Higher Functioning Within Reach
Boutique cognitive rehabilitation and psychotherapy for people struggling with concussive injuries, ADHD, and executive dysfunction
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We have offices in Greeley, Broomfield, Denver, and soon...Colorado Springs!
Meet Ramya Shyam
M.S., CCC-SLP
Ramya has worked in the field of speech-language pathology for over 13 years, helping individuals with cognitive difficulties improve their functioning and meet their personal, academic, and professional goals. Cognitive abilities are the core skills that allow us to learn, comprehend, solve problems, and adapt to new situations. Impaired cognitive functioning can impact one’s ability to perform well in school, find or keep a job, communicate well with others, or attend to responsibilities such as paying bills. Ramya provides high-level, supportive treatment that is tailored to your specific needs. She can address cognitive impairment due to concussion/brain injury, dementia, COVID-19, ADHD, cancer treatment, etc. She is also happy to collaborate with other providers on your healthcare team.
Meet Nicole Jumper
M.S., CCC-SLP
Nicole is a passionate and dedicated Speech-Language Pathologist with a unique background that combines expertise in speech therapy with a deep understanding of nutrition and public health. Holding a degree in Nutrition & Food Science, Nicole spent six years working in public health, where she gained valuable experience promoting wellness and healthy lifestyles. Her diverse career also includes a year teaching English abroad in Central America.
With a strong foundation in both public health and education, Nicole transitioned into speech-language pathology, where she has since worked in the sub-acute rehabilitation setting, helping individuals regain their independence and improve their quality of life. Her clinical interests include mild traumatic brain injury, aphasia, and dysphagia, where she uses evidence-based techniques to provide personalized, compassionate care to her patients. She is able to provide cognitive rehabilitation in Spanish.
Outside of her professional life, Nicole enjoys expressing creativity through her new hobby of pottery, exploring new recipes in the kitchen, language-learning, and dancing.
Meet Jenna Garzoni
M.S., LPC
Jenna Garzoni, M.S., LPC-NCC is originally from Pennsylvania, where she obtained her Bachelor’s Degree from Penn State University in Kinesiology, followed by a Master of Science from Capella University in Clinical Mental Health Counseling. Prior to becoming a therapist Jenna worked within the fitness and physical therapy world, working as a personal trainer and physical therapy technician. During this time Jenna worked
with many individuals who had experienced injuries such as concussions, traumatic brain injuries, and spinal cord injuries. Jenna has also helped provide treatment to those with MS, ALS, Louis Body Dementia, Alzheimers, in addition to post surgical care.
During her time as a mental health therapist, both licensed and unlicensed, Jenna has devoted a large portion of her career to working within the justice system. Jenna has worked closely with judges, caseworkers, probation officers, guardians ad litem, lawyers, and law enforcement officers. Jenna also has worked with those who are facing incarceration, currently incarcerated, and those transitioning back into society post-incarceration.
Jenna has been in private practice since 2021 and has experience working with individuals who may be struggling with Anxiety, Depression, ADHD, OCD, ODD, PTSD, Substance Use Disorder, grief, veterans concerns and various other life challenges. Jenna is an ally for the LGBTQ community and works from a trauma informed perspective.
When not providing care to her clients Jenna loves spending time with friends, training her dog,
Heidi, working out, engaging in self care, watching sports and exploring the beautiful state of
Colorado.
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Cognitive Therapy Can Help You
Organization and Time and Task Management
Task Initiation and Completion
Memory and Learning
Attention and Concentration
Goal Setting and Decision Making
Communication and Word Finding
Reading (Comprehension or Retention)
Problem Solving
Ramya Shyam is tremendous. She is a kind and compassionate individual who understood the challenges and frustrations I was experiencing. It was so validating to have a healthcare provider acknowledge and empathize with my challenges instead of dismissing them. It was reassuring to finally be ‘heard’.
- Anonymous
After my first concussion, Ramya was able to give me a plan, measurable goals and strategies while explaining how and why what she was doing works. She'd worked her process with enough people with brain injuries to see (and love) the moments when things started to shift and click for people.
- Anonymous
I’m grateful for the help Ramya gave me. She’s a great listener and was able to give me some good tips and tricks for organization, etc to deal with my ADHD brain!
- Anonymous
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What is meant by "boutique cognitive therapy"?Flatirons Cognitive Therapy strives to offer individualized care, with more direct access to the provider than is typical. The level and frequency of communication, time spent with each patient, coordination and planning, and attention to each case outside of the patient's scheduled visit is greater. We purposely limit our caseloads because we do not want our patients to feel like they are "just a number". We hope that each client will feel well-supported. We are very comfortable working with people of all backgrounds, with varying cognitive skills and interests. For example, we have treated doctors, attorneys, entrepreneurs, construction workers, truck drivers, stay-at-home parents, freelance writers, teachers, graduate students, and people who are actively looking for employment.
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Do I need a doctor’s referral?No, you do not need a doctor’s referral to see us. Referrals are typically necessary if you are using health insurance, but because we do not bill insurance, a doctor’s referral is not needed.
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What forms of payment do you accept?We will accept cash, checks, or credit cards - Visa, Mastercard, Discover, or American Express. We can also accept HSA.
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Do you accept insurance?No, we are currently not in network with commercial health insurance or Medicaid. This is primarily because billing insurance makes it very challenging for us to practice in the way we feel yields the best outcomes. We can provide a superbill if you want to try to submit to your insurance for reimbursement. Under certain circumstances, we can bill auto insurance.
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Is there a cancellation or no show fee?No shows and cancellations made less than 24 hours before the appointment will be charged 50% of the cost of the visit, as this makes it very difficult for us to schedule other patients in need. Cancellation fees will not be applied in the event of emergency or illness.
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What should I bring to my first appointment?Driver’s license Reading glasses or hearing aids, if you wear them Any records that are not available in electronic form
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How many visits will I need?It is difficult to answer this question without an evaluation. We are usually better able to provide an estimate by the end of the first session.
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If I am sick can I still have my appointment?We ask that you avoid coming into the office if you are sick, but we are happy to change any in-person appointments to telehealth if you still wish to have the appointment.
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I don't have a diagnosis, but I know I'm not functioning as well as I could be. Can you help me?Not everyone who comes to Flatirons Cognitive Therapy has a medical diagnosis. Some of our clients are just people who are struggling to figure out how to manage certain aspects of life. Some are people who have had diagnostic workup which doesn't show any neurodegenerative process, but they still feel they aren't functioning well. We have helped overwhelmed parents, students who are not keeping up with their schoolwork, and people who feel that they aren't as sharp as they used to be. Our goal is to understand each client's specific goals and needs, and provide functional strategies and guidance for lifestyle changes that optimize cognitive performance. Feel free to call and share your specific struggles so we can figure out if this is a good fit!
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I live far away from your office. Is telehealth as effective as in-person treatment?This is a great question. We do have a slight preference for in-person testing because we are able to do a little more if the patient is in our office, but we are still able to get quite a bit of information through telehealth evaluations. We find telehealth therapy sessions to be very effective. During the COVID-19 lockdown, many health professionals had to adapt to telehealth service delivery, and we found that most of our patients actually prefer it. Through video calls, screen sharing, and other tools, we are able to provide the same level of service that our in-person clients receive. Telehealth makes hard-to-find, specialized care accessible to people in all parts of our state, and even in other states. Teletherapy is a great option for individuals who cannot or will not drive, individuals who live far away, or individuals who only have an hour to spare during the day and need to squeeze an appointment in during that time.