Seeking Neuropsychological Testing After a Misdiagnosis

As a psychologist with expertise in neuropsych testing, I’ve worked with many individuals who have experienced the frustration and confusion of a misdiagnosis. Whether they’ve been mistakenly diagnosed with a cognitive disorder, mental health condition, or neurological illness, the aftermath of receiving incorrect information about one’s health can be overwhelming. In some cases, a misdiagnosis may lead to unnecessary treatments, delayed proper care, or worsened symptoms. However, neuropsychological testing can offer a clearer, more accurate picture of cognitive and psychological functioning, helping to uncover the true nature of a person’s difficulties.

In this blog, I’ll explore why seeking neuropsychological testing after a misdiagnosis can be a pivotal step in understanding and addressing your health concerns.

The Impact of Misdiagnosis After Neuropsychological Testing

A misdiagnosis in the realm of mental health and cognitive disorders can have a range of consequences. Many of which go beyond the immediate frustration. For instance, individuals who are misdiagnosed with conditions like dementia, depression, or adult ADHD may be prescribed medications or therapies that don’t address their true underlying issue. Worse, the experience of being incorrectly labeled can lead to a sense of confusion or stigma. In turn, this can impact self-esteem and mental well-being.

In some cases, symptoms of an underlying condition may mimic those of a different disorder. For example, anxiety or depression can cause memory problems and concentration issues. This might lead someone to be misdiagnosed with mild cognitive impairment. Or, a person with a history of traumatic brain injury might exhibit cognitive challenges. These can be mistakenly attributed to an anxiety disorder rather than the neurological impact of the injury.

That’s where neuropsychological testing becomes essential.

What is Neuropsychological Testing?

Neuropsychological testing is a comprehensive evaluation designed to assess an individual’s cognitive functions. This includes memory, attention, language, executive function, and emotional regulation. These tests are often used to evaluate the effects of brain injuries, neurological diseases, or psychiatric conditions on cognitive performance. However, neuropsych testing results can also provide insights into more complex and nuanced conditions. They offer a detailed picture of a person’s cognitive strengths and weaknesses.

Neuropsychological testing is particularly valuable because it focuses on how the brain processes information and functions in real-life situations. It’s not just about answering questions or filling out forms. It involves a series of in-depth tasks that assess a wide range of cognitive skills. It allows us to identify subtle changes in function that may not be evident through an interview, self-report questionnaire, or even brain imaging.

Why Seek Neuropsychological Testing After a Misdiagnosis?

Clarifying Uncertainty

When someone has been misdiagnosed, they may feel unsure about what is actually happening to their brain and mental health. A competent neuropsychological testing center can provide clarity. These tests offer a detailed, objective assessment of cognitive function that helps pinpoint the actual cause of symptoms. Whether the issue lies in attention, memory, executive function, or emotional regulation, testing can uncover the true nature of cognitive difficulties.

Identifying Co-occurring Conditions

In some cases, misdiagnosis arises when multiple conditions overlap or interact. For example, a person who experiences depression and cognitive symptoms may be misdiagnosed with early-onset dementia. In reality, these cognitive changes can be a result of their depression, which is very treatable. There are many common mental health diagnoses that can impact cognitive function. They may include depression, anxiety, and PTSD. Neuropsychological testing can reveal the relationship between different conditions. It helps to untangle complex cases and identify co-occurring disorders that may not have been initially apparent.

Treatment Planning

After a misdiagnosis, a person may have received treatments that were ineffective or even harmful. Neuropsychological testing provides a clear map of cognitive functioning that helps guide treatment decisions. Whether it’s recommending a change in medication, cognitive rehabilitation, or psychotherapy, the results of neuropsychological testing can direct the course of a more tailored, appropriate treatment plan.

Empowering the Individual

For someone who has been misdiagnosed, taking the step to seek neuropsychological testing can be a form of empowerment. It’s a way to take control of one’s health and understand what’s really going on. Armed with accurate, evidence-based information, individuals can advocate for themselves more effectively. They can then make more informed decisions about their care. This can also be important for families or caregivers trying to support a loved one dealing with cognitive impairment, mental health concerns, or both.

