Mary Zemansky Mary Zemansky

Understanding Neuropsychological Evaluation

Understanding psych evals

-Sometimes people ask themselves “How bad is my memory (or

attention/concentration)?”

-They might talk with friends, or visit social media sites, which minimize their

concerns or provide unnecessary worry

-Enter Neuropsychology, defined as the study of brain-behavior relationships

  • A comprehensive neuropsychological exam is tailored to the individual’s

    symptoms and/or concerns

  • While many adults have taken a brief memory test at their primary

    care provider’s office, such a measure only serves as a baseline

  • To determine how the brain is functioning, various tests are administered,

    usually including intellectual functioning, reading level, memory,

  • The test results compare a person’s abilities to their age group (and

    sometimes to their educational level as well)

  • The pattern of results is carefully interpreted and compared to how

    persons without brain disorders might function; this determines subjective

    cognitive decline

  • A report is generated with recommendations for possible remediation

    strategies and/or compensatory techniques in addition to lifestyle factors

    which promote brain health

  • Information for family, friends and caregivers of the patient is also included

    to help facilitate their understanding and ability to assist the patient

What types of cognitive difficulties are assessed?

  • Attention difficulties, memory loss, problem-solving, language, thinking skills.

  • To ensure a thorough assessment, aspects of mood, emotional disorders, personality characteristics, motivation and frustration tolerance can be included.

  • Neuropsychological evaluations commonly test brain injury, concussions, memory loss due to aging/dementia, stroke and other cognitive difficulties people might have following an accident, injury or illness (such as Long Covid)

What is a neuropsychologist and how are they trained?

  • A healthcare professional with a PhD, PsyD or EdD in psychology or counseling

  • Trained in understanding brain function and cognitive disorders

  • Often have additional training through a fellowship or internship; others are board certified

What would I do to obtain an evaluation of my cognitive abilities?

  • -Talk to your PCP (MD, DO, PA, NP) since they can order various tests to rule out contributing conditions (diabetes, thyroid, vascular disease)

  • Contact your insurance company to determine if authorization is needed for neuropsych testing

  • Consult with a psychologist or neuropsychologist for further information

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Mary Zemansky Mary Zemansky

How is your cognitive health?

What is cognitive health?

  • Your brain’s ability to sense, think and learn

  • Includes awareness, attention, focus, memory, language abilities, reading

    and problem-solving

  • Is affected by physical conditions, medication, emotional state, sleep,

    alcohol and marijuana use, and many other variables

  • Often such abilities are taken for granted until there is a change in the

  • person’s ability to function at school, work and/or home

How are brain disorders classified?

  • Through the use of symptoms and observations from the patient and others

  • who know them (family, friends and/or coworkers)

Is there a way to determine your cognitive health?

  • Yes! A thorough neuropsychological exam compares a person’s abilities to

    their age group (and sometimes to their educational level as well)

  • The pattern of results is then carefully interpreted and compared to

    persons with ‘normal aging’ and various categories of brain disorders

  • Recommendations are made regarding possible compensatory strategies

    in addition to lifestyle factors affecting cognition (such as sleep and

    exercise)

How do I find out more details regarding my brain health?

  • Minimize searches on the internet and social media (such as “Dr. Google”)

  • Talk to your PCP (MD, DO, PA, NP) about the use of various tests to rule

    out contributing physical conditions (diabetes, thyroid, vascular disease)

  • Consult with a psychologist or therapist specializing in rehabilitation to

    identify and treat factors affecting cognitive functioning


What is cognitive health?

  • Your brain’s ability to sense, think and learn

  • Includes awareness, attention, focus, memory, language abilities, reading

    and problem-solving

  • Is affected by physical conditions, medication, emotional state, sleep,

    alcohol and marijuana use, and many other variables

  • Often such abilities are taken for granted until there is a change in the

  • person’s ability to function at school, work and/or home

How are brain disorders classified?

  • Through the use of symptoms and observations from the patient and others

  • who know them (family, friends and/or coworkers)

Is there a way to determine your cognitive health?

  • Yes! A thorough neuropsychological exam compares a person’s abilities to

    their age group (and sometimes to their educational level as well)

  • The pattern of results is then carefully interpreted and compared to

    persons with ‘normal aging’ and various categories of brain disorders

  • Recommendations are made regarding possible compensatory strategies

    in addition to lifestyle factors affecting cognition (such as sleep and

    exercise)

How do I find out more details regarding my brain health?

  • Minimize searches on the internet and social media (such as “Dr. Google”)

  • Talk to your PCP (MD, DO, PA, NP) about the use of various tests to rule

    out contributing physical conditions (diabetes, thyroid, vascular disease)

  • Consult with a psychologist or therapist specializing in rehabilitation to

    identify and treat factors affecting cognitive functioning


Read More