As a formally trained neuropsychologist, Dr. Kinsora adheres to findings in neuroscience research to guide his assessment of cognition.
Neuropsychological evaluations may include an appraisal of:
- intellectual capacity
- academic skills (expanded depending on the referral question)
- working memory and mental tracking
- sustained attention
- cognitive processing speed
- auditory comprehension
- abstract language functioning
- visuospatial processing and construction
- memory and new learning
- executive and self-regulatory functioning
- motor skills (speed, strength, fine motor dexterity)
- olfactory functioning
- personality functioning and the interplay between psychological adjustment and both cognitive functioning and physical/somatic conditions and subjective symptoms. This can include an evaluation of depression, anxiety, PTSD, and other conditions that impact overall adjustment.
Independent Medical-legal Evaluations
In cases that are considered independent medical evaluations and those referred as part of litigation, a more comprehensive evaluation is conducted that will be more sensitive to issues that might be missed by a basic evaluation. These evaluations also include a better appraisal of the complex interrelationship of injury severity, previous strengths, personality variables, and education on neurocognitive functioning and injury perception. Medical-legal evaluations can sometimes span over two full-day sessions, involving longer interviews and the administration of more cognitive measures.
Once all of the measures have been administered, Dr. Kinsora evaluates the resulting data set for validity prior to interpretation. This process ensures that the interpretation of neurocognitive measures remain accurate. Once the validity of the data set is established, the pattern of performance can be interpreted and compared to known diagnostic groups as well as well researched cognitive processing pathways. The patterns of performance are then used to formulate functional implications for the examinee in his or her day-to-day life. In many cases, diagnostic groups can be eliminated entirely based on the pattern of performance. Neuroscience research clearly demonstrates that neurocognitive assessment is far more accurate than predictions based on MRI, PET, and other radiological studies in describing the extent of neurocognitive alteration that might be present in various neurological disorders and traumatic brain injuries.
Dr. Kinsora adheres strictly to principles of objectivity, empirical evidence, and scientific research when conducting independent medical-legal evaluations.