How does a neuropsychological evaluation differ from an evaluation that might be performed in school?

School based assessments (also known as psychoeducational assessments) are typically performed with one goal in mind: to determine whether a child qualifies for special education programs or therapies. School based assessments focus almost exclusively on intellectual and academic achievement skills. Although this type of evaluation suffices for some children, it is difficult for a professional to responsibly diagnose any difficulty other than a clear specific learning disability with the limited amount of clinical data gathered in this type of evaluation.

What are some of the reasons why children are referred for a neuropsychological evaluation?

Children and adolescents are usually referred for a neuropsychological evaluation by a parent, doctor, teacher, school psychologist, or other professional because of one or more of the following reasons:

• Difficulty with regard to learning and/or academic performance despite adequate attendance and seemingly good attention and effort

• Concerns about or a family history of dyslexia

• Difficulty paying attention, maintaining appropriate behavior, or socializing

• A history of neurological or developmental difficulty known to affect the brain and/or brain systems (e.g., epilepsy, perinatal toxic exposure, a metabolic disorder, possible Autism Spectrum Disorder or ADHD diagnosis)

• Suspected developmental delay (language, motor, etc.) that are potentially accompanied by other areas of difficulty

• A brain injury from head trauma or another type of physical stress

• It is possible that a child may be “gifted” and proper documentation is required

• To document a child’s current functioning (a “baseline”) or assess progress or change (a re-evaluation or follow-up evaluation)

Will a neuropsychological evaluation help with school supports like an IEP or 504 Plan?

A neuropsychological evaluation can provide helpful documentation and recommendations that support the need for school-based services. However, we cannot guarantee that a child will qualify for an IEP or 504 Plan. Eligibility for school supports is determined by the school-based team and the parent during a CSE (Committee on Special Education) or 504 meeting, based on a review of multiple sources of data including, but not limited to, our evaluation. We are happy to provide a detailed report and collaborate with your school team as needed.

What are some preparation tips for a neuropsychological evaluation?

• Ensure your child gets a full night’s sleep before testing.

• Eat a healthy meal prior to testing. 

• Bring water and a snack to the testing office. 

• Notify the neuropsychologist of any special language needs.

• Bring any necessary devices (e.g., glasses, hearing aids).

• Continue regular medications unless otherwise advised.

• Bring copies of previous school testing, IEPs, or relevant medical records.

What should I tell my child before the evaluation?

Although neuropsychologists are trained to prepare children for the testing process once they arrive at the office, it is likely that a child/adolescent will ask their parents questions about the process beforehand. We recommend that you be honest about what the experience will be like and keep things brief. Tell your child that he/she will be meeting a new adult who is excited to get to know him/her. Tell him/her that he/she will be doing things like working with blocks, drawing shapes, listening to instructions, and answering questions. Let them know that they will be able to take play and snack breaks. Most importantly, emphasize that he/she will feel successful and that their only job is to try their best.

How long does therapy last?

Treatment is tailored to each individual’s needs, so the length of therapy can vary. In most cases, we meet once a week for 45 minute sessions over the course of several months.

Can I stay with my child during testing?

Generally, no. We work one-on-one to get an accurate picture of how your child functions independently, but you’re welcome to stay nearby and we can update you regularly.

Will insurance cover these services?

We are an out-of-network provider, which means we do not bill insurance directly. However, we can provide a superbill, a detailed receipt with the necessary codes, that you can submit to your insurance company for possible reimbursement. Coverage varies by plan.