Bethesda Hospital

Long-term acute care for medically complex patients.
Bethesda Hospital

Outpatient Services

In addition to helping patients who require long-term care in the hospital, Bethesda Hospital offers medical, therapeutic and rehabilitative services on an outpatient basis. These programs include providing services to people with acquired brain disease and brain injury, as well as cognitive, behavioral and/or movement disorders.

Rehabilitation services

Highly qualified certified therapists provide evaluation and individual treatment plans for persons with brain disease, brain injury and other neurological conditions. Physical, occupational and speech therapy are all offered with a referral order from your physician. Bethesda also offers a highly effective respiratory rehabilitation program for people needing assistance with managing their respiratory needs and life activities.

Occupational therapy

Occupational therapists evaluate and treat patients to maximize their independence with daily activities such as self care, work and leisure skills. They also specialize in memory loss evaluation, certification in BIG therapy for Parkinson's disease and related diagnoses, and aid with hand splinting and activities in daily living.

Physical therapy

Physical therapists assess patients and develop treatment plans to help you regain maximum independence. Physical therapists specialize in neurorehabilitation therapy for brain injury, stroke, spinal cord injury and other neurological conditions. They provide mobility and balance assessment for fall prevention, LSVT and BIG techniques for treatment of mobility impairment related to Parkinson's disease and other related movement disorders. Physical therapists also provide comprehensive assessment and treatment of concussion related signs and symptoms, exertional assessment/return to play following a concussion, mobility device prescription and power/manual wheelchair assessment.

Speech therapy

Speech pathologists provide evaluation and treatment in the areas of communication, cognition and swallowing. Communication can include speech and voice, receptive and expressive language, and nonverbal means of communication through assistive technology devices. Speech pathologists also evaluate and treat cognitive skills that are necessary for daily living. Bethesda also provides treatment for swallowing disorders, including VitalStim therapy - an electrical stimulation used with traditional swallow therapy techniques to stimulate the muscles of swallow. Our Speech Pathologists provide specialty services through the Assistive Technology ADVOCATE Program, Bethesda's Concussion Clinic, Brain Injury Services, Capistrant Center for Parkinson's Disease and Movement Disorders, and general outpatient services.

Psychology Services

To help individuals live valued and fulfilling lives following illness or injury, we offer neuropsychological testing and psychotherapy through Bethesda's Outpatient Care. Our psychologists and neuropsychologists see individuals with the following medical conditions:

  • Brain injury (concussion, stroke, traumatic brain injury, tumor)
  • Dementia and memory loss (due to Alzheimer's disease and other conditions)
  • Movement disorders (Parkinson's disease, dystonia, Huntington's disease)
  • Post brain infection (following meningitis, encephalitis)
 

MEET OUR PSYCHOLOGIST

Jane T. Siegal, PSY
Psychologist - Licensed

Psychotherapy services

We offer psychotherapy to help individuals live valued and fulfilling lives following illness or injury. Our psychologists offer individual psychotherapy for adults and adolescents ages 13 and up, specializing in medical, health and rehabilitation psychology.

Our psychologists can help you:

  • Cope with life and relationship changes related to medical conditions
  • Process thoughts and feelings about your medical conditions
  • Increase awareness of how thought processes and affect emotions and behaviors
  • Learn skills to help you achieve your goals
  • Develop healthier, more effective behaviors
  • Identify how you can increase your involvement in valued areas of life

We focus strongly on the mind/body connection, including the relationship between emotional symptoms (such as depression, anxiety, irritability) and medical conditions such as:

  • Brain injury (concussion, stroke, traumatic brain injury, tumor)
  • Post brain infection (following meningitis, encephalitis)
  • Movement disorders (Parkinson's disease, dystonia, Huntington's disease)
  • Dementia and memory loss (due to Alzheimer's disease or other conditions)
  • Other health concerns related to brain injury, movement disorders and memory loss
 

In addition to helping those with medical conditions, our psychologists offer individual psychotherapy for their caregivers. We assist them in adjusting to the significant challenges associated with these life-altering events.

