D-V Massey & Associates
Clinical & Consulting Psychologists

Neuropsychological Assessment

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Key Information

Neuropsychology is a branch of psychology specialising in the study of brain/behaviour relationships using techniques that go beyond the standard psychological assessment.  A neuropsychologist provides an accurate and comprehensive evaluation of the client's cognitive, academic, sensory/motor, attention and concentration, memory, abstract reasoning and personality/emotional functioning by using specialized assessment procedures sensitive to the effects of brain damage or dysfunction in children and adults.  A very comprehensive battery of tests that covers most of the important behavioural and psychological functions likely to be impaired in the presence of neurological damage or dysfunction are used.

The aim of a neuropsychological assessment is to provide a detailed description of the wide range of psychological abilities and disabilities most essential for work, study, adaptive functioning, and daily living.  Such adaptive abilities are frequently severely disrupted in the presence of physical damage to the brain, although these skills can also be disrupted by less severe forms of brain dysfunction including learning/behavioral deficits and other conditions associated with early damage to the developing brain.  Neuropsychological evaluation provides vital information for the diagnosis of many conditions, including hyperactive/attentional disorders, learning disorders, developmental disorders, and Brain damage resulting from trauma for both children and adults.  Neuropsychological evaluation is also the most accurate and valid means to determine the extent of cognitive impairment resulting from brain injuries and to determine whether there has been any systematic change in a person's neuro-cognitive functioning over time.  Neuropsychological evaluation and expert testimony regarding adaptive functioning have become important components of many litigation and disability coverage disputes, as specific information regarding the cognitive and adaptive behaviour of a client are identified.  This   specialized assessment can also determine the extent to which an injury will result in a significant handicap or disability throughout one’s lifespan, as well as an individual's ability to adapt to the demands of real life (including vocational, educational and social/emotional functioning).

Neuropsychological assessment differs from neurological (medical) evaluations because it relies on standardized or test-based interpretations of an individual’s behaviour when compared to others of the same age and gender.  The focus of a neuropsychological assessment is to evaluate higher cognitive or intellectual functions, with lesser emphasis placed on the more basic motor and sensory functions.  In neurological (medical) examinations, the emphasis appears to be on the basic sensory and motor responses, with a less detailed or systematic evaluation of the higher cognitive capabilities.  The neuropsychological and neurological assessment procedures tend to complement one other by offering different perspectives for the client, with the neuropsychological evaluation offering more detailed information about higher cognitive functioning.

Neuropsychological assessment differs from conventional psychological evaluation by using very comprehensive assessment batteries specifically designed to systematically assess most of the major neurofunctional abilities.  An adequate neuropsychological evaluation must go beyond a simple determination of the client’s intelligence or academic level, which is frequently the focus of standard psychological assessment procedures.  Neuropsychologists undertake extensive training, including coursework in neuroanatomy, an understanding of the complex functional organization of the central nervous system, comprehensive psychological assessment techniques, interpretation procedures, and consultation skills.  Armed with these skills, they are able to make inferences about the presence or absence of brain dysfunction including strengths and weaknesses of the client, that will greatly assist in treatment selection and planning, determining employability status, or modifications which need to be made to a learning or daily living environment.

Capabilities

It is very important to specify the strengths and weaknesses, or nature and degree of deficits that individuals may display to arrive at a working diagnosis.   A clear diagnosis leads to an appropriate action plan or rehabilitation program catered to the individual needs of the client.  Given the importance of accurate diagnosis, a comprehensive assessment should include an evaluation of the following aspects of an individual’s performance:

1.  Sensory-motor functioning

2.  Auditory, visual and tactile-kinesthetic perception

3.  Intellectual functioning & complex problem solving

4.  Cognitive / neuropsychological processing/memory function

5.  Academic achievement including in-depth analyses of learning strengths and weaknesses

5.  Emotional/social/behavioral functioning/psychopathology diagnosis

6.  Individualised remediation/rehabilitation plan/specific recommendations & suggestions

7.  Diagnosis & prognosis/ suggestions for follow-up/referral to other professionals

D-V Massey & Associates would be pleased to discuss their Neuropsychological Assessment services in detail with interested parties.


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Last modified: January 24, 2005