FAQ

Our therapists work with adolescents and adults, typically ages 10 and up.

Our therapists often work with individuals seeking treatment for depressive disorders, anxiety, and executive function deficits (e.g., as concerns attention and organization difficulties). For more on a given therapist’s specialties, please see our Associates page on this website.

The first session is often devoted primarily to gathering information on current symptoms or concerns, and setting basic therapy goals.

The number of sessions varies, based on a given client’s symptoms, concerns and goals. An initial treatment course of 6 to 8 sessions, one per week (extended as needed), is fairly common. Our therapists emphasize supportive listening, collaborative problem-solving and the building of optimal coping skills (e.g., to manage any depressive or anxious symptoms, improve attention and organization, etc.).

Benefits often include increased self-understanding, enhanced empathy with others, improvements in mood, decreased anxiety, changing of maladaptive thought patterns/habits, and enhanced daily coping skills.

At this time, MWN only accepts out-of-pocket (OOP: cash, check, or credit card) payment for psychotherapy services. While we do not accept insurance payment for psychotherapy services, we can assist you as needed with the appropriate billing codes, if you choose to seek reimbursement from your insurance company for psychotherapy.

Clients are referred for testing for a number of reasons. Some individuals are referred for testing if they are struggling at school with behavior or learning issues. Your child may have been in counseling for some time but has shown little improvement. His or her symptoms may be worsening, despite your efforts, which may include trials of medication. The ultimate goal of testing is to understand a client’s specific strengths and weaknesses, and to clarify the diagnosis (if any), in order to provide recommendations for improved functioning.

Absolutely not!  Each testing session is designed with the specific client in mind, in order to gain the best understanding of this client. Testing can examine a client’s social-emotional functioning, behavioral issues, learning challenges, cognitive abilities, memory, language, sensory processing, and attention/executive functioning.

Neuropsychological testing is conducted when the purpose of the evaluation is to assess for a broad range of abilities, in more complex cases (often involving verbal and nonverbal abilities, as well as attention, memory, plus emotional-behavioral and personality function). For example, suspected autism, complex mood/personality issues, traumatic brain injuries (TBI), and progressive memory loss are commonly assessed via neuropsychological testing. Psychological testing is conducted when evaluating for basic IQ and academic skill, plus basic social-emotional-behavioral issues (such as anxiety or depression). While the purpose of these evaluations is different, there is often considerable overlap. Several of the same tests may be used in both psychological and neuropsychological testing, with the latter being typically more complex and in-depth.

In many cases, insurance will cover the cost of testing. Please review your plan for specific information related to your deductible, co-insurance, or co-payments. Insurance often approves neuropsychological and psychological testing to assess for conditions such as those cited above. Of note, insurance does NOT typically pay for evaluation for Attention-Deficit/Hyperactivity Disorder (ADHD). Further, insurance does NOT typically pay for academic testing. Academic testing in subject areas of reading, math, and writing are generally left to be assessed by the schools involved. This means that insurance does not typically cover concerns related to dyslexia (reading deficit), dysgraphia (writing deficit), or dyscalculia (math deficit). This is because these domains can be assessed in the school environment through an initial special education evaluation (or re-evaluation, conducted every three years). Since insurance does not typically cover this type of testing, we at Metrowest Neuropsychology offer it at an out of pocket cost for families. Please inquire at the time of referral for more information. Clinicians will need to know if you are pursuing this type of testing, well in advance of your appointment.

Please know that we strive to ensure that our evaluations take into account all relevant aspects of your child’s functioning. It is not uncommon to hear that a child behaves/performs differently across home and school settings. With your signed consent, we can reach out to your child’s school to obtain additional information, often by way of rating scales that are completed by his/her teacher(s). This provides us valuable insight into your child’s functioning in an alternate setting. However, this evaluation is considered protected health information and is covered by the HIPAA Privacy Rule. As such, all information you share with us is kept confidential unless you specifically request otherwise.

The first step is calling Lynn Reardon, our Client Services Manager at 508-983-1425. Lynn will get information from you about your insurance, and why you are looking for testing. A signed medical order from your child’s pediatrician is requested.

We endeavor to streamline our evaluation processes, each step of the way. To this end, we request relevant records in advance of testing. For example, we need to know what prior testing has been completed, to build the best-personalized evaluation for the child being tested. Many assessment measures cannot be repeated too close together (for example, if your child recently completed one IQ test, we should not repeat it a month later). This is because scores may be inflated due to practice effects, making them invalid. Other information (such as recent medical records) can also be helpful in developing the test battery and approach.

Many insurance plans require clinicians to obtain approval to complete psychological or neuropsychological testing before a client is seen for testing. Many insurance companies ask that clinicians complete a form to request authorization that includes an explanation of current symptoms, history, and rationale. This is another reason why it is so important to get copies of prior testing, school documents, medical records, etc. to client services staff, as such information can be critical when seeking test authorization from an insurance company. Once we request authorization, insurance companies can take up to 2 weeks to respond, at which time you will hear from our team regarding the next steps.

