FREQUENTLY ASKED QUESTIONS

When should I consider a neuropsychological assessment?


Neuropsychological assessment can help if you have:

A neurological condition such as hydrocephalus, cerebral palsy, epilepsy (seizures),
neurofibromatosis, tuberous sclerosis, or a brain tumor.

A neurodevelopmental diagnosis that require a comprehensive evaluation

A brain injury as a result of an accident, concussion, stroke, or infection of the brain.

Other medical problems that place you at an increased risk of brain injury such as diabetes,
chronic heart or respiratory problems, certain genetic disorders, or treatment for cancer

Been exposed to toxins such as lead, street drugs, inhalants or was exposed to these substances or to alcohol prior to birth.

Had an assessment, but interventions resulting from that assessment failed to help.

Your physician may recommend a neuropsychological assessment to:

Assist in establishment of a diagnosis

Document current skills prior to a planned medical intervention such as a change inmedications, a surgical treatment or treatment for cancer. After the medical intervention,testing can repeated to determine if the treatment has had an effect on his/her continueddevelopment of skills. Your physician may refer to this process as “baseline testing.”




What is the usual cost of an assessment and will it be covered by my health insurance?


We require payment at the time of services and are not in any insurance plan networks. If your coverage does not require seeing an “in-network” doctor (such as auto insurance or some health insurance plans), we. The cost of an evaluation varies depending on the length of time need to complete it. However, most comprehensive evaluations cost between $3,000 and $4,000. We accept cash, checks and credit cards.

Some tips on improving your ability to be reimbursed by your insurance company:

If neuropsychological services were prescribed by your physician (neurologist, family doctor,
etc.), check with your insurance company to see if they have a neuropsychologist in their
network. If not, you may be able to be reimbursed at the in-network rate for an evaluation
done here.

Neuropsychological assessment is typically covered under the medical coverage of your
insurance plan when referred by a physician. It is usually covered if testing is being conducted to establish a diagnosis as the basis for medical treatment, to evaluate the functional impact of a medical treatment (baseline testing) or to assist in selecting a treatment.

Many insurance plans will require a letter from your physician indicating the medical necessity of the assessment. Medical necessity means that the physician needs the information to help him/her provide care.

In order to process the claim, most insurance companies require a copy of the report.




What information will the neuropsychologist need for my appointment?


You will need to provide copies of any previous medical, developmental, psychological or
neuropsychological assessments.

The neuropsychologist will ask you to complete a developmental questionnaire about your
medical history, early development, social history and school history; you will need to bring it to the appointment along with any other information that will help you answer these questions.





Terms to Know About

Attention-Deficit/Hyperactivity Disorder


There's no single test to diagnose ADHD. Instead, doctors rely on several things,
including:

- Interviews with the parents, relatives, teachers, or other adults
- Personally watching the child or adult
- Questionnaires or rating scales that measure symptoms of ADHD
- Psychological tests
The doctor needs to see how much a person’s symptoms are affecting his daily
moods, behavior, productivity, and lifestyle habits. And he needs to rule out other
conditions.

With children, the doctor will talk with the parents about ADHD symptoms they
have seen. The doctor will want to know what age the behaviors began and
where and when the child shows symptoms. The doctor may ask for a behavior
report from the child's teacher, report cards, and samples of schoolwork.

With adults, the doctor may want to talk with a spouse or other family members.
He'll want to find out if they had symptoms in childhood. Knowing if an adult had
ADHD behavior as a child is important for making a diagnosis.

To rule out other conditions, a doctor may ask for tests, including:

- Hearing and eyesight
- A blood test for lead levels
- A blood test for diseases such as thyroid disease
- A test to measure electrical activity in the brain
- A CT scan or MRI to check for brain abnormalities

To diagnose ADHD, doctors most often use guidelines established by the
American Psychiatric Association. The group has identified 3 types of the disorder:

1. Inattentive Type: A person must have at least 6 out of these 9 symptoms, and
few symptoms of hyperactive-impulsive type:

- Doesn't pay attention to detail or makes careless mistakes
- Doesn't stay on task
- Doesn’t listen
- Doesn’t follow instructions or finish schoolwork or chores
- Trouble organizing tasks or activities
- Avoids or dislikes doing things that take effort or concentration
- Loses things
- Easily distracted
- Forgetful

2. Hyperactive-Impulsive Type: A person must have at least 6 out these 9
symptoms, and few symptoms of inattentive type:
- Fidgets or squirms a lot
- Gets up from his seat a lot
-Runs or climbs at inappropriate times
- Has trouble playing quietly
- Always “on the go” as if “driven by a motor"
- Talks excessively
- Blurts an answer before the question has been completed
- Trouble waiting his turn
- Interrupts others

3. Combined Type. This is the most common type of ADHD. People with it have
symptoms of both inattention and hyperactivity-impulsivity.




Adult Attention Deficit Hyperactivity Disorder (ADHD)


Adult Attention Deficit Hyperactivity Disorder (ADHD) is a relatively common,
often unrecognized condition. It affects 4.4% of U.S. adults, but most adults with
ADHD live with the symptoms and suffer the often-devastating effects of ADHD in
their lives without identifying the source of their struggles. Instead, their
difficulties are attributed to their own shortcomings. Once diagnosed, many
adults are happy to learn that they do not have a character flaw.

Adult ADHD Exists

Many adults who suffer from untreated ADHD avoid diagnosis or treatment due
to the negative stigma associated with ADHD. Many people dismiss ADHD as little
more than laziness targeted as a marketing opportunity by pharmaceutical
companies. However, many years of scientific research confirms adult ADHD does
indeed exist, and that ADHD diminishes adults’ quality of life.

Regardless of the stigma surrounding ADHD, knowing about your adult ADHD is
preferable to struggling unawares. With an accurate diagnosis, many treatment
options and coping strategies become available. ADHD is not a “one size fits all”
disorder and many factors must be considered before a definitive diagnosis is
made and an appropriate treatment is found.
It’s Better to Know

An ADHD diagnosis is not a death sentence, nor does it guarantee a lifetime of
taking pills. Medication is not always effective, and there are many adults with
ADHD who do not want medication as part of their treatment plan. However,
without knowing you have adult ADHD, there’s certainly nothing anyone can do
to help.

CBT, ADHD coaching, and medication, and as scientific research has proven the
benefits of additional treatments, strategies such as mindfulness practice,
exercise, diet and therapy are beneficial.




Cognitive Behavioral Therapy


CBT is a short-term, goal oriented treatment that focuses on helping the client to
recognize the ways in which their automatic and ingrained thoughts contribute to
and cause their mood/behaviors. Treatment focuses on developing a new set of
evidence based, reassuring and calming thoughts that the person can use to
decrease and manage. Dr. Eve Weber provides short term Cognitive Behavioral
Training in 6-12 sessions depending on therapeutic goals or work with other
providers.





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