What is a Neuropsychological Evaluation?

A neuropsychological evaluation is a comprehensive assessment of cognitive and behavioral functions using a set of standardized tests and procedures. Various mental functions are systematically tested, including, but not limited to:

• Intelligence
• Memory
• Problem solving skills
• Planning and organization
• Attention, memory, and learning
• Language
• Visual Spatial abilities
• Perceptual and motor abilities
• Emotions, behavior, and personality

Who is Qualified to Conduct a Neuropsychological Evaluation?

A neuropsychological evaluation can only be done by a licensed psychologist who has had specialized training and experience in the field, which include:

• Predoctoral Internship in psychology and neuropsychology.
• Postdoctoral training focusing on brain-behavior relationships and neuropsychological assessment

When is Neuropsychological Evaluation Needed?

A neuropsychological evaluation is recommended for any case in which brain impairment is suspected. Typical referrals are made to diagnose or rule out the following conditions, and to describe their impact on a person's daily functioning:

• Traumatic brain injury
• Strokes
• Neuropsychiatric disorders
• Seizure disorders
• Medical illness or treatments
• Effects of toxic chemicals
• Chronic substance abuse
• Dementing conditions (e.g., Alzheimer's Disease)

A neuropsychological evaluation is particularly useful for tracking progress in rehabilitation after brain injury or other neurological disease. Neuropsychological evaluation can assist greatly in planning rehabilitation and treatment programs. It can also be invaluable for disability determination or for forensic (legal) purposes.

What is an Exam Like?

Generally, a neuropsychological evaluation involves a wide variety of tasks, most of which are done sitting at a table. There are no invasive procedures, no pain, no needles, or electrodes. The evaluation often takes 6 to 8 hours of testing time, but can vary widely depending on what information is being sought. Brief rest breaks are given as needed and the evaluation can usually be scheduled in a single appointment.

How are the Test Results Used?

That depends on the reason for the evaluation. Neuropsychological evaluations may:

• Confirm or clarify a diagnosis.
• Provide a profile of strengths and weaknesses to guide rehabilitation, educational, vocational, or other services.
• Document changes in functioning since prior examinations, including effects of treatment.
• Clarify what rehabilitation strategies would help.
• Result in referrals to other specialists, such as rehabilitation professionals, neurologists, psychiatrists, psychologists, social workers, nurses, or vocational counselors.