The Green Room Psychological Services Inc.


How can adults manage their adhd in everyday life?

ADHD or Attention Deficit Hyperactivity Disorder can affect a person’s professional life and heavily impact social and personal lives. An ADHD patient remains in a constantly overwhelmed state, and anything can trigger an over-response, making their life miserable. 

Unfortunately, excessive media exposure and a speedy life are the triggering factors, and currently, 9 million adults in America are suffering from ADHD in some way or the other.

ADHD or ADD can also trigger a lot of potentially dangerous side effects like violent mood swings with suicidal tendencies and uncontrolled rage at minor irritants. It may also lead to RSD or Rejection of Sensitive Dysphonia. RSD may be defined as an excess emotional sensitivity that springs from a perceived notion of rejection or criticism from the most important people in a person’s life. 

Contrary to popular perceptions, adults with ADHD are not weak; it’s just that they are more vulnerable to emotional responses than other people. ADHD can wreak havoc on personal as well as professional lives besides ruining sleep patterns and appetite. Fortunately, there are ways in which you can deal with ADHD.

reinforcing your attention span

As the name suggests, Attention Deficit Disorder translates into a drastically low attention span and an inability to concentrate. If you suffer from ADHD, then make sure you get important notes, deadlines, agendas, and briefs in writing. Also, take written notes of important communication so that you can recall it later. If you feel the intense need to fidget, then find out ways of movement that do not disturb others. For example, you could squeeze a stress ball, take a walk, or even engage in some exercise during work breaks.

Also, you can maximize your attention span by cutting out the clutter. For that, you need to set apart a specific time slot for activity organization. Clear your desk, declutter your wardrobe, and throw out unnecessary items. If you have ADHD, then your mind is a natural magnet for clutter. You will need to work extra hard to ensure that unnecessary distractions are eliminated. Use color-coded lists that will help fight forgetfulness and learn to prioritize tasks.

Remember, your well-being is your priority, so don’t shy away from taking necessary steps like putting up “Do not disturb” signs or learning to say ‘No.’

stress management and physical well-being

People with ADHD typically struggle with stress management as they feel that even daily tasks like getting through a workday or assembling meals are tiresome. The impulsiveness and unorganized patterns surrounding ADHD cause diet fluctuations (craving for sugary and junk food) and bad sleep patterns. All these factors combined cause mood swings and a general feeling of being out of control.

The best way of stopping this vicious cycle is to take a stock of your reality and cultivate a new set of habits. Use a meal planner and consciously include healthy food groups like complex carbs, lean protein, fiber, and healthy fat in your diet. Try to consume more nuts, legumes, low-fat dairy, and cut out alcohol, caffeine, and smoking. Healthier nutrition patterns can help treat the common ADHD symptoms like hyper-activeness, lack of attention, and flightiness. Merely setting up a meal plan and following it will make you feel more in control of your life, encouraging you to make other such favorable changes.

It has been scientifically proved that exercise helps in fighting most of the symptoms of ADHD and producing a calmer, balanced sense of self. Exercise can enhance mood, cut out stress, and calm the mind, while team sports can help to cool off excessive anger and isolation feelings. People suffering from ADHD also benefit immensely from the proximity to natural surroundings like flowers, woods, waterfalls, etc. So, make sure that you treat yourself to a healthy dose of Mother Nature.

adhd: when to seek professional help?

Sometimes, ADHD progresses to a level when seeking professional help is no longer a choice but a necessity. If you feel that you or any of your loved ones with ADHD is spinning out of control and suffering from violent mood swings and self-destructive thoughts, then you should definitely take professional help. If ADHD is destroying your personal relationships, making you overspend to a critical level, or causing socially destructive responses, then you should definitely opt for one on one counseling sessions at an established psychology clinic near you.

Only a trained psychologist can perform a correct assessment of the level of ADHD and type (there are more than 20 types of this disorder) and suggest a professional line of treatment for managing symptoms.

Remember that with the correct diagnosis, conscious self-improvement, and hope, you can definitely win over ADHD and live a quality life.


