At the Neuropsychological Assessment Clinic (NAC) we are devoted to understanding and addressing the unique neuropsychological needs of our diverse community. Situated in the heart of Lawrence, MA and Brighton MA, our clinic has emerged as a pivotal care hub for diverse population living in and around New England. The emphasis is on diagnosis, assessment, clinical conceptualization, treatment planning, feedback, and therapeutic intervention. https://www.npevaluation.com/program-overview-video
Pediatric Track: Patients often present with complex developmental, behavioral, emotional, cognitive, and social histories with associated comorbid diagnoses. Cases include patients with neurodevelopmental disorders, such as Attention-Deficit/Hyperactivity Disorder and learning disabilities.
Autism Spectrum Evaluations: Although ASD is often the referral question, there will be a substantial component of child clinical assessment and treatment, as well as medically complicated developmental concerns commonly present within this population. Applicants ideally will have a documented interest and clinical experience in ASD; although ADOS-2 training is not required, but strongly preferred.
Epilepsy: The pediatric track evaluates patients for treatment of epilepsy, and in cases where treatments have failed, patients are evaluated for consideration of surgical relief of their seizure disorder.
Adult Track: Neurology Clinic Referrals: NAC receives referrals from neurologists who work at renowned hospitals in and around Boston. Their referrals include patients with movement disorders (including pre-surgical Parkinson’s Disease and essential tremor as well as other movement disorder types), epilepsy (pre-surgical and general epilepsy-related cognitive disorders), brain tumors (including pre- and post surgical evaluations), traumatic brain injury, stroke, multiple sclerosis, and autoimmune disorders, epilepsy, toxic exposure, and chronic pain.
Deep Brain Stimulation (DBS) – all individuals being considered for DBS implantation regardless of diagnosis (including Parkinson’s disease, essential tremor, and dystonia) undergo comprehensive neuropsychological assessment.
Epilepsy: Neuropsychology is consulted to assist with diagnosis, cognitive and functional impact, treatment recommendations, and as part of the epilepsy surgical team. All individuals being considered for surgical intervention undergo presurgical evaluations with neuropsychology for the purposes of identifying areas of dysfunction that may support the seizure focus, and for determining cognitive, or other, risks of surgery in the individual.
Tumor: Neurosurgery regularly treats benign and malignant brain tumors through medication, surgery, radiation therapy, and chemotherapy. Neuropsychology is regularly present at brain tumor surgical planning meetings and is consulted for a variety of reasons including pretreatment baseline evaluations, post-treatment evaluations for functional assessment, and ongoing monitoring of cognitive abilities and emotional functioning for individuals with chronic or recurrent tumors. Typical consults are conducted to evaluate the extent to which an individual’s illness impacts cognition, emotion, and functionality to 1) assist in differential diagnosis; 2) track disease progression over time, which often informs treatment decisions; and 3) provide recommendations to patients to improve daily functioning. In the case of pre-surgical evaluations, assessments are intended to help decide candidacy, risk, and appropriate treatment targets.
Psychiatry Clinic Referrals: In addition to referrals from neurology, we receive referrals for a variety of psychiatric presentations including differential diagnosis of cognitive decline (pseudodementia versus dementia) as well as dual diagnosis (cognitive decline, mood disorder and medical comorbidities). Interns will have the opportunity to receive training and become proficient in the administration of semi-structured diagnostic interviews (i.e. SCID); clinical symptom rating scales commonly used in evaluating psychotic disorders (e.g. Young Mania Rating Scale); and standardized psychometric tests of psychopathology (e.g. MMPI). Interns will develop skills in the diagnostic assessment of psychotic disorders in adolescents and adults; and oral case presentations for consensus diagnosis and clinical symptom ratings.
Geriatric Referrals: The patients referred are geriatric patients with suspected neurodegenerative processes, with the goal of differential diagnosis, treatment planning, and recommendations. The primary goal of the training is to receive strong clinical experience with Alzheimer's disease, FTD, vascular dementia, DLB, HD and PD.