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About Us

Outpatient Higher brain Dysfunction
（By appointment only）

＜Medical subjects＞
Psychiatry・Rehabilitation

Doctor in charge
Naya Atsuo
（Designated Physicians of Mental Health）
Tanaka Yumi
（Specialist in rehabilitation medicine, Japan Society of Rehabilitation Medicine）

◆ We specialize in medical treatment, neuropsychiatric examination and rehabilitation of patients with higher brain dysfunction due to brain trauma or brain damage caused by disease. Rehabilitation practices neuropsychological cognitive rehabilitation learned from the Oliver Zangile Center in the UK.

◇ Consultation, medical treatment, psychological testing, medication, diagnostic reports, etc., and cognitive rehabilitation related to the above are provided.

◆ In cooperation with local medical institutions, referrals are made to appropriate medical institutions as needed.

◇ The clinic offers cognitive rehabilitation with a group of patients with higher brain dysfunction.

Click to Group Rehabilitation Program "B.I.R.D"

　 Aphasia groups are offered on Thursday mornings and
half-day cognitive rehabilitation in the afternoons.

Consultation hours	Mon.	Tue.	Wed.	Thu.	Fri.	Sat.
a.m. （ 9:30-12:30）	Naya Tanaka	Tanaka	Naya Tanaka	Naya	Tanaka	Naya (1st,2nd,4th,5th Saturdays) Tanaka(3rd Saturday)
p.m. （13:00-16:00）	Naya Tanaka	Naya Tanaka		Naya Tanaka	Naya Tanaka

・For first-time visitors, please be sure to call the office after 10:30 a.m. on weekday mornings to make an appointment before visiting the office.
・Return visitors who did not make an appointment at their last visit are also encouraged to call to make an appointment between 10:30 a.m. and 4:00 p.m. on the day before they wish to see the doctor.

Phone　072-236-4176
※Please do not forget to bring your [insurance card] when you visit the clinic.
　Required at the time of initial visit and when the month changes.

◆ Indoor parking, elevators, and handicapped-accessible restrooms are available for wheelchair-accessible patients.

◇ At the initial visit, please have, whenever possible, a letter of referral, cd of CT or MRI, psychological test results, and treatment history.

◆ Naya Clinic is a specialized treatment facility for higher brain dysfunction, with full facilities and staff.

■■■　Well-qualified professional staff　■■■

3 physicians, 5 occupational therapists, 3 speech therapists, 1 physical therapist,
1 clinical psychologist, 2 mental health workers, 4 clerical staff (including part-time)

■■■　Complete set of facilities　■■■

Reception	Waiting room	Examination room
Speech therapy room	Psychological examination room	Rehabilitation room
Cooking Practice Corner	Group Cognitive Therapy Rehabilitation Room	Toilet for left paraplegic Also available for right paraplegic

Contact Us

Naya Clinic
Telephone: 072 236 4176
449 Tokikita Naka-ku,Sakai-shi,Osaka-fu 599-8242 Japan

■From Kitanoda Station, take the bus bound for "Higashiyama Shako-mae", "Fukai Station", or "Otori/Nishi Branch", get off at "Fukuda-naka" bus stop, and walk 3 minutes.
■From Fukai Station, take the bus bound for "Kitanoda Station", get off at "Fukuda-naka" bus stop, and walk 3 minutes.
■From Route 310, take the bus bound for "Fukumachi", get off at the last stop "Fukumachi" and walk 5 minutes.

★Coming from the north on Route 310, turn west (right) at the "Fukuda" intersection. Turn south (left) at the first traffic light ("Fukuda West") and turn west (right) at the first four corners.
★If coming from "Fukai", turn right at the intersection of "Kanayama Nishi" and turn left at the end of the street ("sports square").

◎There is an elevator at Kitanoda Station on the Nankai Line. Almost all Nankai buses are wheelchair accessible.

About Higher Brain Dysfunction (HBD)

　Brain trauma, such as a car accident, cerebrovascular disease, or encephalitis can cause brain damage.
　Depending on the location and extent of this injury, a variety of symptoms may occur.
　At first, the patient loses consciousness, but gradually regains it, and symptoms improve with rehabilitation, but some people remain physically disabled.
　In addition, the following symptoms of higher brain dysfunction often occur.

Attention disorders can be
　They fall asleep when they are alone.
　They do nothing but sit idly or watch TV all the time.
　When the door is open, They just go in.
　Interjecting into what people are talking about.
　Indifferent to the situation around them.
　The same work does not last long.
　If something happens, They can't go back to the work they was doing.
　They can only do one thing at a time.

Memory impairment can be
　They can't keep their promises.
　They think something they put away was stolen.
　Make up a story.
　They hear the same thing over and over again.
　They forget that they wrote the note.

Executive function disorders can be
　Inability to set up work.
　For example, the food is not finished.
　When they can pursuit some tasks to a certain extent, they cannot do the same things if the situation change slightly.
　They can't make a plan.
　They are late because they are not prepared in time.

They will lose relationships with other people.
　They act without thinking about the future.
　Saying things that hurt those around them.
　Emotions tend to show on their faces and they tend to overreact.
　They can't sit still.
　Answer the questions before they are finished.

In addition to these symptoms of higher brain dysfunction
　Neurological symptoms such as seizures, headaches, vision problems, and parallel dysfunction may occur, as well as depression such as lack of energy and mood swings, and neurosis such as nervousness and difficulty sleeping.

Doctor's Notes

◆　Predicting brain injury severity

◇　"Became angry"

◆　What department of physician sees higher brain dysfunction?

◇　Toilets

◆　About Aphasia

◇　Hyperacusis

◆　Forgetting

◇　The term higher brain dysfunction

Useful Links

■　Brain Injury Association of Sakai　(Japanese)

■　Brain Injury Rehab Care Center "Headway-Sakai"　(Japanese)

■　Sakai Shiritsu Kenkou Fukushi Plaza　(Japanese)

■　Sakai Mental Health Center　(Japanese)

■　Sakai Medical Association　(Japanese)

■　Osaka General Medical Center
　　　　（Division of Medical and Rehabilitation Services for the Disabled）　(Japanese)

■　Osaka Prefectural Counseling Center for Persons with Disabilities

■　Osaka Prefectural Mental Health Center

■　Osaka Association of Psychiatric Clinics　(Japanese)

■　Ministry of Health, Labour and Welfare