Neuropsychological Evaluation

The Stixrud Group, LLC offers neuropsychological evaluations for children, adolescents, and adults.  Our  comprehensive neuropsychological assessments are designed to clarify an individual’s strengths and weaknesses in cognitive, academic, and emotional functioning. Neuropsychological assessment also helps to identify inefficiencies in brain functioning which contribute to learning and social/emotional difficulties.

For children and adolescents, results from the neuropsychological evaluation  are useful in determining such things as appropriate educational placement and programming, behavior management techniques, avenues for self-help, career direction, and advisability of medical intervention.
For adults, results from assessments  are most frequently used to update documentation of a learning disorder for college, professional study, or licensing. However, it can also be used to diagnose neurologically-based brain disorders and to help plan rehabilitation following a brain injury or a stroke.
For both adolescents and adults,  results can contribute to planning career direction, higher education and training, vocational rehabilitation, and psychotherapeutic approach.

Is a Neuropsychological Evaluation Right For Me?

The Stixrud Group, LLC provides neuropsychological evaluations for children, adolescents, and adults.

Some reasons or circumstances in which it might be prudent to undergo a neuropsychological evaluation include:

  • Times of transition, e.g. to ensure proper academic placement and accommodations
  • Documentation for disabilities
  • Medical accidents, injuries, or illnesses that have psychological consequences
  • Lack of ease or discomfort in school, academic, or work settings
  • Referrals from physicians, medical professionals, and therapists (e.g., speech and langue therapists, occupational therapists, psychotherapists)
  • Need for information to guide occupational and career planning

Regardless of the reason, the goal of our evaluations is develop a holistic profile of an individual’s capabilities, differences, and special needs so that proper decisions can be made and appropriate expectations developed. Our ultimate goal is to use our knowledge and professional skills to help people be more successful in school, in their careers, and/or in their relationships, and to remove any blocks to their experiencing happiness and fulfillment in life.

Your first telephone call to the office will probably be answered by an administrative assistant. They will do several things:

  • First – Collect some information including name, date of birth, address, and so on.
  • Second – Mail you a packet of information about our services.
  • Third – Arrange a telephone consultation, which is free of charge, between you and an educational diagnostician. During this conversation you will have an opportunity to ask specific questions regarding your concerns, including testing procedures, fees, payment and insurance.

Common questions answered during telephone consultation:

  • Which children, adolescents and adults would benefit from a neuropsychological evaluation?
  • When should my child be assessed?
  • How does a psycho educational assessment differ from a neuropsychological evaluation?
  • My child has already has a speech and language assessment. Would I learn anything new from a neuropsychological evaluation?
  • Are neuropsychological evaluations only for diagnosing LD and ADHD?
  • If my child takes medication, how will that affect the test results?
  • If my child is evaluated in your office, can s/he get testing accommodations for the SAT/ACT?
  • My child’s pediatrician says s/he has Attention Deficit Hyperactivity Disorder (ADHD). Is there any point in getting a neuropsychological evaluation if I already have this diagnosis?
  • My child was recently evaluated by the local public school system, and we were told s/he does not have a learning disability; however, we are still concerned about his/her performance in school. Is it worth having a private neuropsychological evaluation?
  • How does the public school evaluation compare to a private neuropsychological evaluation?
  • If my child is evaluated in your office does the local public school system automatically accept the results and provide special education services?
  • How do I know when it’s time for my child to be re-evaluated?
  • What kind of recommendations may I expect from the evaluation?
  • What kind of assistance may I expect with regards to follow up from your office?

At this point we can schedule the evaluation, or, it may be appropriate to refer you to another type of service. If you are not ready to schedule an evaluation at this time, we do keep the paperwork on file for about eighteen months should you change your plans.If your first telephone call to our office is directly to a licensed psychologist, they will return your call as well as give your name and telephone number to the administrative assistant who will also contact you to initiate the above sequence.

Please click here to access our Evaluation Process Flow Chart.

Learn more about our Adult Neuropsychology services.

