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Was this guy even a neuropsychologist?
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<blockquote data-quote="BestICan" data-source="post: 159023" data-attributes="member: 3413"><p>We finally got a referral for - let me make sure I say this right - a visit to a practice that says it does neuropsychologist testing. We did not get authorization for testing, just auth to have a consult so that the practice could request auth for testing. Insurance rejected testing from the reputable university pediatrician. neuro clinic, of which difficult child is a patient, because difficult child is not pre-surgical. Yucky, hideous insurance.</p><p></p><p>Anyway, here's what I was expecting:</p><p>A practice that performs a standard, comprehensive battery of tests that takes about 6 hours, which evaluates things like intelligence, mental health, neurological function and behavior. Possibly a team of more than one professionals. </p><p></p><p>Here's what I got:</p><p>A single psychologist who had a ton of IQ and other tests on hand, and offered QEEG testing and Neurotherapy (this is mostly in the form of computer games). I believe these fall in the category of "alternative." Not saying that's bad, but I wanted to point it out. He did *not* seem to have a specific repertoire of tests to recommend. He told me he knows my insurance company and they'll never approve a full testing workup, so he won't even request it. He offered to see us over the course of several visits and administer testing as we go. </p><p></p><p>This visit concerned me. Something just seemed off when I asked about the full neuropsychologist battery of testing. His response was, "Oh, you want the whole Wexler test and all that...?" as if I was somehow going to get to pick tests from a menu. When I told him I wanted to rule out Asperber's and get a definitive diagnosis on ADHD from a professional who was examining my son while understanding his seizure disorder, he said, "Oh, I can give you an ADHD diagnosis right now." </p><p></p><p>Yes, difficult child was exhibiting textbook ADHD behaviors throughout the visit. Problem is, both husband and I agreed that HE WASN'T BEHAVING LIKE HIMSELF! He was nervous and anxious and not comfortable there. It was like he regressed to his five-year-old self in that setting. (He's 8 now.) The phrase we often use to describe difficult child is that "he's like an onion - lots of layers." Anyone who tries to diagnose him in 30 minutes is not seeing the whole picture. </p><p></p><p>husband is saying, "What's the problem? We'll get a 504, he'll have that in place for next year. Isn't that what you want?" My response is, "Sure...I guess..." Honestly? I do think my kid has ADHD, but dangitall, I want a reliable diagnosistic process and a full workup.</p><p></p><p>So, is this the typical neuropsychologist experience? *IS* there a typical neuropsychologist experience? This practice does have a website. I won't make it publicly available, but if anyone wants to PM me, I'll give you the web address. </p><p></p><p>Thanks!</p></blockquote><p></p>
[QUOTE="BestICan, post: 159023, member: 3413"] We finally got a referral for - let me make sure I say this right - a visit to a practice that says it does neuropsychologist testing. We did not get authorization for testing, just auth to have a consult so that the practice could request auth for testing. Insurance rejected testing from the reputable university pediatrician. neuro clinic, of which difficult child is a patient, because difficult child is not pre-surgical. Yucky, hideous insurance. Anyway, here's what I was expecting: A practice that performs a standard, comprehensive battery of tests that takes about 6 hours, which evaluates things like intelligence, mental health, neurological function and behavior. Possibly a team of more than one professionals. Here's what I got: A single psychologist who had a ton of IQ and other tests on hand, and offered QEEG testing and Neurotherapy (this is mostly in the form of computer games). I believe these fall in the category of "alternative." Not saying that's bad, but I wanted to point it out. He did *not* seem to have a specific repertoire of tests to recommend. He told me he knows my insurance company and they'll never approve a full testing workup, so he won't even request it. He offered to see us over the course of several visits and administer testing as we go. This visit concerned me. Something just seemed off when I asked about the full neuropsychologist battery of testing. His response was, "Oh, you want the whole Wexler test and all that...?" as if I was somehow going to get to pick tests from a menu. When I told him I wanted to rule out Asperber's and get a definitive diagnosis on ADHD from a professional who was examining my son while understanding his seizure disorder, he said, "Oh, I can give you an ADHD diagnosis right now." Yes, difficult child was exhibiting textbook ADHD behaviors throughout the visit. Problem is, both husband and I agreed that HE WASN'T BEHAVING LIKE HIMSELF! He was nervous and anxious and not comfortable there. It was like he regressed to his five-year-old self in that setting. (He's 8 now.) The phrase we often use to describe difficult child is that "he's like an onion - lots of layers." Anyone who tries to diagnose him in 30 minutes is not seeing the whole picture. husband is saying, "What's the problem? We'll get a 504, he'll have that in place for next year. Isn't that what you want?" My response is, "Sure...I guess..." Honestly? I do think my kid has ADHD, but dangitall, I want a reliable diagnosistic process and a full workup. So, is this the typical neuropsychologist experience? *IS* there a typical neuropsychologist experience? This practice does have a website. I won't make it publicly available, but if anyone wants to PM me, I'll give you the web address. Thanks! [/QUOTE]
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