Psychological and Neuropsychological Testing
Psychological and Neuropsychological Testing

Emily Escott, PsyD. and her team conduct assessments that are used by individuals in varying disciplines including: businesses, caregivers, coaches, educators, employers, and EAP facilitators - in order to gain greater diagnostic clarity. These services are available at Royal Oak and St. Clair Shores locations.

What is Psychological & Neuropsychological Testing?

Psychological and neuropsychological testing involves a comprehensive assessment of emotional, personality, and brain function using standardized tests and clinical procedures as well as patient report. These examinations involves a variety of tasks, which vary depending on the reason for your evaluation and your individual needs.  Most tasks during the evaluations are completed while sitting at a table. There are no painful or invasive procedures such as needles or electrodes.  Clinical evaluations often involve 1 to 6 hours of face-to-face contact, although this varies significantly based on the referral question and other factors. Results are provided approximately 1-3 weeks following completion of the evaluation; the time it takes to obtain results depends on the referral question and the amount and complexity of testing that was done.


Intake appointments last about an hour. During the intake appointment, your clinician will collect your personal and family medical history, life history, employment and educational background, potential substance abuse issues, current concerns, and symptoms.


Depending on the type of testing that you have done, appointments can last between one to six hours. Testing can include numerous components such as norm-referenced psychological tests, informal tests and surveys, interview information, school or medical records, medical evaluation, and observational data. These components focus on how you how you think, feel, and behave in order to conclude accurate results.


Feedback meetings last between a half hour to an hour. During feedback meetings, your clinician will present the results of your testing. You will have time to ask questions and receive explanations of the results.

Types of Testing

Pediatric Psychological/ Neuropsychological Evaluation

Toddlers, Children, and Adolescents ranging in age from 12 months to 18 years may require evaluations for a variety of reasons.  Evaluations for toddlers and young children are often broken up into multiple appointments as needed based on the individual attention span and tolerance level of the child. Psychological evaluations may be requested on children and adolescents for the following reasons:

  • Talented/Gifted evaluations prior to enrollment in specialized or advanced academic setting
  • To evaluate for developmental delay, autism spectrum disorder, or intellectual disability
  • To evaluate for behavioral concerns including AD/HD, ODD, and others
  • To evaluate for emotional distress including trauma, depressed mood, anxiety, or other problems
  • To evaluate for difficulties with learning including learning disorders of various types

Third Party Reproduction Evaluations

As part of the process for egg donors, egg recipients, sperm recipients, gestational carriers, and intended parents of gestational carriers a psychological screening must be completed.

  • For Intended Parents: The evaluation will involve an extensive interview that focuses on your emotional well-being and response to fertility struggles. A brief life history will also be taken. The evaluation for recipients and intended parents generally takes about 90 - 120 minutes. If you are married or partnered, both individuals must attend this appointment.
  • Donors and gestational carriers will also undergo an interview with additional information gathered about motivation to participate in the process, etc. The donor or gestational carrier will also complete a standardized paper & pencil personality inventory which will help determine the appropriateness for participation in the process. The length of the evaluation is about 2 hours. The spouse/partner will only need to attend the first 60 minutes of the appointment.
  • Following the evaluation (typically within about one week), a written report will be sent to the referring physician to be included in your medical record.
  • Health insurance often does not cover this type of evaluation. Dr. Escott is happy to offer a reasonable fee schedule, as we are aware that the costs of third party reproduction accumulate quickly and can become prohibitive for additional attempts.

Pre-Surgical Evaluations

Many life-changing surgical procedures including Spinal Cord Stimulator implant and Bariatric surgeries require a pre-surgical psychological evaluation to assess the patient's readiness and preparedness for surgery.

  • Bariatric Evaluations are about 90 minutes in duration. These evaluations are comprised of a comprehensive interview that focuses on weight history, health behaviors (including exercise and eating patterns), as well as your understanding of post-surgical requirements.  Individuals will also complete paper and pencil measures of personality and emotional functioning as well as eating behaviors and attitudes about food. The examiner will provide an written impression regarding the patient's readiness for surgery approximately one week following the evaluation.
  • Spinal Cord Stimulator pre-surgical evaluations also last about 90 minutes in duration. These evaluations consist of a comprehensive interview that focuses on your pain history and prior attempts at pain management as well as your understanding of the surgical procedure and post-surgical requirements. Patients will also complete paper and pencil measure of personality and emotional functioning to help determine appropriateness for participation in the surgery.

Adult Psychological/Neuropsychological Evaluations

Adults aged 16 and up may require psychological or neuropsychological evaluation for a variety of reasons.  These evaluations may vary in length from 3 hours to 6 hours depending on the concern or referral question.  Appointments are often broken up into a series of three visits.  At the first visit, a comprehensive interview is completed that assists the evaluator in development of an appropriate testing battery for your individual needs.  The second appointment involves administration of testing procedures.  At the third appointment, Dr. Escott will review the results of the evaluation with you and provide treatment recommendations including assisting you in connecting with treating professionals that can assist with your individual needs. Adults may require a psychological or neuropsychological evaluation for many reasons:

  • Evaluation to determine cognitive, emotional, or behavioral symptoms following a head injury or some other incident such as stroke or seizure
  • To provide diagnostic clarity regarding emotional and/or personality difficulties that are causing you distress
  • Diagnosis of learning disability, attention deficit hyperactivity disorder, or intellectual disability
  • To rule out the presence of an Autism Spectrum Disorder or other developmental concern
  • To evaluate an individual's readiness to return to school or work following some critical incident

Pre-Employment Evaluations for Public Safety Officers

Psychological evaluations are helpful to reduce risk for individuals, agencies, and communities for those in the public safety field.  Psychological evaluations are often conducted for pre-employment, fitness for duty, and special assignment. We can assess applicants for positions such as police officer, corrections officer, firefighter, dispatcher, and probation officer, as well as incumbent officers who are moving into special assignments, or who have encountered some psychological problems (or exposure to critical incidents) that are affecting their ability to perform the essential duties of the job.

As a courtesy to public safety offices, evaluations may be given in a group setting on-site at your agency if you have the need for several evaluations to be completed.

A comprehensive psychological testing battery, which takes about 3-4 hours to complete, is administered to the potential employee.  This battery is designed to collect a large amount of information from the applicant in a structured and efficient manner. The test battery includes measures of emotional stability, normal personality traits, and anger management.  The applicant will also participate in a comprehensive interview with Dr. Escott covering employment, education, driving, finances, arrests, substance abuse, relationships, and mental health treatment as well as other topics.  Finally, a report summarizing the results of the interview and the interpretation of the tests is written. The report is intended to be easy to read and offers a clear recommendation regarding employment.

Meet Dr. Emily Escott, PsyD.

Dr. Emily Escott is a Licensed Psychologist who offers a variety of evaluation and consultation services including psychological and neuropsychological evaluations, pre-employment and return-to-work/school evaluations, third party reproduction evaluations, pre-surgical evaluations, guardianship & disability evaluations, and forensic evaluations.  Dr. Escott is also strongly committed to training and professional development and enjoys working with students and early career psychologists to assist them in development of clinical and professional skills.

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