Comprehensive Diagnostic Evaluation
This comprehensive evaluation explores possible biological, lifestyle, psychological, developmental and environmental contributions to symptoms. A thorough evaluation may require two to three appointments depending on the complexity of the behaviors presented by the child. Many clients have never had a broad and in-depth assessment, and this alone can be therapeutic because sometimes solutions emerge directly from it. Once we have finished the evaluation, we will discuss the results and treatment planning and options with you.
We work with families and children to develop an integrated treatment plan that may include psychotherapy, psychopharmacology, a family plan, a school plan, and complementary medicine. We will monitor progress throughout treatment to assess the effectiveness of the recommendations and make accommodations as needed.
What can a Comprehensive Diagnostic Evaluation help to diagnose?
Dr. Learsy uses this thorough evaluation to identify the disorder at the root of the patient’s symptoms. These disorders can include but are not limited to:
- Anxiety disorders
- Autism and Asperger’s syndrome
- Learning Disorders and Mood disorders like depression and bipolar disorder
- Neurological disorders like AD/HD, cerebral palsy
- Personality disorders
What kinds of methods are used?
Dr. Learsy and Dr. Reiss utilize some tests and screenings during the comprehensive diagnostic evaluation. They may use any of the following or more to reach a thorough level of understanding of the patient’s condition and needs.
- Child interviews and observation
- Developmental testing
- Cognitive Testing
- Review of all school records, medical history, previous evaluations
- Interviews with the parents
- Neurological examinations
- Psychiatric evaluations
- Physical examination
- Psychometric testing completed by the child, parents or teacher
- Psychological tests like Children’s Depression Inventory, Revised Children’s Manifest Anxiety Scale, various ADHD measures, projective tests
What evaluations are used in this process?
During the first visit, we conduct an interview with the parents to understand the presenting problem, parent concerns, and goals. During the parent interview, we ask tailored questions to hone in on the specific type of evaluation procedures your child needs. This is a very individualized process. Then, an extensive history is collected of the child's developmental milestones, social history, and health. A thorough record review is conducted of all medical history, as well as all documentation including but not limited to school records, and previous evaluations.
On the next visit, a medical examination is conducted to rule out any underlying medical problems that may be causing or exacerbating the presenting symptoms and to look for possible genetic causes or congenital syndromes. A neurological exam, in tandem with a neuropsychological evaluation, is administered to gain information regarding your child's cognitive functioning. Also, a child's psychiatric interview is performed in a warm, supportive atmosphere. Developmental testing is conducted in order to provide information regarding a child's developmental age and skills as compared to his/her chronological age, and his/her progression with achieving developmental milestones. This evaluation provides information concerning any developmental delays. This information allows us at Child's Best to have a multidimensional understanding of your child and to find the best fit for interventions.
After your evaluation, you will return for a feedback meeting in which you will be given a detailed explanation of the results, diagnostic impressions, and recommendations, with ample opportunity to ask questions. The evaluation comes with a comprehensive written report that includes a full explanation of the results, accurate diagnoses, and documentation of appropriate accommodations, treatment recommendations, and referral information. The results of the testing also inform the tailored recommendations we create specifically for your child. The recommendations section of the report is an action plan for the resolution and aid of the concerns that led you to request this evaluation. The recommendations will provide support for your child and family within the home, school, and community environments. Our goal is to provide each patient with a roadmap to address current concerns and move forward.
*Child’s Best may perform Functional Behavioral Analysis at Child’s school in order to identify triggers for problematic school behavior in order to help school personnel to better help your child.
The office will evaluate for conduct disorders and schizophrenia and provide short-term care but is unable to provide long-term care for such disorders. We will provide referrals in such cases.