Neuropsych & Cognitive Evaluation
Understanding changes in memory, thinking, and everyday functioning.
Changes in memory, attention, processing speed, executive functioning, or other cognitive abilities can have many possible causes. A comprehensive neuropsychological evaluation helps clarify the pattern, identify contributing factors, and guide practical next steps for treatment, support, and daily life.
When cognitive changes don’t have an obvious explanation.
Memory problems, slowed thinking, attention difficulties, organization problems, or changes in everyday functioning can arise for many reasons. Medical conditions, neurological factors, ADHD, mood, trauma, sleep, medications, stress, and normal aging can sometimes produce overlapping symptoms.
A neuropsychological evaluation looks at the pattern across multiple areas of thinking and functioning to help clarify what may be contributing and what kinds of support may be most useful.
What can a neuropsychological evaluation clarify?
Memory & Learning
Attention & Executive Function
Attention & Executive Function
How well someone learns, stores, and recalls new information, including patterns that may help explain forgetfulness or difficulty retaining information.
Attention & Executive Function
Attention & Executive Function
Attention & Executive Function
Focus, working memory, organization, planning, task initiation, mental flexibility, and other skills involved in managing everyday demands.
Processing Speed
Attention & Executive Function
Language & Reasoning
How efficiently someone takes in, understands, and responds to information, particularly when tasks are timed or cognitively demanding.
Language & Reasoning
Emotional & Psychological Factors
Language & Reasoning
Verbal abilities, problem solving, reasoning, and other cognitive skills that support communication, learning, and decision-making.
Emotional & Psychological Factors
Emotional & Psychological Factors
Emotional & Psychological Factors
How anxiety, depression, trauma, stress, sleep, or other psychological factors may affect cognitive functioning.
Neurological & Medical Factors
Emotional & Psychological Factors
Emotional & Psychological Factors
Whether cognitive changes may be associated with neurological conditions, medical concerns, injury, medication effects, or other health-related factors.
Cognitive Functioning Across the Lifespan
Children
Children
Children
Neuropsychological evaluation can help clarify complex developmental, cognitive, learning, attention, or medical concerns when a broader understanding of how the brain and behavior are functioning is needed.
Teens
Children
Children
As academic and independence demands increase, difficulties with memory, processing, attention, organization, or cognitive efficiency may become more noticeable. Evaluation can help identify the pattern and guide appropriate supports.
Adults
Children
Adults
Adults may seek evaluation for changes in memory, attention, processing, executive functioning, or everyday cognitive abilities. Assessment can help clarify whether difficulties may be related to longstanding patterns, medical or neurological factors, emotional health, or other causes.
What to expect from a neuropsychological evaluation
1. Clinical interview
2. Individualized cognitive assessment
2. Individualized cognitive assessment
We begin by discussing current concerns, medical and developmental history, emotional health, everyday functioning, and the questions you hope the evaluation will answer.
2. Individualized cognitive assessment
2. Individualized cognitive assessment
2. Individualized cognitive assessment
Testing is selected based on the referral question and may assess memory, attention, executive functioning, processing speed, language, reasoning, learning, and other cognitive abilities.
3. Review of relevant information
2. Individualized cognitive assessment
4. Integration & diagnostic clarification
When appropriate, we review medical records, previous evaluations, school or work information, medication history, and input from family members or other professionals.
4. Integration & diagnostic clarification
4. Integration & diagnostic clarification
4. Integration & diagnostic clarification
Your clinician brings together test results, history, behavioral observations, and relevant medical or psychological information to understand the overall cognitive pattern and possible contributing factors.
5. Feedback & recommendations
4. Integration & diagnostic clarification
5. Feedback & recommendations
We review the findings in understandable language and provide practical recommendations for treatment, medical follow-up, school or workplace supports, accommodations, and everyday functioning.
More than a diagnosis.
A useful neuropsychological evaluation should do more than identify areas of difficulty. It should help explain how someone thinks, learns, remembers, and manages everyday demands—and provide a clearer path forward.
Understand the cognitive pattern
Clarify strengths and vulnerabilities
Clarify strengths and vulnerabilities
See how memory, attention, processing, executive functioning, language, reasoning, and emotional factors fit together.
Clarify strengths and vulnerabilities
Clarify strengths and vulnerabilities
Clarify strengths and vulnerabilities
Identify areas of relative strength as well as the specific cognitive skills that may be creating difficulty.
Guide practical next steps
Clarify strengths and vulnerabilities
Guide practical next steps
Use the findings to inform treatment, medical care, accommodations, rehabilitation strategies, and supports for daily life.
Insurance & Costs
IInsurance coverage for neuropsychological evaluation varies by plan and by the reason testing is being requested. Some plans require prior authorization, limit testing services or units, or apply testing to a deductible.
Our team can help explain the authorization process and what questions to ask your insurance company before testing begins.
Insurance, Demystified
Learn what terms like deductible, copay, coinsurance, prior authorization, and “covered service” mean—and what to ask before an evaluation.
Coverage and patient responsibility are ultimately determined by the individual insurance plan.
Looking for answers about memory or cognitive functioning?
Tell us what changes or concerns you’ve been noticing and what you hope to better understand. We’ll help determine whether a neuropsychological evaluation is the right next step.
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Spokane • Eastern WA • North Idaho • Pacific NW