Providing a Comprehensive Picture

Neuropsychological testing doesn’t just focus on a person’s symptoms or current issues. It also takes into account their developmental history, personal circumstances, and emotional health. This comprehensive approach ensures that no aspect of an individual’s cognitive or emotional state is overlooked. It allows for a fuller, more nuanced understanding of the person’s mental and cognitive health. Which is crucial when reassessing a prior diagnosis.

What to Do Next if You May Have Been Misdiagnosed

If you’ve been misdiagnosed with a cognitive or mental health condition, seeking a neuro-psych eval in Los Angeles or South Bay can be a crucial next step in your journey to a correct diagnosis. It provides clarity, uncovers underlying issues, and helps guide a more accurate treatment plan. Neuropsychological testing is an invaluable tool that provides broad diagnostic insight. It also empowers individuals to take control of their mental and cognitive health.

If you suspect that your symptoms may have been misdiagnosed, if you have tried treatments that are not helping, or if you’re struggling to find answers, consider consulting a neuropsychologist to explore the possibility of undergoing neuropsychological testing. By gaining a clearer understanding of your brain’s functioning, you can make more informed decisions about your health and well-being.

Start Working With a Neuropsychologist in California Today

Working with a neuropsychologist can be an important step in clarifying cognitive and psychological functioning. Through proper neuropsychological assessment, individuals can gain accurate insight into their well-being and pursue appropriate medications or therapies. As a neuropsychologist in South Bay, Dr. Stacy Reger can offer support and understanding to help identify your concerns more accurately. Start a journey toward better mental health by following these simple steps:

• Contact (424) 262-1925 to schedule your appointment

• Meet with Dr. Reger for an evaluation

• Start supporting your emotional, cognitive, and social health!

Other Services Offered by Dr. Reger in Los Angeles and Redondo Beach, CA

Beyond neuropsychological assessments in Redondo Beach, my California practice provides a range of other services. I am also pleased to offer med-legal and capacity assessments, pre-surgical assessments, and workers’ compensation evaluations. In addition, I also provide individual therapy, therapy for older adults, and mental health consultations and presentations. Visit my blog for more info today!

Cultural Competence in Aging for Clinicians

As we continue to become a more diverse and interconnected society, cultural competence has emerged as a cornerstone of effective mental health care.

Understanding and respecting the cultural contexts of our clients is vital for providing effective therapy and interventions. One of the key cultural groups that mental health providers must approach with particular attention and sensitivity is older adults. Aging, as an aspect of cultural competence, is not only about understanding the physical or mental changes that accompany growing older but also recognizing how aging intersects with ethnicity, socioeconomic status, family structures, and historical experiences. By embracing aging as an important aspect of cultural competence, mental health providers can offer more nuanced and effective care.

The Need for Cultural Competence in Working with Older Adults

Older adults are one of the fastest-growing demographic groups worldwide, and this growth brings with it a variety of mental health concerns that are uniquely linked to aging. Depression, anxiety, dementia, grief, and loneliness are just a few examples of issues that frequently affect older populations. However, these concerns are often compounded by age-related stigma, cultural misunderstandings, and assumptions that may hinder effective treatment.

Aging is deeply intertwined with cultural values, traditions, and social expectations.

These factors often shape how older adults experience and express psychological distress. For instance, in some cultures, the elderly are seen as repositories of wisdom and are highly respected. In others, age may be associated with loss of autonomy, or even seen as a time of decline and dependence. Understanding these cultural narratives about aging is essential for mental health providers to avoid biases and misconceptions that can shape treatment in ways that are not in the best interest of the client.

The Intersection of Aging and Cultural Factors

Cultural competence goes beyond knowing how to work with people from different racial or ethnic backgrounds; it also involves an understanding of how cultural values influence a person’s experience of aging. For example, in many Indigenous cultures, aging is seen as a sacred process, and older individuals may serve as cultural custodians, imparting traditional knowledge and guiding younger generations. In contrast, Western culture often emphasizes productivity and independence, which can lead to a devaluation of older adults as they age and experience physical and cognitive decline.

The cultural context of aging also influences how older adults perceive mental health care.

