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Questions about neuropsychologist evaluation results...
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<blockquote data-quote="smallworld" data-source="post: 191722" data-attributes="member: 2423"><p>Here's an abbreviated look at what WISC-IV IQ test scores mean:</p><p></p><p>Four indices make up a total of 10 subtests:</p><p>1) Verbal Comprehension Index (VCI) - assesses different aspects of verbal/linguistic intelligence</p><p>Similarites subtest</p><p>Vocabulary subtest</p><p>Comprehension subtest</p><p> </p><p>2) Perceptual Reasoning Index (PRI) - assesses visual perceptual reasoning, conceptualization and orgnization, as well as an understanding of spatial relations and the ability to perform tasks that require some degree of visualization</p><p>Block Design subtest</p><p>Picture Concepts subtest</p><p>Matrix Reasoning subtest</p><p> </p><p>3) Working Memory Index (WMI) - assesses the ability to actively hold and manipulate auditorially presented infromation in "working memory" (an "attentionally based" memory store used to temporarily hold in mindthe fasts essential for completing multi-step tasks) </p><p>Digit Span subtest</p><p>Letter-Number Sequencing subtest</p><p> </p><p>4) Processing Speed Index (PSI) - assesses the general efficiency of mental processing on simple paper-and-pencil tasts that place heavy demands on visual discrimination and symbol decoding</p><p>Coding subtest</p><p>Symbol Search subtest</p><p> </p><p>A full-scale IQ score is computed based on the above four indices scores, but if there is too much discrepancy among the index scores, the full-scale IQ score is not a meaningful measure of intelligence. Furthermore, WISC-IV profiles with high VCI and PRI scores and lower WMI and PSI scores are commonly seen in students struggling with emotional difficulties as well as those struggling with attentional and executive function disorders. However, an IQ test is not in and of itself diagnostic in any way.</p><p> </p><p>An IQ test is helpful for giving a general sense of a child's potential, his strengths and weaknesses. But it is more helpful when you can compare IQ test scores (potential) to measures of achievement (actual performance). My personal opinion is that you should have ruled in or out learning disabilities as well. It's unfair to a child or teen to say, "You're very bright, but not working up to your potential," if you don't know WHY she's not working up to her potential. As a possible scenario, she could have undiagnosed LDs that were not addressed, which would then cause her to have poor self-esteem, which would then cause her to act up . . . You get the picture.</p><p> </p><p>You should also be aware that some children without ADHD test as if they have significant attentional and executive function deficiencies. My own three children fit this profile. Each of them has at one time or another received a diagnosis of ADHD - predominantly inattentive. But we and their doctors believe they don't actually suffer from ADHD. Their mood issues make them appear that way, but if we treated them with traditional ADHD medications (stimulants), it is likely their mood issues would worsen.</p><p> </p><p>neuropsychologist testing results are a lot to absorb all at once. I hope your neuropsychologist is able to provide results tht make sense in your daughter's case and provide a basis for making decisions that will help you plan your daughter's future treatment. </p><p> </p><p>Please feel free to post the results once you get them, and we'll try to help you make sense of what's going on. Good luck.</p></blockquote><p></p>
[QUOTE="smallworld, post: 191722, member: 2423"] Here's an abbreviated look at what WISC-IV IQ test scores mean: Four indices make up a total of 10 subtests: 1) Verbal Comprehension Index (VCI) - assesses different aspects of verbal/linguistic intelligence Similarites subtest Vocabulary subtest Comprehension subtest 2) Perceptual Reasoning Index (PRI) - assesses visual perceptual reasoning, conceptualization and orgnization, as well as an understanding of spatial relations and the ability to perform tasks that require some degree of visualization Block Design subtest Picture Concepts subtest Matrix Reasoning subtest 3) Working Memory Index (WMI) - assesses the ability to actively hold and manipulate auditorially presented infromation in "working memory" (an "attentionally based" memory store used to temporarily hold in mindthe fasts essential for completing multi-step tasks) Digit Span subtest Letter-Number Sequencing subtest 4) Processing Speed Index (PSI) - assesses the general efficiency of mental processing on simple paper-and-pencil tasts that place heavy demands on visual discrimination and symbol decoding Coding subtest Symbol Search subtest A full-scale IQ score is computed based on the above four indices scores, but if there is too much discrepancy among the index scores, the full-scale IQ score is not a meaningful measure of intelligence. Furthermore, WISC-IV profiles with high VCI and PRI scores and lower WMI and PSI scores are commonly seen in students struggling with emotional difficulties as well as those struggling with attentional and executive function disorders. However, an IQ test is not in and of itself diagnostic in any way. An IQ test is helpful for giving a general sense of a child's potential, his strengths and weaknesses. But it is more helpful when you can compare IQ test scores (potential) to measures of achievement (actual performance). My personal opinion is that you should have ruled in or out learning disabilities as well. It's unfair to a child or teen to say, "You're very bright, but not working up to your potential," if you don't know WHY she's not working up to her potential. As a possible scenario, she could have undiagnosed LDs that were not addressed, which would then cause her to have poor self-esteem, which would then cause her to act up . . . You get the picture. You should also be aware that some children without ADHD test as if they have significant attentional and executive function deficiencies. My own three children fit this profile. Each of them has at one time or another received a diagnosis of ADHD - predominantly inattentive. But we and their doctors believe they don't actually suffer from ADHD. Their mood issues make them appear that way, but if we treated them with traditional ADHD medications (stimulants), it is likely their mood issues would worsen. neuropsychologist testing results are a lot to absorb all at once. I hope your neuropsychologist is able to provide results tht make sense in your daughter's case and provide a basis for making decisions that will help you plan your daughter's future treatment. Please feel free to post the results once you get them, and we'll try to help you make sense of what's going on. Good luck. [/QUOTE]
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