Diagnostic Neuropsychology
Understanding the Brain and Mind: A Neuropsychological Perspective
The brain and mind can be compared to a computer, with the brain serving as the hardware and the mind functioning as the software. Cognitive difficulties can arise from issues in either the hardware (physical brain conditions such as a stroke, traumatic brain injury, or dementia) or the software (psychological factors like severe depression, anxiety, or somatisation). Cognition encompasses the processes by which we acquire knowledge and understanding through thought, experience, and the senses. These processes include intellectual functions such as attention, memory, reasoning, problem-solving, judgment, language comprehension and production, and more.
A neuropsychologist’s role is to determine whether cognitive difficulties stem from hardware or software issues (a process known as diagnosis) and to pinpoint which specific aspects are affected and why. For example, a “short circuit in the processor” might refer to a stroke disrupting brain function, while a “virus in the operating system” could represent crippling anxiety impairing attention and memory.
Services Offered
My practice focuses on providing comprehensive diagnostic services for individuals experiencing neurological conditions that affect the brain and psychological difficulties that impact cognitive functioning. This includes addressing a wide range of concerns, such as cognitive impairment following brain injury or surgery, general memory problems, and other issues that interfere with day-to-day mental functioning.
A significant area of expertise within my practice is the diagnosis of complex and rare neurodegenerative diseases. These conditions often present with subtle or atypical symptoms that require specialised knowledge and a nuanced approach to detect and understand. I have a particular interest in diagnosing disorders such as Frontotemporal Dementia (FTD), which can manifest with changes in behaviour, personality, or language rather than typical memory loss; atypical forms of Alzheimer’s Disease, such as Posterior Cortical Atrophy, where visual and spatial difficulties may dominate; and Parkinson’s Dementia, characterised by cognitive decline in the context of motor symptoms. Additionally, I work with cases involving Progressive Supranuclear Palsy, Corticobasal Degeneration, and other uncommon neurodegenerative syndromes.
By combining a detailed clinical history, neuropsychological assessment, and careful review of neuroimaging, my goal is to provide an accurate diagnosis that not only explains the challenges an individual is facing but also informs effective management and care strategies. My focus is on delivering clarity and understanding in situations where answers may not have been readily available, supporting individuals and their families in navigating these complex conditions.
What to Expect During Your Consultation
A neuropsychological assessment typically lasts 2 to 2.5 hours. The first part of the consultation involves gathering a detailed history of your current difficulties, general health, mental health, family background, social context, and neurological history. Any prior neuroimaging, such as brain scans, will have been reviewed before the session.
The second part focuses on examining your cognitive and neuropsychological functioning in detail. This involves a series of structured tasks designed to assess various brain functions, allowing me to observe how they operate and identify any areas of impairment. The aim is to provide a clear diagnosis and a nuanced understanding of the factors contributing to your difficulties.
After the assessment, I provide detailed feedback, explaining my findings and recommendations. A clinical report summarising these conclusions is then sent to the referring clinician to guide further management.