The most common questions are answered below to help prepare you for your upcoming evaluation.
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Maybe. Neuropsychologists usually review some, but not all, of your medical records before beginning the evaluation. If you're represented by an experienced long term disability attorney, your attorney’s office will provide the neuropsychologist with as much information as possible prior to your evaluation.
To become even more familiar with your conditions and history, the neuropsychologist will likely ask you a series of interview-style questions at the beginning of the evaluation. For example, the neuropsychologist may ask you about your:
It is very important to provide comprehensive, detailed, and accurate responses so that the neuropsychologist can have the best possible understanding of your background and disability. Failure to provide thorough responses may lead to inaccurate or incomplete conclusions. You should never assume that the neuropsychologist knows something about your condition unless you told him or her about it.
The length of the evaluation will vary depending on the types of testing that the neuropsychologist performs. Typically, the evaluation will be performed over the course of one to two full days. The testing may take longer if you require frequent rest breaks.
The neuropsychologist may discontinue testing if he or she feels that more testing may harm your emotional condition or put you at further risk. The neuropsychologist may also discontinue testing if he or she feels that there is already enough reliable evidence to draw conclusions about your conditions and cognitive functioning.
You should not necessarily be alarmed if the neuropsychologist discontinues testing early. However, you should be sure to tell your disability attorney if your testing is cut short. Your attorney will likely request additional information from the neuropsychologist as to why testing was discontinued.
Yes. The neuropsychologist should provide regular breaks for you to eat and to use the restroom. The neuropsychologist should also grant you any additional breaks that you request.
It depends. Some people find the neuropsychological testing to be very stressful. More often though, people find the testing to be very tiring since you must remain engaged for long periods of time. You may always request a break if you are experiencing high stress levels or severe fatigue during testing.
The neuropsychologist will perform a battery of testing to determine the presence, severity, and impact of any cognitive and/or emotional conditions on your ability to function.
After conducting the initial interview, the neuropsychologist will likely perform a “mental status” examination, which will include an assessment of your orientation to person, place, and time; general appearance (e.g., dressed neatly and appropriately versus disheveled and with poor hygiene); quality of speech (e.g., slow versus rapid and pressured); distractibility; quality of judgment and insight; and your affect/mood (e.g., liable and depressed).
After performing the initial mental status examination, the neuropsychologist will begin the more thorough and objective neuropsychological testing. The neuropsychologist will likely perform testing to measure your:
While each neuropsychologist may administer different tests, most neuropsychologists select tests aimed at measuring your functioning in the areas listed above.
The neuropsychologist will also likely perform “validity testing” or “effort testing.” These tests seek to determine whether you exaggerated your cognitive difficulties and/or failed to consistently put forth your best efforts during testing. If you fail the validity or effort testing, the neuropsychologist and the insurance company may deem some or all of the results “invalid.” Failure to pass validity testing can also lead to questions of your credibility. To increase your chances of passing the validity or effort testing, you must consistently put forth your best efforts during all testing.
The neuropsychologist will collect the “raw data” from your test results before conducting a very scientific and methodical evaluation of the results. It is important to note that evaluation and interpretation of the raw data may vary between different neuropsychologists. At times, neuropsychologists may disagree about the significance of certain raw data.
After reviewing your history and records, evaluating your mental status, and interpreting the raw data, the neuropsychologist will be able to draw a number of conclusions about your condition and functioning. The neuropsychologist will be able to determine:
Absolutely. A seasoned long term disability attorney and staff at Riemer Hess will thoroughly prepare you for your upcoming neuropsychological examination so that there are no surprises. Riemer Hess will also work to provide the neuropsychologist with all of your relevant medical records for review prior to the evaluation. After the testing is completed, the attorneys at Riemer Hess will review the neuropsychological report to identify any errors or inconsistencies and take any remedial measures necessary. Contact an experienced long term disability attorney at Riemer Hess today to discuss how we can help guide you through your upcoming neuropsychological evaluation.