Neuropsychological Testing
Answers, not just labels.
Wondering about ADHD, autism, or dyslexia? We evaluate all three, and more
Psychological & Neuropsychological Evaluations
At Sun Counseling and Wellness, Dr. Arends provides comprehensive, neuroaffirming, and strengths-based psychological and neuropsychological evaluations for children and adolescents ages 3–17. To learn more about Dr. Arends’ approach to assessment and testing, please visit her bio under “Megan Arends.”
Our evaluations are designed to help you and your children understand how your child thinks, learns, communicates, regulates emotions, interacts with others, and navigates everyday life. We take a holistic approach to assessment, considering each child’s strengths, challenges, learning patterns, cognitive abilities, emotional functioning, developmental history, and individual support needs.
What is Diagnostic Testing?
The purpose of a neuropsychological evaluation is to develop a clearer understanding of a child’s cognitive strengths and areas of difficulty and growth. While testing can help identify or clarify diagnoses, the goal extends beyond diagnosis to determine which accommodations, strategies, and interventions can best support the child and make everyday life easier.
What is a Neuropsychological Evaluation?
A neuropsychological evaluation is a comprehensive assessment of cognitive, developmental, emotional, behavioral, and academic functioning. Dr. Arends uses multiple standardized assessment tools and sources of information to develop a complete picture of your child’s functioning.
Who Can Benefit From a Psychological or Neuropsychological Evaluation?
A neuropsychological evaluation can be helpful for any child whose parents, teachers, or providers have questions about their development, learning, attention, behavior, or emotional functioning.
Common questions families may have include:
Could my child have ADHD?
Could my child be on the Autism Spectrum?
Does my child have a learning difference or learning disability?
Are anxiety, depression, or other emotional concerns affecting my child’s functioning?
What are my child’s cognitive and academic strengths?
How does my child learn best?
What strategies, accommodations, or supports can help my child thrive at home and at school?
Areas We Evaluate
Diagnostic & Clinical Concerns
Dr. Arends has expertise in assessing:
- Autism Spectrum Disorder (ASD) and neurodevelopmental differences
- Social communication differences
- Attention Deficit Hyperactivity Disorder (ADHD) and executive functioning challenges
- Learning differences and learning disabilities
- Anxiety
- Depression
- Giftedness
- Adjustment concerns
- Obsessive Compulsive Disorder (OCD)
- Behavioral Concerns
Every evaluation is individualized, and the specific areas assessed will depend on your child’s age, history, presenting concerns, and the questions the evaluation is intended to answer.
Areas of Functioning
Depending on the reason for the evaluation, assessment may include:
- General intellectual functioning
- Attention and concentration
- Executive functioning
- Processing Speed
- Working memory
- Learning and Memory
- Visual-motor and graphomotor integration
- Language functioning
- Academic achievement, including reading, written expression, and mathematics
- Reading and dyslexia-related skills
- Problem-solving and reasoning
- Visual-spatial abilities
- Developmental Skills
- Sensory processing
- Social-emotional functioning
- Behavioral functioning
What does the evaluation process entail?
The evaluation begins with an initial 60-minute clinical interview via a virtual telehealth visit.
During this appointment, we discuss your concerns and gather important background information, which may include:
– Developmental history
– Childhood history
– Medical history
– Psychological history
– Educational history
– Academic functioning
– Occupational history
– Social history
– Family history
– Previous diagnoses
– Previous treatment
– Current symptoms
– Your goals for the evaluation
This conversation helps determine what areas should be assessed and what type of evaluation will provide the most useful information.
The next portion of the evaluation involves a get-to-know-you clinical interview and standardized testing with your child.
Testing time varies depending on age, concerns, and the scope of the evaluation. This will be discussed with Dr. Arends prior to your child’s testing date. Typically, a comprehensive evaluation may involve approximately 4-6 hours of testing with your child.
When working with little ones and teens, Dr. Arends understands the importance of movement and bathroom breaks, a good snack or lunch, and sensory input like fidgets to get through the evaluation.
Dr. Arends loves getting creative to support kids through the testing day- and yes, sometimes this includes joining in for frog jumps and bear crawls!
Testing is only one part of a comprehensive, individualized evaluation. With appropriate consent, Dr. Arends may gather information from parents or caregivers, teachers, therapists, psychiatrists, pediatricians, primary care providers, and other healthcare professionals. She may also review previous evaluations, school records, IEPs, 504 Plans, medical records, and other relevant documentation.
Before, during, and after testing, significant time is spent carefully reviewing and integrating all of the information gathered. This includes:
– Scoring and analyzing assessment measures
– Reviewing records and previous evaluations
– Interpreting patterns across test results
– Integrating clinical observations and information from other sources
– Considering developmental, educational, and contextual factors
– Developing an integrated understanding of the child’s strengths and areas of need
Once the evaluation is complete, you will meet with Dr. Arends for a 60-minute virtual feedback session.
During this appointment, together, you will review the evaluation findings, discuss the results and diagnostic impressions, and answer any questions you may have. Individualized recommendations will be discussed, and you will leave with a clear plan for moving forward, including strategies, supports, accommodations, and next steps.
Testing & Evaluation FAQ
If you’ve noticed differences in the way your child communicates, plays, interacts with others, responds to sensory experiences, or manages changes and transitions- or if your pediatrician, teacher, or another professional has raised concerns- an autism evaluation may provide helpful information.
No. There is no specific age that is too early to discuss concerns about your child’s development. Autism can be identified in young children, and early evaluation can provide clarity and help families better understand their child’s unique strengths and support needs.
Nope! You do not need a formal referral from a pediatrician, primary care provider, or other medical professional to schedule an initial consultation. If another provider has recommended an evaluation, you are welcome to bring that information with you.
