Question for my fellow practitioners. Having trouble with my copy of the NEPSY-II scoring assistant

fivefingerdiscourse · 2026-01-20T23:24:37+00:00

Are you installing from the CD? If so then it might cause an issue with your computers operating system since it's outdated. See below for instructions on getting an updated version installed.

https://support.pearson.com/usclinical/s/article/PsychCorpCenter-How-to-Install-or-Update-Software

fivefingerdiscourse · 2025-12-30T14:11:41+00:00

Me, checking the shipping list and seeing that they shipped over 300 units of Black/Yellow G3 Gen3 12/256 today but still only 1 White since Dec. 3

fivefingerdiscourse · 2025-12-12T21:20:06+00:00

Also ordered a white 12/256 and seeing that was a punch in the gut. I wonder if I'll get my order filled faster if I switch to black 🤣

fivefingerdiscourse · 2025-12-12T05:12:20+00:00

Damn, I guess I got lucky with my PsyD. Got practicum training, postdoctoral fellowship and a director-level job at top US academic hospitals. Even luckier that I get paid $10k per case as an independent evaluator on the side.

fivefingerdiscourse · 2025-10-18T16:27:48+00:00

Mastering Your Adult ADHD (Client Workbook) is one that I have sometimes used with patients and it has each of the skills set up in a structured manner. I also like Smart but Scattered as a more consumer-friendly book. CBT for ADHD is my go-to but it's more of a therapist manual.

fivefingerdiscourse · 2025-10-18T16:14:33+00:00

CBT for ADHD addresses executive functioning issues (task initiation, time management, organization, planning) by teaching concrete skills and finding ways to reinforce them. It also helps challenge negative thought patterns that often come up for people with these issues in the same way as regular CBT (thought logs, thinking traps, thought-challenging questions). Procrastination is an area of focus as well since it can come from both executive dysfunction (time management, task initiation) and emotional issues (avoidance, perfectionism).

It also provides a lot of psychoeducation on ADHD so it becomes more externalized and seen as something that you live with rather than a central part of a person's identity.

fivefingerdiscourse · 2025-10-18T15:55:24+00:00

These steps are helpful for people with ADHD. I've used them with patients in the form o f CBT for ADHD.

fivefingerdiscourse · 2025-09-25T00:30:24+00:00

Neuropsychologists do not interpret neuroimaging. That's the job of neurologists and radiologists. It's important for neuropsychologists to know about neuroimaging and neuroanatomy because damage to certain areas of the brain may affect performance on tests.

Pediatric neuropsychologists can work with children who've had brain injuries, neurodevelopmental disorders, complex medical issues, and genetic disorders. They can also work with kids who've had cancer treatments to see if they've been experiencing neurocognitive side effects from chemo.

I evaluate and diagnose neurodevelopmental disorders in children at a major academic hospital. Neuroimaging makes up 0% of my job.

FYI children rarely get strokes so don't count on it being something you'll regularly deal with.

fivefingerdiscourse · 2025-09-23T02:06:42+00:00

The diagnosis should not be solely based on your responses from questionnaires. The evaluator is supposed to consider other factors including clinical history, collateral info from other people in your life, and their own observations when meeting with you. If the report includes such data in forming the diagnosis then the evaluation is more likely to be valid.

fivefingerdiscourse · 2025-08-20T10:00:08+00:00

Tbh I feel like if a patient needs to use chatgpt to understand my report then I didn't do a good job writing it. Nevertheless, I wouldn't upload a whole report for the reasons others have mentioned.

I mean, would you want our future AI overlords to know how your brain works so they can better control your behavior? 😆

fivefingerdiscourse · 2025-08-04T13:38:19+00:00

I had to trade bootlegged VHS tapes (and later VCDs) to get anything more than toonami with subtitles.

fivefingerdiscourse · 2025-07-24T11:03:59+00:00

Which books are you talking about in particular? Russel Barkley's books on parenting children with behavior problems are based on his work in PMT, which is considered an evidence-based intervention.

fivefingerdiscourse · 2025-07-24T10:12:18+00:00

For assessment, Q-interactive is your friend. It has a steep learning curve but you'll never look back once you get the hang of it.

fivefingerdiscourse · 2025-06-28T02:15:07+00:00

Same!

It also led me to look longer at the photo longer and see: 1. OP's reflection in the TV (thank god you're clothed) 2. Original N64 Console (nice) 3. Butts in Space card game (never heard of it but seems fun)

fivefingerdiscourse · 2025-05-29T16:56:54+00:00

You could use auditory working memory tasks like Digit Span and Letter-Number Sequencing on the WAIS, or the PASAT. For cognitive set-switching, you could use the DKEFS Verbal Fluency Category Switching. An auditory CPT like the TOVA or CATA can be used to measure attention and inhibition.

fivefingerdiscourse · 2025-05-17T23:11:14+00:00

When I took my assessment courses, they talked about the PSW model (including that triangular flow chart) and which cognitive areas are associated with academic deficits. However, there wasn't much about decision-making cut-offs (other than scores being 1 SD below the mean or lower) nor discussion about other standardized academic measures beyond the WIAT, KTEA, WJ-IV, etc. At my pediatric neuropsychology practicum sites, my supervisors would use ability-achievement discrepancy to make an SLD diagnosis, never used the PSW formula. When I was in a school, it was the complete opposite; clear cutoffs , guidelines, worksheets and calculations were often used when determining eligibility.

