Rehab4We offer diverse brain injury rehabilitation programs that cover the continuum of care. Pate is dedicated to helping:

  • Individuals function in their family and/or work environments
  • Patients transition from acute care to rehabilitation treatment
  • Provide supported living residential programs

Our individualized, holistic treatment honors the whole person, including personality, likes and dislikes, hobbies, family life and profession. We believe we’re different from other centers.

Free transportation to treatment is provided for all residents and for day neuro patients within a sizable radius of our centers.


Program Options


  • Post-Acute Day Neuro

    This program allows patients to visit us up to six hours a day, Monday – Friday. During daily therapy, patients receive personal attention in an environment that encourages success. Each patient’s treatment is specifically designed around his or her unique needs, offering a clear plan for reinforcing daily living skills and encouraging leisure activities. Each personalized plan is focused on not only improving the patient’s mobility, communication, and cognitive abilities, but also enhancing adaptive behaviors. We also provide counseling for patients, families, and couples.


  • Post-Acute Residential (INpatient)

    Our transitional inpatient program is designed for patients who are medically stable, yet require 24-hour individualized, comprehensive rehabilitation to return to their highest level of independence. In addition to cognitive and communication issues, the program focuses on areas such as physical functioning, daily living activities, community integration, leisure activities, psychological adjustment and behavior management. Patients and families work together with our staff in the proper setting to tailor a program specific to their needs. Available in Irving, Fort Worth and Anna, Texas.


  • Supported Living Residential

    brinlee ranch entranceWe provide long term residents in this program with a safe, secure, and relaxing rural environment in which they receive specialized care and support in the least restricted way possible.

    We work closely with families, healthcare providers, insurance companies and the resident to create an individual program of life-long support that is sensitive to financial considerations and promotes the best outcome.


  • Spanish Services

    Pate Rehabilitation provides the same specialized care and support in Spanish as we do in English.  Spanish-speaking therapists and caregivers work with each patient and family to develop a personalized plan for better results. This includes therapies conducted in Spanish-speaking environments, enabling patients to practice these skills in their own cultural communities.  Read More





Rehabilitation Teams


Using our own unique systematic assessment program called Pate Environmentally Relevant Program Outcome System, or PERPOS, patients receive a score that will indicate the best fit to one of our three teams:



Types of Therapy


Physical Therapy

physical rehab at pateOur physical therapists help patients improve mobility, reduce pain, and restore function through therapeutic exercise and functional training, with assistive and adaptive devices and equipment.

Physical therapy covers many skills and includes:

  • Gait training
  • Balance
  • Strengthening and core-stabilizing activities
  • Reintroduction to physical activities such as walking and running by removing the fear of falling


Occupational Therapy

Our occupational therapists (OTs) help patients regain everyday skills, including:

  • Grooming and dressing
  • Handling money, paying bills
  • Hobbies & leisure
  • Shopping
  • Home upkeep
  • Cooking
  • Driving

From hand dexterity to fine motor skills, OTs work to re-integrate patients into their home, work and school environments. They also focus on evaluating these environments and then recommending adaptations to the environment to fit the person’s lifestyle, whether it’s assistive technologies or task changes. They provide guidance and education for family members, employers and caregivers to assist in the healing process.


Speech/Language Therapy

Our speech/language pathologists help patients regain the ability to:

  • Understand simple and complex conversations
  • Produce speech that can be understood by others
  • Communicate meaningfully
  • Function successfully in social communication situations
  • Manage conversational norms

Therapeutic exercises target speech muscle strengthening, language-focused training and strategy development, and social conversation training. For those patients who have swallowing and eating difficulties, speech/language pathologists target muscle stimulation, strengthening, and coordination to regain the ability to swallow safely.


Cognitive Rehabilitation

PERPOS_Stage 1_mini-smOur treatment teams provide cognitive rehabilitation that is “evidence-based,” meaning our approaches are backed by years of scientific studies and research.

When our treatments are combined with functional, individualized therapy activities, it enhances each patient’s best potential to recover their most important brain skills and abilities, such as memory, attention, and problem solving just to name a few.


