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NEUROPSYCHOLOGICAL SERVICES

Dr. Bradley works with adolescents and adults. She specializes in remote neuropsychological evaluations that utilize multiple methods to assess neurodevelopmental and neurocognitive conditions. Each evaluation consists of an assessment, record review, an in-depth clinical intake with the patient, and consultation with family, caregivers, or other providers as necessary. There is also a dedicated feedback session to review findings and give the client and/or family the opportunity to ask questions to enhance understanding results and interventions.

COMPREHENSIVE NEUROPSYCHOLOGICAL ASSESSMENT

This consists of an individualized battery designed to conceptualize global aspects of brain function with the goals of assisting in diagnosis and creation of tailored interventions or management strategies. Test instruments are selected to address concerns specific to each referral question. Please see a list of common conditions that are likely to benefit from a comprehensive neuropsychological evaluation in the FAQ.

EXPANDED PSYCHOEDUCATIONAL TESTING / LEARNING DISORDER EVALUATION

The goals of a Psychoeducational Evaluation are to better understand a student’s learning patterns and to evaluate their academic performance. Individuals who pursue this option often have questions about specific learning differences due to difficulties in mathematics, written expression, reading, or attention.

A ‘typical’ psychoeducational evaluation often includes an assessment of intelligence and academic achievement with the goal of determining whether a student is eligible for school-based services. In addition to exploring intellect and achievement, an ‘expanded’ psychoeducational evaluation also considers aspects of executive control, learning and memory, mood, and medical factors that also play a role in academic and social functioning. The result is a broad picture of a student’s strengths and weaknesses, and enhanced understanding of the presenting problems.

In addition to uncovering any possible diagnoses, report findings include methods to utilize the student's own strengths to help them compensate for areas of weakness. Suggestions for accommodations around the home, and in the school or workplace are also provided. Ultimately findings facilitate creation of an environment that will allow the student to function at his or her full potential.

ACCOMMODATIONS FOR STANDARDIZED TESTING

Some individuals have longstanding diagnoses of neurodevelopmental conditions that have been effectively managed with medications and/or accommodations in school. However, many “high-stakes” exams (e.g., ACT, SAT GMAT, GRE, LSAT, MCAT, State Bar Exam) require proof of diagnosis through neuropsychological test data to be eligible for accommodations during the exam. This battery is designed to meet requirements of individual test boards. It also includes completion of any additionally required forms and documentation.

SCHOOL ADMISSIONS IQ TESTING

This brief evaluation yields a succinct IQ report that is sufficient for the application requirements for most private and independent schools.

BASELINE COGNITIVE SCREEN

It is not uncommon for individuals with a family history of neurodegenerative conditions such as Alzheimer’s disease, or who are in the early stages of a neurodegenerative condition themselves to have questions about their current cognitive status. The Baseline Cognitive Screen is a battery crafted to gather a “snapshot” of current functioning. This snapshot serves as a basis of comparison when assessing for cognitive changes in the future. In some cases, it may identify early/pre-clinical changes that can be observed in individuals at risk for developing Alzheimer’s disease. If completed following an injury (e.g., stroke, TBI), it may also be used to assess for improvement over time.

DEEP BRAIN STIMULATION (DBS) EVALUATION

This evaluation is designed to assess cognitive, emotional, and social functioning to make a neuropsychological pre-surgical candidacy recommendation. This is intended for individuals pursuing DBS for movement disorders (e.g., Parkinson’s disease, essential tremor, dystonia).

CAPACITY EVALUATION

Some neurological and neuropsychiatric conditions contribute to progressive worsening of cognitive functioning that can make it difficult for adults to independently make important decisions. This evaluation is often sought out by loved ones who have concerns about a family member’s abilities to manage finances or medical decisions, or whether it is safe for their loved one to continue living on their own. Findings may be used to establish guardianship or conservatorship.