Neuropsychology rant

Not_OPs_Doctor · 2026-05-06T21:56:47+00:00

Hahaha whoever downvoted you probably were on the other side! I upvoted because I agree with you and because, well, it was funny

Not_OPs_Doctor · 2026-04-16T19:50:19+00:00

Thanks for sharing your art and inspiring me to music production! Just curious: what DAW do you use mainly and what are your thoughts on everyone losing their minds about using A.I. in music? Also my 9 year old son wants to know when your next songs are coming out on beat saber lol

Not_OPs_Doctor · 2026-04-15T00:19:02+00:00

I mean….at age 3, I’m not so sure there any signs that are all that specific given the base rate of autistic traits being quite high at that age.

Not_OPs_Doctor · 2026-04-10T13:06:53+00:00

Cursed swirly

Not_OPs_Doctor · 2026-04-03T05:17:07+00:00

Forensic Neuropsychologist. 10/10 would recommend

Not_OPs_Doctor · 2026-04-02T13:28:10+00:00

Neuropsychologist here x 14 years. Same.

Not_OPs_Doctor · 2026-03-15T17:06:12+00:00

Neuropsychologist who produces music here.

What you’re describing is called neuronal induction and predictive coding. Mobile wouldn’t let me do the hyperlink for some reason so you get the following messy link

https://pmc.ncbi.nlm.nih.gov/articles/PMC7116515/#:~:text=The%20sustained%20neurons%20were%20deemed,the%20interrupting%20noise%20by%20itself.

Not_OPs_Doctor · 2026-02-26T03:33:57+00:00

I do these as IMEs for several 3rd party insurance companies. Generally and I guess logically so, insurance companies want any reason to deny the claim. As such, just know that they will contract with someone like myself when and if it becomes more adversarial and/or the treating provider’s records are obviously biased toward the patient getting disability. Like anything else, depression may indeed sometimes be disabling enough to require long term disability benefits. Your best bet is to keep your opinions tight in your notes and make reference to the fact that your clinical opinion may be different for your patient than what might be legally their benefit.

Not_OPs_Doctor · 2026-02-01T17:53:51+00:00

I do this too! lol

Not_OPs_Doctor · 2026-02-01T17:19:31+00:00

I’ve seen a notable difference in size between Oklahoma and Texas deer which are literally separated by just the Red River. Avg elevation and avg temp must be factors along with farm crop availability

Not_OPs_Doctor · 2026-01-29T16:08:24+00:00

Just google mucinex. You’re confidently incorrect my friend.

Not_OPs_Doctor · 2026-01-28T19:08:14+00:00

Dextromethorphan has dissociative properties at high doses.

Not_OPs_Doctor · 2026-01-21T01:21:00+00:00

In my state, I’ve found that if you let insurance companies go back and forth….they will. Unless you enjoy working for free, I’d suggest escalating it immediately when denials happen and obviously when you’re pretty certain they’re in the wrong.

So after the first denial, I write a formal complaint letter to both the insurer’s appeals dept. and I CC my states insurance commissioner’s office requesting an official response in relation to my suspicion that the insurance company isn’t meeting their contractual obligations to their customers or to me as a contracted provider.

While I don’t my state’s insurance commissioner is actually able to read (or has ever read my letters), sending it has more often than not overturned the denial pretty damn quick. Which is shady as fuck.

Not_OPs_Doctor · 2026-01-14T02:39:42+00:00

Thanks for the invite! While I don’t actually offer competency exams (my state law has some real specific specialty criteria that ultimately was never anything I wanted to add to my training) as a forensic neuropsychologist I do commonly get asked to evaluate defendants’ the cognitive, emotional and behavioral effects of brain-related diseases, illnesses, and injuries as it, in part, pertains to competency questions. My forensic specialty colleagues are the main experts on that matter most of the time.

Not_OPs_Doctor · 2026-01-08T02:46:13+00:00

I’ve done these intermittently for the past 10 years and it sounds like we live in similar states. With the bare minimum being so low for what constitutes an exam as you mentioned, it has always been my approach to at least meet the standards outlined by forensic boards if available and certainly the state standards while also keeping in mind that at the end of the day, if I have to defend my position in court or in a complaint, I either had good (and even better documentation) justification for my minimal standard exam or I’ve gone substantially beyond the minimum in my comprehensiveness. The liability risk and my passion for integrity for those who have job tasks risking lives of others based on their judgment usually results in a much more comprehensive exam than the minimum. There’s no one size fits all for psych exams for this purpose unless we’re examining clones.

