by Dr. Susan McGurk and Dr. Kim Mueser

We are constantly barraged in our daily lives with new information competing for our limited attention. And there is even more information available than ever before, at the tip of our fingers, on our cell phones and computers. We need to manage the beckoning alerts of tweets, beeps, pings, and other sounds our devices make to inform us something “important” has happened (such as receiving a cell phone text) or try to be mindful of the accumulation of unanswered messages, posts, and other communications whose arrival we have allowed to go unannounced. Our computers and cell phones are a minefield of emails, prompts, and the bottomless pit of the internet, promising infinite information without protection from the perils of endless distractions. Even the mere presence of your (turned-off) cell phone can drain your attention. It is not surprising then, that we often end our day feeling mentally exhausted but without completing the tasks that we need to get done.

Although attention is a keystone thinking skill and a precious, limited resource for managing information, it is just one of several cognitive domains that serve us in our day-to-day lives. We also need to learn and remember information, plan ahead, solve problems, and think on our feet. One other often neglected, but critical thinking area is self-thinking. Negative thinking can adversely impact our confidence and effort to achieve what we want to. We need skills to enhance our awareness of such thoughts, challenge them, and replace with them with more optimistic, hopeful, and realistic thoughts. Optimistic thoughts about ourselves and our ability to achieve our daily tasks and reach our long-term goals can fuel the effort that we need to succeed. Proficiency in the full range of areas of cognitive functioning are critical to achieving goals such as returning to school, completing a degree, getting, and keeping work, living independently, making, and keeping friends, and having deep and rewarding relationships.

The good news is that we can sharpen and extend our mental capabilities and maximize our chances of succeeding in any area we choose.  We can do all of this by using cognitive self-management strategies. Although some may not be familiar with the term “cognitive self-management strategies,” all of us almost certainly use at least some these strategies in our daily lives. Have you ever:

• set an alarm to remember to take a medication, feed the dog, or turn off the oven?
• left yourself a phone message to remember to send a birthday card to your mother?
• tied a string around your finger as a reminder to buy milk?
• put your keys in a special place when you come home so you know where you can find them?

If so, then you’ve used cognitive self-management strategies. And if you have used one of the above, then you’ve probably used some of the other many possible strategies. While everyone uses cognitive self-management strategies, the more we use the better, and everyone can benefit from learning more strategies or how to use them more efficiently.

We describe below self-management strategies for optimizing and extending thinking skills that can be used in all walks of life. Self-management strategies help us utilize our cognitive skills and the demands on them to maximize their efficiency and effectiveness. Additionally, and perhaps surprisingly, practice and expertise in using these strategies, and incorporating them into our daily routines, further enhances our cognitive abilities in areas such as attention, memory, planning, and flexible (and positive) thinking! Thus, in addition to helping compensate for the cognitive limits everyone has in specific cognitive areas and extending our cognitive reach, practiced use of these strategies can also improve our raw brain power.

Learning and using cognitive self-management strategies can help optimize functioning across a range of daily life activities, such as self-care (such as grooming and hygiene, sleep, managing a medical condition), organizing one’s living space, planning for meals, shopping, connecting with friends or family, work or school, and just plain enjoying life (such as getting out to that movie we’ve been thinking of seeing). For example, common problems such as being late or missing appointments, having difficulty keeping focused on a task, or forgetting instructions or someone’s name can all be prevented by using strategies such as maintaining a personal schedule (and using alarms as needed), removing distractions from one’s environment (such as cell phone or computer alerts), and repeating back/paraphrasing what someone has just said, respectively. Some of these strategies focus primarily on one area of cognitive functioning, such as reducing distractions in one’s environment to improve attention and concentration. Other strategies are helpful for improving the broad range of cognitive performance in daily life (e.g., attention, memory, problem solving), such as developing routines at home, when looking for a job, and at school or work. Because obtaining a job (or getting a promotion at work) or completing a degree or certificate program at school are very common goals for people that have a range of cognitive demands, we address some self-management strategies that are particularly helpful for success in these areas.

The table below contains examples of cognitive areas that are important for work and school, signs of a problem related to each cognitive area, and self-management strategies for addressing (or preventing) each problem

The Thinking Skills for Work* program contains a rich curriculum of cognitive self-management strategies which are incorporated into a series of educational handouts for clients. The self management topics include Cognitive Skills for Work, Recognizing Your Strengths, Challenging Negative Thinking, Improving Attention and Concentrations, Reducing Memory Difficulties, Getting Organized at Home, Getting Organized for Your Job Search, Planning Ahead, Solving Problems, and, Improving Thinking Speed. The handouts provide information about strategies for improving cognitive performance at work in attention and concentration, memory, information processing speed, planning, and solving problems. In addition, several other handouts are devoted to enhancing motivation which can contribute to greater effort and persistence at cognitive tasks, including understanding the relationship between cognitive functioning and work (Cognitive Skills for Work)developing an awareness of one’s personal strengths (Recognizing Your Strengths), and overcoming negative thinking or defeatist thinking that can interfere with getting or keeping a job (Challenging Negative Thinking), (e.g., “No one will ever hire me for a job”). Strategies geared toward successful work are also highly applicable to success in school. The Thinking Skills for Work intervention is a comprehensive program for improving and optimizing your cognitive skills. A comprehensive description of the program can be found at here

*SR McGurk, KT Mueser (2021). Cognitive Remediation for Successful Employment and Psychiatric Recovery: The Thinking Skills for Work Program. Guilford Press, New York.

Information about the book can be found here.

Notice: The contents of this post were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR grant number 90RTEM0004). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents of this post do not necessarily represent the policy of NIDILRR, ACL, or HHS, and you should not assume endorsement by the Federal Government.

Tags: cognitive remediation, psychiatric rehabilitation