Neuropsychology Consulting Services

 

 

INSTRUMENTS AND PROCEDURES

A neuropsychological evaluation is a formalized systematic assessment of an individual's cognitive intellectual ability which surveys performance to determine strengths and deficits in the following brain functions and/or functional units of the brain: lateral dominance, motor functioning, spatial-perceptual functioning, sensory-perceptual functioning, language performance, functional intelligence, abstract thinking and mental flexibility, ability to respond in new or novel situations which require adaptive reasoning, determination of premorbid (pre-injury or event) level of functioning, memory processes, attention/concentration ability, global brain integration, and emotional state. To assess these areas an extensive battery of tests is administered.

Neuropsychology Consulting Services utilizes the most scientifically-validated neuropsychological test standardized neuropsychological batteries currently available for the assessment of brain-behavior function in children and adults:

1. Reitan-Indiana Neuropsychological Test Battery for Young Children (ages 5 through 8);

2. Halstead-Reitan Neuropsychological Test Battery for Older Children (ages 9 through 14); and

3. Halstead-Reitan Neuropsychological Test Battery for Adults (ages 15 years and older).

These batteries, in conjunction with additional allied procedures are given in their entirety, in contrast with some assessments which utilize only a few subtests from various unrelated instruments. This method provides a comprehensive evaluation of an individual's brain-behavior function in order to determine problems in neurocognitive function associated with various brain disorders. This evaluation helps specify a patient's cognitive strengths and weaknesses related to neurological dysfunction, determines differential contributions of neurologic and psychiatric factors in a patient's presenting problems, and contributes to decisions regarding current and future independent function.

A typical clinical neuropsychological evaluation provided by Neuropsychology Consulting Services typically requires five to seven hours, although there is individual variation with some people requiring more or less time to complete the evaluation. After all tests are scored and medical records are reviewed, a full clinical report is written. Then, each patient (or appropriate referral source) receives a feedback interpretive session where results of the tests are given, recommendations are made, questions are answered, and when necessary, coordination with various health care or other related professionals are offered.

A neuropsychological evaluation request is appropriate when the:

1) individual has a documented neurological lesion;

2) individual has a history of experiencing head trauma or brain insult;

3) individual complains of headaches, seizures or blackouts;

4) individual complains of memory loss, dizziness, loss of balance or gait disturbance;

5) individual experiences a decrease of intellectual function;

6) individual manifests sudden onset of symptoms;

7) individual has a chronic history of substance abuse;

8) question is raised regarding degree of loss of intellectual capabilities and;

9) individual manifests any of the above symptoms but does not appear to be concerned or aware of these deficits.

Sources of referrals for a neuropsychological assessment include neurologists, neurosurgeons, internists and other physicians, chiropractors, attorneys, family members, and self-referred individuals who have had trouble in their current intellectual or functional abilities. It is common that people request additional evaluation even though they have been given a "clean bill of health" from imaging techniques (CT scans, MRIs, PET, SPECT, etc.) because of continued loss of abilities, notably memory and higher cognitive function. From the forensic standpoint, attorneys who are representing an individual or a company in which a head injury/closed head trauma in a work seizing or personal injury situation has taken place, for example, commonly make referrals. The purpose of such a referral is to evaluate the individual's current deficits, make a prognosis for recovery and propose recommendations for rehabilitation if deficits are discovered.

Additional examples of consulting activities performed by Neuropsychology Consulting Services include clinical case consultation, consultation regarding education and work placement, independent neuropsychological evaluation, second opinions, and review of neuropsychological records and testing.

 

 

 

What is Neuropsychology?

Neuropsychology Links

Dr. Briggs' Biography

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5743 East Thomas Road, Suite 106, Scottsdale, Arizona 85251-7571, (480) 949-9995

E-mail: info@drbob-neuropsych.com