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benefits of neuropsychology testing

Neuropsychological evaluations for kids

benefits of neuropsychology testing

How can neuropsychological testing benefit my child?

  • Testing can identify your child’s learning style and cognitive strengths.
  • Additionally, an evaluation will help our neuropsychologists recommend adjustments to implement at school and/or at home.
  • Furthermore, neuropsychological testing can help determine any appropriate therapies such as speech or Applied Behavior Analysis.

My child has a recommendation for a neuropsychological evaluation, now what?

  • First, schedule an appointment. Testing appointments are available Monday to Friday, and all appointments begin at 9 a.m.
  • Next, your doctor provides you with parent and teacher rating scales that you will fill out and return on the day of the testing appointment.
  • Lastly, a Family Child Advocate will work with you to schedule the testing and feedback appointments.

Where is pediatric neuropsychological testing done?

All neuropsychology testing is currently carried out in our Des Plaines clinic.  The Early Childhood Developmental Assessments take place in multiple clinics. Additionally, the intake and neuropsych testing appointment take place in our Des Plaines clinic, and the speech and OT appointments typically scheduled in the clinic nearest the family.

In order to help accommodate families, our 3 psychologists visit other clinics for intakes and feedbacks. See our website for scheduling.

Who conducts neuropsychological testing?

Conducting the appointment is one of our expertly-trained, master’s level neuropsychology technicians or doctoral-level diagnostic students. These professionals go through the same rigorous training program as our in-house technicians.  Testing is monitored throughout the day by one of our psychologists and Training Coordinator.

Due to this testing model, we are able to see upwards of 20 kids per week! As a result, this means less time until you and your child can begin the process of getting the help he/she needs! Certainly, we do our best to get your child in for testing in a timely manner to avoid any long wait lists.


NSPT offers services in the following locations:  BucktownEvanstonDeerfieldLincolnwoodGlenviewLake BluffDes Plaines, and Mequon!

If you have questions or concerns about your child, we would love to help! Give us a call at (866) 815-6592 and speak to one of our Family Child Advocates!

 

what to expect in a neuropsychological exam

Neuropsychological testing for kids at NSPT

what to expect in a neuropsychological exam

A child receives a referral for neuropsychological testing when there are concerns about one or more areas of development. Certainly, these areas of concern can include cognition, academics, attention, memory, language, socialization, emotional regulation, behavioral concerns, motor difficulties, visual-spatial, and adaptive functioning. Testing can identify your child’s learning style and cognitive strengths. Lastly, through testing, our neuropsychologists can recommend accommodations to implement at school and at home.

What is a neuropsychological evaluation?

A neuropsychological evaluation aids the psychologist in determining a diagnosis.
Such as:

How do I know if my child needs a pediatric neuropsychological evaluation?

An evaluation is usually recommended if your child has a medical condition such as Down syndrome, epilepsy, or a traumatic brain injury (TBI). So, the goal of the evaluation is to identify your child’s strengths and weaknesses. With this information, we can provide the right treatment recommendations, determine progress and response to intervention, and monitor functioning.

After your pediatrician has made a referral for a neuropsychological evaluation, you need to schedule an intake appointment. Typically, each intake appointment is one hour long.

Is my child eligible for testing at NSPT’s neuropsychological testing center?

Due to our growing team, we are able to test a larger population. Most noteworthy, we offer three types of testing services:

      1. Early Childhood Developmental Assessment
        This is a multidisciplinary approach where our team works with a speech therapist and occupation therapist to assess children ages 15 months to 3 years, 11 months with developmental concerns ranging from socialization, language, and motor development. Each of the 3 scheduled testing appointments are typically on separate days.
      2. Neuropsychological Evaluation
        NSPT’s standard neuropsychological evaluation for individuals ages 4 through college-age.
      3. Adult ADHD assessment
        This is a new service we are now offering to adults who are interested in an ADHD evaluation. Typically, this is a one-day, 4-hour evaluation.