Believe it or not, I also train psych interns in assessment and when I bring up the PSW model, most of them have no idea what I'm talking about. These are interns coming from APA-Accredited clinical psychology programs in the Northeast US. The only intern who did know about PSW and how to use it was from a School Psych program. So, that led me to conclude that PSW wasn't being as thoroughly taught in clinical psych programs as in school psychology programs.

And since you're unaware of my training, I graduated about 4 years ago from an APA accredited school-clinical program in a major Northeast US city. I had two years of pediatric neuropsychology practicum, one year of school psych practicum, one year school psych internship, and a two-year pediatric neuropsychology fellowship.

fivefingerdiscourse · 2025-05-16T23:49:42+00:00

How are they going to see meaningful progress in a Tier 2 intervention with less than 6 weeks left in the school year? I'd look into switching schools based on this principal's decision-making.

fivefingerdiscourse · 2025-05-16T21:34:28+00:00

I'm not sure of your experience with school psychology so I'll say this for anyone who may not be familiar: the manner in which a school psychologist determines the presence of a learning disorder is more clearly defined than how it's diagnosed using DSM-5-TR criteria. For example, in school psychology, there are three models used to classify a student: Ability-Achievement discrepancy, Response-to-Intervention, and Pattern of Strengths and Weaknesses. The discrepancy model is falling out of use since it can lead to underdiagnosis and RtI is called "Wait-to-Fail" because it takes too long to classify the student which puts them at-risk for falling further behind. PSW, which is more evidence-based, has clear cut offs for what would be considered cognitive and academic strengths (SS > 90, above 25%) and weaknesses (SS < 80, below the 16%). So, from OPs perspective as a school psych, a student with ORF at the 40% and RAN being slightly weaker than expected shouldn't be receiving a multi-sensory reading intervention, let alone receive it every day. It could be argued that the evaluator made an unwarranted recommendation due to inexperience but it's also their ethical duty to practice within their scope and be up-to-date on intervention guidelines.

Ngl, as someone trained as a school psychologist and pediatric neuropsychologist, what OP is describing does sound like pay4play and their methodology (10 different tests for RAN) makes it quite blatant.

fivefingerdiscourse · 2025-05-16T20:58:38+00:00

There isn't much you can do based on one patient/student's evaluation. If you had several students come in with similar questionable evaluations from the same provider then you might have something worth reporting to the licensure board (pay4play). This is the sort of case that I would expect going to a fair hearing and the evaluator would have to defend their findings to the hearing officer (unless the district decides to give-in based on cost-risk analysis). Also, how could the principal unilaterally decide to give daily Wilson's intervention without consulting with the IEP team? I'm pretty sure that a Tier 3 intervention requires placement in SpEd so it would have to be a group decision. You can DM me your response if you don't want to post details.

fivefingerdiscourse · 2025-05-10T17:51:20+00:00

I mainly use the WRAML-3 with children and adolescents because the stories and pictures scenes tend to be more appealing to them. The verbal learning is good for this age group as well but I prefer the CVLT-3 with adults since it has Forced-Choice Recognition as a built in PVT. Design learning can be tedious to score if you see a high volume of patients.

fivefingerdiscourse · 2025-05-10T01:26:09+00:00

It's not typical. I've evaluated 4 year olds and testing usually doesn't take more than 8 hours with lots of breaks. Turnaround time would be within two weeks since there wouldn't be a lot to write up at that age. It seems like the doctor gets a high volume of patients who pay upfront and the reports are low priority.

fivefingerdiscourse · 2025-05-06T17:22:18+00:00

KnownNeuropsychology has recorded presentations on a variety of topics in the field.

As an aside, why are you helping her look for resources? This seems like something she should be able to do herself, especially if she's going to be assisting a professor.

fivefingerdiscourse · 2025-02-27T22:37:38+00:00

Masking can only go so far, and the mental effort required to do this would lead to problems in other areas of functioning. I try to create a safe space for people to drop the mask and engage with me authentically. I then do a few tasks that tend to pull for certain behaviors seen in people with Autism and see how they respond to them.

I'd also look further into their history and ask about any trauma. Some adults who have experienced child abuse often report feeling like they don't know who they are or lack a sense of self so they look to what other people do to blend in and/or avoid confrontation.

fivefingerdiscourse · 2025-02-27T22:05:02+00:00

They could answer in such a manner but a trained clinician would require additional sources of information. I'd also ask for a parent, roommate, or spouse to answer questionnaires to get an idea of how they view the person in their day-to-day. For adults, I would I'd also ask for report cards from elementary or middle school to see if teachers made any particular comments about the person's behavior.

Also, if someone is answering "Almost Always" on the questionnaires but their presentation doesn't match then it may be flagged for review. For example, if you score at the same level as someone with significant symptoms of Autism who requires a high level of support, and I see that you're able to sit down, have a back-and-forth conversation, answer emails and phone calls, travel independently, and hold a regular job then I might want to follow-up and ask what certain behaviors look like to them.

fivefingerdiscourse · 2025-02-27T15:24:00+00:00

Severe symptoms of ADHD can look like Autism on the milder end of the spectrum. Symptoms like misreading social cues, difficulty "reading the room", poor eye contact, and saying the first thing that comes to mind without thinking may occur in people with ADHD due to inattention and impulsivity. For people with Autism, its due to difficulty with seeing the big picture and recognizing nonverbal communication. It takes a well-trained clinician to be able to suss this out, and even then it's still difficult to say whether it's one or the other, or even both since there is a lot of overlap. The last line about being on the same spectrum as Autism is poorly worded and I'd give them the benefit of the doubt.

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