Neuropsychological Evaluations

What is a Neuropsychological Evaluation:

A pediatric neuropsychological assessment is an individualized assessment of a child/adolescent/young adult’s strengths and current challenges across a number of domains. For the majority of our clients, we also conduct an educational evaluation to provide a clear understanding of how a child’s functioning may be impacting school performance.

A neuropsychological evaluation may include:

What to Expect:

A Neuropsychological Evaluation typically consists of three stages:
1. Intake/Clinical Interview (One hour)
During the intake, the clinician will review all documentation (e.g., school reports, previous testing, medical history). In addition, the clinician hopes to gain a more organic understanding of the child, what they enjoy, and what is difficult for them. This appointment can be in person or virtually.
2. Evaluation
Each evaluation is individually tailored based on the referral question(s). Evaluations typically consist of four to seven hours of face-to-face testing administration. In addition, parents and teachers are asked to complete forms to learn more about the child’s presentation within the home, school, and community settings.
3. Feedback
The feedback meeting is primarily conducted with caregivers and family members. The clinician will answer referral questions and provide diagnostic considerations and recommendations to help the child develop the skills needed to be successful. This appointment is typically one hour and can be done in person or virtually.
When agreed upon with family members, the clinician will often meet with the child on another date to help them learn more about their brains in a fun and developmentally appropriate way. This appointment is typically 45 minutes long and often involves caregivers.
Following the evaluation, families will be provided with a written report with test findings, diagnostics, and recommendations.

Educational Evaluations

(Dyslexia/Reading Disorder, Dysgraphia/Writing Disorder, Dyscalculia/ Math Disorder)

An educational evaluation provides educators and parents with a better understanding of their child’s learning profile. This type of assessment often focuses on language processing skills (e.g., phonological awareness and processing), reading, writing, and mathematics. An educational evaluation is used to identify specific learning disabilities that may be impacting the child’s learning in school. Recommendations for school-based services (if deemed necessary) are offered.

These evaluations are often conducted in the context of a neuropsychological assessment so that a comprehensive understanding of how the child’s neurocognitive profile may impact their learning. 

Educational evaluations are not deemed ‘medically necessary’ and thus are not covered by insurance.

Psychological Evaluations

What is a Psychological Evaluation:

A psychological assessment is an individualized assessment of a child/adolescent/young adult’s strengths and current challenges related to social, emotional, and behavioral functioning.

A psychological evaluation may include assessment of the following domains:

What to Expect:

A Psychological Evaluation typically consists of three stages:

Intake/Clinical Interview (One hour)

During the intake, the clinician will review all documentation (e.g., school reports, previous testing, medical history). In addition, the clinician hopes to gain a more organic understanding of the child, what they enjoy, and what is difficult for them.

Evaluation

Each evaluation is individually tailored based on the referral question(s). Psychological evaluations typically require two to three hours of face-to-face testing administration.
In addition, parents and teachers are asked to complete forms to learn more about the child’s presentation within the home, school, and community setting.

Feedback

The feedback meeting is primarily conducted with family members. The clinician will answer referral questions and provide diagnostic considerations and recommendations to help the child develop the skills needed to be successful. This appointment is typically one hour.
When agreed upon with family members, the clinician will often meet with the child on another date to help them learn more about their brains in a fun and developmentally appropriate way. This appointment is typically 45 minutes long and often involves caregivers.
Following the evaluation, all families will be provided with a written report with testing findings and recommendations.

Autism Evaluations

Autism spectrum disorder (ASD) is a developmental disability caused by differences in the brain. Individuals with ASD/Autistic individuals often have difficulty with social communication, restricted interests, sensory processing, and repetitive behaviors. Individuals with ASD/Autistic individuals also have numerous areas of strength.
Our clinicians are trained to evaluate and diagnose individuals with ASD/Autistic individuals. We consider various factors that could be impacting functioning, including intellectual skills, language abilities, psychiatric and medical conditions, and the impact of trauma.
Other conditions, such as social pragmatic disorder, non-verbal learning disabilities, and attention-deficit/hyperactivity disorder are considered in the context of the child’s presentation/evaluation results.
Oftentimes, children who are referred for this type of evaluation will be assessed via neuropsychological testing and academic testing. Given the referral question, a greater emphasis is placed on assessing the child’s social understanding, adaptive skills, and behavioral presentation.

Private School Entrance Evaluation/ Intellectual Testing/Gifted Evaluation

Oftentimes, when children are applying to private educational settings, an evaluation is required. In addition, cognitive testing is often required for gifted evaluations.
These assessments are tailored to the individual child and the specific reason for the evaluations. Typically, these evaluations include intellectual testing and behavioral screening forms. This evaluation includes a one-hour intake appointment, approximately two hours of testing, and a one-hour feedback session.

Specialized Reading Instruction/Tutoring

Children with specific learning differences tend to make progress at different rates. We have found that parents are often unsure if their child is making progress after receiving direct instruction through an IEP or private tutoring. We offer targeted testing to gain a better understanding of the child’s current standing, as well as individualized recommendations to help the child make progress.

What To Expect

1. The reading instructor will meet with parents/caregivers for a 50-minute session to review the student’s academic history, previous testing, current instruction, as well as interventions. At the end of that meeting, both parents/caregivers and the instructor will have a clear set of goals and objectives that will be targeted during instruction.

2. It is recommended that each student receive a minimum of 1-2 sessions per week for a total of 8-10 weeks. It is highly recommended that students attend two sessions per week, if feasible, in order to produce the most gains. Each session is 50 minutes in length with the opportunity to connect with the instructor briefly before the session or after to provide updates. Sessions are held at our center.

3. Following the agreed-upon length of tutoring. The instructor will meet with
parents/caregivers for a 50-minute session to review progress. Progress will be monitored regularly using appropriate and relevant measures for the purposes of adjusting instruction and sharing growth with parents/caregivers and students. If further sessions are indicated, that will be discussed during that meeting.

Academic Screening/ Progress Monitoring

Each session is approximately 50 minutes in length and provides individualized, multisensory, engaging, and targeted instruction based on the unique needs of each student. Instruction is based on evidence-based research and utilizes intensive and explicit instruction while also balancing the student’s level of interest and motivation.  Tutoring sessions utilized Orton-Gillingham methodology and other methods based on each student’s needs.

Parenting Support

We understand that raising resilient children is difficult and we are here to support you. While there are certainly circumstances where children should work with an individualized therapist, we also believe that providing parents with evidence-based interventions and tools can be incredibly beneficial in helping children learn to regulate their emotions and behaviors. We provide in-person or virtual sessions with parents to help target challenges within the home and community environments. These sessions typically occur weekly for four to ten weeks.

Consultation/Continuation of Support

Consultation regarding IEP development, 504 plans, and school-based services are provided to parents who may need support learning about which tools would be most beneficial when helping their child.
We offer consultation to parents who have broad questions about child development, behavioral management, and parental strategies.
There are times following an evaluation where parents may have questions about their child in the context of new behaviors or changes. Our clinicians are here to support families as their needs change and offer guidance as their children continue to evolve.
Consultation services are not deemed medically necessary and are not covered by insurance.

School Observations/ IEP Meetings

There are times when a school observation would be beneficial to learn more about how the child functions within the school setting. School observations provide the clinician with a unique understanding of how the student interacts with their peers, teachers, and curriculum. These observations can be extremely helpful in learning more about individual behaviors, antecedents, and the consequences that maintain the behavior in order to tailor recommendations.
Having the child’s clinician attend the IEP meeting can be extremely helpful so that the School Team has a clear understanding of the evaluation findings and recommendations. These services can be conducted virtually or in person.