Navigating Neuropsychology

183 | Clinical Insights #2: Testing

14 snips
Jan 15, 2026
In a deep dive into the testing process, the hosts share valuable insights on introducing cognitive tests to patients. They tackle how to handle patient hesitance and the importance of clear communication about test purposes. Flexibility in test selection is highlighted, alongside strategies for accommodating sensory limitations. The discussion also touches on balancing self-report questionnaires with collateral reports for comprehensive evaluations. A sprinkle of humor and rapport-building techniques keeps the atmosphere engaging as they navigate through clinical practices.
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ADVICE

Leverage Observations If Tests Are Missed

  • If a patient leaves before testing, document observations and offer rescheduling or collateral follow-up.
  • Behavioral observations alone can often inform diagnosis and recommendations.
ADVICE

Test With A Rationale, Add To Resolve Conflicts

  • Give tests with a clear rationale and only add measures to resolve mixed or unexpected results.
  • Use multiple tests per domain and add a third if performance is inconsistent.
INSIGHT

Move Toward Hypothesis-Driven Batteries

  • A flexible, hypothesis-driven battery maximizes relevant information and reduces patient burden.
  • Neuropsychology has shifted from fixed batteries toward adaptable, targeted testing.
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