In some cultures, mental health concerns are stigmatized, and older adults may hesitate to seek help due to concerns about shame or familial dishonor. Mental health providers must be sensitive to these cultural barriers and work to create an environment of trust and safety. For instance, providers may need to adapt their communication styles, employing respect and empathy in ways that resonate with an individual’s cultural background.

Socioeconomic factors also play a significant role in how aging is experienced. Older adults from marginalized communities may face additional challenges, such as lower income, lack of access to healthcare, and social isolation. These challenges can exacerbate mental health concerns and make it more difficult for older adults to access the care they need. Mental health providers must be prepared to address these complex, intersectional issues, advocating for resources and community support as part of a holistic approach to treatment.

Why It Matters for Mental Health Providers

Mental health providers who fail to recognize the cultural dimensions of aging risk providing care that is not fully aligned with the client’s needs. For instance, a provider might mistakenly view an older adult’s reluctance to discuss emotional issues as resistance or non-compliance, when it may actually be a reflection of cultural norms around the expression of vulnerability or mental illness. Similarly, if a provider does not understand the client’s unique experience of aging within the context of their cultural background, they may overlook key aspects of the client’s identity that could be central to their mental health and well-being.

Incorporating an understanding of aging into cultural competence allows mental health providers to tailor their therapeutic approaches to the specific needs of their older clients. This might involve adjusting treatment modalities to align with the client’s values or integrating family dynamics into therapy when appropriate. Additionally, mental health providers can help older adults navigate societal and familial expectations of aging, empowering them to maintain a sense of autonomy, dignity, and agency.

The Next Step

In an increasingly multicultural world, cultural competence is not a luxury—it is a necessity. For mental health providers, embracing aging as an important aspect of cultural competence ensures that we are meeting the complex needs of older adults in a manner that respects their diverse backgrounds and experiences. By cultivating a deeper understanding of how aging intersects with culture, providers can offer more empathetic, effective, and holistic care to one of the most vulnerable populations in society.

Find APA continued education in Los Angeles, CA

Ultimately, promoting cultural competence in working with older adults not only improves mental health outcomes but also fosters greater respect, understanding, and connection between generations. If you are interested in increasing your cultural competence around aging and age-related issues, check out Insights into Aging for courses offering live, virtual APA-approved CE trainings on a wide variety of topics related to aging, appropriate for psychologists, LCSWs, MFTs, LPCCs, and graduate students. Learn more about Dr. Reger and the support she can offer today!

Other Services Offered with by Dr. Reger in Los Angeles, CA

Support with continuing education isn’t the only service offered by Dr. Reger. I also offer support with capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

Mental Health Providers and Competence with Older Adults

As a geropsychologist, one of the most fulfilling aspects of my career is the ability to help individuals navigate life’s challenges—whether those are in the realms of mental health, relationships, or personal development. There is one area of psychological practice that is becoming increasingly vital: geropsychology—the study and application of psychological principles in the context of aging and older adulthood.

With the global population of older adults rising rapidly, building competence in geropsychology is not only valuable but necessary for mental health providers. Only 2% of psychologists specialize in aging, so it is important that other psychologists and master’s level clinicians like MFTs, LCSWs, and LPCCs increase their competency in this area as well. Here’s why:

1. A Growing Aging Population

As life expectancy continues to rise, the number of older adults worldwide is steadily increasing. According to the World Health Organization, the proportion of the world’s population over 60 years old is expected to nearly double by 2050. In many countries, including the United States, older adults represent a growing segment of society. These individuals face a unique set of psychological, emotional, and cognitive challenges, such as coping with physical decline, grieving from the loss of loved ones, and managing issues like retirement and financial concerns.

With this demographic shift, psychologists trained in geropsychology can meet the needs of this growing population in a way that is both informed and compassionate. It is also vital that mental health providers of all backgrounds increase their competence in working with older adults because the odds are good that someone over the age of 65 is going to walk through a given clinician’s door, and the 2% of us specializing in aging can’t see them all!

2. Complex Mental Health Issues in Later Life

Older adults may experience a variety of mental health challenges that differ significantly from those encountered in younger populations. Conditions like depression, anxiety, dementia, and Alzheimer’s disease are prevalent in older adults and can be more complex to diagnose and treat.

