The ADHD Q&A Consultation: A Brief Alternative to Full Neuropsychological Evaluation
Nowell Neuropsychological Services, Inc. - David D. Nowell, Ph.D.
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FYI

The ADHD Q&A Consultation: A Brief Alternative to Full Neuropsychological Evaluation

The too-brief (and all-too-common) evaluation

I'm often dismayed to hear that children or adults receive an ADHD diagnosis after brief office visits or cursory review of checklists.

While there is no objective "test" for ADD/ADHD, a robust clinical evaluation includes:

  • an interview,
     
  • a thorough history,
     
  • behavior observations,
     
  • review of pertinent medical records, 
     
  • collateral report (interview with a roommate, spouse, parent, or teacher), and

  • (at least in my own evaluations) assessment of general cognitive functioning, academics, receptive and expressive language, memory, attention, vigilance, and executive functioning.

What if  we're not ready to spring for the full evaluation just yet?

A full neuropsychological evaluation is too time-consuming and costly for some families, so for clients who are considering extensive evaluation - but not sure about that investment at this point - I regularly offer The  ADHD Q&A Consultation in which I review previous testing and help families clarify and articulate their questions.  We explore the "ADHD look-alikes" and determine which of these might need to be ruled out.  We explore current chief concerns - what's getting in the way right now of effective work or school or social functioning?  We then consider 2 or 3 "next steps" - which could mean
  • consider an Auditory Processing evaluation, or 
  • request OT or Speech evaluation at school, or
  • request psychoeducational evaluation from the school, or
  • find a neuropsychologist who works with the family's health plan or
  • schedule an evaluation with me if/when that seems like the best choice.

So when would it be recommended to have a complete neuropsychological assessment?

Well that's the topic of my next posting.  Also coming soon is my answer to a mom's email question, "David what kind of recommendations might you make following neuropsychological evaluation of student with attentional or learning problems?"  

Stay tuned!




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