Services

Neuropsychological Testing

Our experienced neuropsychologists examine cognitive abilities (e.g., memory, speech and language, visuospatial abilities, concentration, motor skills) and integrate the test data with medical, psychological, developmental, medication and other data to help with differential diagnosis and determine the impact of a disease or injury on a persons functioning. This information assists in treatment and life planning and can assess the clinical course of a condition and response to treatment.

 

Neuropsychological Testing complements neurological exams and tests. While imaging (e.g., CT or MRI) shows the structure of the brain, neuropsychological testing reveals the persons cognitive strengths and weaknesses as they may have been affected by disorders such as dementia, brain injury or neurological disorders.

 

Neuropsychological assessment is a complex process that involves the integration of many variables that are unique to each patient. These include early life events (medical and psychological), their developmental history, medical issues, medications (and their side effects) and the individual's psychological status. Thus, test results need to be considered in the context of a patient's unique background to arrive at diagnostic conclusions and treatment recommendations. Computerized cognitive testing or brief screening evaluation cannot provide this sort of complex integrative and analytical process. 

Dementia is not one disease. Neuropsychological testing in combination with a thorough clinical history can help differentiate types of dementia or identify disorders presenting as dementia.

 

When it comes to diagnosing concussions or traumatic brain injury computer tests (e.g., ImPACT concussion battery) might indicate the presence of a cognitive problem, but these tools assess functioning without an adequate context, and can be difficult for the elderly or people who are uncomfortable with computers to manage. A comprehensive and sensitive set of neuropsychological tests that are administered in person, and when considered in the context of a patient's history, overcomes the limitations of such tests (e.g., see Slate article on the problems with ImPACT).

Testing is often beneficial for people who are experiencing neurological disorders such as multiple sclerosis, a stroke, brain tumor or other neurological disorders where abilities can be affected and who need recommendations for care based on the exam findings. 

 

Neuropsychological testing is sometimes required as a part of pre-surgical evaluations (e.g., epilepsy or Parkinson's disease surgery). 

 

Neuropsychological assessment is our primary assessment service and not a practice add-on.

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Image by Scott Graham

Psychological Testing

Psychological testing helps determine mental health diagnosis and in formulating treatment recommendations. We evaluate for disorders such as:

  • ADHD

  • Autism Spectrum Disorder

  • Pre-surgical implantation of a spinal cord stimulator to manage chronic pain

  • Psychoeducational evaluations for children.

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Biofeedback

 

Biofeedback is a set of non-invasive methods that helps you perceive, monitor and change physiological activities that affect your health. When you can see these typically imperceptible biological activities you can change them for the better. For example, you can slow your heart rate or reduce muscle tension. Making these positive changes can reduce anxiety, improve mood and lessen pain. The following biofeedback techniques are typically used:

  • During respiratory biofeedback, bands are placed around your abdomen and chest to monitor your breathing patterns and respiration rate.

  • Heart rate biofeedback uses skin sensors to detect blood volume changes to measure how your heart rate varies.

  • Muscle contraction biofeedback involves placing sensors over your muscles with an electromyograph (EMG) to monitor the electrical activity that causes muscle contraction.

  • Sweat gland activity biofeedback uses sensors around your fingers or on your palm or wrist with an electrodermograph to measure the activity of your sweat glands and the amount of perspiration on your skin, alerting you to anxiety.

  • Temperature biofeedback uses sensors attached to your skin to measure blood flow. Because your temperature often drops when you're under stress, a low reading can prompt you to begin relaxation techniques.

What is Biofeedback?

Biofeedback and Headaches