Brain Disorders and Learning Disabilities evaluation and treatment (ages 18+)* - Mild Traumatic Brain Injury, dementia, pseudodementia, ADD/ADHD, Dyslexia and Other Specific Learning Disorders, stroke (CVA), Parkinson's, Multiple Sclerosis (MS), Hydrocephalus (NPH), and other central nervous system illnesses, injuries, and congenital conditions
*cognitive-intellectual, executive skill, memory, language, neuropsychiatric, and psychosocial-emotional functioning and behavioral problems associated with Brain Disorders and Learning Disabilities (ages 18+)
As a Board-certified Clinical Neuropsychologist, I am a specialist trained and experienced in evaluating and treating problems with functioning and coping (cognitive, emotional, and behavioral deficits or changes) associated with brain injury or illness or learning disabilities and other kinds of CNS Disorders and brain syndromes. I am skilled in applying standardized neuropsychological testing and other diagnostic methods to help referring physicians with differential neurological diagnosis, also to diagnose and treat neurobehavioral conditions and/or illness or injury adjustment and coping issues, related to medical diagnosis.
I have particular expertise with Mild Traumatic Brain Injury or MTBI, Mild Cognitive Impairment or MCI (pre-dementia screening and ruling out pseudodementia), learning disability (ADHD diagnostics as well as dyslexia and other verbal learning disability assessment, also perceptual or nonverbal learning disability), stroke or CVA, Parkinson's (PD), and Multiple Sclerosis (MS). I do a lot of evaluation and consultation pertaining to these conditions and recovery prognosis, return to work planning with recommendations for accomodations vs. disability determination, including pre-disability baseline testing to help with decision-making on retirement or medical retirement timing and related issues.
My neuropsychology practice is limited to adults, senior adults, and late adolescents and focused on both brain disorder diagnostics and illness or injury rehabilitation counseling.
Your evaluation with me will be geared toward what your neuropsychological test results imply for prognosis and treatment, your everyday functioning and what can be done about it. You can expect an opinion on your recovery or rehabilitation potential and recommendations for treatments, strategies, or life choices or support systems which will maximize your independence, quality of life, and if applicable, work rehabilitation.
Your evaluation will start with a diagnostic interview (review of intake questionnaire information and relevant history and symptoms) and include neurobehavioral status examination and standardized neurocognitive testing; tests that will require you to process different kinds of information, verbal and visual and sometimes under time pressure; some tests asking you to just pay attention and track what you hear or see and others requiring you to remember new information (e.g. word lists or numbers and symbols or geometric designs) and/or problem-solve and make decisions based on that information, e.g. figure out patterns or principles that tie information together.
You can expect me to administer relatively brief testing if your referral questions about diagnosis or level of functioning involve a known condition or are straightforward or do not involve a complex medical or psychological history or multiple symptom etiologies or disability vs. return to work questions. But, if your history and symptoms and/or referral questions are complex along those lines, in addition to the brief testing which I directly administer, I will order an extended to full battery of neurocognitive testing and that will be administered by my psychometrist.
If follow-up neuropsychological treatment is indicated based on your evaluation and you proceed with treatment under my care, you can expect cognitive compensatory skills and other kinds of behavioral skills training to maximize your everyday functioning, as well as disability grief & loss counseling as needed, psychotherapy work geared toward preserving or re-establishing as much life enjoyment as possible within the bounds of whatever 'new normal' has been imposed by your injury or illness and disability. Your treatment will otherwise include the methods, principles, and values which I have outlined on my GENERAL PSYCHOLOGY page.
The Neuropsychological Exam, Explained (National Academy of Neuropsychology)
In Remembrance of Ralph M Reitan, PhD (one of the most influential figures in the history of Clinical Neuropyschology and Advisor to Sureyya S Dikmen, my Mentor at UW, Department of Rehabilitation Medicine, my Post-Doctoral Fellowship training, 1984-1985)