Empowering Emotional Growth: How Cognishine Transformed Therapy at Tipuli
+70%
Motivation and patient engagement
+50%
Self practice use
+70%
Treatment sessions efficiency
The Settings
Tipuli began its journey in 2016 with the formation of a group of therapists who sought to bring change to the health professions market.
Health professionals, alongside social workers and art therapists, identified the main challenges and pressures faced by therapists. They established the first system of its kind in Israel, focusing on the needs of both the patient and the therapist.
The “patient-centered care” vision, promoted by the Ministry of Health and health organizations worldwide, is a fundamental principle in the field of therapy. Alongside this approach, Tipuli realized that the key to high-quality care, availability, and adequate emotional support lies in the well-being of the therapist.
Health professionals, alongside social workers and art therapists, identified the main challenges and pressures faced by therapists. They established the first system of its kind in Israel, focusing on the needs of both the patient and the therapist.
The “patient-centered care” vision, promoted by the Ministry of Health and health organizations worldwide, is a fundamental principle in the field of therapy. Alongside this approach, Tipuli realized that the key to high-quality care, availability, and adequate emotional support lies in the well-being of the therapist.
Multidisciplinary
Israel
190 therapists using Cognishine
The Challenge
Patients motivation and engagement
Family involvement in therpay
Social - emotional and behavioural intervention
The team at Tipuli used Cognishine to help children regulate their emotions, improve social skills, and enhance language development through interactive, engaging activities. They involved parents in the process for consistent learning and provided therapists with effective tools to support emotional and cognitive growth. The positive results and increased motivation led them to recommend Cognishine for wider use in therapeutic settings.
"The positive feedback and motivation Cognishine provides make a huge difference. It empowers children to face challenges with resilience and confidence.”
Patient Story
Patient N
Age: 3.5 years
Gender: Female
Diagnosis: ASD
Family Background: Firstborn in the family, parents are married, with a younger brother and a sibling on the way. Pregnancy and birth were normal.
Challenges and Areas of Difficulty:
Adaptation: Initially had difficulty transitioning from home to kindergarten. Although the challenge persists, its intensity and consistency have decreased. She uses a pacifier for comfort.
Changes and Transitions: Finds transitions and changes difficult, including waking up from a nap.
Emotional Regulation: Struggles with frustration and anxiety, often reacting with intense crying, lying on the floor, or stomping her feet. She prefers to isolate herself and has difficulty calming down, expressing her needs, or regulating her emotions independently.
Behavioral Responses:
• May push others away and scream if approached during distress.
• Exhibits behaviors such as putting fingers in her mouth, resistance, tantrums, and occasionally hitting adults or peers.
• When feeling sad, anxious, or insecure, she speaks softly and makes a characteristic lip movement or puts her fingers in her mouth.
Emotional Intensity: Experiences emotions intensely and finds it challenging to regulate and express them appropriately.
Retrieval Difficulty: Struggles with word retrieval, though it’s unclear if this is due to emotional processes or a language difficulty.
Age: 3.5 years
Gender: Female
Diagnosis: ASD
Family Background: Firstborn in the family, parents are married, with a younger brother and a sibling on the way. Pregnancy and birth were normal.
Challenges and Areas of Difficulty:
Adaptation: Initially had difficulty transitioning from home to kindergarten. Although the challenge persists, its intensity and consistency have decreased. She uses a pacifier for comfort.
Changes and Transitions: Finds transitions and changes difficult, including waking up from a nap.
Emotional Regulation: Struggles with frustration and anxiety, often reacting with intense crying, lying on the floor, or stomping her feet. She prefers to isolate herself and has difficulty calming down, expressing her needs, or regulating her emotions independently.
Behavioral Responses:
• May push others away and scream if approached during distress.
• Exhibits behaviors such as putting fingers in her mouth, resistance, tantrums, and occasionally hitting adults or peers.
• When feeling sad, anxious, or insecure, she speaks softly and makes a characteristic lip movement or puts her fingers in her mouth.
Emotional Intensity: Experiences emotions intensely and finds it challenging to regulate and express them appropriately.
Retrieval Difficulty: Struggles with word retrieval, though it’s unclear if this is due to emotional processes or a language difficulty.
Intervention and Solutions:
Emotional Support: When she allows adult presence, she can find comfort in a hug or gentle rocking.
Preparation for Transitions: Verbal and visual preparation (using pictures) is used to help her with transitions, especially when ending a preferred activity.
Emotional Regulation Tools:
• A “Feelings Board” and a “How I Choose to Calm Down” board were created with pictures of comforting items (water, pacifier, hug, calming music, or a doll).
