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.

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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.

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Your neuropsychologist will choose the tests that you are given. The tests are given and scored by Dr. Spade. 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.

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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.

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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.

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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.

• Confusion.

• 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.

• Poor judgment/decision-making.

• 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.

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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.

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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.

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