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Jehangir Centre For Neuropyschology

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Centre of Mental Health/Neuropsychology in Pune

Jehangir Centre For Neuropyschology


People can suffer an injury to the brain due to many reasons. Different types of brain injury seen at the centre are:

  • Head Trauma: caused by road traffic accident or post-surgical damage (e.g. after tumour removal, epilepsy surgery etc.)
  • Stroke or brain haemorrhage
  • Cerebral hypoxia: due to reduced oxygen supply to the brain (for example after cardiac arrest, respiratory arrest, drowning etc.)
  • Brain Infection: e.g. Meningitis, encephalitis.
  • Brain Inflammation: e.g. Vasculitis.
  • Other toxic or metabolic insult: for example, hypoglycaemia
  • Dementias: such as Alzheimer’s, Vascular, Parkinson’s, Multiple Sclerosis, etc.
Centre of Mental Health/Neuropsychology in Pune


Depending on the type of brain injury and the location of injury, a person with moderate to severe brain injury may face a combination of cognitive, behavioural/emotional, physical or psychosocial problems. Some difficulties under these categories are listed below:

Cognitive (thinking) difficulties:

  • Memory or learning new information
  • Attention
  • Perception
  • Problem solving
  • Identifying & understanding errors
  • Safety awareness
  • Self-monitoring
  • Social judgment

Behavioural/emotional difficulties:

  • Easily crying or laughing
  • Depression and anxiety
  • Adjustment problem
  • Aggressive outburst
  • Disinhibition (such as use of rude/hurting words, impulsivity)
  • Poor motivation/initiation
  • Inappropriate behaviour
  • Psychosis
Centre of Mental Health/Neuropsychology in Pune


As a result of the difficulties listed above, patients with brain injury may have reduced ability to perform various previous levels of day to day duties or social responsibilities, such as managing multiple household task efficiently or office work. This may cause distress among patients and family members too. Family members may also face considerable long-term strain and stress due to caring for the patient at home for long, as well as managing household/childcare role amongst others. Thus, brain injury affects not only the patient but the whole family as well.

Changes in day to day functioning include reduced ability:

  • To live independently
  • To return to work or education
  • To fulfil family duties
  • To maintain personal and sexual relations
  • To drive or use public transport independently
  • To participate in social activities & leisure
Centre of Mental Health/Neuropsychology in Pune


  • Brain injury (from road traffic accidents, stroke and dementia only) affects about 3.5 million people annually in India.
  • 1 million cases of brain injury (due to road traffic accidents only) a year in India require rehabilitation.
  • Brain injury is increasingly occurring amongst the young, working age population.
  • Cognitive changes after Bl can be long lasting or even permanent.
  • Difficulties in cognition, emotion, and behaviour can become more obvious after discharge from hospital and when the person with Bl is trying to return to work or family role. Hence, sometimes it may take weeks/months after the actual injury for the patient and his/her family to recognize these difficulties.
  • Lack of insight is common after a Bl. Hence many a times it is the family members who can see the changes in the person with the Bl rather than the patients themselves.


International guidelines recommend that cognitive rehabilitation especially holistic/comprehensive neuropsychological rehabilitation should be the practice standard for managing cognitive, emotional, and behavioural problems after brain injury, and that this is proven to be effective even for people who are many years post their brain injury. For more details please refer to the following international guidelines:

  • Scottish Intercollegiate Guidelines Network (SIGN)
  • American Congress of Rehabilitation Medicine: Cognitive Rehabilitation Task Force


Jehangir Centre for Neuropsychology follows internationally recommended holistic neuropsychological rehabilitation model for providing rehabilitation. It is the first and the only centre in the region to provide comprehensive neuropsychological rehabilitation. The rehabilitation programme offered at the centre includes:

  • Neuropsychological (Cognitive) assessment of thinking, memory, judgment, emotions, behaviour and personality, using a range of specially designed tests.
  • Brain injury education involves helping patients and their families understand the brain injury, and how cognitive changes can impact on daily functioning of the patient.
  • Cognitive rehabilitation helps patients develop new strategies to deal with cognitive problems and to improve their level of day to day functioning and ability.
  • Assistive technology based cognitive rehabilitation uses gaming platforms such as Xbox and Kinect System to improve concentration ability, information processing ability, mental fatigue, and develop meta-cognitive strategies.
  • Interventions for managing emotional and behavioural problems like anger outburst, depression, or anxiety.
  • Psychotherapy and counselling for helping patients and their families come to terms with and accept the changes that a brain injury brings about in a person, to manage the stress amongst family members and to create new goals and meaning in life.
  • Multidisciplinary approach alongside physiotherapy department towards integrative management of physical and cognitive problems post brain injury.

