Who We Serve: Adults
Who We Serve: Adults
Neuropsychological Evaluation for Adults at Every Life Stage
Adults seek neuropsychological evaluation at many different points in life and for many different reasons. Some adults have spent years wondering why certain tasks seem harder than they should, seeking answers about attention, organization, learning, or cognitive functioning that were never formally explored. Others come after a significant event, such as a concussion, neurological condition, medical treatment, or period of noticeable cognitive change.
Older adults and their families may seek evaluation when changes in memory, thinking, or everyday functioning raise questions about what is normal aging and what may require further attention. Sometimes a spouse, adult child, physician, or the individual themselves is the first to notice that something feels different.
Jennifer Linton Reesman, PhD, ABPP provides neuropsychological evaluation for adults across a wide range of clinical questions. Evaluations are designed to understand the person’s current functioning in the context of their history, strengths, challenges, medical background, and daily life.
Adult evaluation is not simply a series of tests. It is a process of understanding patterns: what areas are working well, where difficulties are occurring, what factors may be contributing, and what recommendations may be useful moving forward. Findings are explained in clear language so adults and families can better understand what the results mean and how they connect to everyday experiences.
Whether the question involves attention, memory, executive functioning, cognitive changes, or another concern, the goal of evaluation at Coherence is to provide meaningful information that helps guide decisions and next steps.
How we work
ADHD is one of the common reasons adults seek neuropsychological evaluation at Coherence, particularly for individuals who have spent years wondering why attention, organization, planning, or follow-through have felt consistently difficult. Some adults were identified earlier in life, while others reach adulthood without ever having had an explanation for patterns that have affected school, work, relationships, or daily responsibilities.
Many adults describe a long history of working harder than expected to keep up, relying on systems that eventually stop working as demands increase, or feeling frustrated that their abilities do not always translate into consistent performance. Adult ADHD evaluation takes this developmental history seriously while also considering other factors that can affect attention and executive functioning, including anxiety, mood, sleep, medical factors, and learning differences.
Memory and cognitive concerns are another common reason adults and families seek evaluation. Changes in memory, word finding, organization, processing speed, or mental efficiency can raise many questions. An evaluation can help clarify whether these changes fit expected patterns of aging, reflect a cognitive condition that requires monitoring, or are influenced by other factors that may be affecting day-to-day functioning.
For adults experiencing cognitive changes, neuropsychological evaluation provides a detailed picture of current strengths and challenges. It can establish a baseline of functioning, identify patterns across different cognitive areas, and provide information that may help guide conversations with medical providers, planning decisions, and appropriate supports.
Coherence also provides evaluation for adults who have experienced traumatic brain injury or who are managing neurological conditions that affect thinking and daily functioning. These evaluations focus on understanding current abilities, identifying areas where support may be helpful, and providing recommendations that reflect the person’s actual needs and life circumstances.
The purpose of adult neuropsychological evaluation is not simply to identify a diagnosis. It is to understand the full picture of how a person thinks, learns, remembers, and functions so that next steps can be based on meaningful information.
Our Process
Adult Evaluation Services at Coherence
- ADHD evaluation for adults, including late identification and re-evaluation for updated documentation
- Memory and cognitive decline evaluation, including Mild Cognitive Impairment and dementia pattern analysis
- Post-concussion and TBI evaluation, including functional status and recovery monitoring
- Evaluation for learning disabilities not identified in childhood
- Baseline cognitive assessment before medical treatment or surgery
- Disability documentation for workplace accommodations or professional licensing
- Forensic and legal neuropsychological evaluation
Please note that contacting this practice does not establish a patient provider relationship.
Our Values
Preparing for an Adult Neuropsychological Evaluation
Adults preparing for a neuropsychological evaluation at Coherence can help the process go smoothly by arriving rested, prepared, and with any relevant background information available. A full night of sleep and a meal before the appointment can support attention, energy, and performance during testing.
Prescribed medications should generally be taken as usual unless a prescribing physician or the evaluating clinician has provided different instructions. Medication changes should not be made specifically for the purpose of testing without appropriate medical guidance.
Bringing relevant records to the evaluation can help provide a clearer understanding of the referral question and personal history. Helpful materials may include previous neuropsychological or psychological evaluation reports, medical records related to the concern being evaluated, educational records when questions involve learning or attention, and documentation from previous treatments or assessments.
If important records are not readily available, Coherence can provide authorization forms to assist with requesting information from other providers or organizations. Adults should also bring any glasses, contact lenses, hearing devices, or other supports they regularly use so that testing reflects their typical functioning as accurately as possible.
If there are questions about what to bring, how to prepare, or what to expect during the appointment, reaching out before the evaluation can help ensure the process feels clear and organized from the beginning.
Telehealth Available Across 43 States
Jennifer Linton Reesman, PhD, ABPP provides telehealth evaluation services including clinical interview, consultation, and feedback sessions for adults across 43 PSYPACT-participating states. In-person testing is available at the Rockville, Maryland office.