When do you recommend neuropsychiatric testing in patients with post-concussive syndrome?  

I typically ask the patient what scenarios they experience cognitive issues. The various examples they provide usually relate to difficulty following conversations, forgetfulness within their working memory, and concentration/focus. In the post-concussion patient, they typically have developed adjus...

I strongly concur with Dr. @Stephanie Alessi-LaRosa's statements. It is important to delve into the patient's premorbid psychosocial condition. Under conditions of major psychological and physiological stress, such as history of abuse, major job/family stress, occurrence during a prolonged figh...

I do if: It has been more than six months since the trauma and no recovery or improvement has happened especially if the imaging studies are normal with no clear parenchymal or cortical damages. There is potential gain from the symptoms of post-concussion, i.e, disability of financial rewards. ...

I would do this if there is any chance of a lawsuit arising from the injury, or if return to work is an issue. Neuropsychologists not only document subtle neuropsychological deficits, but they also have embedded measures of effort during the testing, which would detect embellishment or exaggeration ...