Evaluation & Testing Services
Evaluation Services are provided at our Barnstable office. In-home evaluations are available for seniors only.
Neuropsychological Evaluation
Neuropsychological testing is used to understand an individual's' functioning by measuring various cognitive abilities such as memory, attention, executive function and self-regulation by looking at brain functions, such as working memory, mental flexibility, and self-control.
In neuropsychological evaluations focused on executive functions (EF). We look at the brain’s command center for managing tasks and behavior. These functions are crucial for effective learning and daily management of tasks, helping us plan, organize, and complete tasks effectively. This can help us understand if conditions like ADHD or learning differences might be problematic. Understanding these functions can help identify if there are any difficulties that might be affecting a person’s learning or behavior. This insight allows for the development of tailored interventions that support areas of weakness and leverage strengths, ultimately helping these individuals succeed in school and daily life. These are often the areas where individuals with ADHD or learning differences face the most challenges assessing. Executive functions include: working memory, cognitive flexibility, inhibitory control, problem solving, and planning.
EF Problem Solving: This involves figuring out what to do when faced with a new challenge, finding ways around obstacles, and coming up with effective solutions. For individuals with learning differences, finding new ways to approach tasks can be tough. An understanding of their problem-solving skills can guide strategies that help them tackle tasks more effectively.
EF Cognitive Flexibility: This refers to our ability to adapt and switch gears between different tasks or thoughts when the situation changes. individuals with ADHD or learning differences may have trouble adapting to new rules or switching between tasks, which can impact their learning and social interactions.
EF Working Memory: This is like a mental sticky note that helps us hold on to information while we are using it, such as remembering a phone number long enough to dial it. This is crucial for following instructions and solving problems, tasks that individuals with ADHD or learning differences often struggle with due to difficulties in holding information in mind while using it.
EF Planning: Similar to planning a trip, this skill helps us think through the steps we need to take to reach a goal, and then organize our actions accordingly. Many individuals with ADHD or learning differences struggle with organizing their tasks and managing their time. Evaluating their planning skills can lead to better strategies for helping them structure their activities and improve their productivity.
EF Inhibitory Control: This is our ability to stop ourselves from doing the first thing that comes to mind, which allows us to think before acting. This involves controlling impulses and distractions, a common challenge for those with ADHD. Difficulty with inhibitory control can affect a child's ability to stay focused on a task or behave appropriately in social settings.
Dementia Testing
We provide evaluation services for dementia related disorders including Alzheimer's disease, Parkinson's disease and other mild to severe cognitive impairments
Dementia is a broad category of brain diseases marked by a gradual decline in cognitive abilities, including thinking and memory. Because memory is multifaceted, each type of dementia may affect specific brain regions differently. Alzheimer’s disease often begins in the hippocampus which is a crucial area for episodic memory, whereas Frontotemporal dementia primarily impacts the frontal and temporal lobes, which play key roles in personality, language, and semantic memory.
During our evaluations, we explore four core memory types: working memory, episodic memory, semantic memory, and prospective memory. Identifying which aspects of memory are most affected not only aids in diagnosing the specific form of dementia but also allows us to tailor care plans and strategies to each individual’s needs.
It is also important to note that dementia frequently coexists with mental health and mood symptoms. Cognitive decline may result in awareness of deficits, causing frustration and sadness. Communication challenges can lead to anxiety or depression due to difficulty expressing needs. Loss of independence and social isolation often contribute to depressive symptoms. Additionally, physical health issues in dementia can further worsen mood. Addressing these emotional and psychological aspects alongside cognitive challenges is vital for improving the well-being of those with dementia. https://www.alz.org/alzheimers-dementia/what-is-alzheimers#basics
William Utermohlen’s Self Portraits Drawn After His Diagnosis of Alzheimer’s Disease in 1995
Psychological Testing
Psychological testing can be particularly useful for individuals who feel “stuck” or want a clearer understanding of factors that may be affecting their daily lives. Tools such as the NEO Five-Factor Inventory-3™—which evaluates personality dimensions (Agreeableness, Conscientiousness, Neuroticism, Extraversion, and Openness to Experience)—and the Minnesota Multiphasic Personality Inventory-3 (MMPI-3)—which addresses cognitive, personality, and emotional functioning—can provide invaluable insights. Additionally, projective measures, like the Rorschach Inkblot Test or the Thematic Apperception Test (TAT), may be used to explore deeper layers of personality, emotional processing, and interpersonal dynamics. These assessments help clarify diagnoses, highlight personal strengths, and guide targeted treatment planning, ensuring a more personalized and effective path toward well-being.
Autism Spectrum Disorder (ASD) Testing
Our Assessments for autism spectrum disorder (ASD) are designed to capture the full range of behaviors, from social interaction and communication to everyday functioning. We use standardized tools such as the Autism Diagnostic Observation Schedule (ADOS), Autism Diagnostic Interview (ADI), Childhood Autism Rating Scale (CARS), Gilliam Autism Rating Scale (GARS), and Gilliam Asperger’s Disorder Scale (GADS). In addition, we assess activities of daily living (ADLs) and social skills to gain a thorough understanding of each individual’s strengths and areas of need.
Transition Planning Evaluations
We also offer specialized transition evaluations, which may include vocational and interest assessments, social and emotional evaluations, and sometimes the use of projective measures. By integrating these findings, we develop a comprehensive plan that supports individuals in navigating key life changes whether pursuing further education, entering the workforce, or achieving greater independence.