Unique features:

  • Cognitive Assessment for Inpatients (IPD): Cognitive assessment and specialist rehabilitation provided to inpatients to facilitate early recovery and return to independent functioning after hospital discharge.
  • Specialist neuropsychological advice and cognitive rehabilitation aimed to facilitate return to work/studies/independent living.
  • Virtual reality and assistive technology based cognitive rehabilitation.
  • Multi-disciplinary individual and group therapy programmes for patients and family members.
  • Brain injury related education materials on display (and on request) produced in collaboration with international agencies and experts. Some booklets include: Learn How Brain Injury Affects You: Cognitive, Emotional and Behavioural Changes, Advice For People Who Are Returning To Work After Having Suffered A Brain Injury Or Brain Illness, Managing Mental Fatigue After Brain Injury or Brain Illness, Carers Guide To Management Of Patients After A Brain Injury.
  • Follows international guidelines and recommendations in treatment and management of brain injury cases.


Jehangir Centre for Neuropsychology is headed by Dr Farzana Mulla, who has vast experience and expertise in managing different types of brain injuries. She has had specialized training and work experience in a centre of excellence, brain injury rehabilitation centre in the UK. She is invited to speak at various national and international level conferences related to her work with brain injury people in India and has brain injury related publications in international journals.


There are many informative brain injury related websites on the internet. To learn more about it, you can contact people living with the effects of a brain injury. Some useful brain injury organization websites you can visit are: Headway, UK; Stroke Association, UK; and Brain Injury Association of America.

Consultants List

Jehangir Hospital

Dr. Farzana Mulla



“I had a long discussion with Dr Farzana today regarding my dad’s dementia and she gave me wonderful ideas on how to manage this neurological condition. She was amazing…! Do recommend this Jehangir Centre to your acquaintances who may have relatives with neurological conditions. They will be under expert care.” Ninad Sarvate (name changed), family member of a patient with dementia.

“Happy to see him post his stroke getting involved in daily activities which make both of us confident that very soon he will be doing his normal activities. I will suggest other stroke patients to go ahead and take up the sessions of the virtual reality based cognitive rehabilitation.” Uma Kakkar (name changed), Spouse of a stroke patient

“Two years post my stroke and under cognitive rehabilitation only now. This has helped me think before doing any actions which proves that my concentration has improved a lot during the session.” Reema Swaroop (name changed), stroke patient.

“Got good advice. Felt like we came to the right place to help our loved one who underwent tumour resection and had cognitive problems. We as a family would like to thank the team.” Joshis, (name changed), family of tumour surgery patient.



Clinical neuropsychology is focused on understanding the link between the brain and behaviour. For example, how changes in the brain may affect the ability to pay attention, remember, or solve problems. This understanding between how someone thinks and acts and how the brain works is used to diagnosis and treat brain disorders.


A progressive neurological disorder such as dementia, Parkinson’s disease, multiple sclerosis and so on.
An acquired brain injury from:

  • Head injury: such as after a road traffic accident.
  • Stroke.
  • Haemorrhage: that is bleeding in the brain.
  • Hypoxia: that is reduced oxygen supply to the brain due to status epilepticus, partial drowning, cardiac arrest, respiratory arrest, etc.
  • Infection: such as encephalitis, TB meningitis, toxoplasmosis, etc.
  • Neurosurgery: such as for brain tumour removal, epilepsy surgery, clipping and coiling of aneurysm etc.


It will help to:

  • Make or confirm a diagnosis such as what type of dementia it is
  • Identify type of cognitive, emotional and behavioural problem the person has after a brain injury.
  • Plan for the persons cognitive/memory rehabilitation.
  • Understand and plan management of emotional and behavioural problems after a brain injury.
  • Make decisions about practical situations such as return to work, return to studies, planning for the future, decision-making capacity and so on.


    A neuropsychological evaluation involves examining thinking, behaviour, and social- emotional functioning. The evaluation uses specially designed standardized tests and procedures. Tests may be performed using paper and pencil or on the computer. Your family member with a brain injury will be asked some questions and to solve different types of problems. Neuropsychological evaluations typically include tests that measure the following:

    • Intelligence
    • Attention and concentration
    • Memory
    • Processing speed
    • Planning, problem solving, and decision making
    • Language
    • Visual perception
    • Depression and anxiety


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