What should I expect during the neuropsychological intake?

  • Your first appointment is centered around talking with the psychologist about your areas of concern. Therefore, you will be asked to do the following:
    • Provide information about your child’s history.
    • Including medical, developmental, academic, attention, behavior, motor, and social history.
    • Inform the psychologist of any current, or past, services your child receives, such as:
      • speech-language therapy
      • occupational therapy
      • physical therapy
      • individual therapy
      • academic tutoring

What to bring to the neuropsychological intake:

  • You and your child
  • Completed intake paperwork
  • Similarly, any prior psychological/neuropsychological evaluation (if applicable)
  • Your child’s most recent 504 Plan or IEP (if applicable)
  • Additionally, any recent private intervention evaluation (e.g., speech-language therapy, occupational therapy)
  • Certainly, don’t forget your child’s most recent report card or standardized exam scores
  • Finally, any relevant medical information (e.g., EEG report, CT/MRI scan report)

Lastly, after the intake, you will schedule the testing session for your child.  Most of the time, testing is completed in one day (5 hours of testing). Occasionally, the testing will be completed over two days.  The psychologist will create a neuropsychological battery based on the areas of concern. However, the battery is subject to adjustment on the day of testing.  Typically, this occurs if another area of concern arises during the testing session.

To sum up, a pediatric neuropsychological evaluation can also help to determine any appropriate therapies such as speech or Applied Behavior Analysis. For more FAQ, click here

 

NSPT offers services in BucktownEvanstonDeerfieldLincolnwoodGlenviewLake BluffDes Plaines and Mequon! If you have questions or concerns about your child, we would love to help! Give us a call at (866) 815-6592 and speak to one of our Family Child Advocates!

 

A Small Break from Therapy – What’s the Big Deal?

Written by: Erilda Borici and Olivia Smith

Now that warm weather has finally arrived, many children and families are eagerly awaiting the end of the school year and the beginning of the summer break. Summer is the perfect time of the year to play outside with friends and to enjoy family time.  It’s also an excellent opportunity to add additional therapy sessions to maintain progress made during the school year or to meet goals. 

When your child is in need of counseling, speech therapy, occupational therapy, ABA or physical therapy, an individualized treatment plan is created by your therapist. Therapists build a strong rapport and a trusting relationship with children through consistent time spent together.  A break in therapy disrupts their treatment plan and can delay progress.

There are multiple ways to maximize your child’s time in therapy during the summer months by participating in our multidisciplinary approach. If necessary, your child can receive various therapeutic services all under one roof. 

For children who have diagnoses of Autism, ADHD, or other developmental, cognitive, or mental health concerns, multiple therapeutic services are recommended to allow your child to reach their full potential. Apart from the convenience of having all  of your child’s services under one roof, therapists collaborate with each other to ensure consistency for your child. Coordination of care will allow your child to grow and gain skills as rapidly as possible.   

The summer months bring lots of opportunities for children to play at parks, learn to use/ride various gross motor toys such as bikes or scooters, or play at the beach. Therapy is play based so it’s fun! 

Many of our clinics have a sand table where children can learn how to build sand castles, or jungle gym equipment that they can learn to navigate safely. We teach bike riding!  Mastery of these skills during your child’s sessions provides confidence that they can participate in these activities safely and effectively outside of the clinic setting.  One of the most important goals in therapy is to have fun while skill building.

Here are some tips on maintaining consistency and getting the most out of treatment for your child.  

  • Since children are out of school, they have a lot more availability during the day to participate in therapy, and while camp and extracurricular activities are important, and great options for staying active, they cannot replace individualized therapy plans.   
  • Summer can be filled with unstructured time. For kiddos who struggle with ADHD, Autism, or Anxiety, this can be exacerbate some of their symptoms. Maintaining scheduled therapy hours provides children with consistency and routine to continue to work on their treatment goals.  
  • Rescheduling missed sessions is easier during the Summer months. (you might even be able to see a different therapist, depending on your child’s needs)  
  • Plan ahead and schedule additional sessions if you have an upcoming vacation or break, your therapist may have extra flexibility as well. 
  • Remember, school may be out, but kiddos who maintain their therapy schedules thrive when Autumn arrives! 

