Examination

A sufficiently broad range of neuropsychological functions is evaluated using tests and other assessment techniques. The major domains to be surveyed include general intellectual ability, attention, executive functioning and comportment, memory, language, visuos-patial abilities, motor functioning, and mood/ personality. As a prelude to test administration, it is imperative to establish the integrity of sensation and perception because impairments in these areas can invalidate the results of examination. For example, it would be incorrect to conclude that a patient has a receptive language impairment when, in fact, there is a primary hearing deficit.

Significant impairment of sensory function (auditory, visual, kinesthetic) is usually obvious and may indicate a need for specialized assessment procedures. However, when there is no obvious impairment, it is the responsibility of a neuropsychologist to inquire about all sensory modalities, particularly with regard to visual, auditory, and kinesthetic function. Vision can also be examined with tests of acuity, tracking, scanning, depth perception, color perception, and attention-neglect for visual field quadrants. Simple auditory function can be assessed by finger rub stimuli to each ear. Unusual or abnormal gustatory and olfactory experiences should be sought through direct questioning. Kinesthetic perception is assessed with tests of graphesthesia and stereognosis. Double simultaneous stimulation can be used in auditory, visual, and kinesthetic modalities to determine whether hemiextinction occurs. Once it is clear that basic sensory and perceptual functions are intact, neuropsychological tests can be administered in a standard manner.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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