What is the length and frequency of our sessions?
Session length vary depending on required testing and may involve more than 1 session.
How much is the session fee?
Fees can vary depending on complexity. Please discuss with us.
Do you bill insurance?
We do not bill insurance.
How do I find Dr. Spade's office?
From Salida de Celaya, turn near Rustica restaurant onto Cinco de Mayo. Follow the road all the way up to the slight left curve where it becomes Prolongation Cinco de Mayo. Continue up the hill. Dr. Spade is located across from the Kindergarten school with all of the murals. The building is beige/dark brown and marked by the number A-10 next to the door. You can find the pin location here.
Where do I park?
Parking is available directly across the street, on Prolongation 5 de Mayo. You may park anywhere in front of the Kindergarten school.
Where do I go when I arrive?
The bell is located high on the upper left side of the door. Ring the bell, and Dr. Spade will greet you himself.
What is your cancellation policy?
We ask that you provide a 24 hour notice if you need to cancel or change your appointment. You will be charged the full session fee for cancellations with less that 24 hours notice.
What if I am running late for an appointment?
Everyone's time is valuable, as such, please try to reach out prior to your appointment if you are running more than 10 mutes late to notify Dr. Spade. (The sessions can be cancelled and rescheduled, and you will be charged the full session fee.) Your understanding is appreciated.
What is neuropsychology?
Neuropsychology is a specialty field that joins the medical fields of neurology, psychology and psychiatry. Neuropsychology involves determining how well the brain is working when it is disrupted by a brain injury or psychological disorder. A neuropsychological assessment is a comprehensive test of a wide range of mental functions including behavior.
What does a neuropsychological exam involve?
The neuropsychologist will talk with you to understand any concerns you and your family members might have about your cognitive (mental) functioning. He or she will also review your medical and psychological history and educational background. If a family member comes to the evaluation with you, the neuropsychologist may ask for your permission to interview him or her as well.
Your neuropsychologist will choose the tests that you are given. The tests are given and scored by a trained technician called a psychometrist who works under the supervision of the neuropsychologist. The tests typically involve writing or drawing, solving puzzles or answering questions, and responding to things presented on a computer. Most people find some of the tests to be quite easy and others to be difficult. It is important to work as hard as possible on all of the tests in order for the results to be most informative.
You will also complete questionnaires about mood and psychological symptoms. Parents of children referred for neuropsychological examinations often complete questionnaires about their child’s behavior.
Finally, the neuropsychologist writes a report that summarizes the results and includes recommendations for improving cognition (e.g., attention, memory) and possibly referrals to other professionals.
What common complaints might signal the need for a neuropsychological test?
See your healthcare professional for a referral for a neuropsychological assessment if you or a loved one show any of the following signs:
Changes in short-term memory, asks the same question repeatedly.
Frequently loses items, gets lost easily.
Poor attention and concentration. Doesn’t appear to listen. Gets confused in conversation.
Language difficulty. Has difficulty speaking or finding words or cannot understand what others say.
Can’t recognize things.
Visuospatial difficulties including difficulty drawing or using a map.
An unexplained change in personality, increase in anxiety or depression, development of delusions or hallucinations.
New difficulty with understanding or managing bills or finances.
Can’t recognize familiar persons.
How long does a neuropsychological exam take?
The length of time for testing varies considerably based on the nature of the reason for the examination. Depending on the situation, testing can take anywhere between one and eight hours, although two to four hours is typical. The testing time depends on which tests need to be administered and how quickly you are able to work comfortably. You will be allowed to take some breaks depending on how you are feeling and the length of the test.
What should I do to prepare for the neuropsychological examination?
Get a good night's sleep.
Try to eat a good breakfast.
Take all of your medications as usual unless you are directly instructed to do otherwise.
If you use glasses, contact lenses, or hearing aids, make sure you have them with you.
If you have had any neuropsychological, psychological or academic testing done in the past, bring those records with you.
If your child is undergoing the testing, and he or she has completed an intellectual evaluation, psychoeducational evaluation, multi-factored evaluation (MFE), or individual education program (IEP), bring copies of the results of those evaluations.