**Please keep in mind cancellations should be done at least 24 to 48 hours in advance, so other families also have the chance to reschedule.


NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines and Mequon! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

 

Here’s What You Can Expect from a Neuropsychological Evaluation

A child may be referred for a neuropsychological evaluation when there are concerns about one or more areas of development. This can include cognition, academics, attention, memory, language, socialization, emotional, behavioral, motor, visual-spatial, and adaptive functioning. Blog-Neuropsychological-Evaluation-Main-Landscape

A neuropsychological evaluation aids the psychologist in determining an appropriate diagnosis, such as Attention-Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Specific Learning Disorder, Language Disorder, and emotional and behavioral disorders. An evaluation can also be recommended if your child has been diagnosed with a medical condition such as Down syndrome, epilepsy, or a traumatic brain injury (TBI). The purpose of the evaluation would be to identify your child’s strengths and weaknesses in order to provide appropriate treatment recommendations, determine progress and response to intervention, and monitor functioning.

After your pediatrician has made a referral for a neuropsychological evaluation, you will need to schedule an intake appointment, which is typically an hour long.

What to Expect During the Neuropsychological Intake:

  • Inform the psychologist about your areas of concern
  • Provide information about your child’s history
    • Including medical, developmental, academic, attention, behavior, motor, and social history
  • Inform the psychologist of any current, or past, services your child receives (e.g., speech language therapy, occupational therapy, physical therapy, individual therapy, academic tutoring)

What to Bring to the Neuropsychological Intake:

  • Completed intake paperwork
  • Any prior psychological/neuropsychological evaluation (if applicable)
  • Your child’s most recent 504 Plan or IEP (if applicable)
  • Any recent private intervention evaluation (e.g., speech language therapy, occupational therapy)
  • Your child’s most recent report card or standardized exam scores
  • Any relevant medical information (e.g., EEG report, CT/MRI scan report)

After the intake, you will schedule the testing session for your child.  Most of the time, testing is completed in one day (5 hours of testing), but occasionally the testing will need to be completed over two days.  The psychologist will create a neuropsychological battery based on the areas of concern; however, the battery could be adjusted on the day of testing.  Typically, this occurs if another area of concern arises during the testing session.

What to Bring on the Day of the Neuropsychological Test:

  • Plenty of snacks and lunch
  • Completed paperwork and rating forms
  • Any prior evaluations that were not brought to the intake

After testing is complete, you will return for a one hour feedback session approximately two weeks later, with the clinician to review the testing data, any diagnoses determined based on your child’s profile, recommendations for home and school, and any intervention services to foster your child’s development.

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

Meet-With-A-Neuropsychologist

What Comes After the ADHD Diagnosis?

Many times parents leave a doctor’s office with more questions than when they came in. This is true for medical doctors as well as for clinical psychologists. After a parent is informed that his or her child has Attention Deficit Hyperactivity Disorder (ADHD) the next phase is to start to develop a treatment plan to help the child reach his or her potential. Treatment of ADHD should be thought of as a possible three tier system: medication, therapy, and school based accommodations. Blog-ADHD-Diagnosis-Main-Landscape

Medication for ADHD

Research indicates that stimulant medication is one of the primary treatments of choice for ADHD. Many parents are very cautious and scared about putting their child on medication. One of my first pieces of advice for parents is to stay away from doing their own on-line literature search. Anyone who has access to a computer and the internet is capable of creating their own website. A website that I refer parents to all the time is www.chadd.org which is the national resource on ADHD. The literature this website provides is empirically supported and often times created by some of the biggest names in ADHD research. The other piece of advice I give to parents is to schedule a meeting with the child’s pediatrician and have a discussion regarding medication; from how the medication works to what possible side effects to look out for.

