Pediatric Neuropsychological Evaluation
A neuropsychological evaluation is a comprehensive assessment of brain function and its relationship to learning, behavior and emotional regulation. The evaluation will facilitate the identification of specific learning, behavioral, neurodevelopmental and neurobehavioral disorders in children and adolescents.
For many, the primary focus of the evaluation is obtaining a diagnosis. A diagnosis is important in that it opens the door to qualifying for services, but it has its limitations. Some believe the diagnosis is what leads to treatment but it is really just one step in the process.
Dr. Nilsson's ultimate goal is to move beyond the diagnosis and to provide you with an understanding of the "logic" behind the symptoms, learning difficulties and behaviors.
Many parents struggle to understand why their child does what they do. It can be extremely frustrating and many parents place the blame on themselves (or feel others blame them). It is this understanding of the "logic" of the symptoms and behaviors that leads to effective treatment, educational support and adaptations / accommodations. These interventions will assist in optimizing your child’s development; socially and academically.
Neuropsychological Evaluation Process
The evaluation process involves four steps. The first step is the initial interview to review developmental, medical and personal history with Dr. Nilsson. Prior to that appointment you will receive a History Form. This form needs to be filled out prior to your appointment. Although this form is quite long, it is very important for you to provide detailed, accurate responses. This will help greatly in understanding the symptoms your child is experiencing. You are encouraged to ask other family members, friends, teachers or health care providers for input. The interview with Dr. Nilsson will take approximately one hour.
The second step is completion of testing. The testing will involve assessment of memory, problem solving, executive functioning, IQ, motor performance and emotional regulation. Testing typically takes five to six hours and is usually completed in one day. A break is given at lunch and as needed during the day. In order to maintain the standardization of testing, only the examiner and the patient are allowed in the room during testing.
Preparation for testing
- Get a good night’s sleep
- Eat breakfast
- When you meet the examiner, please share any information that may help to complete testing. For example, tell the examiner if your child tires easily, requires frequent bathroom breaks, or is easily overwhelmed.
- Bring a list of any medications taken that morning or that must be taken during the day.
- Do not take over-the-counter medications (e.g. cough syrup) that tend to cause drowsiness.
- Give your child a brief explanation of what they will be doing. “Today you are going to be going through a group of tests. You will be answering questions, putting together objects and looking at pictures.” Many children fear they will be receiving a shot. Assure them that that is not going to happen. Dr. Nilsson does not give shots!
- Feel free to bring beverages and a snack if needed.
The third step is reviewing the results of the testing, "Feedback", with Dr. Nilsson. This is usually completed 1-2 weeks after testing. This appointment typically lasts one hour.
The final step is the receipt of the written neuropsychological evaluation. We will provide one copy to you and one copy to the referring physician or health care provider. You are encouraged to copy and distribute the evaluation to all those involved in your child’s care. Please make sure you keep a copy of the evaluation.
Following the receipt of the written evaluation you may want to schedule a follow-up appointment with Dr. Nilsson. After reading the written report, it is not uncommon to have more questions. The report is only valuable if it is understood and applied to your child’s care.
