Athens Neuro Psy
 
   
Our Services
 

In Office Testing

Our in-office testing includes standardized measures that assist in evaluating various diagnoses including: ADHD, learning disability (e.g., dyslexia, dyscalculia, etc.), memory loss and dementia, bipolar disorder, personality disorders, behavioral disorders, and neurological disorders such as traumatic brain injury, concussion, and stroke. 

Your initial visit will be a 30-45 minute session with Dr. Butryn.  During this time Dr. Butryn will gather background information, family history, and any concerns from the patient and his or her family.  At the end of the session, you may be scheduled for additional testing appointments.  The testing will take several hours depending upon individual characteristics.  Testing can be split across multiple days, and this is sometimes recommended. 

All testing is conducted by psychological assistants in the office.  Our psychological assistants have received an undergraduate degree in psychology and have been extensively trained to administer our standardized tests.  These tests include a combination of hands-on activities, interactive tasks, individual measures, and computer-based activities.

When testing is complete, the results will be scored, interpreted, and reported.  The patient will be notified when a report is complete.  This process can take 4-6 weeks, on average, but depends on various characteristics of the assessment.

Web Based Testing

Over the past year, we have been testing an exciting new technology in our practice.  We implemented a new computerized assessment system for neuropsychological testing. The neurocognitive assessment software, CNS Vital Signs, will allow our practice to better monitor and manage our patient’s cognitive status. This software is fully under our control, is catered to the needs of our practice, and includes both standardized cognitive tests as well as a full slate of self-report inventories.  We had initially only used it with select Traumatic Brain Injury (TBI) patients given its utility for re-testing patients numerous times over a span of months. It is quicker and more efficient than repeating in-office cognitive test batteries which can be time-consuming, exhausting, and expensive for some patients. Our testing of these web-based protocols found that clinical utility, compared to in-office testing, was preserved. Eventually, we created and tested web-based protocols with Older Teenage ADHD, Adult ADHD, and certain types of Memory Disorder patients. In fact, our most frequent use of the web-based testing protocols is with Adult ADHD patients.

This new technology will allow us to better serve many of your patients in that we will be able to respond quicker to your clinical needs, provide feedback to your patients more efficiently, and improve our ability to make this more economical for patients in general compared with our standard neuropsychological test batteries. We will of course continue to utilize our full neuropsychological testing services as this is a cornerstone of my practice. This newer web-based testing option allows us greater flexibility in meeting the needs of your practice and patients.

Below you will find a brief description of the CNS Vital Signs product.  The web-based testing is a software program that runs on our office PC’s. Instructions for administering this at home are provided based on an initial consult with the patient.  Patients will sit at the computer for 60 minutes or less, responding to stimuli on the screen by tapping a few keys on the keyboard or using a mouse. The assessment utilizes scientifically validated objective tests to evaluate the neurocognitive status of patients and covers a range of mental processes such as motor performance, attention, memory, to executive functions.  Immediately following the assessment, a report is generated and used to document the procedure and will be used in the evaluation and management of our patients. The clinical applications for CNS Vital Signs can be summarized in terms of five prototypical situations:

  1. Establishing a neurocognitive baseline for each patient in order to evaluate current status and use in later treatment decisions
  2. Distinguishing mild or subtle neurocognitive deficits in patients through a comparison with norms of the same age, aiding in diagnosis and treatment (e.g., MCI, Dementia)
  3. Routine evaluation and management of neurocognitive impacted disorders such as Attention Deficit Disorder, Dementia, Bipolar, Depression, etc.
  4. Evaluation and management of patients serially to assist in decision making on the course of actions to take, including appropriate treatment or medication management (e.g., to evaluate disease, treatment, or medication effects)
  5. Tracking of recovery and as an aid to help patients and families understand the neurocognitive status of the patient and the effects of the disease process (e.g., from brain injury, stroke, or substance abuse).

Below is a table showing a sample summary layout of the cognitive testing and score profile. The following table is only a small excerpt from the 8+ pages of interpretive data included in our score report accompanying each patient’s test administration.

web based testing