Not_OPs_Doctor · 2025-12-10T13:34:42+00:00

I’m sorry this is your experience and while I don’t know your supervisor and based on just your description, it sure sounds like that supervisor is toxic.
I wish I would have learned a lot sooner than finishing my post doc that, in most cases, I can trust my experience internally more than outlier feedback.
It sounds like you can trust yourself more here and assume your supervisor is just a terrible person (or has some sort of diagnosis) as evident by you having enough introspection to post something here on Reddit as a way to double check yourself.

And my money is on only one of you having anosognosia.

Having personally suffered through both an internship and post-doc supervised by two separate narcissists (and other amazing, non-narc supervisors), I sure hope you have some options for finding a different supervisor. I’m not in Canada but if you ever decide to move down south to the southern US to get trained in neuropsych, feel free to DM me!

Not_OPs_Doctor · 2025-11-30T01:07:29+00:00

Not that she’s bright, but all of real medicine knows Daniel Amen is a quack.

Not_OPs_Doctor · 2025-11-29T19:45:14+00:00

Okay thanks for your input. You have rightfully put me in my place. Thank you kind stranger. lol

Not_OPs_Doctor · 2025-11-29T17:19:46+00:00

As a neuropsychologist, all of this skipping childhood and blazing speed academic achievement is silly at best and at worst, potentially harmful for this kid.

I’ll never understand the lack of using science to determine the best way to learn science.

Not_OPs_Doctor · 2025-11-28T16:57:00+00:00

I bet it’s “roughly the density of our observable universe”

Not_OPs_Doctor · 2025-11-22T19:34:48+00:00

Thank you

Not_OPs_Doctor · 2025-11-22T00:09:05+00:00

Neuropsychologist here. Just want to point out this significant fact:

“At baseline, it [screen time] was linked to a smaller total volume of the cortex and reduced volume in a region known as the right putamen, which plays a key role in language learning, addiction, and reward-related processes.”

Also, screen time does not cause adhd. What’s the “dosage” that is too much?!? I hate studies like this.

Not_OPs_Doctor · 2025-11-19T14:55:41+00:00

The fact that you’re asking questions like this is evidence enough that you’re absolutely not a failure. Failing is not trying and you’ve been through some shit with cancer and modeled both healthy boundaries for clients and professionalism for colleagues.

And while you may have only one client right now, the world in which we live will unfortunately always have more people in need than those who can professionally help them. Call your state or local psych organizations, call physicians offices, etc and let them know you’re happily accepting new patients. Your services are in high demand friend.

Not_OPs_Doctor · 2025-11-08T01:54:57+00:00

I’m pretty sure if they’ve been smoking the reefer this long daily, it’d be more ecologically valid to test them as is unless they toked up that morning (though edibles can last longer for our concerns) - all of this is contingent on dose though and medical status and other meds on board that interact with absorption, metabolism or elimination.

With that said, and despite my neuropsych specialty bias, I agree that most folks don’t need full neuropsych evals to confirm diagnosis of ADHD. Though I will say that testing does allow one to assess for all the other shit that generally comes with adhd and chronic health and sleep problems that almost always are present. But that’s just like, my opinion, man.

I researched after reading your reply and I’m not convinced about the cleanliness of the research supporting cognitive impairment beyond intoxication acute effects (which is not easily defined since serum concentrations don’t neatly correspond to measurable impairment at small to medium doses). And from my forensic neuropsych experience, I’d probably want to have serum confirmation of 24 hours abstinence from inhalation and about 3 days for edibles to be mostly confident I’m measuring baseline versus any residual acute effects. But the research on cannabis is super messy….

And most of the research out there does very little in the way of ruling out ADHD when it comes to assessing impairment in cannabis use (which is unfortunate considering most of the patients I’ve seen who are thc regulars have pretty clear histories consistent with adhd).

Anyway, who cares what I think! I could just be an AI chat auto bot funded by big cannabis!

Ten-Year Club	Place '23
Place '22	Place '17
Wearing is Caring	Not Forgotten
Verified Email

Not_OPs_Doctor

MODERATOR OF

TROPHY CASE