How learning about emdr treatment can help you to help others?

Most people grow up facing a couple or more difficult experiences in life, but in some cases, negative incidents can overwhelm personal thresholds of tolerance. In these situations, appetite, sleep patterns, health, anger management, personal equilibrium, and ultimately the quality of social/ personal/ professional life is hampered. These symptoms typically constitute PTSD or post-traumatic stress disorder. While some can conquer PTSD (post-traumatic stress disorder) with sheer willpower and the support of well-wishers’ inner circle, others have to seek professional help from a competent psychology clinic. If you have undergone trauma in your life, then it is natural for you to feel sympathetic and express empathy and a desire to help others facing the same situation.

And in case you have sought/ experienced the vastly beneficial effects of psychology’s best tool of conquering PTSD, i.e., EMDR, it is also natural to want to recommend this inventive technique to others who may need it. Helping others to conquer post-traumatic stress can help boost the self-esteem and self-actualization needs of the giver, which is why you should definitely pass on your knowledge of EMDR benefits to others in need.

what is emdr?

Eye Movement Desensitization and Reprocessing is an intriguing and well-received Psychological treatment modality that has been impressing the scientist community ever since its launch. The core of EMDR rests on the premise that the vividness of negative feelings associated with trauma or a negative incident can reduce or even be eliminated by using targeted eye movements under a controlled situation when performed correctly. EMDR can help alleviate symptoms like sudden anger, hot flushes, racing heartbeat, feelings of extreme anxiety, and helplessness that are the typical punishing side effects of PTSD (Post Traumatic Stress Disorder).

Unlike most psychological theories, EMDR is not a conventional talk theory. In EMDR, the giver works with the receiver’s memories, central self-beliefs, cognitive fragments, and emotions surrounding past painful incidences. It is more like emotional surgery that is empirically well-received, intensely researched, and structured.

EMDR experiences are held over 8 phases beginning with patient data collection, sensitization, and implementation to resolution and reconciliation. These phases are usually cathartic experiences that first produce pain but, in the long run, cultivate a logical, detached, and objective approach towards the trauma. The person receiving EMDR can use this approach towards all difficult life areas and usually emerges as a more balanced and happy individual. This intense, emotionally demanding yet empowering and relief inspiring series of sessions has a transformational effect on the personality and encourages a positive paradigm shift in affected individuals’ vision.

EMDR is extremely useful in treating PTSD and can stop the affected individual’s descent into substance abuse, violent mood swings, anorexia, depression, delusion, insomnia, and many other forms of ailments. EMDR is 40% more effective than organic support networks and 30% more effective than one-on-one counseling sessions with a psychiatrist. There are a million scientifically documented ways that say that you can effectively help people conquer post-traumatic effects by guiding them towards EMDR.

where to undergo emdr treatment?

EMDR is a highly specialized branch of psychological treatment, which means that if you want to experience its powerful effects, you need to sign up for sessions from a team of competent, experienced, and credential holding professionals who can be regarded as experts in their field. It is also recommended that you read up on the theoretical premise of EMDR methodology before you experience the relatable practice elements of bilateral eye movements and their practice. Look for some attributes like proper accreditation, experience in EMDR delivery practice, and patient engagement parameters before choosing/recommending a psychology clinic.

EMDR is a powerful technique that can wreak emotional havoc and cause long-lasting psychological damage if administered incorrectly. A trained and certified therapist exclusively has the rigorous standard of educational training and practice required to administer/ teach EMDR. This technique will help you fast track over the niggling troubles in life that have the potential to escalate into larger issues. EMDR is the rare chance of helping others develop a positive, empowered attitude towards life, and if you have suffered from personal trauma, you already know how critical that is. Embrace the incremental benefits of recommending EMDR to PTSD sufferers today and guide them towards the correct, clinically approved way of conquering this ailment. In the process, you can earn yourself some goodwill and boundless good karma!


How to stop a personal injury episode from becoming a long term psychological issue?

