Pediatric Neuropsychology

What is a Pediatric Neuropsychologist?

A pediatric neuropsychologist should have the following training and credentials:

  • A doctoral degree (e.g., PhD, PsyD) from a university accredited by the American Psychological Association or Canadian Psychological Association (APA/CPA)
  • An accredited (APA/CPA) 1-year internship
  • A two-year Postdoctoral Fellowship in pediatric neuropsychology
    • This training focuses on how the brain works, how the brain develops, and what kinds of things can get in the way of it working well.
  • A psychology license from the State where he/she/they work
  • Many also completed board certification in Clinical Neuropsychology (with a Pediatric Neuropsychology subspecialization) through the American Board of Professional Psychology.

Why Was My Child Referred to a Neuropsychologist?

A neuropsychologist focuses on understanding the connections between brain functioning and thinking abilities, emotions, and behavior. Neuropsychologists can help parents as well as school and healthcare personnel understand these connections. Neuropsychological evaluations can help answer questions about a child’s thinking or behavior at home or school and provide recommendations to improve the child’s functioning.

How do I Find a Neuropsychologist?

Click here to find a list of board-certified Clinical Neuropsychologists in your area. If you do not see one near you, you can ask your child’s doctor for recommendations.

How do I Know if my Child Needs a Neuropsychological Evaluation?

When a parent or professional believes that a child’s functioning may be affected by a medical or developmental condition, a neuropsychological evaluation can be helpful. A neuropsychologist can help establish if the child has trouble in thinking (e.g., attention, learning, memory), social/emotional skills, and/or behavioral functioning. Neuropsychologists often see children with problems like:

  • a brain injury from a hit to the head, stroke, lack of oxygen, or an infection;
  • other neurological conditions like cerebral palsy, epilepsy (seizures), brain tumors, or spina bifida;
  • other medical problems like premature birth, diabetes, heart or breathing problems, genetic disorders, or childhood cancer;
  • exposure to certain substances before being born or during childhood;
  • trouble paying attention and sitting still, learning in school, or playing with other kids.

How Can a Pediatric Neuropsychology Evaluation Help My Child?

Pediatric neuropsychologists can help caregivers, school staff, therapists, and medical providers understand:

  • how problems with the brain may relate to problems seen at school, home, or with other children;
  • how a child best learns;
  • why a child may have behavior problems;
  • how to help a child deal with thinking or behavior problems;
  • how to match expectations to a child’s specific strengths and weaknesses;
  • what diagnoses may be appropriate, such as Attention-Deficit/Hyperactivity Disorder, Intellectual Disability/Intellectual Developmental Disorder, and Learning Disabilities;
  • what treatment and school plans will best help.

What Types of Areas of Thinking and Development May be Assessed?

How does a Neuropsychological Evaluation differ from a school evaluation?

  • School evaluations typically focus on deciding if a child has a problem with academic skills such as reading, spelling, or math, or if there are other factors that cause trouble at school. School evaluations often include academic achievement tests, IQ tests, and rating scales completed by parents and/or teachers.
  • School-based evaluations are used to determine eligibility for special education Neuropsychological evaluations can also provide information that relates directly to these decisions, but it is the school team that makes the final determinations.
  • A multidisciplinary team typically completes school evaluations. This can generate helpful information from different professions, but the result may not be integrated into a unified picture of the child.
  • Pediatric neuropsychologists use some of the same tests that school psychologists use, but they often evaluate more specific thinking abilities in greater detail, like memory, attention, and problem-solving. This broader consideration of functioning can help to identify why a child is having problems in school or at home.
  • Neuropsychologists can give formal clinical This can help the family access necessary supports and resources to help a child in or outside school.
  • Neuropsychologists have training in clinical psychology and brain-behavior They have specific experience working with students with many complex medical/neurological diagnoses. They are often able to help other professionals understand the connections between these conditions and the child’s daily performance. Neuropsychologists focus on understanding a child’s unique strengths and weaknesses, which can help plan school supports and medical treatments.
  • Neuropsychologists can also help to identify potential challenges the child may have in the future and help to proactively address those concerns.

What Does a Neuropsychological Evaluation Typically Involve?

Inverview / Information Gathering
Interview with caregivers

May include communication with teachers, therapists, and other providers, with permission
Questionnaires and rating scales
Record Review & History

Background

  • Birth history, developmental history, school functioning, cultural and family factors

Medical History

  • Medications
  • Diagnoses
  • Labs/Brain imaging
  • Family Medical History
Social/Emotional Functioning and History
Behavioral Observation and Evaluation
Direct observations of the child in the office, and sometimes in other settings, like school
Neuropsychological tests include paper/pencil, hands on activitities, questions, and/or computer activities
Your child may be asked about their thoughts and feelings
Next Steps
Feedback to discuss results and recommendations
Results and recommendations are put into a report
Strategies to communicate results with your child’s team will be discussed

The neuropsychological evaluation is a process that is like putting a puzzle together. The neuropsychologist looks at how the child performs compared to other children of the same age. Information from various sources is collected. Patterns in the information are examined to see how it fits, or does not fit, with different conditions that can affect brain development. After the neuropsychologist collects all this information, they identify interventions and supports to help improve the child’s functioning.