What to expect at an appointment

You and your psychologist will work together to devise a treatment plan. Sessions typically last 45 to 50 minutes and usually occur weekly or biweekly. The total number of sessions will vary depending on your needs.

Our psychologists use many tools to help address your challenges, including techniques from:

  • Cognitive-behavioral therapy (CBT)
  • Solution-focused psychotherapy
  • Dialectical behavior therapy (DBT)
  • Acceptance and commitment therapy (ACT)
  • Mindfulness and meditation
 

Your psychologist may ask you to complete tasks outside of sessions. These tasks may be for information-gathering purposes or may be for you to practice using new psychological skills and techniques.

Neuropsychology services

To gather information about an individual's brain functioning, we offer neuropsychological testing. This type of testing is considered the gold standard in cognitive assessments.

At Bethesda Hospital, evaluations are completed by neuropsychologists, licensed psychologists who have special training in how the brain functions. Testing is done on an outpatient basis.

Neuropsychological testing uses standardized tests to assess:

  • Intellectual functioning
  • Academic ability
  • Attention
  • Language
  • Visual-spatial ability
  • Memory
  • Learning
  • Problem-solving
  • Reasoning
  • Motor functioning
 

Emotional functioning is also usually assessed during an evaluation.

When testing is used

Neuropsychological testing is used to diagnose, evaluate and treat a variety of injuries and conditions, including:

  • Traumatic brain injury (TBI)
  • Stroke
  • Lack of oxygen to the brain
  • Brain tumor
  • Mild cognitive impairment (MCI)
  • Stroke and cerebrovascular disease
  • Alzheimer's disease
  • Parkinson's disease
  • Concussion
  • Demyelinating disorders (e.g. multiple sclerosis)
  • Neurodegenerative disorders
  • Other neurological disorders

How test results are used

Information gained from testing can help guide your care team in determining and obtaining the best assistance for your situation. Testing can provide information about:

  • Returning to work
  • Returning to school
  • Returning to contact sports
  • Driving
  • Need for supervision
  • Guardianship/conservatorship
  • Learning disabilities
  • Beneficial social services
  • Financial management
  • Referrals to cognitive therapies
  • Strategies for dealing with cognitive impairments (e.g. memory loss)
 

Contact Outpatient Services

Appointments and classes for Alzheimer's & Memory Loss Clinic, Brain Injury Clinic, Concussion Clinic or the Capistrant Center and therapy services.

651-326-2150
General fax: 651-326-2137
New patient fax: 651-326-9227 (referral requests only)

Hours

Monday - Friday, 8 am to 4: 30 pm

NEED AN INTERPRETER?
HealthEast offers interpreter services for limited English proficiency (LEP) and deaf and hard-of-hearing patients and families.
More on interpreters

Specialty services and other therapies

As a complement to the above care areas, Bethesda also offers the following specialty services and other therapies.

Caregiver counseling

This service is provided on an individual basis to help caregivers cope and adjust to a loved one's medical condition. For information call 651-232-2202.

Lymphedema therapy

Commonly known as a swollen arm, leg or other area of the body, lymphedema can develop in individuals who have had cancer treatments, lymph node removal, surgeries, infections or trauma to the extremities. Sometimes individuals can be born with abnormal lymphatic systems and can be affected by lymphedema throughout their lives. A certified occupation or physical therapist can help you manage these issues through manual lymph drainage, compression bandaging or garment fittings, therapeutic exercises and patient education. Each program is customized to fit the needs of each patient.

Respiratory rehabilitation

Our respiratory rehabilitation program is for people who need assistance managing their respiratory needs. Individuals in this program attend two-hour sessions three times a week for a six-week period. Respiratory, physical and occupational therapy is provided as the patient participates in individualized exercise, strengthening and educational programs.