After a personal injury incident like an assault, hit, and run, or abuse, most people focus on the financial implications of the future along with the costs of the recovery process. It becomes easy to side-line serious mental issues that are a natural by-product of personal injury episodes in a financially demanding situation. Unfortunately, the cost of neglecting mental repercussions arising from a personal injury can be very high. These may snowball into long term mental health problems, phobias, substance abuse, anger management problems, and even depression.

If the personal injury has been harsh and there is lasting physical evidence, there is a 40% more chance of severe depression to strike and a fair chance of such depression becoming chronic or even fatal. A personal injury victim’s mental health is as important as physical health though the former is often not given much importance. As an aware individual, you can do much to ensure that a personal injury episode does not become a long term psychological issue.

recognize early symptoms

The earlier psychological disturbances arising from a personal injury are detected, the easier it is to resolve them. If you or a loved one has suffered a personal injury, then look for tell-tale signs like mood swings and emotional liability. Emotional liability can be termed as a set of violently opposing emotions displayed in quick succession. Often, victims display emotional responses that are vastly disproportionate to triggers, and sometimes there is no trigger. In case the personal injury involves brain injury, such psychological responses cannot be treated by self-help modalities and need the intervention of a trained psychology clinic with competent and experienced staff. Anxiety is another early warning symptom of future phobias.

In some cases, anxiety attacks are pronounced enough to be termed as panic attacks. In many cases, the victim feels unable to process the incident, concentrate on simple tasks, or resolve simple problems leading to a general feeling of anxiety and helplessness. Anxiety, if left unchecked, has a 70% chance of developing into PTSD (Post Traumatic Stress Disorder) that will need a full-fledged psychological intervention like CBT (Cognitive Behavioural Theory) and EMDR (Eye Movement Desensitization technique). Some victims begin to feel worthless or useless, and if these symptoms are not recognized in the short term, the person loses interest in life and begins courting suicidal thoughts.

self help modalities for coping with personal injury

It is vital to talk and process the personal injury incident as soon as possible to lessen the intensity of negative emotions associated with it. Talking to friends and supportive peers may help to relieve some feelings of anxiety and helplessness. Suppose a loved one suffering a personal injury is displaying highly excitable behavior. In that case, you need to remain calm and compose yourself and preferably remove the affected person to a quiet area.

Listening to calm instrumental music is a good way to phase off stress and engage in creative art forms like painting, pottery, and drawing. Suppose the personal injury has not caused movement restrictions, then spending a few hours in light exercise is also recommended as exercise stimulates the flow of positive hormones and leads to a more relaxed and balanced state of mind. Even if the personal injury victim cannot engage in exercise, the mere proximity of nature can help calmer feelings of anxiety, fear, and rage.

Though a support group’s presence can be critical, the victim often has to decide to accept and reverse the traumatic feelings associated with personal injury to avoid their escalation into a long-term psychological problem. It may become necessary to learn basic anger management techniques, self-management strategies, relaxation, and deep breathing techniques. At a later stage, it becomes important to process and objectify the personal injury episode and come to terms with it as an incident and not as a defining moment of life.

when to seek clinical help?

It is important to recognize three critical scenarios when the intervention of a trained psychologist becomes necessary. The first scenario is PTSD is discussed earlier in the article. The second scenario is MDD (Major depressive disorder) that manifests itself through persistent fatigue, wavering concentration, loss/gain of weight, insomnia, lack of enjoyment, etc. The third situation is persistent anxiety that refuses to fade away even after 2 to 3 months after the injury incident. Remember, the graver the incident; the higher are the requirements for professional psychological intervention.


Telehealth: the advantages of telemedicine

The COVID-19 pandemic has triggered dramatic changes throughout everyday life — and in the medical community as well. Not only are providers across the country postponing elective procedures, but many are also encouraging people to avoid in-office appointments to reduce their risk of exposure to this highly contagious coronavirus.

But what do you do if you still need health care? Fortunately, Telehealth can help.

how telehealth works

Telehealth — or telemedicine — is a healthcare solution that allows you to meet with your doctor virtually instead of going to the office. Our 100% HIPAA-compliant system uses a two-way, high definition video, so we can talk face-to-face as if we’re in the same room together.