Understanding the nuances of mental health in aging requires an understanding of the biological, psychological, and social changes that occur during later life. Geropsychologists are trained to assess how these factors interplay and tailor treatments that are sensitive to both the cognitive and emotional needs of older adults.

For example, older adults might exhibit symptoms of depression, but these symptoms can sometimes manifest differently than in younger people. Psychologists without training and expertise in aging might overlook these subtle differences. Training in this area can help clinicians identify the signs of depression in ways that ensure the person receives appropriate treatment.

3. Building Stronger Support Systems for Families and Caregivers

The role of family members and caregivers is vital in the lives of older adults. However, caregivers often face their own set of challenges—emotional burnout, physical exhaustion, and the mental strain of caring for someone with cognitive impairments, chronic illness, or physical decline. Geropsychology offers valuable tools for supporting families and caregivers, helping them cope with the emotional stress of caregiving, navigate complex family dynamics, and provide better care for their loved ones.

Mental health providers with competence in aging can help families understand the needs of the older adult and guide them in managing caregiving responsibilities while also supporting their own mental health and well-being. This holistic approach leads to more positive outcomes for both the older adult and their family.

4. Ethical and Culturally Informed Practice

Competence in geropsychology also means having the knowledge to navigate the ethical considerations that arise when working with older adults. Aging presents distinct challenges related to autonomy, capacity for decision-making, and consent, and these challenges must be handled with sensitivity and respect for the individual’s dignity and rights.

Moreover, older adults come from diverse backgrounds, and an understanding of cultural factors that influence aging and mental health is crucial. 

5. Specialized Interventions and Evidence-Based Practices

As research in geropsychology grows, there is an increasing wealth of evidence-based interventions designed specifically for older adults. From cognitive-behavioral therapy (CBT) adapted for older populations to reminiscence therapy, these specialized approaches provide effective ways to address the unique mental health needs of the aging population.

6. Enhancing the Quality of Life for Older Adults

Ultimately, the goal of geropsychology is to help older adults live fulfilling, meaningful lives. Older adulthood is often marked by major life transitions—retirement, relocation, the loss of loved ones, and changes in physical health. Navigating these transitions can be challenging, but with the right support, older adults can thrive in the face of these changes.

Where to Get High-Quality Geropsych Training

Building competence in geropsychology is not just about acquiring specialized knowledge—it’s about developing the ability to make a meaningful difference in the lives of older adults. It’s about being prepared to address the complex psychological, emotional, and cognitive challenges that accompany aging and using evidence-based tools to help individuals live fulfilling, high-quality lives in their later years.

For mental health clinicians, investing in age-related training is an opportunity to broaden our practice and deepen our impact on society. As the older adult population continues to grow, our ability to offer specialized, compassionate care will be more important than ever. By building competence in this field, we’re not just improving the lives of older individuals; we’re enhancing the well-being of society as a whole.

Start Working with A Therapist for Older Adults in LA

If you are interested in learning from me and other geropsychologists with expertise to share in the area of aging, consider taking a course from Insights into Aging, where we offer live, virtual courses for continuing education that are APA-approved for licensed clinicians to grow competency in working with older adults. You can learn more from Dr. Reger about the importance of mental health support for older adults by following these simple steps:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with Dr. Reger

3. Start providing better support for older adults!

Other Services Offered by Dr. Reger in Los Angeles, CA

Therapy for older adults isn’t the only service offered at my Redondo Beach-based practice. I am happy to also offer capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

The Gift of Time: Why Working with a Geropsychologist Can Enrich Your Later Years

Aging is a natural part of life, a process filled with joys and challenges.

While we often celebrate the milestones of growing older, we sometimes overlook the emotional and psychological shifts that accompany this stage of life. These changes, while normal, can significantly impact our overall well-being. The experience is also difficult sometimes because of ageism – the stigma against aging – that is just about everywhere we look in our culture. The specialized expertise of a geropsychologist can make a profound difference.

Geropsychology is a specialized branch of psychology that focuses on the mental health and well-being of older adults. Although I wear a few hats as a psychologist (neuropsychological and capacity assessment, California QME and available as an AME for workers’ comp, expert witness in Los Angeles) my original training emphasis was in geropsychology, which led me to my work in neuropsychology, capacity assessment, and with disability. Geropsychologists like myself possess advanced training and knowledge in the unique issues facing the older adult population, understanding the complex interplay of physical, cognitive, social, and emotional changes that occur with age. We are equipped to address a wide range of concerns, from the common to the complex, and can help individuals, caregivers, and families navigate this chapter of their lives with greater resilience and joy.

