Feedback that Sticks

Table of Contents Contributors

Prologue

Part I: What is feedback, and what makes it stick?

Chapter 1: Feedback that Sticks: The art of communicating neuropsychological assessment results

Chapter 2: Why some feedback sticks

Chapter 3: Feedback protocols and theoretical considerations

Chapter 4: How is feedback presented?

Part II:

Chapter 5: Putting feedback to work with patients from multiple populations

Developing relationships with patients and families Connecting with the patient family Creating a therapeutic atmosphere for parents and caretakers Setting the stage for feedback Explaining the testing process and goals Explaining the normal curve Acknowledging the limitations of testing Offering hope and normalizing findings Explaining memory Pearls to explain slowed/inefficient processing Explaining executive function and frontal impairment Offering recommendations and compensatory strategies Introducing compensatory strategies for memory Recommending psychotherapy Pearls to facilitate connecting with other cultures Introducing religious ideas Offering feedback to pilots General pearls for the pediatric population Parting words

Chapter 6: Dementia

Discussing dementia and memory loss with families and patients Mild cognitive impairment Using the "A" word - Alzheimer disease Caregiver issues Helping caregivers to understand and manage their loved one's deficits Encouraging caregivers to take care of themselves - and to share the burden among family members Addressing unawareness with patients Caregiver unawareness/denial Driving Securing services in the home and transitioning to assisted living or nursing home placement Helping patients and caregivers accept and implement compensatory strategies Visual hallucinations and Capgrass Legal issues

Chapter 7: ADHD

Defining attention problems Explaining the difference between can't vs. won't Executive functions Treatment issues Anxiety and ADHD Behavioral interventions / compensatory strategies Accepting the Diagnosis Explaining the diagnostic process

Chapter 8: Somatoform Disorders

Developing empathy as a provider Acknowledging the patient's symptoms Introducing other factors, such as role strain, that affect cognitive efficiency Discussing the meaning of normal test results while maintaining a therapeutic relationship Introducing the role of stress and emotions Introducing interventions Framing an unknowable medical issue Normalizing somatization Creating an "out"

Chapter 9: Psychiatric Illness

Explaining schizophrenia and other psychiatric disease Addressing resistance to feedback Coping with delusions and hallucinations Discussing treatment interventions Substance abuse Uncertain psychiatric diagnosis Chapter 10: Learning Disorders and Developmental Disability

Disclosing IQ Intellectual disability (MR) Discussing the meaning of MR or Intellectual Disability Correcting misunderstandings about a child's ability level Sexuality Long term planning for severely impaired children Learning Disabilities Explaining Dyslexia and Language Disorders Using specific test performances to explain daily difficulties Using Labels Will my child be able to go to college? Accommodations Securing special education services (IEP's) The comorbidity of anxiety disorders, ADHD, and learning disorders

Chapter 11: Autistic Spectrum Disorders

Explaining Autism Spectrum Disorders and associated difficulties Sharing an Autism diagnosis with parents Discussing long-term expectations and prognosis Recommendations and Interventions Alternative treatments Long term planning for autistic children Issues specific to adults with Autistic spectrum disorders

Chapter 12: Acquired Brain Injury: Traumatic Brain Injury and CVA

Discussing prognosis and expectations for recovery Creating realistic expectations for treatment and longer-term goals Offering Hope Unawareness following acquired brain injury Return to work/ School How to encourage compensatory strategies and active rehabilitation Emotional issues with acquired brain injury recovery Explaining specific neurological, cognitive and behavioral sequelae of CVA Aphasias Explaining specific neurological, cognitive and behavioral sequelae of moderate and severe TBI Mild traumatic brain injury Athletes and MTBI

Chapter 13: Neurological Disorders Cancer Genetic Disorders Sickle cell anemia Neurofibromatosis Seizures and epilepsy Nonepileptic Seizures/Pseudoseizures Epilepsy surgery Prematurity Hydrocephalus Spina Bifida Cerebral Palsy Multiple Sclerosis Hepatitis HIV

Chapter 14: Addressing Effort

Timing of feedback regarding suboptimal effort Addressing suboptimal effort with patients during the assessment Learning disability populations

Part III:

Chapter 15: Communicating assessment results with other professionals

Chapter 16: Report writing and written communication

Epilogue