With Telehealth, you can also:

  • Submit your medication list, allergies, ID cards, and medical history in advance
  • Chat or share photos describing your symptoms
  • Have prescriptions electronically sent to your pharmacy
  • Securely pay online for your virtual visit

This streamlined approach originally evolved to help expand medical care to men, women, and children living in remote areas. Today, 76% of hospitals use Telehealth technology, and US employers could save as much as $6 billion a year by making telemedicine technology available to their employees. But the advantages of Telehealth go far beyond financial savings.

the benefits of telemedicine

Whether you live close to your doctor or in a rural area, you probably know firsthand that even a routine visit involves wait times of 18 minutes or longer — and that doesn’t even include the time you spend getting there. Telehealth technology eliminates that.

By connecting to your doctor in a virtual setting, you can expect to:

  • Miss less time at work
  • Have fewer disruptions with any child or elder care responsibilities
  • Eliminate the time or travel expenses associated with your office visit
  • Receive quality health care faster
  • Reduce subjecting yourself and others to a contagious illness

At the same time, you also reduce your risk of exposure to contagious illnesses, like the common cold, flu, and COVID-19.

Telemedicine is also available to patients of all ages, including children, older adults, and those in vulnerable health. That makes it an ideal healthcare solution for everyone, especially when someone can no longer leave their home safely but still requires medical attention.

what to expect during a telehealth appointment

Telemedicine technology has never been easier to use, simply:

  • Download our app to your tablet, computer, or phone
  • Request an appointment through our Telehealth portal
  • Fill out the registration forms included in our calendar invite
  • Follow the link in your calendar invite to open your video-chat to start your appointment

You can also upload photos, if needed, to help us diagnose your symptoms.

For more information on telemedicine or to schedule your virtual visit, contact us by calling or requesting your Telehealth appointment online today.


Immigration form n-648, medical certification for disability exceptions

In 1994, Congress enacted legislation providing an exception to the English and civics requirements for applicants who cannot meet them due to a medical condition or psychological impairment. As part of the naturalization process, the applicants typically should attend an interview scheduled with an immigration officer at a USCIS office and pass the citizenship exam before their citizenship application is approved to become a U.S citizen. The citizenship exam includes reading, writing, and communication tests in English, as well as the U.S history and civic tests. The applicant needs to answer 6 out of the 10 questions in order to pass the U.S history and civic test. 

Per this legislation, if an applicant presents with a medical or mental impairment that prevents him/her from learning the English language and/or U.S. history and civics, they have the option to request to be medically exempted from taking the citizenship exam. In order to do that, Under 8 CFR 312.2(b)(2), a medical doctor, doctors of osteopathy, and clinical psychologists are authorized to certify the disability exception form N-648, Medical Certification for Disability Exceptions, and attest that the applicant suffers from a medical or psychological condition, therefore making it impossible for she/he to take the citizenship exam. The applicant then files the form N-648 along with his/her citizenship application (N400) and if approved by the USCIS officer, he/she can become a U.S citizen without having to pass the citizenship exam. 

The burden of proof to demonstrate that there is a medical or psychological impairment, preventing the applicant to meet the citizenship requirement is placed on the applicant. Please note that per the USCIS, illiteracy or advanced age, in and of itself, is not a medical determinable physical and mental impairment that could give ground to being medically exempted from taking the citizenship exam. The Form N-648 should be completed by the certifying medical professional no more than 6 months before the applicant files the naturalization application in order to be accepted.

The applicants need to be evaluated by one of the authorized physicians listed above, and file the completed Form N-648 along with their naturalization application (N-400). The immigration officer then will have a chance to review the N-648 form prior to their scheduled interview. On some occasions, the applicants are provided with the opportunity to file the N648 at a later time, after they have filed their naturalization application. Each applicant is given only two chances to submit the N-648 form completed by a medical doctor or a clinical psychologist. If their N-648 form is denied by the USCIS officer both times, they will be required to file a new citizenship application and start the process all over again. Therefore, it is very important that the applicants choose the right physician to complete the N-648 form, who has extensive experience, familiarity, and knowledge of the immigration process and the USCIS’s specific requirements to properly complete the Form N-648. 

