Evaluations built around the question you are asking.
SERVICES
Rather than administering a fixed battery to every patient, each evaluation is tailored to the referral question, measuring the domains most relevant to your situation — no more and no less than what is needed.
MEMORY & AGING
ADHD & NEURODIVERSITY
PSYCHIATRIC CONDITIONS
MEDICAL CONDITIONS
SPECIALIZED EVALUATIONS
01 · MEMORY & AGING
Is this normal aging, or something more?
Not every memory change signals a neurodegenerative process. Normal aging, depression, anxiety, sleep disruption, medication effects, and thyroid dysfunction can all affect memory significantly. An evaluation identifies which patterns are present, how severe they are, and what is most likely causing them.
Baseline evaluations are also available in healthy midlife, creating a personal reference point against which any future change can be measured.
MEMORY & THINKING CHANGES
A word or a familiar name that won't come
Repeating questions, or losing the thread of a conversation
Misplacing things, or retracing steps to remember why you went in a room
Missed appointments, unpaid bills, or medications taken twice
Difficulty following recipes, directions, or multi-step tasks
Getting turned around in familiar places
New irritability, apathy, or low mood alongside the cognitive changes
CONDITIONS ASSESSED
Mild Cognitive Impairment
Alzheimer's Disease
Frontotemporal Dementia
Primary Progressive Aphasia
Dementia with Lewy Bodies
Parkinson's Disease & Parkinson's Plus Syndromes
Normal Pressure Hydrocephalus
Stroke & Cerebrovascular Disease
Cognitive baseline in healthy individuals
02 · ADHD & NEURODIVERSITY
Attention, learning, and lifelong differences in adults
Many adults reach midlife without a clear explanation for difficulties with focus, organization, or follow-through — or with a diagnosis given years ago that no longer explains what they experience now. Testing distinguishes attention and executive difficulties from anxiety, mood, sleep, and the effects of medical conditions.
Findings support diagnostic clarity, treatment decisions, and documentation for academic or workplace accommodations.
ATTENTION & EXECUTIVE FUNCTION
Losing track mid-task, or starting several things and finishing none
Concentration that takes visible effort where it used to be automatic
Chronic lateness, missed deadlines, and time that gets away from you
Projects, paperwork, and email that pile up unfinished
Rereading the same page without absorbing it
Difficulty getting started on tasks you intend to do
A lifelong pattern of these difficulties, or one that worsened recently
CONDITIONS ASSESSED
Attention-Deficit/Hyperactivity Disorder
Specific learning differences
Executive dysfunction
Autism spectrum presentations in adults
Accommodation documentation
Diagnostic clarification
03 · MEDICAL AND PSYCHIATRIC CONDITIONS
Medical and psychiatric conditions that affect cognition
Cognitive symptoms frequently arise from conditions outside the brain, or alongside psychiatric illness. Characterizing them precisely is often what changes the treatment plan.
MEDICAL CONDITIONS
Obstructive Sleep Apnea
Chronic Kidney Disease
Hepatic Encephalopathy
Diabetes Mellitus
Epilepsy
Traumatic Brain Injury
Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Post-COVID Cognitive Symptoms
PSYCHIATRIC CONDITIONS
Mood Disorders
Post-Traumatic Stress Disorder
Schizophrenia Spectrum Disorders
Anxiety Disorders
Substance Use
04 · SPECIALIZED EVALUATIONS
Presurgical evaluations
Establishes a cognitive baseline and characterizes risk prior to neurosurgical procedures, including epilepsy surgery and deep brain stimulation for movement disorders. Referrals are accepted from neurosurgeons, epileptologists, and movement disorder specialists.
Presurgical, independent, and forensic referrals
Independent medical examinations
An objective, third-party neuropsychological opinion addressing specific referral questions regarding cognitive status, functional capacity, and causation, for insurance, occupational, and legal purposes.
Forensic evaluations
Available in legal contexts including personal injury, disability determination, competency assessment, and capacity opinions, conducted with strict adherence to professional standards for objectivity and scientific rigor.
THE EVALUATION
Three appointments. Three weeks.
Assessment is targeted to your referral question, so only the measures that are actually needed are administered. The full process, from intake through the feedback session and written report, takes approximately three weeks.
01
Clinical interview
We review your history in depth: your concerns, when they began, medical and psychiatric background, medications, sleep, mood, and how daily functioning has changed. A family member or caregiver is welcome to participate in this portion, and often provides useful context.
Please bring a list of current medications, any relevant records or prior imaging reports, and the contact information for your referring physician.
WEEK ONE · 60 MINUTES
02
Cognitive testing
A targeted battery of standardized measures, administered one-on-one: questions, word lists, puzzles, drawing and timed tasks. There are no scans and no needles, and there is nothing to study for — the tests assess your current, everyday cognitive functioning.
Get a full night of sleep and eat a meal beforehand. Bring your glasses, hearing aids, or any device you normally use. Testing measures your independent performance, so family members do not sit in.
WEEK TWO · 2-3 HOURS
03
Feedback session
WEEK THREE · 60 MINUTES
Between sessions your performance is scored, interpreted, and integrated with your history and records. We then sit down together and go through what the testing found, in plain language: what is driving the changes you have noticed, what it means for daily life, and what should come next.
A detailed written report follows, summarizing the evaluation, diagnostic impressions, and individualized recommendations, and can be shared with your physicians.
A complete picture of how your brain is working.
WHAT GETS ASSESSED
A neuropsychological evaluation doesn't test just one thing. It measures the full range of cognitive functions, because the brain works as an integrated system, and understanding it requires looking at all the parts.
LANGUAGE
Word-finding, comprehension, verbal fluency, and the ability to express ideas clearly.
ATTENTION
Your ability to focus, stay on task, and filter out distraction.
MEMORY
How well you learn and retain new information, and retrieve things you already know.
NEUROPSYCHIATRIC SYMPTOMS
Depression, apathy, irritability, and behavioral change as manifestations of underlying neurological and medical conditions, assessed in the context of the full cognitive picture.
EXECUTIVE FUNCTIONS
Planning, reasoning, decision-making, and the ability to shift between tasks.
PROCESSING SPEED
How quickly your brain takes in and responds to information.
VISUOSPATIAL ABILITY
How your brain perceives and interprets visual information and spatial relationships.
Not sure whether neuropsychological evaluation is the right next step?
We’re here to help you understand your options.