We understand that undergoing a psychological evaluation is a financial investment. The total fee for a comprehensive testing evaluation is $3,500. The cost reflects the time, expertise, and individualized care that goes into providing a thorough, truly custom evaluation.
A comprehensive evaluation is much more than the time spent in the testing room. Approximately 15-20 hours of professional work may go into a full evaluation, including:
– Reviewing developmental, medical, educational, and clinical history
– Reviewing previous records and evaluations
– Scoring and analyzing assessment measures
– Interpreting patterns across different areas of functioning
– Integrating test results with clinical observations and other sources of information
– Developing diagnostic impressions
– Writing the comprehensive evaluation report
– Preparing individualized recommendations
Once the report is complete, you will meet with Dr. Arends for a feedback session to review the results, discuss diagnostic conclusions when applicable, answer your questions, and go through individualized recommendations. Feedback sessions will take place three weeks following your child’s testing session.
Adult evaluations are not presently available; however, we hope to expand our assessment services to adults in the near future!
If available, please provide copies of relevant records, including:
– Previous psychological evaluations
– Previous neuropsychological evaluations
– School standardized test scores
– IEPs
– 504 Plans
– School records
– Report cards
– Psychoeducational evaluations
For testing sessions, we recommend bringing:
– Water
– A nutritious snack or lunch
– Comfortable clothing
– Layers for temperature changes
– Glasses or hearing aids
– Any other assistive devices that are typically used
Testing is typically scheduled in the morning. Children and adults tend to perform best when they are well-rested rather than completing testing after a full day of school or work. A school note can be provided when needed.
Some children may have difficulty participating in standardized testing. This is not uncommon! Dr. Arends takes an individualized, neurodivergent-affirming approach and can incorporate breaks, movement, sensory supports, and flexible pacing when needed.
If your child is unable to complete certain tasks, we can still gather valuable information through clinical observation, caregiver input, developmental history, records, and other assessment measures. Your child’s behavior and engagement during testing are also meaningful parts of the evaluation.
Not necessarily. Previous evaluations, school records, Early Intervention records, therapy reports, and other documentation can be valuable pieces of the evaluation process. With appropriate consent, Dr. Arends can review these records to better understand your child’s history, build on information that has already been gathered, and determine what additional assessment may be helpful.
Absolutely! A private evaluation does not replace or require you to stop existing services. Your child can continue receiving appropriate Early Intervention, educational, therapeutic, or medical services while completing an evaluation. Information from current providers can also be helpful in giving Dr. Arends a more complete picture of your child’s strengths, needs, and functioning across settings.
Your feedback session will take place approximately three weeks after your child completes testing with Dr. Arends. You will receive your child’s comprehensive written report following the feedback session.
When appropriate, Dr. Arends is also happy to meet individually with your child following the parent feedback session and during another appointment slot. When discussing results with a child, she takes a developmentally appropriate approach and considers the child’s age, communication style, level of understanding, and individual needs. The goal is to help children understand their own strengths and differences in a way that feels meaningful, empowering, and relevant to their everyday experiences. Dr. Arends works to help children understand how their brain works, what comes naturally to them, what may require additional support, and what strategies can help them thrive.
Your questions and concerns are always welcome. Evaluation results are based on standardized, evidence-based assessment measures and the integration of multiple sources of information. During the feedback session, Dr. Arends will review the results and explain how the conclusions were reached. If you continue to have concerns after reviewing the evaluation, the completed report includes the relevant testing information that can be provided to another qualified professional for a second opinion.
Not necessarily. An IEP is an educational document, and schools use their own eligibility criteria to determine whether a child qualifies for special education services under the autism classification. An educational classification is not the same as a clinical diagnosis of Autism Spectrum Disorder. If you need formal diagnostic documentation for medical care, insurance, therapy, or other services, a comprehensive evaluation by a qualified clinical professional may be recommended.
Not necessarily. Autism assessment tools can be administered by different professionals depending on their training and scope of practice, but completing an individual test is not the same as making a comprehensive clinical diagnosis. A thorough autism evaluation considers the whole picture, including developmental history, caregiver input, clinical observations, standardized measures, and your child’s functioning across settings.
Yes. An evaluation can provide valuable documentation and individualized recommendations to help families advocate for appropriate school supports and accommodations. The evaluation report may help schools better understand your child’s strengths, challenges, and learning needs and guide decisions regarding accommodations or services. Ultimately, the school determines eligibility and which supports can be provided.
Yes. A comprehensive psychological or neuropsychological evaluation can provide documentation to support requests for accommodations at colleges and universities. Because each school has its own requirements, we recommend reviewing the institution’s current disability services and documentation guidelines.
Yes. A comprehensive psychological or neuropsychological evaluation can provide documentation to support requests for testing accommodations on exams such as the SAT, ACT, GRE, and other standardized tests. Each testing organization has its own documentation requirements and approval process. If accommodations are one of your goals, please discuss this during your initial consultation so the evaluation can be planned with the relevant documentation needs in mind.
If desired and requested, Dr. Arends will provide you a superbill, which is a detailed receipt that includes the information needed to submit a claim to your insurance company. You pay for services directly and may then submit the superbill to your insurance company for potential out-of-network reimbursement. Insurance plans vary, so we recommend contacting your insurance provider to understand your specific out-of-network benefits and requirements.
If you plan to seek insurance reimbursement, check whether your plan requires preauthorization before psychological services are provided. If preauthorization is needed, we will provide the clinical paperwork you need to submit; however, you must initiate the request with your insurance company.
Insurance coverage and reimbursement vary by plan. If a claim is denied or only partially reimbursed, you may have the option to appeal the decision. We encourage families to review their individual insurance benefits and appeal requirements directly with their insurance provider.