There are many reasons your child might be referred to another practice. Sometimes, there are specialists within our field who can address very specific and complex referral questions. At other times, our clinic or providers will not have a specific accommodation or skill to provide testing (e.g., if you require testing in another language, or specific instruments to support physical conditions such as deafness).
Please note that we regularly refer out, to other providers, evaluations that are court-mandated, requested by the Department of Children and Families (DCF), or other cases that involve legal issues. These situations are best managed by a forensic psychologist, who is specifically trained to handle such evaluations. If we do refer out, we will try to share the names of possible providers within your area.

When you come for testing, we will conduct a 60-minute diagnostic interview with you and your child. Then your child will complete testing measures with a clinician for about 3-5 hours, depending on the referral questions and needs. Some children may need more time, and academic testing may require a second appointment. Parents are escorted to a waiting area to complete parent measures, and we ask that you remain on the premises to support your child during breaks or any moments of struggle or worry. Please bring food and drinks for your child.

Some children do best by knowing that they are being tested, and that the information learned from testing will be used to help them at school or at home. For other children, it helps to explain that they will be meeting with a doctor who is going to ask them a bunch of questions, and have them look at pictures and so on, to help figure out what is easy and hard for them, and how they learn best. You can tell your child that they might enjoy parts of testing, while other parts might be more difficult for them, but what is most important is that they do their best. Please do not tell them that they are going to be playing games.

Once all data has been collected (meaning, your child has attended all testing sessions and your clinician has received all parent and teacher rating forms), reports are typically ready in 4 weeks. You should discuss specific timelines with your provider on the day of testing.

While testing provides valuable information in clarifying diagnoses and guiding treatment, there are times when testing is not appropriate. For instance, individuals who are in crisis typically need more emergency and immediate care. It is important that any client being tested is able to sit and participate throughout the evaluation.

To ensure comfort for your child and accuracy of test results, we do not complete evaluations within 45 days of any crisis intervention or discharge from psychiatric treatment. However, we can still discuss your child’s needs and gather appropriate documents so we are ready once stability is achieved after 45 days. If your child is scheduled for testing but experiences crisis, we kindly ask that you inform us so that we may adjust your appointment accordingly. There are many instances when referral to a community-based therapist is an important first step.

In addition to providing diagnosis and treatment recommendations for home, many parents use our reports to inform their child’s educational programming. To this end, we ensure that our reports also offer relevant suggestions for schooling. However, please note that our ‘medical’ diagnoses do not automatically result in eligibility for special education or 504 accommodations. Our testing can provide additional information that can be used to determine your child’s need for school services, but this decision is ultimately left to the school team (of which you are a critical member). We often speak with school staff about our findings, if a proper release of information is obtained. Please note that if your child is in the process of completing an evaluation through school, we may recommend that you wait until after this is completed. This avoids confusion of repeated measures. Please note our timeline of at least 4 weeks after all data is gathered before reports are ready for review.

If you have any additional questions, please do not hesitate to contact us by phone or email: 508.983.1425 or help@metrowestneuropsych.com

We look forward to working with you!

Examinees are referred (or self-referred) for testing for a number of reasons. Younger adults are often referred given questions about the impact of emotional distress on their thinking or daily functioning. Adults of all ages are referred following traumatic brain injury (TBI) or concussion, to track their recovery. Older adults are often referred given questions about the nature and severity of a decline in thinking and memory abilities. The ultimate goal of testing is to understand an examinee’s specific strengths and weaknesses, to clarify diagnosis (if any), and to provide recommendations for improved functioning.

No, all testing is not the same. Each testing session is designed with the specific examinee in mind, in order to gain the best understanding of them. Testing can assess an examinee’s social-emotional functioning, behavioral issues, learning challenges, cognitive abilities, memory, language, sensory processing, and/or attention/executive functioning.

Neuropsychological testing is conducted when the purpose of the evaluation is to assess for a broad range of abilities, in more complex cases (often involving verbal and nonverbal abilities, as well as attention, memory, plus emotional-behavioral and personality function). For example, suspected autism, complex mood/personality issues, traumatic brain injuries (TBI), and progressive memory loss are commonly assessed via neuropsychological testing. Psychological testing is conducted when evaluating for basic IQ and/or academic skill in younger adults; plus basic social-emotional-behavioral issues (such as anxiety or depression), and personality concerns in adults of all ages. While the purpose of these evaluations is different, there is often considerable overlap. Several of the same tests may be used in both psychological and neuropsychological testing, with the latter again being typically more complex and in-depth.

