If you have been referred for a cognitive evaluation, you may feel anxious or uncertain about what lies ahead. I’ll walk you through what to expect and how to prepare, so you can approach your testing day with comfort and confidence.

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What is neuropsychological testing?

Neuropsychological testing is an in-depth evaluation that analyzes how your brain functions across multiple domains. It does not reveal your brain's structure, but rather provides insight into how your brain processes information. It assesses areas such as attention, language, memory, and problem-solving.

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Why you?

There are quite a few reasons that I may recommend neuropsychological testing for my patients. Keep in mind that some individuals may be very young, while others may be completely asymptomatic.

I may recommend neuropsychological testing for several reasons:

• To establish a baseline of your cognitive function before starting treatment
• To help diagnose conditions such as dementia, mild cognitive impairment, or traumatic brain injury
• To assess the impact of a neurological condition like stroke, multiple sclerosis, Parkinson’s disease, or epilepsy
• To evaluate changes in memory, focus, or thinking you’ve noticed
• To distinguish between different types of cognitive disorders
• To guide treatment planning and monitor changes over time

These results ultimately help us understand your strengths and areas of difficulty, enabling us to develop the most effective care plan tailored to your needs.

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The testing experience itself

There’s no way to sugarcoat it. The testing itself is LONG and arduous. It can last anywhere from 2 to 6 hours, depending on the doctor's specific needs. If needed, the sessions can be split across 2 appointments. During the testing, you will be asked to complete the following tasks:

• Remember and repeat words or numbers
• Copy designs or draw shapes
• Solve puzzles or patterns
• Name objects or generate word lists
• Do simple mental arithmetic
• Describe pictures or tell stories
• Sort cards or follow changing rules
• Respond to quick visual or sound cues

In addition to the formal tests, there’s also a conversation piece. You’ll be asked about your medical history, medications, education, work background, daily life, mood, and family history. Being open and honest here helps us make sense of the test results.

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How to prepare

The night before, it’s essential to get a good night's sleep, avoid alcohol, and stick to your usual eating routine. That morning, eat a healthy breakfast that is low in sugar and high in protein.

Unless otherwise told by your doctor, take all of your morning medications. Make sure to bring any assistive devices that you generally use (hearing aids, reading glasses, etc.) and dress comfortably. Please bring a list of your medications, as well as any previous medical records or test results.

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What to avoid

This is not the kind of test you can practice or study for. Doing tests or puzzles at home will only cause early fatigue on the day of testing. Be sure not to over-caffinate as well. Caffeine can give you anxiety and make it difficult to focus.

Don’t overthink things. There is no passing or failing — the purpose is to see how your brain works at baseline. Finally, don’t rush it. The test can be long and frustrating. It’s ok to ask for breaks or clarification.

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After the test

Congratulations on finishing the day. It’s a long day, and many people feel mentally and sometimes physically drained afterward. Plan something light for the rest of your day, and don’t be surprised if you’re tired.

Results usually take 2–4 weeks. The neuropsychologist will carefully assess and score all results, then prepare a detailed report. In a feedback session, we’ll review your results together — your strengths, your challenges, and how they relate to your condition.

These results may help:

• Confirm or clarify a diagnosis
• Guide treatment decisions
• Suggest therapy or rehabilitation strategies
• Identify workplace or lifestyle accommodations
• Track changes over time

You got this!

It's understandable to feel apprehensive about neuropsychological testing. However, it's simply a tool that helps us better understand your brain and how to best support you. The results provide guidance; they do not define you. It’s just one more tool we use to help take a peek inside the beautiful brain.

Come to your appointment well-rested, nourished, and ready to do your best with honesty and integrity. That's all we ask of you; we'll handle the rest.

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