Osika & Scarano Psychological Services, P.C.
Providing Mental & Behavioral Health Services
to Adults and Children
Screening, Evaluation and/or Treatment for Children:
Autism Spectrum Disorder
Intellectual Developmental Disorders
Oppositional Defiant Disorder and Conduct Disorders
Therapeutic Visits with Offending Parents
For Both Children and Adults:
Depressed, Angry, and Anxious Mood Disorders
Impulse Control Disorders (self-harm, gambling, sex and electronics addictions)
Suicidal Thinking and Cutting Behavior
Survivors of Domestic Violence
Binge Eating and Obesity
Cognitive Behavioral Therapy
Dialectical Behavioral Therapy
Applied Behavioral Analysis
Marital and Conjoint Therapy
Co-Parenting with Divorced Parents
Telemedicine at VSee.com
Procedures for Neuro-Behavioral Evaluations
Neuro-behavioral evaluations are a very useful service to provide for children, especially those presenting with emotional, behavioral, or academic struggles. The question we try to answer is “to what degree are the academic struggles due to Autism, poor effort (a behavioral problem), poor concentration due to depression or anxiety, ADHD, or a learning disability?” Accurately diagnosing a child can have a tremendously powerful impact on a child’s future happiness and academic success.
Some children are taking medications which yield minimal improvement. This is especially true of children with ADHD. Our neuro-behavioral evaluations can answer questions regarding to what extent are the medications helping or hurting the child’s ability to concentrate.
Autism is a diagnosis which directly impacts a child’s emotional and academic success. Unfortunately, there are many misconceptions about Autism, especially on the internet. Our providers are prepared to answer any questions you may have about how we diagnose Autism.
All of these are complex issues which require the use of sound procedures grounded in behavioral and neuro-psychological science. Our neuro-behavioral evaluations require in depth interviews of the child and parents, a review of records from collateral sources, and administration of cognitive testing and/or behavioral inventories. Parents will be able to observe their child during the procedures, and ask questions at the end of each session. This serves to empower parents as the complexities are unraveled and the science is explained. In the end, our goal is for parents to obtain a greater understanding of their child and why they struggle the way they do.
Session #1 is a diagnostic exam in which we interview the child and parents to determine if there exists any emotional or behavioral diagnosis requiring treatment. Behaviors which can confound the diagnosis of a neurocognitive disorder include (but are not limited to) poor effort on homework, disrespect to teachers, defiance, and poor sleep. We make treatment recommendations for behavioral concerns first, before launching a neuro-behavioral assessment. Problematic behaviors will be targeted on the treatment plan which will be generated at Session #1.
At the first session parents are required to sign a Release of Information to gather collateral information from the child’s school and any other practitioner that has previously done testing on the child. Copies of IEP’s, previous psychological evaluations, and behavioral reports from teachers are critical to properly diagnosing your child. Requests for such records will be faxed to collateral sources before the second session. Conveying collateral information via phone is discouraged for liability reasons.
In most cases testing can begin at the second session. To maximize your child’s performance and ability to focus, we administer only 10-20 minutes of testing at each session. This allows your provider to explain the results of each testing “cluster” and how it relates to your child’s study habits, adaptive life skills and academic achievement. Your provider will suggest ways in which to improve learning and retention if an area of weakness is identified.
After testing is completed, a full report will be written which summarizes test results, diagnosis, and treatment recommendations. Unless your insurance is Medicaid, this will require some out-of-pocket expenses described below. During the de-briefing session, parents meet with the provider to review the written report. During this session the task is to review the report for accuracy, errors and spelling errors. Also discussed is the treatment plan, especially if ADHD, Autism, or any emotional or behavioral diagnosis is made.
Therapeutic Visitation Procedure
Prior to scheduling the actual therapeutic visit appointment, we require that the "offending parent" come in alone first for a full psychological evaluation completed by one of our licensed psychologists.
Once the evaluation is completed, the psychologist will determine if therapeutic visitation is appropriate. The psychologist will submit all supporting documents to the court.
If therapeutic visitation appointments are deemed appropriate, our scheduling staff will call the custodial parent to schedule an appointment for therapeutic visitation. Staff will have the custodial parent pick two dates and times. Our staff will then call the "offending parent" to pick one of the two dates and times that the custodial parent chose for the therapeutic visitation appointment. Then finally, our staff will call the custodial parent and inform him or her of the date and time that was chosen for the therapeutic visitation appointment.
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