2 years of
Experience
Neuropsychological testing is a structured, standardised assessment that helps assess a person's attention, memory, language, planning and learning ability. It gives an understanding of thinking, learning and unexpected behaviour change, which MRI scans and routine consultation cannot explain.
Neuropsychological testing is a set of standardised tasks done on a one-on-one basis with a trained Clinical Psychologist. It measures how well different parts of the brain function on a daily basis. The tasks look like memory exercises, drawing tasks, question-and-answer sections, and paper-and-pencil tasks. Each score is then compared to age-matched norms, which helps us understand a person's areas of strength and the areas where the person is struggling.
It is different from an MRI or a CT scan, as it shows how the brain functions and where exactly the difficulty lies. For example, it can identify attention problems, specific learning difficulties or early memory changes.
It is also different from a general psychological assessment. A neuropsychological assessment goes deeper into an individual's cognitive functioning.
A person experiencing changes or difficulties in learning and memory may benefit. The reasons for referral can differ with age.
Ongoing difficulty with reading, writing or arithmetic, even when the child puts in effort and has had adequate teaching and practice
Trouble staying focused, along with restlessness or impulsive behaviour, that shows up both at school and at home
Developmental concerns, such as delayed speech or milestones, difficulty understanding social cues, or rigid routines, where a clearer picture of the child's cognitive strengths and difficulties is needed
Changes in learning, behaviour or school performance following a head injury, seizures, premature birth or a medical illness
Difficulty planning, organising and finishing tasks at work
Cognitive changes arising from epilepsy, neurodegenerative disorders, traumatic brain injury or stroke
To understand the presence of dementia, which is characterised by forgetfulness, inability to find the way in familiar places, and trouble remembering money or medication details
It is also used for understanding cognitive impairment and early dementia, and for tracking change over time
A neuropsychological evaluation assesses several cognitive domains. The type of test depends on the reason for referral, and not every domain is tested in every person.
Assessment starts with an intake interview, where the Clinical Psychologist takes a detailed history, including developmental, medical, educational, work and family history. For children, both parents and teachers contribute.
It is followed by the testing phase, which takes about 2 to 4 sessions of 1 to 2 hours each, spread over one or more days. Breaks are built in, and children are tested at a pace that keeps them comfortable.
Along with the neuropsychological assessment, rating scales and questionnaires are used to rule out any kind of mood irregularities or dysfunction and to understand the day-to-day functioning of a person.
Once the assessment is done, the results are scored against age norms and interpreted in context, along with the history and any other medical records.
The findings are written up and explained in person, and the report is handed over.
Bring previous reports, school records, scans (including MRI), EEG reports and a list of current medications.
Make sure the person has slept well and eaten before each session.
It is suggested that they bring glasses or hearing aids if these are used regularly.
In Gurugram, these assessments are available at Adayu Mental Hospital, a Fortis Network Hospital, where children, adolescents, adults and the geriatric population can be seen for neuropsychological and psychodiagnostic evaluation.
The report sets out the reason for referral, the tests used, the scores, and a clear interpretation of strengths and difficulties. It ends with a practical recommendation section, and a feedback session is where these are turned into a plan.
Depending upon the findings, recommendations can include a referral for medical, neurological or psychiatric follow-up, or the introduction of skill-based interventions such as CBT or cognitive rehabilitation. They may also include a plan for neurological rehabilitation, workplace adjustments for adults, guidance for parents, and a routine that fits the child's profile. Finally, a repeat assessment after 6 to 12 months is suggested to track progress or change, especially in older adults or after any injury.
Testing does not label a person. It gives the family, doctors and school a shared, evidence-based understanding of how the person learns and functions, so that support is aimed at the right problem.
No. It involves paper-and-pencil or computer-based tasks done while seated with a Clinical Psychologist. No needles, scans or medication are used.
Yes. There are age-appropriate batteries from early childhood through older adulthood. The tests chosen change with age and with the question being asked.
Not always. A normal profile can still be reassuring and useful, and it may point towards emotional stress or other mental causes rather than a cognitive one. Results are always taken together with the history.
In India, a licensed Clinical Psychologist registered with the Rehabilitation Council of India and trained in neuropsychological assessment. You can ask which tests will be used and how the results will be explained.
Usually, it takes about 1 to 2 weeks from the last session, depending upon how many tests were done and how much outside information needs to be reviewed along with the assessment.
Yes, a report from a licensed Clinical Psychologist is generally accepted for accommodation requests. Boards and institutions have their own procedures, so it helps to check the requirement before testing begins.