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Songwriting is such a great tool to use with patients of all ages and abilities. Recently, I was challenged to make it more accessible to a patent that is re-gaining cognitive ability after having a stroke. Providing that extra visual cue was crucial in order to meet her where she was at. After some thought, I created these songwriting tiles to use in mad-lib style songwriting interventions. Down below, I go through my step-by-step implementation and include PDF's for you to download and print your own!   1. First, I printed and laminated all of these and sorted them into categories of person, place, thing, verb, and adjective. I placed each category in a zip-loc bag so my patent could reach in and select one at random. 2. Next, I chose what song we would re-write by filling in the blanks with our new words. (I used "Best Day of My Life" by The American Authors.) 3. Then, I had her pick one at a time from the bag and placed them in order of how they would come in the song. Depending on the ability of your patient, you may want to chain the song and sing each time another one is chosen starting back at the beginning. This is also a way to work on short term memory recall by remembering what the picture is and to practice verbalizing it. 4. Finally, we sang the song with our new lyrics. I would point to the picture when we got to it and help prompt her as needed to recall what she had chosen. This can obviously be adapted depending on your needs, and can also be done in a group setting. Happy Songwriting! 
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