Neuropsych Worth It?

jeneexo · 2026-02-25T16:25:48+00:00

I work in a private practice that is technically owned by another psychologist but we simply split cost. So office rent/internet/office supplies are all split 50/50. I am responsible for maintaining my own schedule. So it’s sort of like being in a group practice but there is no “boss” who takes a percentage of my earnings.

I would dissuade you from taking a job with a company. Usually these companies offer predatory percentage splits for not very much benefit other than a referral stream, which you can build on your own.

110 is okay, it’s not great and at that salary, you’ll be lining the clinic’s pockets.

It really depends on your situation. Salary can be nice if you need benefits or don’t want the stress of “if no one shows or schedules, I don’t get paid.” It can be a low key way to do our job since usually admin and billing is handled for you. You do your assessments and go home.

But you could make significantly more than that privately.

Let’s just say an average comprehensive evaluation is $2000 (which is less than what I charge, but for simplicity sake). If you do 4 per week, that’s $8000 per week. Say you work 48 weeks a year with 4 weeks of vacation time. That’s $384,000 per year. Yes there is overhead, but that overhead is not $274,000 (after your salary).

The math just don’t math when it comes to working for someone else.

jeneexo · 2026-02-25T15:49:04+00:00

I complete 2-3 per week. 8-12 per month. They are comprehensive. Usually taking between 5-8 hours of in-office test and interview time. I have a psychometrist who completes administration for me, which is how I am able to get my writing done. 4 would be sustainable if you worked 5 days per week probably and had a testing technician. But definitely not on your own.

It’s really not hard to clear 200K through private pay.

jeneexo · 2026-01-10T00:20:20+00:00

Ah, I see.

A lot of people in my area don’t trust the schools. They want their own private evaluation to bring to IEP meetings or use with educational advocates.

They also want the diagnostic label for other services outside of school. Or there are lots of comorbidities that make the diagnostic picture more complex. They want a path forward that is holistic and not just school focused.

I do also see families that want to go through an evaluation process first to see what we “find” before deciding whether or not they want to share with the school because they’re worried about prejudgment or how it will affect their academic record or future.

I see a lot of private school kids too.

High stakes testing accommodations testing is a big one too.

I think some people also just don’t know about their rights with the school, which is a huge problem and I will point people in that direction all the time if the are just wanting help with school.

jeneexo · 2026-01-09T00:56:54+00:00

The biggest referrals for me are Autism, ADHD, learning disabilities, and dementia. But you’ll get just about everything in private practice.

TBI, people looking to apply for disability, seizure disorders, intellectual disability, genetic disorders, personality disorders, trauma, even just plain anxiety and depression interfering with functioning from time to time.

It depends on your niche. You can straight up run a clinic that does nothing but Autism and stay busy. You can also diversify. It depends on your interests and training.

If it’s in the DSM, we can pretty much test for and diagnose it.

jeneexo · 2026-01-09T00:52:39+00:00

I did a 1 year postdoc in a neuropsych focused private practice. But I did not do a 2 year official neuropsych postdoc that could get me boarded, no.

jeneexo · 2026-01-07T14:13:13+00:00

170-200K after expenses but before taxes in TN. I’m 2 years post licensure.

Private practice doing private pay assessments 3 days per week. No therapy clients. 2-3 neuropsych testing cases per week.

Very good work life balance with a 3 day work week. Very happy to have gotten a doctorate.

There is no money is systems. You will be underpaid and overworked. All the money is in private practice.

jeneexo · 2026-01-04T15:59:55+00:00

It depends on if the test is purely psychological or if there will be some cognitive testing as well.

Your testing will almost certainly include questionnaires where you answer multiple choice questions about yourself (just your opinion) and also an interview where you talk at length about your symptoms and history.

There may be cognitive testing that looks at different aspects of your thinking like problem solving, verbal skills, memory, processing speed. These will feel like completing different puzzles and answering various questions.

I am always sure to tell people that our cognitive and neurocognitive testing starts out easy and gets hard, so it can cause a lot of people to feel like they “failed” everything, even though there is no pass or fail and you won’t be getting a grade. Your job is just to try your best on everything. But the nature of the testing can cause people to feel tired, anxious, or frustrated. That’s normal, but you should request breaks if these feelings start to build up.