Per the N-648 review guidelines, it is unacceptable for the USCIS officer to determine the validity of the medical diagnosis or second guess the professional opinion of the physician who has completed the N-648 form for an applicant. They also cannot require an applicant to undergo medical, psychological, or laboratory diagnostic techniques to prove why they should be exempt from taking the English exam and U.S history and civic exam. This is the responsibility of the evaluating physician to attest that the applicant presents with a “medically determinable” physical or developmental disability or mental impairment that has lasted, or is expected to last at least 12 months, and they may qualify for the exception. 

An applicant who does not speak English is entitled to have an interpreter present at the time of his/her evaluation with a physician who is completing the N-648 form. They can also have an interpreter present at the time of their interview at a USCIS office. The interpreter can be a family member of the applicant or a certified interpreter, as long as they speak the applicant’s native language and the English language well. Per the N-648 guidelines, the same interpreter who assisted the applicant during his/her evaluation with a physician can also accompany them to their interview at a USCIS office.


Q & a: the n-648 immigration psychological evaluation- part 1

immigration form n-648, medical certification for disability exceptions

Q & A: The Psychological Immigration Evaluation for N-648 Form

Q: What types of documents do I need to bring to my first appointment?
A: You need to have your state-issued photo ID or driver’s license, or permanent
residency card (Green card) at the time of your appointment. This way, the evaluator
can verify your identity. It is also helpful if you can bring a list of all the medications you
are currently taking. Furthermore, please bring all the letters/notices you have received
from the immigration office (USCIS) regarding your case. It would be helpful to bring a
copy of the N-648 form that another clinician has completed in the past for our review.

Q: How many sessions does it take to complete the evaluation?
A: Depending on your psychological conditions, we should be able to conduct the
evaluation in one session, which is about an hour long.

Q: Do you offer telehealth (remote) appointments to do the evaluation?
A: Yes, the immigration psychological evaluation to complete the N-648 form can be
done in person or via telehealth.

Q: I don’t live in California. Can you still help me with my case?

A: Our clinicians can conduct these evaluations for residents of 
California, Texas, Massachusetts, and Hawaii. So, if you reside in any of these states, you would be able to have your evaluation done via telehealth. A pdf format of your report will be emailed to you and you will also recieved a hard copy of the report via mail if you wish.

Q: Do I need to have a computer to be able to do the telehealth appointment?
A: Not really, but you do need to have a smartphone with a camera. This type of
immigration psychological evaluation cannot be done just over the phone without the
evaluator being able to see you.

Q: I don’t speak English at all. Do I need to bring a translator with me to the
A: Yes, you need to have someone, who is fluent in English and in your native language
present at the time of your immigration psychological evaluation to assist with the
translation. However, it is not required to have a certified translator present at the appointment and you can have a relative or friend to translate for you.

Q: I never went to school and can’t read and write even in my native language. Do
I still need to submit the N-648 form and request to be medically exempted from
taking the citizenship?
A: Yes, I am afraid you need to. Being illiterate in your native language does not
necessarily mean that you have a medical or psychological condition that prevents you
from learning a new language (in this case, English) or U.S. history and civics.

Q: How long does it take to get my completed N-648 report?
A: We normally try to have your report ready within 2-3 weeks. In some cases that the
applicant has already had an interview scheduled with the immigration office ,or has
been given only 30 days to provide the immigration office (USCIS) with the N-648 form,
we will do our best to expedite your report and complete it in 7 days for an additional
charge. Due to the high volume of referrals we receive, it may take up to 2 weeks to
schedule your evaluation with one of our doctors, so please make sure to plan ahead.

