I cannot see a single downside to private neuropsych if insurance is paying for it. I guess the worst possible outcome is feeling like you wasted 6 hours of your life. |
Seriously? Are you a parent? You cannot see a single downside of a potentially poorly done neuropsych that gives wrong conclusions or a wrong diagnosis? If anyone is going to do a neuropsych, whether they pay out of pocket or through insurance, they need to do their homework before going in. You are advertising it as something that you just sign up for and it magically gives you all the answers you were looking for. And that you can just ignore results if they don’t make sense. If you use insurance, and end up with a wrong diagnosis, that information will get recorded in the medical files. |
Yes, you can ignore the results if they don’t make sense. You don’t have to share the results with anyone, including the school, if you don’t want to. No medical interventions are recommended, just try-and-see environmental tweaks. It would be one thing if you were making medication decisions on the basis of an eval, but you aren’t. The closest thing is taking the results to a psychiatrist and having them consider the results in deciding how to medicate your child. The alternative is no battery of tests whatsoever. An absence of information in that area. |
What does this even mean? When has an insurance company having a particular diagnostic code harmed anyone? |
Before the Affordable Care Act, it could be life or death. |
And for the last 16+ years, it’s meant nothing… |
| PP whose dc had a neuropysch. The insurance company doesn't get the dx or a copy of the neuropysch. They pay the claim for the service-they don't read it and put it in the 'files'. |
|
The real issues with incorrect diagnoses from a neuropsych could be:
1. Causing the child to receive ineffective treatment 2. It may be difficult to repeat the testing too soon due to practice effects 3. The time and energy spent including time off work and school |
Are you more or less likely to get an incorrect diagnosis if you have a neuropsych eval as opposed to not having one? Seems like more information will always aid in proper diagnosis. |
Eventually sure. The extent to which harm occurs depends on different factors. For example focusing on compliance instead of skill building for an autistic kid can make things worse. |
So how does getting more information to aid in proper diagnosis and treatment hurt? |
Your premise is wrong. More of accurate information does not hurt proper diagnosis and treatment. The issue is when neuropsychological testing ends up giving inaccurate information. |
If the parents change their approach because the lack of a diagnosis seems to rule that out as the underlying issue |
It’s hard to see how the raw data, which is what’s then given to your child’s providers for their own analysis, is likely to be inaccurate or more inaccurate than any other kind of information your child’s providers are getting. |
This is like saying it’s a bad idea to get bloodwork because sometimes bloodwork has errors. |