Therapy for ADHD

Children and families often get referred for therapy when the child is diagnosed with ADHD. I am a proponent of therapy that is done correctly. There first needs to be a focus on what the targets of the therapy are as well as what specific goals will be worked on in the sessions. The therapy goals need to be specific and measureable. There needs to be some metric implemented to assess for change in the child’s behavior. Finally, parents must be active participants in the therapy. There needs to be homework assignments to work on during the week as well as specific strategies that parents can implement in the moment to help modify behavior.

School Accommodations for ADHD

The final domain that needs to be considered after a child was diagnosed with ADHD is accommodations in the classroom setting to help alleviate symptoms of inattention and impulse control which have a negative impact on the child’s academic performance. Many times after I diagnosis a child with ADHD, I discuss with the parents about creating a 504 Plan in the academic setting. A 504 Plan consists of a variety of classroom and testing based accommodations to help address academic symptoms of ADHD. The plan is always individually tailored based upon the specific concerns that a child exhibits.

The diagnosis of Attention Deficit Hyperactivity Disorder is only the first step of helping the child. Parents frequently will have to seek out outside resources such as pharmacological intervention, therapy, and school based accommodations in order for their child to reach his or her potential.

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

Meet-With-A-Neuropsychologist

IEP Meetings From a Mom’s Perspective

I have worked for North Shore Pediatric Therapy for more than two years in the marketing department. I thought I was familiar with the many challenges families go through with their children, Blog-IEP-Meetings-Main-Landscapehowever, the idea of going through “the IEP process” never crossed my mind, until I had to.

When my son started kindergarten, we had some concerns about certain behaviors, but honestly really thought they were only phases. A few weeks into the school year as they began practicing drills, he had a severe panic attack requiring help from the school social worker. At that time, his teacher recommended he begin seeing the social worker more frequently and that led to our process of seeking a full evaluation to really understand him.

He was evaluated by Dr. Greg Stasi at NSPT and given a diagnosis of Anxiety Disorder and Sensory Processing Disorder. It was then that we were faced with the dreadful IEP meetings. I had heard so many stories of hardship parents faced when fighting for their child’s needs. As a result, I went into the process expecting a fight, and boy would they get one if necessary because in my mind, nothing was going to come between my child getting the help he needed.

Because of my job, I am fortunate enough to have access to excellent professionals and resources, who understand the IEP process, and who helped me prepare for the initial IEP meeting. I was ready for that day. And you know what happened? I didn’t have to fight. I was so fortunate to have a wonderful team wanting and willing to give my son everything he needed to succeed. Everything I was prepared to fight for was already part of their plan, too.

I know this isn’t typical, and so many families struggle to get their child’s needs met.

Here are some tips, from a mom’s perspective on how to approach IEP meetings to get what you, and your child, need:

  1. Be prepared. Those same resources I have access to because of my job…guess what? YOU have access to those same things! NSPT has so many blogs and infographics to help you begin your journey. Having a full neuropsych evaluation is a real plus as it lends a direction for goal development and is appreciated by the district staff.
  2. Be understanding. Understand that those on the other side of the table really do want to help. Often they are restricted by legal mandates. So you may find that there are questions you ask where they can’t fully answer.
  3. Ask questions. Don’t be afraid to ask any and all questions you have in order to understand each element being addressed. It goes fast. And they use a lot of terms you don’t recognize. Stop them and ask.
  4. Bring help. Don’t be afraid to bring outside support, such as a school advocate, to help speak on your behalf. They know the rules and can help you “fight.”
  5. Don’t sign the plan if you are not happy. You will be asked to sign the plan at the end. If you are not comfortable, don’t do it, unless it’s on the condition that you are requesting another meeting to go over the details again to re-write the goals.
  6. Hold Accountability. As the school year continues, don’t be afraid to check in on the team, the therapists, and the teacher to ensure all accommodations are being met.

