Neuropsychological, Cognitive, Educational, and Psychological Testing
1. What is a Comprehensive Individualized Assessment?
There are many reasons to consider a comprehensive assessment. Our Comprehensive Individualized Assessment can include neuropsychological, cognitive, educational, and/or psychological testing, depending on what is needed. We individualize each assessment protocol to address the particular questions you would like answered. We will discuss with you the types of test instruments we will be using to learn more about you, as well as the kinds of recommendations and accommodations you can expect.
2. What is a Comprehensive Individualized Assessment used for?
Comprehensive Individualized Assessment provides information that will help guide you and the professionals working with you (colleges/universities, therapists, employers, etc.). Assessment provides an analysis of strengths and difficulties. The assessment provides information about how you can maximize strengths as well as recommendations about the most effective learning environment, communication styles and/or the best remedies or treatment for any challenges faced.
3. When is a Comprehensive Individualized Assessment most useful?
It is sometimes said that an assessment cannot find out anything that a good clinician could not find out by talking to someone. This may sometimes be true. However, there are times when assessment can provide information that a clinical interview simply cannot. It is very useful in these situations:
- When there is not a lot of time.
A good clinician can find out a lot about a person, but it generally takes quite a bit of time to glean the same amount of information that an assessment can obtain in a few sessions. This can be important for many reasons. For example, you may be struggling in school or at work, and want to rectify that as soon as possible, or you may be acting in ways that are concerning to you or potentially harmful and there is a need to answer some questions quickly to improve the situation.
- When it is not possible or easy for you to express yourself.
This is the case especially when you find yourself struggling to identify your feelings or express them. You may not feel comfortable or skilled at assessing your difficulties or describing your inner world verbally. Assessment can provide information about an individual that they may not be able to provide themselves. For example, if you are confused by your frequent mood swings, assessment can help clarify what is going on and provide you with an accurate diagnosis.
- When there is really no other good way to get the information needed.
This is especially true with areas such as learning style, learning disabilities, and neuropsychological functioning or situations in which you may be facing multiple challenges. Sorting these things out is the job of this type of assessment.
- When accommodations are needed for school or standardized tests.
Often times, adults with learning differences or difficulty focusing their attention need accommodations in school and on standardized tests in order to do their best or demonstrate their full potential. In these cases assessment with education, psychological and/or neuropsychological assessment tools is generally required by the organizations that publish and administer these standardized tests. Examples of standardized tests include the SAT, GRE, MCAT or LSAT. A comprehensive test report is generally required in order for students to be eligible for needed accommodations.
3. What if I don’t do well on the tests?
The word “test” brings up thoughts of schools and grades and doing well or poorly. That is not how these “tests” work. There are no right or wrong answers. The tests (which psychologists prefer to call “assessment instruments”) are designed to find out about how you function. For example, they might provide information about how you are best able to learn, whether you have sufficient coping resources, or how you respond to stress.
4. What are Comprehensive Individualized Assessment sessions like?
There are a vast number of assessment instruments or tests, each designed to look at a different aspect of a person’s functioning or to answer a different type of question. When you come in for a comprehensive individualized assessment it is often because you, a professor, physician, psychologist, or other health-care provider has questions or concerns which need to be addressed. The psychologist doing the assessment will try to determine what the specific concerns are and will select an appropriate group of instruments (called a test battery) based on that information. These instruments come in a variety of forms. Some are pencil and paper tests in which you will answer lots of True/False questions about yourself. Others are more “hands-on” and ask that you organize pictures or work with puzzles. In some, the psychologist will ask lots of questions, or you might be asked to respond to cues on a computer screen or make up stories to go along with pictures you are shown.
5. What are some reasons to be tested?
There are many reasons for a comprehensive individualized assessment. Some possible reasons are listed below. If you have a question about whether or not you should have an assessment completed, don’t hesitate to call and discuss your concerns further.
- Academic struggles, poor grades despite significant effort
- Difficulties with paying attention, following directions or completing tasks at school or at work
- Difficulty keeping track of work or school assignments, turning in assignments or getting started on activities
- Disorganization and/or trouble with time management
- Concerns about a learning disability or ADHD
- Wanting more information about learning style
- Clarification of the psychological diagnosis
- Emotional distress, including depression, anxiety and trauma
- Clarification of treatment methods and goals
- Accommodations for the classroom and for standardized tests including the SAT, LSAT, MCAT and GRE.
6. Should I begin or continue therapy while the testing process is going on?
Yes. You and your therapist should determine the initial goals of therapy and whether to begin or continue. You can benefit from their therapy sessions even before the assessment results are available. The process is like being treated by a physician: The doctor will begin treating the symptoms and stabilizing the situation before all the diagnostic information is collected. The diagnostic test results, when available, assist with the fine tuning of the work. This is true in a comprehensive individualized assessment as well.
7. How much does a Comprehensive Individualized Assessment cost?
A comprehensive individualized assessment costs between $6500 – $8000. There is a considerable range of charges for assessment, which depends on the purpose of the tests and whether they involve individual or group administration or administration by computer. Assessments done here are individually administered, and the assessment instruments making up the battery are individually selected for the client and situation. Such an assessment provides a comprehensive profile of neurological and cognitive functioning, personality structure, learning style and emotional functioning. The entire process includes:
- A preliminary interview with the client as well as brief conversations with other adults and medical providers who are involved in the client’s education and healthcare
- Two or three sessions of 3 to 6 hours each during which the testing is completed
- Scoring and interpretation of the test information
- Comprehensive written report with recommendations for school/work, home, therapy, and other services if applicable
- A 1.5-hour session explaining results and recommendations. Recommendations provide guidance about what can be done to support you to thrive more in your various contexts. If you are in therapy, there will be information helpful to the therapist as well.
Additional charges may apply if significant time is allocated to the review of previous assessment documents or history or to consultation with parents, teachers, or other practitioners involved in the client’s care. So, the best plan is to speak to our assessment team regarding the goals of the testing and the best plan to reach those goals. Once we have collaborated on this, we will then be able to discuss the specific costs.
8. Will insurance pay for a Comprehensive Individualized Assessment?
Some insurance will pay for at least a part of the assessment costs. You should contact your insurance company and see what your policy offers. Often insurance companies will not pay unless they have approved the testing prior to beginning. You should check with them about this. Our policy is to charge you for the assessment and give you a receipt that you can submit to your insurance company for reimbursement. A holding fee of $200 is paid when the initial testing dates are chosen. The first half of the payment is expected on the first day of testing, and the second half is paid at the feedback session. Credit cards can be used.
Available Follow-Up Services
- 3 months or one year follow-up
- School advocacy
- Documentation for additional access to accommodations or needed support
Dr. Grace Goodman’s qualifications
Dr. Goodman graduated from the Clinical Psychology program at Fuller Graduate School of Psychology in 2015. She trained in the areas of personality, cognitive and neuropsychological testing including an assessment clerkship at the LA County Department of Mental Health and an internship at San Bernardino County’s Department of Behavioral Health Outpatient clinic. In addition, she was a member of a research team at the UCLA Semel Institute of Neuroscience and Behavior that studied the neurocognitive and neuropsychological effects of HIV/AIDS. Her doctoral dissertation was on scale 8 of the MMPI-2, and she continues to participate in trainings to stay up to date on the latest research on assessment instruments. She is passionate about equity and justice in mental health and strives to eliminate socioeconomic barriers to testing and provide better access to needed supports and accommodations in academic and work settings.
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