Neuropsychological Evaluation of the Child

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Difficulties in mastering age-appropriate developmental tasks will likely manifest as behavioral problems, academic struggles , or challenges in interacting with family members or peers. Parents can see that their child is struggling, but are not always sure what is going on and how to help.

Prior to the Appointment

In order to better understand the nature of a child's difficulties and to chart the most appropriate course of action for addressing the problem, parents might choose to bring their child in for a neuropsychological evaluation. When a child is between one and three years of age, a huge developmental task to master is learning to use language in order to communicate with others. Being able to express themselves through language enables children to interact with family members and peers, better tolerate their frustration by labeling their emotions, think symbolically and engage in pretend play.

If a child has difficulty learning to communicate effectively, parents become concerned.

What Is a Neuropsychological Evaluation? | Child Mind Institute

A big worry at this age is that the delay in language acquisition is due to the presence of Autism Spectrum Disorder. Parents might bring in their child for an evaluation in order to determine if the child's difficulties are due to the presence of an Autism Spectrum Disorder, or due to other factors, such as developmental delays or a language disorder. When parents bring their 4- or 5-year-old in for an evaluation, they typically have concerns about their child's behavior at home or in preschool.

A number of factors might be involved in a preschooler's difficult behavior — from anxiety to attentional difficulties to language delays. The goal of an evaluation is to find out what is causing the child to act impulsively and to determine best ways to help him. In early elementary-school years, children are expected to learn to read, write, and master basic math concepts.

Sometimes children who have not had any difficulties prior to starting school will struggle in the classroom. Parents of 6, 7, and 8-year-olds bring their children in for a variety of concerns related to learning and school performance. These difficulties could be caused by a variety of factors, including learning disabilities or ADHD. In later elementary-school years, academic expectations increase to include completing larger assignments and grasping more complex concepts.


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Some children who have done reasonably well until 3 rd , 4 th , or 5 th grade, might struggle with increased expectations for independence and for managing larger, more complicated tasks. A neuropsychological assessment might reveal executive functioning difficulties , attentional challenges, or a learning disorder, as the root cause of a child's struggles in school. The emotional up-and-downs of early teen-age years, coupled with the challenges of navigating a complex social world of middle school, make it difficult for many children to make it through this stage without bumps along the way.


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Transition to college is a major developmental task of later adolescent years. The administration and interpretation of these subtests, along with input from other professionals, parents, and teachers, helps to guide the development of an action plan to address areas of weakness and concern while bolstering and enhancing areas of strength and interest.

Services on Demand

Cognitive testing is almost always included in comprehensive psychoeducational and neuropsychological evaluations and more often than not, a Wechsler Intelligence Scale for Children WISC-V is administered. Academic achievement is assessed through the use of a variety of measures. Most often they will include at least one of the following if not more:. The neuropsychological evaluations will also include measures of memory, visual-spatial and fine motor dexterity, language development, attention, executive function, adaptive functioning, and social-emotional well-being.


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  • At My Learning Springboard we find quality psychoeducational or neuropsychological evaluations incredibly valuable as a guide to tailor our recommendations for intervention, test preparation or school placement. To help our families get the full value of an evaluation, our team creates a summary document in a user-friendly format that highlights the salient points of the assessment with an emphasis on instructional implications and strategies.

    Neuropsychological Evaluation in Children

    These documents support instructional planning and are often used by teachers, learning specialists, executive function coaches , and parents. They also help professionals and parents to better identify the appropriate learning environment and necessary supports for academic success. We can help with these recommendations. Your email address will not be published.

    Frequently Asked Questions: Pediatric Neuropsychological Evaluation

    Notify me of follow-up comments by email. Notify me of new posts by email. This site uses Akismet to reduce spam. Learn how your comment data is processed. A review of school and medical records. Administration of assessments, which may address: Verbal and nonverbal reasoning and problem solving skills Visual and verbal memory Executive functions attention, working memory, planning, organization, etc. Auditory and visual processing Visual-spatial functioning Academic achievement Language processing Sensory-motor skills Fine motor development Social skills Emotional and personality development The administration and interpretation of these subtests, along with input from other professionals, parents, and teachers, helps to guide the development of an action plan to address areas of weakness and concern while bolstering and enhancing areas of strength and interest.

    Fluid reasoning measures the ability to obtain information from visual details, broad visual intelligence and conceptual thinking. Working memory index is the ability to identify visual and auditory information, maintain it in short-term memory, and re-sequence it to be used to solve problems.