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What populations are
served by Neuropsychologists?
Neuropsychological
services are provided to individuals of all ages. For example, an infant
or preschool aged child may be referred to address possible effects of
prematurity and low birth weight or early trauma on brain development or
function. School aged children may be referred to determine the presence
of learning disabilities, attention problems, or other disorders which may
impact learning. Young adults may be seen after head trauma which may
occur as a result of a motor vehicle accident to determine their
vocational and learning capacities and identify those in need of
specialized interventions or disability support. Adults may be seen for
assessment of the effects of systemic disease on neuropsychological
abilities. Examples include patients with coronary artery disease,
hypertension, apnea, chronic obstructive pulmonary disease, stroke,
seizure disorder, cancer or neoplastic disease, substance abuse, or normal
effects of aging. Neuropsychological examination is often used as a method
for the early identification of disorders such as Alzheimer's disease in
the elderly. Additional populations served include individuals with
Parkinson's disease, multiple sclerosis, Huntington's disease and other
degenerative disorders of the central nervous system. Neuropsychologists
may provide services in a variety of settings including both inpatient and
outpatient venues. One example of the use of neuropsychology in the
inpatient setting may be to determine if a patient is safe for discharge
or whether they will need specialized care or intervention before
attempting to return to work. Patients are most often referred for
outpatient examination in the neuropsychologist's office. Many
neuropsychologists offer predominantly "clinical" services such
as the assessment of the effects of brain disorders on memory, thinking or
personality functioning. Some also offer specialized "forensic"
services such as determinations of a defendant's competence to stand trial
or the potential mitigating effect of brain damage on criminal behavior.
Such individuals may be asked by attorneys to help determine whether a
specific event, such as an automobile accident, may have caused brain
damage or psychological injury. Neuropsycholgists may also examine persons
referred for assessment of the outcome of work related injuries.
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