A personality evaluation is available for children and adolescents between the ages of 5 and 20. This evaluation is appropriate when there are concerns about emotional problems and/or significant behavioral issues. This evaluation can assist with the diagnosis of an emotional or behavioral disorder, and can help identify underlying psychological processes that are contributing to an individual’s behavioral or emotional problems. Information is obtained regarding the individual’s self-perception, coping resources, interpersonal functioning, thought processes, and emotional self-regulation. This information is then used to generate recommendations for an intervention plan. The personality evaluation is conducted by a neuropsychologist and includes the following components:

  • A 1 ½ to 2 hour clinical interview of the parents / caretakers and the child
  • Objective and projective personality tests that measure the individual’s personality, and emotional and behavioral functioning
  • A brief cognitive screening of the individual’s intellectual functioning

Approximately one week after testing is completed, a 1 ½ to 2 hour interpretive conference is scheduled to discuss the test results and recommendations. A detailed written report summarizing the test results and recommendations is then mailed to the client approximately four to six weeks after the interpretive conference. Upon request, the neuropsychologist is available to hold a feedback session with the child to provide him/her with results and further recommendations.

The Assessment of Personality And Emotional Disorders

The Assessment of Personality and Emotional Disorders takes approximately 2-3 hours and consists of several objective and projective personality measures and a diagnostic interview. It is recommended when a more complete assessment of personality and emotional functioning is required. The neuropsychological evaluation may include specialized assessment of social cognition, e.g. the ability to understand socially relevant information.

This additional assessment would be indicated when there are significant concerns about 1) the development of age appropriate social skills as demonstrated with family members, other adults, or peers, 2) the ability to use and understand language both at home and at school, or 3) the development of appropriate and accurate self perception and self awareness. The evaluation of social cognition includes more extensive assessment of your child’s social, cognitive and language development.

Information is gathered through:

1) A diagnostic interview with the parents conducted by a pediatric neuropsychologist

2) Additional questionnaires for your child

3) The administration of tests which offer additional information to help understand these issues. The social cognition assessment requires 2 to 3 hours, in addition to the standard neuropsychological battery described above.

This is a specialized evaluation to assess for a possible autism–spectrum disorder and/or to evaluate children / adolescents who have already been diagnosed on the spectrum. This type of evaluation is appropriate for young children, adolescents and adults who exhibit difficulties with social development, communication / language, and/or behavioral difficulties including rigid / inflexible behaviors.

This evaluation provides differential diagnosis of autism spectrum disorders. In addition, and for individuals who have already been diagnosed on the spectrum, this evaluation provides a comprehensive assessment of the individual’s cognitive and social/emotional strengths and weaknesses. This information is then used to generate a comprehensive treatment plan, including recommendations for school / educational and behavioral interventions. Recommendations are also provided to support the individual’s social development, based on his/her developmental history and present levels of functioning. This comprehensive evaluation includes the following:

  • An extensive parent interview that includes a detailed review of the individual’s developmental, medical, and educational histories, as well as extensive review of social, emotional, and behavioral development.
  • The standard neuropsychological evaluation, as detailed above
  • Assessment of social cognition (the ability to understand socially relevant information) and social functioning

As with the standard neuropsychological evaluation, a two-hour parent feedback session is scheduled to discuss the evaluation results and recommendations approximately one week after testing is completed. A detailed written evaluation report is mailed to the client within approximately four to six weeks. This written report summarizes the evaluation findings and recommendations.

Lastly, the neuropsychologist is available to conduct an additional feedback meeting with the child in order to discuss the results and recommendations with him/her. A neuropsychologist and a clinical assistant will complete this evaluation. The first appointment will be the parent interview with the neuropsychologist. After this, the individual will come in for testing— first with the neuropsychologist, and then with the clinical assistant. The neuropsychologist will then conduct the feedback session with the parents (and the child if requested) and prepare the written report.

Learn more about our Early Childhood Evaluation service.

Contact and Location

Phone: 301-565-0534

Fax: 301-565-2217


8720 Georgia Avenue
Suite 606
Silver Spring, MD 20910