Be the voice. Remember, you are your child’s voice. Don’t be afraid to speak up.

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

Academic Accommodations for Children with ADHD

Children diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) may face many obstacles in the classroom. Structure and consistency are the two main keys to success for children withBlog-ADHD-Accommodations-Main-Landscape ADHD, but each case presents with its own challenges and accommodations should address the unique needs of the individual student.

The following are examples of what a child with ADHD may present in the classroom and associated accommodations:

For a student presenting with difficulties sustaining attention and following directions:

  • Instructions should be kept brief and specific and presented one step at a time.
  • Maintain eye contact with child while presenting instructions and have the child “teach” the instructions back to the teacher.
  • Reduce task length (i.e., focus on quality of work rather than quantity) or break complex tasks into smaller pieces.
  • Seat the child near the teacher and away from distractions such as doors, windows, or other students who may be disruptive.
  • Provide a “quiet zone” for the student to complete tests or in-class assignments.
  • Use verbal cues or signals as behavioral prompts when the child falls off task.
  • Set time limits or “challenges” for completing tasks.
  • Provide visual prompts for classroom routines.

For a child presenting with excessive activity and/or impulse control:

  • Allow the child to stand near his or her desk or kneel in his or her chair during seated work as long as no disruption is caused.
  • Use instructional approaches that encourage active responding such as talking, moving, or working at the board.
  • Provide breaks for directed movement such as passing out materials.
  • Reward short periods of waiting or on task behavior and gradually increase the period a child is successful.
  • Encourage non-disruptive activities such as reading or doodling during times of day that have proven problematic.
  • Clearly state rules and expectations, and clearly state positive and negative consequences for behaviors. Review these rules often and post visual reminders.

All children will benefit from positive feedback, reinforcement for small improvements, frequent opportunities for active participation, and assignments related to the child’s interests. Additionally, established routines and schedules, along with both verbal and visual reminders, will help any child to be successful in the classroom environment. Most importantly, remember not to assume that a failure to follow instructions is due to a lack of effort or an intentional failure to pay attention, nor is overactivity or impulsive behavior intended as an act of defiance.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

Reasons to Seek a Neuropsychological Evaluation for Your Child

Neuropsychology is a field of psychology that focuses on the relationship between learning, behavior, and brain functioning. A child may be referred for a Blog-Neuropsychological-Evaluation-Main-Landscapeneuropsychological evaluation when there are concerns about one or more areas of their development. This can include a child’s cognitive, academic, memory, language, social, self-regulatory, emotional, behavioral, motor, visual-spatial, and adaptive functioning.

This type of evaluation can help rule out diagnoses such as Attention Deficit/Hyperactivity Disorder, Autism Spectrum Disorder, Specific Learning Disorder, Language Disorder, as well as various emotional and behavioral disorders. A neuropsychological evaluation can also be helpful if your child has been diagnosed with a medical condition such as Down Syndrome or other genetic disorders, Traumatic Brain Injury, or Epilepsy. The purpose of the evaluation is to identify a child’s patterns of strengths and challenges in order to provide parents, schools, and other providers with strategies to help them succeed across contexts. It can also be used to track a child’s progress and response to targeted interventions.

In order to assess whether a neuropsychological evaluation may be helpful for a child, a family may identify concerns in the following areas:

