New neuropsych

[Anonymous]

We are getting a new neuropsych as it's been several years since the last one. Is it ok if we just want a fresh look and not to provide the previous one?

[Anonymous]

we are in the update process now and they want to see the previous one

[Anonymous]

Can you say no

[Anonymous]

Of course you can say no. They are providing a service to you that you are paying for. It’s not unreasonable to want a fresh, unbiased look.

[Anonymous]

They know about the previous neuropsych and requested it. Will they be upset that I say no?

[Anonymous]

Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

[Anonymous]

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

But I get what the OP is saying - it's almost like you are swayed to think one way instead of a clean slate. I would provide it after the eval but before the written update

[Anonymous]

I think it depends if you doubt the prior diagnosis. The center we are working with said we read the prior report but we also take a fresh look. I do think both can be true.

[Anonymous]

PP - would you mind sharing the place that is providing a fresh look? .

[Anonymous]

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

+1
I would think the old report would be extremely useful. Not to copy off of, but to provide really helpful context, a detailed look at how the child presented at a particular point in time. Many times diagnoses rely a lot on parent interviews. Of you have written reports from other clinicians that seems like really relevant and critical to getting a full picture. I am not an expert and we have only done one neuropsych, but we had documentation from other screenings/assessments and the psychologist said it was incredibly helpful.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

But I get what the OP is saying - it's almost like you are swayed to think one way instead of a clean slate. I would provide it after the eval but before the written update

That only makes sense if you doubt the current diagnosis. Otherwise, you are wasting time and aren't getting as valuable results.

[Anonymous]

The whole point is to understand whether there have been any changes. These are objective tests so not sure why you think your kid would benefit from withholding them. If what you are actually questioning is a diagnosis (which is a different thing) then I would work more closely with a clinician.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

But I get what the OP is saying - it's almost like you are swayed to think one way instead of a clean slate. I would provide it after the eval but before the written update

That only makes sense if you doubt the current diagnosis. Otherwise, you are wasting time and aren't getting as valuable results.

If you think “neuropsychs” are so subjective and neuropsychologists so unreliable that they will be “swayed” by former test results … I kind of wonder why you are doing this testing in the first place.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

But I get what the OP is saying - it's almost like you are swayed to think one way instead of a clean slate. I would provide it after the eval but before the written update

That only makes sense if you doubt the current diagnosis. Otherwise, you are wasting time and aren't getting as valuable results.

If you think “neuropsychs” are so subjective and neuropsychologists so unreliable that they will be “swayed” by former test results … I kind of wonder why you are doing this testing in the first place.

DP. I think OP’s concerns are valid. In a perfect world all neuropsychologists are reliable and cannot be easily swayed. The reality is that this is a mixed bag.

My opinion is that if the neuropsychologist is bad, it will not matter when or whether you provide the previous report. I would provide the report along with your own description of what you have observed since that evaluation. Then during the screening process you can gauge their reaction and choose the evaluator that seems most open minded and not too stuck on the previous report.

Good luck!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Why don't you want to provide it? Am important part of subsequent neuropsychs for us is the comparison -- where has there been growth, where hasn't there, what has changed.

But I get what the OP is saying - it's almost like you are swayed to think one way instead of a clean slate. I would provide it after the eval but before the written update

That only makes sense if you doubt the current diagnosis. Otherwise, you are wasting time and aren't getting as valuable results.

If you think “neuropsychs” are so subjective and neuropsychologists so unreliable that they will be “swayed” by former test results … I kind of wonder why you are doing this testing in the first place.

DP. I think OP’s concerns are valid. In a perfect world all neuropsychologists are reliable and cannot be easily swayed. The reality is that this is a mixed bag.

My opinion is that if the neuropsychologist is bad, it will not matter when or whether you provide the previous report. I would provide the report along with your own description of what you have observed since that evaluation. Then during the screening process you can gauge their reaction and choose the evaluator that seems most open minded and not too stuck on the previous report.

Good luck!

Neuropsychs are much too expensive to go to someone you don't trust. Long before you are providing past evaluations, you are checking references, doing an intake, etc.

If I think the old diagnosis is correct, I don't need someone to be open-minded. I need someone who will be thorough and thoughtful, both for looking for comorbidities and making recommendations.