NeuroCognitive Assessment

The NCRI offers comprehensive neurocognitive assessment and clinical report involving a clinical interview and testing necessary to answer the referral question(s) thoroughly to provide a rich and compelling set of recommendations. For example, our assessment using LORETA neuroimaging provided the necessary medical knowledge for helping a patient with ME/CFS obtain his disability status (read article). We now offer swLORETA assessment for identifying brain networks that are outside a normal range when compared to a normative database. When dysregulation in a particular network is linked to the symptoms, those brain areas may be targets for treatment aimed at reinforcing stability and efficiency within the network. This clinical efficacy is further enhanced by tailoring the treatment for each individual accordingly.

We provide assessments for patients with ME/CFS, fibromyalgia, migraine syndrome, multiple sclerosis, and we provide a list of conditions we assess. We will need a good history from the client, which is often just the most recent medical records. An assessment typically consists of the following:

Screening Phone Call

Depending on the referral question and complexity of your case, a telephone call may take place prior to the testing to clarify the reason for the assessment and to establish expectations for what will happen on the day of the appointment and afterward. This usually lasts between 10 and 15 minutes. At the end of this phone conversation, we will send you, via your email, forms to complete before your session with us. To schedule a phone screening, please contact us.

Scheduling an Appointment

Prior to scheduling your appointment, we will need to see your completed forms and relevant medical records dating back as many years as possible, approximately 2 years prior to your neurological diagnosis. Your records will allow us to:

  • understand professional interpretation of your results.
  • know how your neurological disorder was diagnosed—very important.
  • gather insights from your most recent blood tests and lab work.
  • combine findings with other imaging, such as X-rays, CT scans, fMRI results, etc., please obtain those and bring them to us on your first visit.

Please make sure these records include the diagnosis of the particular neurological problem you have. If you need to order the records from your provider(s), please do so soon enough that the providers have time to send them to you. This process of getting your records may take up to 2 months. We will schedule your appointment after you receive these records.

Intake/Clinical Interview and qEEG Recording Session (approx. 2 hours)

On your initial visit, an intake/clinical interview is conducted to further clarify details of relevant history and current symptoms. This interview will take place on the same day immediately prior to testing.

    • Test #1: Brain qEEG/swLORETA Assessment. The EEG data may be collected over a 10-minute period. To download our sample clinical report, click the button below:
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    • Test #2: Psychophysiological Stress Profile. This is done with autonomic testing (hand temperature, galvanic skin response, muscle tension, and heart rate variability). The point in this assessment is to assess your Autonomic Nervous System responses.

The next day, you will receive a comprehensive written report via email. A written report documents the reason for evaluation, clinical history and relevant background, test results, diagnostic impressions, and recommendations. The length and detail of a report varies depending on the referral question, testing objectives, and complexity of the assessment.

Please note: qEEG/swLORETA assessment are ancillary tests that are not intended to provide a stand-alone diagnostic. These tests quantify regions of brain dysfunction to provide information on impaired conduction, excitability, and connectivity between different regional neural networks in the brain. They are used to probe the nature and severity of dysregulation in the brain, including abnormal connectivity and comparing these different measures to a normative database. Typically, a diagnosis is not based on any one test and the clinician integrates all sources of information such as medical history, clinical symptoms, neuropsychological tests, etc. to render a diagnosis. For example, a cardiologist may want to assess the risk of arrhythmia’s by performing a cardiac ultrasound, treadmill stress test, cardiac CT scan and nuclear testing, along with blood tests and other clinical data, because no single test yields the information necessary to render a diagnosis.