Behavioral Therapy

Our psychologists and behavioral analysts assist patients struggling with depression and frustration, and help them replace maladaptive and sometimes self-destructive behaviors with new, more appropriate actions that make it easier to create an environment of success for themselves. Instead of punishment, Pate’s approach is rewards based and encouraging, helping to modify and reinforce behaviors positively.


Vocational Rehabilitation

Our vocational rehabilitation staff members, led by a PhD-level vocational specialist, evaluate and assess each patient to successfully re-enter the working world. By conducting in-depth professional evaluations to determine the person’s abilities and interests, our specialists help patients not only learn and practice everything from workplace behaviors to interview skills, but also help them understand their own unique abilities and challenges to return to their previous job or identify new career or educational options.



With biofeedback, patients make the mind-body connection. Our therapists teach patients to help themselves with techniques for handling the general stress, pain management and sleep disturbances often experienced after a brain injury. Therapists use specialized equipment that measures physiological activity and teach patients how to recognize these signs of stress in their bodies. Once they internalize this new awareness, patients are trained in techniques like breathing, meditation and mindfulness to calm the body, reduce stress and sleep better. These are life-long skills that endure long beyond rehabilitation.


Equine Assisted Learning and Equine Assisted Psychotherapy

The deep connection between horses and people has existed for thousands of years.

Equine therapies at Pate use the sensitivity of horses to human emotions to help patients recognize their inner state. This therapy gently guides patients to physical, emotional and psychological recovery.

We offer Equine Assisted Learning (EAL) as well as Equine Assisted Psychotherapy (EAP). Available at our Brinlee Creek Ranch.  Pate is the only brain injury rehabilitation center to offer these therapies in North Texas.


Rehab2_editAquatic Therapy

Many patients find the therapy pool to be the first place they can move without pain. The therapy pool is equipped with many aquatic therapy features to aid recovery:

• Adjustable depth to increase or decrease weight bearing and increase stability
• Strategically placed jets to create resistance and
work on patient stability and range of limb motion
• Treadmill at the bottom of the pool, including a camera and monitor, for instant feedback relating to gait and balance
• Water temperature between 88-90 degrees to promote joint flexibility and mobility, relieve pain, decrease muscle spasms and increase muscle relaxation



Counseling is a service offered to individuals, families and caregivers. The counselor provides support and guidance to allow the individual to increase their awareness of and acceptance of thoughts and feelings. Many experience depression, anxiety, and other common emotional reactions in response to a traumatic event. Counseling offers a safe and supportive environment that allows for emotional processing, coping and adjustment. Pate offers:

  • Individual counseling
  • Couples counseling
  • Family counseling
  • Substance about counseling
  • Group counseling
  • Support groups


Neuropsychological Testing

Pate’s focus on neuropsychology is unique. Neuropsychology focuses on how the brain influences thinking. We offer our patients a comprehensive evaluation to assess overall brain function:

• Intellectual functioning
• Attention and concentration
• Speech and language
• Verbal and visual memory
• Problem solving and judgement
• Emotional functioning and personality assessment

The results of this advanced testing give our therapists deeper insight into function and provide a foundation for our therapy plans.  Our psychologists and neuropsychologists oversee these plans on an ongoing basis to evaluate progress and make adjustments when needed.


Driver Rehabilitation Training and Evaluation

Chelsea-Driving-2Pate Rehabilitation is among a small number of organizations who employ Driver Rehabilitation Specialists certified by the Association for Driver Rehabilitation Specialists (ADED).

Driver training and evaluation is included in the rehabilitation program for individuals who meet certain criteria. The program does not utilize a simulator. On-the-road training helps participants regain their independence.



Pet Therapy

Animals have a special way of connecting to people with brain injuries. They offer comfort, cuddling and can motivate patients to become more physically active. Grooming a dog or playing fetch helps patients improve their motor skills. It’s more fun to take a walk with a pet. Pate’s pet therapy brightens everyone’s day (including our therapists). This popular program is offered at every location.


Physical Medicine & Rehabilitation

Pate’s Medical Director is Dr. Karen Kowalske, M.D., a Physical Medicine & Rehabilitation physician associated with UT Southwestern Medical Center. Physical Medicine & Rehabilitation physicians from UTSW visit Pate weekly to meet the rehabilitation medical needs of patients.