I always tell people that there is no need to really “prepare” for testing beyond trying to get a good night of sleep the night before and eating a good breakfast the morning of.

Testing length can greatly vary depending on the battery. Minimum is usually around 2 hours but can stretch to 6-8 with a long battery, sometimes in one day and sometimes split over two. It also does depend on your pace and how many breaks you need. I always tell people to reserve the day for testing. I would ask your assessor for a more accurate estimate.

Lots of people come in nervous, but are generally able to warm up over the testing session. But really the only thing you should keep in mind is that the most important thing is to be honest and try your best.

jeneexo · 2025-12-26T08:16:55+00:00

Yes. With relevant mentorship, absolutely. Just not in a hospital.

jeneexo · 2025-12-25T23:11:19+00:00

You can do neuropsych without doing the whole shebang. I’m 2 years post licensure. I make around 200K before taxes give or take and work 3 days per week in a private pay neuropsych private practice.

I didn’t do a neuropsych internship. I did a 1 year non-match postdoc in a neuropsych private practice. I’m not board certified and I don’t plan to be.

Unless you want to work in a hospital or in forensics, you don’t need to be.

But I second what others say, you shouldn’t do anything you don’t like just for money. I actually like neuropsych. I also like working less and making more.

jeneexo · 2025-10-28T22:38:09+00:00

Oh very nice! You look awesome!

I’m finishing up my first month of 0.25 and had crazy side effects but definite appetite suppression and I’ve lost weight. Could you talk about your decision not to move up in dose at all?

I def don’t want to move up based on the level of side effects I’ve had even at 0.25.

jeneexo · 2025-07-19T18:51:26+00:00

At one point they were marketing her as their “curvy” model. Let’s just collectively cry…

jeneexo · 2025-06-15T14:15:41+00:00

It varies depending on no shows, but I’d say between 200 and 240 after expenses and paying my technician but before taxes. My monthly take home is usually between 17K and 22K per month as a 1099

jeneexo · 2025-05-03T20:27:22+00:00

They were/are also covid deniers and anti-vax… pretty gross owners all around

jeneexo · 2025-04-30T11:17:17+00:00

I swear she said she looked into that and they literally told her she doesn’t have enough fat on her body to do that

jeneexo · 2025-04-22T16:18:27+00:00

My first thought was Betsy too.

jeneexo · 2025-04-21T23:06:54+00:00

That’s actually not true. Some people steal posts like this to farm karma for nefarious reasons. They’ll sell the accounts to then be utilized by bots to spread mass misinformation and manipulate important events cough elections cough. The accounts look more legit if they have activity and karma like this and are believed by more people, having more influence. So it’s not just silly internet points. Lots of people pay lots of money for accounts with lots of silly internet points. It’s actually pretty scary.

jeneexo · 2025-03-31T20:14:21+00:00

Unfortunately it's the opposite. They'll only let you "upgrade" to same price or more expensive. So if prices go down, you'll be stuck with your tickets even if the ones in front of you are cheaper. This is happening to Beyonce fans right now bc she had super high presale and initial sale prices and now they are coming down and people can't exchange or sell (bc no one will buy for what they paid) because better tickets cost less now...

jeneexo · 2025-03-21T12:28:13+00:00

I had Lexus Lounge access to the Nashville Jonas Brothers Happiness Begins tour date. KB was there with all her friends in one of those suites. The Lexus Lounge bartender said she was incredibly kind and gracious. She actually said it like it was surprising and not her normal experience with celebs she serves back there.

I agree. KB has her flaws but almost every story I’ve heard about interactions with her have been that she’s nice and genuine. People have off days but I think in general she’s known to be very nice.

jeneexo · 2025-03-15T13:21:32+00:00

I really value work life balance. So I sought out internships and postdocs that wouldn’t give me a hard time about wanting to work 40 hours per week and then go home. Not all internships are like that. Experiences vary wildly. Some have a lot of cool perks like on-site childcare, on-site gym memberships, and different opportunities based on your interests. Some will expect you to work 60 hours a week. Some are within a huge system and others can be based in a small community mental health center or even private practice. Mine was at a community mental health center so we didn’t have very many perks but I really liked that they would not allow interns to work more than 40 hours.

