What is a Neuropsychological Evaluation?

Each comprehensive evaluation consists of the following:

Clinical interview – detailed developmental history, history of presenting problems, family and medical history and any other relevant information is gathered.

Review of previous records – records of any prior neurological, psychiatric, psychological, or neuropsychological evaluations, school records, such as IEPs and evaluation reports, and any other available records relevant to the patient’s current condition.

Testing – formal testing consists of standardized pencil-and-paper and computer-based measures. The following domains are assessed:

General intellectual abilities

Academic functioning (usually evaluated in children and young adults, but can also be evaluated in adults when academic performance is of concern)

Memory and learning (both visual and auditory/verbal)

Attention and concentration

Information processing speed

Executive functions (planning, decision making, cognitive flexibility, impulse control, etc.)

Language functions

Visuospatial and visual-motor functions

Fine motor speed and control

Emotional, behavioral, and personality functioning 

While a comprehensive neuropsychological evaluation requires anywhere from 6 to 10 hours of testing, in some cases a much briefer testing battery will answer all the necessary questions (for instance, an older patient with marked memory loss may need only one to two hours of testing to determine the extent of cognitive impairment).

Feedback  – I will meet with the patient, parents, and caretakers to discuss the results, explain the findings and review the recommendations. I will make sure that you understand what is in the report and that any questions you may have are answered in a way that makes sense to you.

Report - a comprehensive report detailing the findings, providing diagnostic impressions, and offering specific and individualized recommendations. The report writing will take approximately two weeks from the completion of the evaluation.