  • Cognitive
    • Difficulties with verbal and nonverbal reasoning and problem solving
    • Requiring a significant amount of repetition and/or additional time when learning
    • Delays in adaptive functioning
  • Academic
    • Grades below peers
    • Concerns with reading (phonetic development, fluency, comprehension), mathematics (calculation, word problems), or writing (spelling, content, organization)
    • Needing additional time to complete schoolwork, homework, or tests
    • Frustration with academic work
  • Language
    • Expressive (output of language) or receptive (understanding of language) difficulties
    • Challenges initiating or maintaining a conversation
    • Difficulties with sarcasm or non-literal language (e.g, “It’s raining cats and dogs”)
    • Repetitive or odd language usage (e.g., repeating lengthy scripts heard from television or news programs)
    • Pronoun reversals or odd use of language
  • Self-Regulation
    • Difficulty paying attention or sitting still
    • Needing frequent prompts or reminders to complete tasks
    • Difficulty with multiple-step commands
    • Losing or misplacing items
    • Forgetting to turn in completed assignments
  • Social
    • Poor peer relations
    • Inappropriate response when approached by peers
    • Difficulty with imaginative, functional, or reciprocal play
    • Limited interest in peers or preference for solitary play
  • Repetitive Behaviors
    • Repetitive vocalizations
    • Repetitive motor mannerisms (e.g., hand flapping, finger flicking, body rocking)
    • Lining up toys, spinning wheels of cars, sorting objects for prolonged periods of time
  • Behavioral Dysregulation
    • Physical or verbal aggression
    • Defiance or non-compliance
    • Difficulties with transitions or changes in routine
    • Self-injury (e.g., head banging)
  • Emotional
    • Poor frustration tolerance
    • Irritability or easily upset
    • Eating or sleeping difficulties
    • Somatic complaints
    • Negative self-statements
    • Lack of interest in things he/she used to enjoy
  • Visual-Spatial, Visual-Motor, and Motor
    • Poor handwriting
    • Trouble with fine motor tasks (e.g., unwrapping small items, buttoning or zipping clothing, tying shoe laces)
    • Difficulty transferring information from the classroom board to a notepad, or transferring information from a test booklet to a scantron/bubble sheet
    • Difficulty with overwhelming visual displays (e.g., computer screen with several icons; homework with several problems on one sheet; a book with several colors and pictures)

Should a child demonstrate difficulties in some of the areas listed above, he/she may benefit from further consultation or a subsequent neuropsychological evaluation. Through this process, areas of difficulty can be identified, and targeted interventions will be suggested to enhance a child’s development.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

Specific Learning Disorders in Children

Learning disorders are some of the most common neurodevelopmental LearningDisorders-Main-Landscapeconditions that children face. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which is the guidebook on classification of diagnoses published by the American Psychiatric Association indicated that the prevalence of specific learning disorders across academic domains of reading, mathematics, and written expression is between 5%-15% in school aged children.

There is significant discussion both in the literature, and among clinicians and researchers, regarding how to appropriately classify and subsequently diagnose a specific learning disorder. Traditionally, it was assumed that a specific learning disorder existed when there was a significant discrepancy between a child’s cognitive ability and achievement in reading, mathematics, or written expression. However, within the US, changes have occurred over the past decade regarding the criteria used for determining a specific learning disorder which is now based on a multi-tier process involving early identification and intervention and the child’s response to the intervention.

Where children might exhibit learning disorders:

According to the DSM-5, there are three specifications of learning disorders that children might exhibit: Specific Learning Disorder With Impairment in Reading, Specific Learning Disorder With Impairment in Written Expression, and Specific Learning Disorder with Impairment in Mathematics. It is quite common for children to exhibit multiple learning disorders.

Potential related deficits:

There are definite concerns with a child’s social, emotional, and behavioral regulation if they have a documented learning disorder. Prior studies have indicated that up to 75% of children with a diagnosed learning disorder demonstrate significant social skill deficits expressed by peer rejection and social isolation.

What can be done:

It is our strong recommendation that in order to most effectively address a child’s specific learning disorder, it is important that the child undergo a comprehensive evaluation in order to effectively classify and make sense of the patterns of difficulty that the child presents with as well as to rule out additional existing factors of concern, and to best determine what specific interventions are warranted. Recommended interventions are specifically based on the area of weakness a child exhibits both across the testing as well as within the child’s academic environment.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!