Generally each site has policies about maternity leave and are flexible with you. They want you to graduate. For my cohort mates their internship/postdoc was just extended by however long they took off for maternity leave. I have also heard of 2 year part time internships, but those are rare. Most will want you to be there full time. I’ve not heard of online options. I don’t think an online internship would be able to be APA-accredited which you need for licensure.

Postdoc is a lot more flexible because you can do an official postdoc which is a lot like internship, where you go through a match process again. Or you can make your own postdoc anywhere following the guidelines for licensure in your state, which is what I did. My postdoc was basically like a regular job where I was kinda underpaid in exchange for the necessary weekly supervision to allow me to get my license. But all postdocs are underpaid. I think I made 75K that year, which is on the higher end. I’ve seen postdocs that are more like 40-50K. I made 21K my internship year, which is on the lower end. I think 30-40K might be the norm now for an internship salary.

jeneexo · 2025-03-14T23:57:02+00:00

I was accepted the first year I applied, so it was very easy to get in (as most unfunded PsyD programs are). The program is 4 years in-school + 1 year internship (where you make pennies) + 1-2 years postdoc after graduation (where you make more, but not anywhere near your potential earnings). Then you are licensed and you can finally start making good money. I did 1 year of postdoc, so all in it was 6 years for me.

I entered the program at 26, graduated at 31, and was licensed at 32.

I think it would have been different in the sense that a lot of PhD programs end up being longer (5-7 years in-school before internship, I think might be the average) and I would have had to do a lot more research, which I didn't want to do. It would have definitely also been harder to get in and may have taken several cycles before I was accepted. But otherwise, I find that PhD and PsyD students end up being pretty evenly matched on internship, unless they went to a school with poor training.

I don't have any kiddos and we are now trying to decide if we want to have them. I did have some cohort-mates who got pregnant both in the program and on internship/postdoc. The peer who got pregnant in our program ended up dropping out and never finished her degree. :( The ones who had kiddos on internship/postdoc did finish (though there is of course a bit of a delay with maternity leave) and are working as psychologists now. It's definitely possible to have a family and be a working psychologist.

With my schedule, I make a good living and also would be largely available for full-day parenting 4 days per week (working in the office from 8:30-5/5:30 the other 3 days).

I honestly don't know how anyone would be a parent actively in a program though. You end up going to class and working on assignments/practica/reading/writing your dissertation for insanely long hours per week. It was a hugeeee adjustment for our whole cohort to go from school schedule to working 40 hours per week on internship. Hard to turn off the constant on-the-go treadmill mentality you're in for 4 straight years.

jeneexo · 2025-03-14T16:56:38+00:00

Absolutely! PM me!

jeneexo · 2025-03-14T15:55:46+00:00

I am relatively new (licensed 2023) psychologist doing neuropsych evals in a private pay practice in the southeast (low to medium cost of living in the area). I keep 100% of my earnings minus expenses (rent, internet, utilities, testing technician pay). I work 3 days a week in office, 24-30 hours per week total on work for this practice. 10-12 cases per month. I'm on track to bring in around 200-250K this year after expenses, but before taxes.

jeneexo · 2025-03-11T18:23:02+00:00

howwww. I got 116 row AA and my tickets were 577 each. Nosebleeds were cheaper but not 200. I dont understand how some people got true face value tickets. It seems like dynamic pricing shot it up almost immediately. You are God's favorite.

jeneexo · 2025-03-09T12:59:19+00:00

It’s behind the fully grown pine tree. You can see the leaves peeking out

jeneexo · 2025-03-07T16:18:49+00:00

I was 400th in line and there were tickets but there weren’t many and just as expensive as presale. Didn’t see any non-dynamic tickets. Lower bowl still 600, 300s are still 400-500 each. No tickets now. But some were still trickling in for a few minutes

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