Pediatric neuropsychological assessment can be tremendously helpful in understanding how a child learns best. It can help to optimize academic achievement, and explain why a child is facing challenges at home, school or in the community. Difficulties may manifest as focusing or keeping pace in the classroom, spending long hours on homework with minimal progress, problems socializing with peers and adults, or withdrawn, disruptive or unusual behavior. Often there is more than one factor at play and an in-depth evaluation may be required to tease apart the role of cognitive, social and emotional factors. What appears on the surface to be one type of problem may actually be attributed to something quite different. A private evaluation is typically sought for an understanding of a child’s needs and strengths above and beyond that which can be obtained in a school or hospital setting. A thorough neuropsychological evaluation may also be required when special education services are denied, or when accommodations are needed (such as extended time on the SAT, LSAT or GRE, or through the Office of Student Disabilities at a university).
Dr. Robinson has a sensitive demeanor which allows her to establish a strong rapport with children, and keen diagnostic insight that helps her to make good use of the clear and accurate information she obtains. She goes above and beyond to help families through the process of best facilitating their child’s development. Reports are delivered in a timely fashion and include practical, in-depth recommendations for real improvements. Dr. Robinson provides a level of personal care that has led families to seek her out repeatedly. She enjoys making lasting connections and watching her clients grow and develop over time.
She has helped children with ADHD, autism spectrum disorders, disruptive behavior, dyslexia, disorder of math, disorder of written expression, executive functioning difficulties (planning, organization, working memory, flexible thinking), genetic disorders, nonverbal learning disorder, anxiety (including Selective Mutism), depression and adjustment difficulties.
WHAT TO EXPECT
When calling or emailing to schedule an appointment, you will need to provide some basic information such as your name, your child’s name and date of birth, and a brief description of your concerns. You will be emailed an intake packet which includes a developmental history form for you to complete and bring to your consultation. You are also asked to bring copies of any relevant medical and educational records (including prior evaluations, IEPs and progress reports). These can contribute to a more thorough understanding of your child’s case and ensure that Dr. Robinson administers the appropriate assessments.
The initial consultation lasts for one hour, and is for parents and caregivers only to openly discuss relevant history and concerns, and to develop as plan as to how these might be best addressed.
If a classroom observation is indicated and written parental consent is provided, Dr. Robinson will visit your child at school and meet with teachers and therapists who may have insight to share regarding your child’s performance in that setting.
Four to five additional appointments of one to two hours in length (depending upon your child’s age and ability to engage) will be reserved, for face-to-face assessment with your child. Please do your best to ensure that your child gets a good night’s rest and has something to eat prior to each appointment. You are encouraged to bring along any glasses, hearing aids or other devices that may be needed. Although you may feel anxious about the outcome of the evaluation, it is important that you convey to your child that the experience will be a positive one. You may refer to Dr. Robinson as Nicole, and explain that she and your child will be doing some activities together to find out how the teacher(s) can teach him or her better. It is best not to describe the activities as games, as this can be misleading and sometimes translates to poor cooperation. Parents of younger children are asked to remain in the waiting room while their child is evaluated, as most children need at least one short break to have a snack, use the restroom and check in with their caregiver.
At the completion of testing, you will have a 45-minute feedback session to discuss Dr. Robinson’s findings and recommendations, which will be outlined in a detailed written report provided shortly after feedback. Adolescents may join in this appointment if they choose. Suggestions for appropriate educational placement and supports, as well as strategies for promoting success within the home and community, will be provided in face-to-face feedback as well as the written report.
PAYMENT
A deposit is required in order to hold your initial appointment. The remaining balance is due in full at the time of consultation. Cash, check and credit card are all accepted.
Dr. Robinson has specialized training in neuropsychology and spends a significant amount of time on each case; not only during testing but in reviewing relevant records, in scoring and interpreting the tests, and in writing up findings and outlining recommendations. Although insurance is not accepted, Dr. Robinson provides assistance in obtaining reimbursement via your insurance company’s out-of-network benefits. When approved, reimbursement typically covers between 50% and 80% of your total expense, depending upon your plan and deductible. Private payment allows for greater flexibility, confidentiality and time spent on assessment.
CONTINUED SUPPORT
Many parents choose to check periodically following the completion of an evaluation, for continued direction regarding educational placement or suggestions on how to address developmental changes. In addition, some families schedule a re-evaluation for their child every one to three years, in order to determine current levels of cognitive, academic, social and behavioral functioning.