Neurobehavioral Medicine Consultants

Neurobehavioral Medicine Consultants (NMC) psychologists offer a wide range of clinical services, and are also available as consultants to other practitioners.

During the first meeting, the psychologist will conduct an initial assessment, consisting of a comprehensive review of the patient's problem and situation, including but not limited to a discussion of significant historical events in the patient's life as well as of any medical conditions which may have an impact on the patient's mental well-being. He or she will also review fees and policies during this meeting. Depending on the results of the preliminary assessment, the psychologist may recommend psychological testing as a part of completing the evaluation.

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Again depending on the results of the initial assessment, the psychologist may recommend a schedule of psychotherapy sessions, generally incorporating a cognitive behavioral approach, perhaps in conjunction with other techniques such as neurofeedback. In some instances, a patient may be unable to come to the office for a counseling session. In these cases the psychologist may be able to conduct a session by telephone.

Often, more people are involved than simply the patient who identifies himself or herself, and under these circumstances couples therapy, family therapy or group therapy may be helpful to the patient and others significant in the patient's life.

NMC psychologists offer a range of assessments for children, all of which use sets of psychological and neuropsychological tests. A neurodevelopmental assessment can detect possible developmental disorders, a social or emotional problem, an autism spectrum disorder, or attentional or cognitive delays. In other instances a child may need accommodation during education or testing. Such accommodations might include the need for extra time on examinations, the use of a quiet environment or the use of aids such as a computer or calculator. A psychoeducational assessment can document the need for such accommodations.

If a child is not doing as well in school as would be expected, a neuropsychological evaluation will document academic achievement, measure areas such as executive functioning, information processing speed, learning and memory, intelllectual functioning and look for any history of adaptive functioning which might be related to an injury.

Neuropsychological evaluation of adults may be appropriate to fully understand cognitive and emotional difficulties which are observed. These could be caused by problems in a number of areas, including deficits in learning and memory, attention or the ability to reason and solve problems. Such an understanding is critially important to detect any underlying treatable conditions. Problems may also result from neurodegenerative diseases, including Alzheimer's dementia or Parkinson's disease, or from traumatic brain injury, stroke or brain tumor. A neuropsychological evaluation also may be necessary to distinguish between depression and dementia. Chronic pain can also have a significant impact on a patient's neurocognitve functioning.

NMC psychologists provide preoperative psychological evaluations for patients contemplating procedures such as spinal cord stimulator implantation and bariatric (weight reduction) surgery. During an evaluation the psychologist conducts a structured clinical interview which includes a review of the patient's medical and psychosocial history, observes the patient's behavior and assesses the candidate's psychological readiness for surgery. He or she will also administer several psychological tests chosen to complement the information gathered during the clinical assessment, and will then propose strategies to help the patient prepare for surgery and develop an individualized treatment plan to help the patient make beneficial lifestyle modifications. Such comprehensive psychological evaluations, supported by objective test data, can help surgical teams make appropriate decisions and formulate effective treatment plans, and help the patient obtain optimum postoperative results.

NMC psychologists offer educational presentations to groups including staff members of institutions such as skilled nursing facilities on topics such as Dementia versus Depression, Management of Delirium in Geropsychiatric Patients and Psychological Impact of Caregiving. Other topics which may be presented to practicing psychologists include How to Conduct a Cranial Nerve Screening Examination, Performing an Initial Psychological Evaluation, and Psychological Intervention for Chronic Pain Disorder.