You have questions, we have answers.
Clear, practical answers to questions we’re often asked by clients and families, with the goal of reducing uncertainty, setting expectations, and supporting informed, confident engagement in the evaluation process.
What is a neuropsychological evaluation?
A neuropsychological evaluation is a comprehensive assessment designed to understand how an individual learns, thinks, feels, and functions in everyday life. It examines cognitive abilities such as attention, memory, language, executive functioning, and processing speed, alongside emotional and behavioral functioning. The goal is not simply to assign a diagnosis, but to gain meaningful insight that guides support at home, school, work, and therapy.
What concerns can a neuropsychological evaluation address?
Neuropsychological evaluations can help clarify concerns related to attention, learning differences, autism, ADHD, giftedness and twice-exceptionality, emotional regulation, anxiety, mood, and complex or overlapping presentations. Evaluations are individualized based on the referral question and the needs of the child, adolescent, or adult.
What should I expect during my child’s neuropsychological evaluation?
The evaluation process is thoughtful and supportive. It typically includes an initial intake to discuss developmental history and concerns, testing sessions using standardized and interactive tasks, careful scoring and interpretation of results, a feedback session to review findings, and a comprehensive written report. The focus is always on understanding your child’s unique profile rather than labeling behavior.
How long does the evaluation process take?
The timeline varies depending on the referral question and age of the individual being evaluated. Most evaluations take place over multiple appointments and are completed over several weeks. You will receive a clear outline of the expected timeline during the intake process.
Will my child be comfortable during testing?
Yes. Testing is conducted in a calm, supportive environment and is tailored to your child’s age, attention span, and comfort level. Breaks are encouraged, and tasks are designed to feel more like puzzles or activities than exams. The goal is to obtain accurate information while supporting your child’s well-being.
What happens during the intake appointment?
The evaluation process begins with an intake appointment with Dr. Elise Pilchak, Psy.D., LP, conducted either virtually or in person. During this session, you will discuss your child’s developmental history, current concerns, and goals for testing. This conversation guides the selection of assessment measures and ensures that the evaluation targets areas such as attention, learning, memory, language, processing speed, executive functioning, social communication, and emotional regulation, as appropriate.
What happens during the feedback session?
Once the evaluation is complete, you will meet with Dr. Pilchak for a feedback session to review the findings in clear, compassionate, and accessible language. Diagnoses are discussed when appropriate, and time is spent reviewing individualized recommendations so you leave the meeting with a strong understanding of the results and how to use them moving forward.
Will I receive a written report?
Yes. You will receive a comprehensive written report that summarizes findings and serves as a practical roadmap for next steps. Reports include tailored recommendations for home, school, and therapeutic supports and are written in a way that is accessible to parents, educators, and healthcare providers.
Why are ADHD and autism often missed in girls?
ADHD and autism can present differently in girls than in boys, which often leads to underdiagnosis or delayed identification. Girls may show more subtle attentional difficulties, internalized symptoms, social masking, or emotional exhaustion rather than overt hyperactivity or disruptive behaviors. At Action Potential Neuropsychological Services, evaluations are intentionally designed to identify these subtler presentations so girls receive accurate understanding, validation, and support.
What happens after my child receives a diagnosis?
Receiving a diagnosis can bring both clarity and uncertainty. After the evaluation, families are guided in using the results as a roadmap for growth. This includes reviewing recommendations, sharing results with schools and care providers, connecting with evidence-based supports such as executive-function coaching, Pivotal Response Treatment (PRT), or social-skills groups, and scheduling follow-up consultations as needed to support implementation over time.
Do you accept insurance, and how does Mentaya work?
Action Potential Neuropsychological Services is a private-pay practice and does not contract directly with insurance companies. Families may choose to use Mentaya, an optional third-party service that helps check potential out-of-network benefits and manage the reimbursement process. Use of Mentaya is optional, and reimbursement varies by insurance plan and is not guaranteed.