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?
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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- Using tests that are outdated, mis‑matched to the person’s language or culture, or applied without good clinical context.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.

And of course the lack of “good clinical context” is another issue. [/quote]

I mean when you say "our kids" do you mean your kids specifically or in general kids with special needs and disabilities? If it is the latter why do you think you can speak for so many families?

My kid actually loved the testing because she does great with structure. Our evaluator was also pretty cognizant of structuring the testing to meet my specific kid's needs (e.g. doing multiple sessions instead of one long one). Neuropsychological testing is usually for people with neurological conditions so it's literally the evaluator's job to figure out how to deal with the issues you described. And before you come at me[b], I am not saying it is the right choice for every kid, or that every evaluator is the same. But to suggest that neuropsychs are somehow generally inappropriate for kids with special needs or disabilities is simply incorrect.[/b][/quote]

The bolder part of your own response is what you are not understanding. I think you might be getting confused because of the multiple posters who are talking about their own negative experiences. I did not imply it any of my posts. I actually mentioned that it can be life changing for some families and children. Being aware that you might be paying a lot of money for testing that might not provide any helpful information is important to know beforehand.

You should absolutely share your own good outcome as it is encouraging for all of us who still don’t have answers for our own children. If I knew what I know now, I wouldn’t have done full neuropsychological evaluation [b]for my child[/b]. All that I and many other posters are saying is that given the high cost and time investment that comes with it, parents need to be careful when to do it and when it might be better to try something else first.[/quote]

What you aren't understanding is that posts that aren't clear about which kids they are talking about and imply some kind of conspiracy to extract money from special needs families discourage families from getting the care they need. If you want to help people, be clear about what didn't work for your kid and why. Which tests outside of neuropsychological testing would have been better for your kid. What your evaluator did wrong if anything.[/quote]

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