In many cases, insurance will cover the cost of testing. Please review your plan for specific information related to your deductible, co-insurance, or co-payments. Insurance often approves neuropsychological and psychological testing to assess for conditions such as those cited above. Of note, insurance does NOT typically pay for evaluation of Attention-Deficit/Hyperactivity Disorder (ADHD). Further, insurance does NOT typically pay for academic testing (which is sometimes requested concerning college-age adults). This means that insurance does not typically cover concerns related to dyslexia (reading deficit), dysgraphia (writing deficit), dyscalculia (math deficit), or other conditions affecting school performance. Since insurance does not typically cover this type of testing, we at Metrowest Neuropsychology offer it at an additional out-of-pocket cost. Please inquire at the time of referral for more information. Clinicians will need to know if you are pursuing this type of testing, well in advance of your appointment.

Psychological and neuropsychological evaluations are considered protected health information (PHI), and are thus covered by the HIPAA Privacy Rule. As such, all information you share with us is kept confidential, unless you specifically request that it be released to your physician, neurologist or other party. At such a point, the information might well become part of your medical record, in order to facilitate communication among providers, and to guide further treatments (but will still be kept confidential among those providers).

The first step is calling Lynn Reardon, our Client Services Manager at 508-983-1425. Lynn will get information from you about your insurance, and why you are looking for testing. A signed medical order for testing, from your physician, is also requested.

We endeavor to streamline our evaluation processes, each step of the way. To this end, we request relevant records in advance of testing. For example, we need to know what if any prior testing has been completed, to build the best-personalized evaluation for the person being tested. Many assessment measures cannot be repeated too close together (for example, if a person with TBI recently completed a given memory measure, we should not repeat it a week later). This is because scores may be inflated due to practice effects, making them invalid. Other information (such as recent medical records) can also be helpful, in developing the test battery and approach.

There are many reasons a potential examinee or client might be referred to another practice. Sometimes, there are other specialists within our field who can address very specific and complex referral questions that are outside our clinicians’ expertise. At other times, our clinic or providers will not have a specific accommodation or skill to provide testing (e.g., if you require testing in another language, or a sign language interpreter).

Please note that we regularly refer out, to other providers, evaluations that are court-mandated, requested by the Department of Children and Families (DCF), or other cases that involve certain legal issues. Many of these situations are best managed by a forensic psychologist, who is specifically trained in this area. If we do refer out, we will try to share the names of possible providers within your area.

There are many reasons a client might be referred to another practice. Sometimes, there are other specialists within our field who can address very specific and complex referral questions. At other times, our clinic or providers will not have a specific accommodation or skill to provide testing (e.g., if you require testing in another language, or a sign language interpreter).

Please note that we regularly refer out, to other providers, evaluations that are court-mandated, requested by the Department of Children and Families (DCF), or other cases that involve legal issues. These situations are best managed by a forensic psychologist, who is specifically trained to handle such evaluations. If we do refer out, we will try to share the names of possible providers within your area.

When you come for testing, we will conduct a 60-minute diagnostic interview with you and with informants, as available (e.g., spouse, child). Then you will complete testing measures with a clinician for about 3-5 hours, depending on the referral questions and needs (this includes a number of different paper and pencil or computerized exercises that might feel like puzzles or brain teasers). Some examinees may need more time, and/or additional testing that requires a second appointment. Anyone accompanying an examinee might be asked to complete an informant measure(s), but generally can either wait in our lobby area, or perform errands nearby while the testing continues. Water and light snacks are recommended, and can be obtained at our office, or brought in.

Examinees can be told they will be given some basic assessments to measure their thinking (including tests of attention, memory, planning and problem-solving, spatial skills, etc.). These might seem like puzzles or brain teasers. They will help clarify the examinee’s strengths, and any difficulties they might be having concerning general thinking, memory, and/or emotional functioning. They can be told testing is most often completed in one session, of about 4 hours’ length. They will be given bathroom breaks, rest breaks, and can bring light snacks or drinks if desired.

Once all data has been collected (including test data, and information from forms completed by the examinee and/or informants), reports are typically ready in 4 weeks. You should discuss specific timelines with your provider, on the day of testing.

While testing provides valuable information in clarifying diagnoses and guiding treatment, there are times when testing is not appropriate. For instance, individuals who are in crisis typically need more emergency and immediate care. It is important that any examinee being tested is able to sit and participate throughout the evaluation.

To ensure comfort for the client, and accuracy of test results, we do not complete evaluations within 45 days of any crisis intervention or discharge from psychiatric treatment. However, we can still discuss the client’s needs and gather appropriate documents, so we are ready once stability is achieved (after 45 days). If an examinee is scheduled for testing but experiences crisis, we kindly ask to be informed, so that we may adjust an appointment accordingly. There are many instances when referral to a community-based therapist or other professional (e.g., psychiatrist) is an important first step.

If you have any additional questions, please do not hesitate to contact us by phone or email: 508.983.1425 or help@metrowestneuropsych.com

We look forward to working with you!

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