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Kids With Special Needs and Disabilities
Reply to "Anyone regret getting child a neuropsych. eval.?"
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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Do any neuropsych evals ever come back and say the child is neurotypical? Has anyone here actually had that outcome for their own child? [/quote] Me, so I've debated answering the OP that yes, I regret getting it (though I really don't). I wanted my 13yo screened for inattentive ADHD largely for my own sanity, not for any academic accommodations. Child does well in school, but hyperfocuses on a few interests, is emotionally reactive and really struggles with following instructions (acknowledges them, but immediately spaces and forgets nine times out of ten). Executive function almost nonexistent. I was hoping to confirm that these tendencies were outside the realm of normal (I have other kids for whom all of these traits apply occasionally, but not this consistently) and hopefully get guidance/strategies in place before the higher demands of high school. Neuropsych concluded bright kid, no ADHD. Which still, honestly, makes no sense to me.[/quote] What actual tests did they do? Saying it was a “neuropsych” doesn’t provide any information. [/quote] DP It would be nonsensical for neuropsych examinations to do the exact same battery of tests for people of all ages, concerns and cognitive abilities.[/quote] True. Going back to my post earlier in this thread: and there the subjective nature of the testing begins. But, that is actually not the worst part. Wait until they try to explain to you your own words. When they are incapable of understanding the concerns to begin with, it indeed becomes nonsensical.[/quote] Literature comparing neuropsych tests to medical tests suggests that neuropsychological assessments have [b]effect sizes and accuracy rates similar to many medical tests[/b], not worse. Errors usually come from: -Poor test administration or scorer error. - Using tests that are outdated, mis‑matched to the person’s language or culture, or applied without good clinical context. - Cases where the patient puts in inconsistent or minimal effort (that’s why validity tests are built‑in).[/quote] Accuracy for what though? And our kids are the types of kids for whom a long battery of cognitive tests may not be accurate - they get oppositional, distracted, don’t care, have poor fine motor skills that interfere with tests that don’t test motor skills, etc. [b]And of course the lack of “good clinical context” is another issue.[/b] [/quote] 100% this + the bolded is the core issue [/quote] It kind of feels like you are responding to the statement "a neuropsych eval is the only way to diagnose neurodevelopmental and psychiatric conditions and learning disabilities, everyone who has concerns about their kid should start there, and all neuropsych evals are the same so it doesn't matter which evaluator you use." But I don't know who said that.[/quote] People actually do say that here. [/quote]
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