM |
| Friday | 9:00 AM - 4:00 PM |
| Saturday | Closed |
| Sunday | Closed |