So, what are the specific benefits of working with a geropsychologist?

1. Addressing Age-Related Changes:

As we age, we may experience physical changes that impact our mental and emotional well-being. Chronic pain, mobility issues, and sensory changes can lead to feelings of frustration, isolation, and even depression. Geropsychologists are trained to understand these connections and can help develop coping strategies to manage these challenges, improve quality of life, and maintain a positive outlook. We can also help individuals adapt to cognitive changes, such as memory loss or slower processing speed, by providing practical strategies and support.

2. Managing Emotional Challenges:

Later life can bring a range of emotional challenges, including grief and loss, retirement transitions, changes in family dynamics, and feelings of loneliness or isolation. A geropsychologist provides a safe and supportive space to explore these emotions, develop healthy coping mechanisms, and build resilience. We can help individuals find meaning and purpose in their later years, fostering a sense of fulfillment and connection.

3. Supporting Cognitive Health:

Cognitive decline is a common concern for many older adults. While some changes are a normal part of aging, others may indicate a more serious issue. Geropsychologists are trained to assess cognitive function and identify potential problems. I offer neuropsychological assessment for dementia (or concerns about cognitive change) as well as capacity assessments when there is a question of a person’s ability to manage their finances or medical decision making. Geropsychologists can also provide interventions and support to maintain cognitive health, such as memory training, cognitive rehabilitation, and lifestyle modifications. Early detection and intervention are key to preserving cognitive function and maximizing quality of life.

4. Promoting Social Connection:

Social isolation and loneliness are risk factors for both physical and mental health in older adults. Geropsychologists can help individuals reconnect with their social networks, build new relationships, and combat feelings of isolation. We can also provide support and guidance to families navigating the challenges of caring for aging loved ones, fostering stronger and more supportive relationships.

5. Fostering a Positive Sense of Self:

Aging can sometimes be associated with negative stereotypes and societal pressures. A geropsychologist can help individuals challenge these negative beliefs and cultivate a more positive sense of self. We can help individuals recognize their strengths and resilience, embrace their unique experiences, and find meaning and purpose in their later years. This can lead to increased self-esteem, greater life satisfaction, and a more fulfilling aging experience.

6. Collaborating with Other Healthcare Professionals:

Geropsychologists often work collaboratively with other healthcare professionals, such as physicians, nurses, and social workers, to provide comprehensive and integrated care. This interdisciplinary approach ensures that all aspects of an individual's well-being are addressed, leading to better outcomes and improved quality of life. I also often work with attorneys and fiduciaries in capacity cases, to ensure a balance between protecting individual autonomy and safety when there is a question of cognitive decline and decision-making.

7. Empowering Individuals and Families:

Working with a geropsychologist is not just about addressing problems; it's about empowering individuals and families to navigate the aging process with greater knowledge, confidence, and resilience. We can provide education, support, and resources to help individuals make informed decisions about their care and live their lives to the fullest.

Start Working With a Therapist for Older Adults in LA

Working with a geropsychologist can be an invaluable resource for older adults and their families. By addressing the unique challenges and opportunities of later life, a therapist for older adults can help individuals maintain their mental and emotional well-being, enhance their quality of life, and embrace the gift of time. As a geropsychologist, Dr. Reger can offer support and understanding to help improve your life. Start your therapy journey by following these simple steps:

1. Contact (424) 262-1925 to schedule your appointment

2. Meet with Dr. Reger for an evaluation

3. Start supporting your emotional, cognitive, and social health!

Other Services Offered by Dr. Reger in Los Angeles, CA

Therapy for older adults isn’t the only service offered at my Redondo Beach-based practice. I am happy to also offer capacity assessments, neuropsychological and psychological assessments, pre-surgical assessments, and med-legal evaluations. In addition, I also provide individual therapy, and mental health consultations and presentations. Visit my blog for more info today!

Disclaimer: This blog post is for informational purposes only and should not be considered medical advice.