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Dr Charlotte A L Mawbey

Consultant Clinical Neuropsychologist                               Clinical, Health and Neuropsychology Services                 

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NEUROPSYCHOLOGY SERVICES

BRAIN AND SPINAL CORD INJURIES


Changes to the brain or spinal cord can have widespread, life changing effects. Dr Mawbey provides expert, specialist services to clients with a range of injuries and disorders, including:

Neurodegenerative DisordersAcquired Brain Injuries
Parkinson's DiseaseTraumatic Brain Injury
Multiple SclerosisBrain Tumours / Brain Cancer
Motor Neuron DiseaseBrain Hemorrhage
Guillain-Barre SyndromeStroke
DementiaEncephalitis
Huntingdon's DiseaseBrain infections
Progressive Supranuclear PalsyHypoxic Brain Injuries
Medically Unexplained Neurological SymptomsConcussion
EpilepsySpinal Cord Injuries
Functional Neurological Disorder / Symptoms (FND / FNS) 
Neurodevelopmental Disorders e.g. Autism Spectrum DisorderOthers Neurological Conditions

SERVICES


  • Neuropsychological (Cognitive) Assessment

After changes to the brain, clients might notice difficulties with their thinking skills. This can be in areas including speed of processing information, memory, planning and organising, initiating and inhibiting oneself, perception, language, attention and so on. A full neuropsychological assessment may include a broad assessment of intellectual functioning, or a set of tests targeted at assessing a comprehensive range of thinking skills, to give a good picture of a client's strengths and difficulties.

This information can be vital in informing rehabilitation programmes for thinking skills or in assisting with other areas, such as a client's return to work or amendments in the workplace or in education or informing a diagnosis. These assessments can be repeated over time, to indicate if there is any change in cognitive functioning.

These specialist assessments can be in the form of a brief screen or a full assessment last between 1.5-3 hours, depending on the purpose of the assessment. 

Expert neuropsychological assessment is difficult to access within the NHS, often with lengthy waiting times. Dr Mawbey uses a battery of gold standard assessment tools to conduct neuropsychological assessments, including those used by professionals in the NHS.

  • Neurorehabilitation

When difficulties with thinking skills are identified, either in a cognitive assessment or in day-to-day functioning, there are a range of evidence-based interventions that can support a client to reach optimal levels of functioning. This approaches may be restorative (with the aim of returning a skill to normal functioning) or compensatory (supporting a person with strategies and aids when cognitive difficulties are unlikely to resolve).

Dr Mawbey develops tailored rehabilitation programmes, suited to each client's needs and goals in order to provide optimal support for cognitive functioning in day-to-day life. 

  • Talking Therapies

Experiencing a change to your brain or spinal cord can have a significant impact on your sense of self and how you feel. It is common to experience difficulties with adjustment to the challenges faced, low mood, anxiety, panic or experience symptoms that cause distress associated with a the any trauma.

Dr Mawbey is a specialist in providing talking therapy to support clients in managing these difficulties, in the context of a brain or spinal cord change. This means that Dr Mawbey is able to expertly adapt therapies so that the are tailored to a person's needs e.g. if they have aphasia (difficulties with speech) or cognitive changes, then any therapy would be applied in such a way that would mean that a client could get the most out of it, despite these barriers. Dr Mawbey's training also means that if a client has a difficulty associated specifically with a disorder or injury, she will have extensive training and experience in working with clients with such presentations e.g. if a client is experiencing anxiety associated with bladder weakness in multiple sclerosis, or difficulties adjusting to cognitive changes following a stroke or a fear of falling in Parkinson's disease. 

Working with a neuro-specialist with expert knowledge of the neurological condition, as well as the skills to treat psyschological difficulties associated with this, can make a significant difference to clients.

The primary talking therapy approach recommended by the National Institute for Clinical Excellence (NICE) in working with clients with brain changes is Cognitive Behavioural Therapy (CBT). Dr Mawbey is trained in this approach and also borrows from other evolutions of this, including Compassion Focussed Therapy, Narrative Therapy and Acceptance and Commitment Therapy.

  • Other services

Please contact Dr Mawbey for requests for additional services.