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Monday, April 15, 2013

Are Children Who Underachieve Lazy? - Part Three


This post will discuss what may happen once you decide to contact a private practice clinical psychologist to conduct your child’s assessment.  I will also share with you some final thoughts on this topic.

Contacting a Psychologist:

As stated above, a licensed clinical psychologist can offer your child comprehensive educational and psychological testing in one setting.  When researching psychologists, I would advise you to conduct a brief phone interview prior to scheduling an appointment.  Relevant information to assist in your decision making would include areas of expertise, availability, who conducts the actual testing, interpretation, and report writing, approximate number of face-to-face hours required, and turn around time.  Ultimately, note your level of comfort during the call.  Does this person seem like they could be a “good fit” for your child?

The next step is generally a consultation, also known as an intake.  There is no hard and fast rule regarding this step. The purpose is to gather all relevant history.  In my practice I prefer to have the parents alone during this session so that they feel free to openly discuss any sensitive issues that may be relevant to the testing but not appropriate for their child to hear.  I ask parents to bring with them report cards, any previous testing, and samples of their child’s artwork and completed spelling and math assignments.  This session serves as a framework for test selection, duration of sessions and approximate costs.  Some psychologists would prefer that the child is present at this point.  You should decide which option feels most comfortable to you.

The pace of the testing sessions is based upon the child’s ability, stamina, and focus.The goal of testing is to explore your child’s strengths as well as weaknesses; therefore sensitivity to their threshold of fatigue is essential. Often testing is conducted over several sessions.  In my practice, I personally administer all the tests, interpret the results and write the report.  If a psychologist employs graduate level interns, they may conduct the assessment under the psychologist’s supervision.

A basic comprehensive assessment will include tests of cognitive functioning, academic as well as neurological and psychological screening. Based upon initial screenings, more extensive neurological and psychological assessment may be included.  Once testing is completed, a comprehensive written report is provided to the parent that includes all test results, interpretations of those results, any relevant diagnoses, and relevant treatment recommendations.  At the parent’s discretion, these results may be shared with their child’s pediatrician, the school, and/or their child’s therapist.

Cost:

An assessment is an investment for your child’s future academic and personal success. Each assessment is designed to uncover probable explanations for your specific concerns.  They may be cognitive in nature such as how information is learned and retained, or possibly achievement – at what grade level is your child performing?  Perhaps psychological issues like the impact of family stressors are impacting focus and attention.  Frequently it is a combination of factors that require evaluation.  Therefore, the cost may range from $500 to $4000 depending on the complexity of the assessment.  Costs are generally determined by the amount of time the assessor spends reviewing relevant documents, administrating, scoring and interpreting the tests, as well as treatment recommendations and report writing. 

Conclusion:

Ultimately the decision to label your child as lazy is yours to make.  Whether underachievement is due to psychological issues and exhibited as oppositional behaviors, or masking an underlying learning deficit or even giftedness on which side would you prefer to error?  I continue to assert that laziness is a manifestation of resignation.  As a parent I would want to know from where it originates.

As you know I am a licensed clinical and consulting psychologist. One of my areas of specialty is assessment.  I am passionate about every step in the process.  If you would like to schedule a consultation on behalf of yourself or your child, feel free to contact me through my blog.  It is completely confidential. 



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