• The educational team was trained on how to use these boards.
Cognishine Activities:
• Uses an iPad with Cognishine for activities that include emotion recognition, social situations, and retrieval practice.
• The activities also address emotional regulation by challenging her with success and failure scenarios.
Emotional Education:
• Expanding her emotional vocabulary by reflecting on emotions in social situations and analyzing them with pictures or symbolic play using dolls.
• Participates in a psychodrama and puppet theater group with three peers, using puppets to express emotions and process experiences.
Parental Involvement:
• Parents attend bi-weekly parent guidance sessions.
• Cognishine boards were sent home for practice.
Emotional Support: When she allows adult presence, she can find comfort in a hug or gentle rocking.
Preparation for Transitions: Verbal and visual preparation (using pictures) is used to help her with transitions, especially when ending a preferred activity.
Emotional Regulation Tools:
• A “Feelings Board” and a “How I Choose to Calm Down” board were created with pictures of comforting items (water, pacifier, hug, calming music, or a doll).
• The educational team was trained on how to use these boards.
Cognishine Activities:
• Uses an iPad with Cognishine for activities that include emotion recognition, social situations, and retrieval practice.
• The activities also address emotional regulation by challenging her with success and failure scenarios.
Emotional Education:
• Expanding her emotional vocabulary by reflecting on emotions in social situations and analyzing them with pictures or symbolic play using dolls.
• Participates in a psychodrama and puppet theater group with three peers, using puppets to express emotions and process experiences.
Parental Involvement:
• Parents attend bi-weekly parent guidance sessions.
• Cognishine boards were sent home for practice.
Results
The therapeutic work focuses on:
Emotional Regulation: Helping her manage frustration, anxiety, and distress.
Self-Esteem and Agency: Enhancing her sense of capability, self-worth, and enabling her to express her needs confidently.
Mentalization and Emotional Awareness: Increasing her awareness of her emotions and internal processes while empowering her to seek or independently regulate emotional support.
Progress and Improvement:
• Significant improvement in word retrieval, social interactions, and emotional expression.
• Reduced frustration episodes both at kindergarten and home.
• Improved retrieval skills and emotional sharing, approaching age-appropriate levels.
• Learned to express excitement verbally, helping her regulate emotional highs with guidance from adults.
• Improved in seeking calming methods through the feelings board, enabling faster and more effective emotional regulation.
• She now participates more actively in group activities, expresses her wishes, and shares experiences using the puppet, leading to better behavior regulation in similar future scenarios.
Emotional Regulation: Helping her manage frustration, anxiety, and distress.
Self-Esteem and Agency: Enhancing her sense of capability, self-worth, and enabling her to express her needs confidently.
Mentalization and Emotional Awareness: Increasing her awareness of her emotions and internal processes while empowering her to seek or independently regulate emotional support.
Progress and Improvement:
• Significant improvement in word retrieval, social interactions, and emotional expression.
• Reduced frustration episodes both at kindergarten and home.
• Improved retrieval skills and emotional sharing, approaching age-appropriate levels.
• Learned to express excitement verbally, helping her regulate emotional highs with guidance from adults.
• Improved in seeking calming methods through the feelings board, enabling faster and more effective emotional regulation.
• She now participates more actively in group activities, expresses her wishes, and shares experiences using the puppet, leading to better behavior regulation in similar future scenarios.
Conclusion
Every activity contributed uniquely to her progress. However, she particularly looked forward to sessions involving the iPad and Cognishine. The positive feedback and interactive experience through Cognishine facilitated quicker learning compared to traditional communication boards.
The activities are age-appropriate and tailored to her diagnosis, balancing cognitive and emotional challenges while fostering success experiences. Cognishine’s adaptability and the option to send activities home for practice significantly contributed to her development across multiple domains. Customized activities, such as a social story addressing her fear of thunder, were highly effective in helping her manage anxiety more comfortably.
The activities are age-appropriate and tailored to her diagnosis, balancing cognitive and emotional challenges while fostering success experiences. Cognishine’s adaptability and the option to send activities home for practice significantly contributed to her development across multiple domains. Customized activities, such as a social story addressing her fear of thunder, were highly effective in helping her manage anxiety more comfortably.
"Wow, I’m speechless!!! Every activity contributed to my clients' progress in its own unique way, and it’s worth mentioning that she was especially excited for the sessions that included the iPad and Cognishine. The platform keeps improving over time, and I believe it should be implemented in all kindergartens. Every therapist should know how to use it because it’s too valuable to miss out on. When I found out that some of my colleagues from other kindergartens hadn’t even heard of it yet, I told them they were really missing out. "
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