Process of IME (Neuropsychological Assessment)

The process of independent medical evaluation can raise several questions for the subject who is submitting to the evaluation, given the relative importance of the results to the follow-up (the disposition of the insurance claim, litigation, return to work, etc.).

In the context of a neuropsychological assessment, the objective is to analyze the results with psychometric tools, along with the clinical files submitted (medical history), subjective complaints from the subject, as well as behavioral observations, in order to answer specific questions that are set out in an initial mandate to which the subject agrees.

In this context, the neuropsychologist and the subject being evaluated do not have a traditional professional-client relationship, and it is ensured that such a relationship did not exist initially (e.g. former client who received neuropsychological services), in order to minimize bias. The goal is to provide an objective, impartial, neutral, and fair assessment that will answer the questions of the referring party and that will advance the file of the subject being evaluated, regardless of the context.

Normally, measures of validity and effort are part of the evaluation, in order to ensure that the evaluated subject makes an appropriate effort or investment that allows us to consider the data as valid and representative of the subject's functioning.

Dr. Charles Leclerc, a neuropsychologist at the Y2 Consulting Psychologists Clinic, in the Gatineau/Ottawa region, conducts IME's (Neuropsychological Assessments) and stresses the importance of defining the subject's effort, cognitive functions (reasoning, memory, attention/concentration, executive functions, language, visual-spatial functions, etc.), as well as the functions of psychological adjustment and personality factors. In effect, it is essential to separate what is of an organic/neuropsychological nature from the psychological adjustment reaction to an event that is traumatic, shocking, disappointing or other. The prognoses are different, as are the modes of treatment. Normally, all parties gain clarity with the problem, potential solutions, and prognosis. It is in this spirit that we conduct IME's.

Looking for a neuropsychologist in the Gatineau/Ottawa area?

Well, you've started in the right place.

Y2 Consulting Psychologists (Y2CP), an innovative psychological consulting firm in the National Capital Region (NCR) for the past 12 years, provides a full range of neuropsychological services to both children and adults, including neuropsychological assessments using leading-edge evaluation methods/tools to arrive at accurate diagnostics and facilitate targeted follow up quality care.

What are some of the common neuropsychological challenges you or your loved ones may be facing?

These could include learning disabilities and developmental delays, attention and hyperactivity disorders, concentration and memory difficulties, degenerative neurological conditions, difficulties with reading, writing or math in the academic or work environment.

Our neuropsychological assessments and related services are provided to both public and private-sector clients (including paediatric, adolescent, adult, and geriatric age groups) facing learning, speech and language impairment, attention/hyperactivity/impulsivity and other neurological disorders (disorders of the body's nervous system). And services are available in both French and English.

Questions/answers dealing with attention deficit disorder, with or without hyperactivity (ADHD)

What are the symptoms of attention deficit disorder, with or without hyperactivity (ADHD)?

• The child must display at least 6 attention deficit symptoms or 6 hyperactivity symptoms
• The symptoms must persist for at least 6 months to a degree that is maladaptive and inconsistent with the child's developmental level
• The symptoms must not be identifiable as due to another mental illness
• The presence of the symptoms must significantly alter a variety of aspects of one's life (social, professional, school, etc.)
• Finally, certain symptoms must be present before the age of 7.

A list of attention deficit symptoms follows:

• Unable to pay attention to details, or makes careless mistakes on his/her school homework, work or other activities;
• Often finds it difficult to maintain focus on the task at hand or during games;
• Seems like he/she is not listening, when spoken to directly;
• Does not conform to the rules and cannot complete his/her homework, house work or professional obligations (this is not due to difficult behavior, nor due to their incapacity to understand the rules);
• Has a difficult time organizing his/her work or activities;
• Avoids, is adverse to, or completes tasks against his/her wishes – ones that require sustained mental effort (like school work or homework);
• Often loses his/her necessary tools to complete his/her work and/or activities (toys, workbooks, pencils, book or tools);
• Is easily distracted by outside stimuli;
• Is forgetful in his everyday life.

A list of hyperactivity/impulsivity symptoms follows:

• Fidgets with his/her hands or feet, or squirms in his/her seat;
• Often gets up during class or in other situations that require him/her to be seated;
• Runs or climbs everywhere, in situations where it is deemed inappropriate (for teens or adults, the symptom could be limited to feelings of subjective or inner restlessness);
• Experiences difficulty remaining calm during play time;
• Acts like he/she is "driven by a motor" or as though he/she is "mounted on springs"
• Speaks too often.