Psychological and Neuropsychological Evaluations:
An evaluation is a process rather than a single test. It brings together multiple sources of information to clarify concerns, identify strengths, and guide next steps. Families often seek an evaluation when questions feel complex, persistent, or difficult to sort through without a more complete picture.
Throughout this page, the term evaluation refers to a comprehensive process (sometimes called testing or assessment) that may include standardized testing, interviews, observation, questionnaires, and review of relevant history.
Each evaluation is tailored to the referral questions being asked. Information is gathered through a combination of:
Clinical interviews with the individual/caregivers
Review of relevant records or prior information
Standardized tests and questionnaires
Direct interaction and observation
Findings are considered within a developmental and contextual framework, recognizing that strengths and challenges may present differently across settings and over time. Results are summarized into a comprehensive written report with individualized recommendations, and a feedback session is held to review findings and discuss next steps.
A psychological evaluation primarily focuses on emotional, behavioral, social, and personality functioning. These evaluations may help clarify concerns related to mood, anxiety, emotional regulation, behavior, or social functioning, and how these experiences impact daily life.
A neuropsychological evaluation focuses on how brain-based processes support thinking, learning, and problem-solving. Areas commonly examined include attention, memory, executive functioning, processing speed, language, learning, and visual-motor integration.
These evaluations are often helpful when questions involve learning differences, attention or organization, developmental concerns, or how cognitive strengths and weaknesses affect functioning at home, school, or work.
Families and individuals often reach out when they are seeking greater clarity around:
Learning, attention, emotional, or behavioral concerns
Limited progress with previous supports or interventions
Thoughtful recommendations to inform decisions at home, school, or in treatment
Therapy:
Therapy is offered for children, adolescents, and young adults. Treatment is collaborative and individualized, with attention to emotional, relational, and developmental needs.
In therapy, an integrative and relational approach is used, drawing from psychodynamic, attachment-based, and evidence-based frameworks. Treatment is tailored to the individual, with an emphasis on understanding patterns, strengthening relationships, and supporting meaningful change over time.
Consultation & Supervision:
Consultation and supervision services are available for individual clinicians and organizations seeking support with clinical decision-making, assessment questions, program development, and complex case conceptualization.
Supervision for pre-licensed mental health providers emphasizes thoughtful case formulation, ethical practice, and professional development. Consultation and supervision are collaborative in nature and tailored to the needs of the clinician or organization.
Psychological testing waitlists for Trailhead Psychology are shared with Big River Psychology. Reception, scheduling, and office space are shared, while clinical services are provided independently.