Dr. Mukherjee provides neuropsychological consultations for families and other professionals, including clinical psychologists, psychiatrists, and neurologists. Consultations include reviewing of prior medical, psychiatric, vocational, and educational records in order answer questions such as: whether further consultations should be sought with other specialists, whether a Neuropsychological Evaluation is recommended, and the benefits of such an evaluation.
Dr. Mukherjee adopts an active problem-solving approach during the consultation to understand the findings and inform educational, vocational, and treatment planning.
Dr. Mukherjee uses a battery of standardized measures to assess the cognitive, emotional, and behavioral functioning of preschool and school age children, adolescents and young adults. These evaluations can be used to help diagnose or rule out different conditions as well as to describe the impact of a condition on a person’s functioning in a variety of environments (e.g., school, home, social).
Reasons for Neuropsychological Evaluation:
- Neurological conditions such as hydrocephalus, cerebral palsy, epilepsy (seizures), neurofibromatosis, tuberous sclerosis, or a brain tumor
- A brain injury as a result of an accident, concussion, or infection
- Other medical problems that place a child at an increased risk of brain injury such as certain genetic disorders or treatment for childhood cancer
- Exposure to toxins such as lead, street drugs and inhalants or to alcohol prior to birth
- A neurodevelopmental diagnosis (e.g., Autism) that require a comprehensive evaluation
- To assess developmental delays for early intervention purposes
- To assist in discerning the presence and type of Learning Disability
- To assist in diagnosing ADHD
- To help with educational planning – make decisions about schools and services through Individualized Education Program that will be a good fit for the child
- To determine if one may qualify for accommodations and modifications for standardized tests (e.g. SAT, MCAT) or in college
- Admission to specialized schools
Areas of Assessment in Neuropsychological Evaluation:
- Intellectual functioning
- Executive functions (i.e., planning ability, shifting, inhibiting unwanted responses, organizing, modulating emotions, etc.)
- Language processing (i.e. both expressive and receptive language abilities)
- Memory (i.e. visual and verbal)
- Visual-spatial reasoning
- Sensory perception
- Visual-motor integration and Fine-motor skills
- Academic skills (Reading, Writing, Arithmetic)
- Social/emotional functioning
- Adaptive Functioning Skills
Steps Involved in Neuropsychological Evaluation:
- The first step of the neuropsychological assessment is an in-depth clinical interview (approx 1.5 hours) with the parents or young adults, which consists of a comprehensive history and review of all available medical, psychiatric, vocational, and educational records. Prior to the meeting, parents are asked to complete questionnaires to provide information about background and current functioning.
- If appropriate, behavior rating forms are given to parents and sent out to the teachers at the first meeting.
- Testing is conducted over two, half-day sessions, typically from 9:00 – 12:00 in the morning. For younger children the session will be shorter and may require an additional day. Dividing the testing sessions in two days avoids the fatigue and stress that can accompany all-day evaluations.
- Telephone contacts may be made with professionals that have previously worked with the child or teenager or are currently working with them.
- Once all of this is completed, a face-to-face feedback session is held with parents or young adults to review the findings of the evaluation, diagnostic impressions, and recommendations.
- After this meeting, a full report is written, detailing the reason for the testing, the child’s history, the tests used, results, the diagnostic impression and finally, the recommendations for interventions.
- Follow-up consultations with professionals (e.g., school personnel, therapists, and/or other agencies) and referral resources (e.g., therapists, speech pathologists, reading specialists) are provided if needed.