Q: I have already submitted one report from another doctor and the immigration
officer didn’t accept it and they asked me to get a second doctor’s opinion. Is this
something that you can help me with?
A:Yes, we can. In this case, please make sure to bring a copy of the first report to your
appointment or if possible, email it to us prior to your appointment. In these types of
situations, the applicants usually have only 30 days to submit a second N-648 form to
the immigration office (USCIS.) We are mindful of these timely sensitive matters and
will do our best to schedule you as soon as possible and provide you with the
completed N-648 form. However, we need at least 14 days to be able to schedule your
appointment and ensure we have enough time to complete your report. As mentioned
before, there might be an additional fee to put a rush on your report, if needed.

Q: I went to my citizenship interview twice and both times the immigration officer
denied the N-648 that previous doctors had completed. Can I still apply for
A: Yes, you might. You have two chances to provide the USCIS a completed N-648
form and request to be medically exempted from taking the citizenship exam. If for any
reason the officer has denied your petition both times, you need to file a new citizenship
applicant( N-400 Naturalization application )and obtain a new N-648 form. That is why
it is very crucial to be evaluated by physicians who are experienced and specialized
in conducting these types of immigration evaluations so you don’t have to take a risk of
getting denied.

Q: I have been seeing my family doctor for a long time. Can she/he complete the
N-648 form for me?
A: If they have prior experience in conducting these evaluations and had completed the
N-648 form before, yes they absolutely can. However, in our experience, most family
doctors are not specialized in doing immigration forms, which is technically a legal form.
We have seen many applicants coming to us after their first N-648 form was done
by their family physician was denied because it was not completed correctly according
the criteria and requirements that the USCIS has for these types of cases.


Q & a: the n648 immigration psychological evaluation- part 2

Q: Can I use my health insurance to pay for the evaluation cost?
A: It depends on your insurance company and the plan you have with them. Once you
have made your payment, we can provide you with an invoice that indicates the out-of-pocket amount paid by you, as well as the date of service. You can submit it with your
insurance to see if they may partially compensate you. However, there are a number of
insurance companies that may deny your request as these immigration evaluations are
not considered “medically necessary” by the insurance companies.

Q: Which forms of payment do you accept?
A: We accept major credit cards, Venmo, and Paypal. Cash payments are no longer
accepted and the full payment needs to be made prior to your scheduled appointment.
We will be happy to provide a receipt for your payment upon request.

Q: Can the doctor come with me to my interview at immigration office?
A: I am afraid not. We do not offer any legal advice to the applicants, nor accompany
the applicants to their interview at the immigration office. However, you are entitled to
have an interpreter present at the time of your interview if you do not speak English.

Q: How long the N-648 report is valid?
A: They are valid for 6 months. Reports older than 6 months may be rejected by the
immigration office (USCIS). In this case, you will need to be evaluated again and a new
N-648 form will have to be completed and submitted with the USCIS.

Q: Do I need to send the N-648 form along with my citizenship application or
A: If you are requesting to be medically exempt from taking the citizenship exam, you
need to submit the completed N-648 form along with your citizenship application. There
are instances that if you fail the citizenship exam at the time of your first interview, you
will be given a chance to be evaluated by a physician who can help you to complete the
N-648 form. In this case, you need to find a doctor who is specialized and experienced
in completing the N-648 and then you can submit it with USCIS separately.

Q: Will you guarantee that my case get approved by the INS?
A: We can guarantee that your N-648 form will be complete based on the information
available to your evaluating physician at the time of your appointment. However, no one
can guarantee that your case will be approved by the USCIS as this is a decision that
only the immigration officer who is interviewing you will make. We are clinical
psychologists and can only guarantee that the medical information included in your
report is accurate per your account. We also take responsibility to revise your N-648
form if it turns out that we made an error or a typo in your N-648 form with no additional


The impact of psychological evaluations in immigration cases


Immigration psychological evaluations can play an integral role in strengthening immigration cases. Licensed immigration psychologists conduct a diverse range of assessments, working with a broad spectrum of applicants. Examples of immigration psychological evaluation cases include:

  • N-648 immigration evaluation (citizenship examination waiver)
  • VAWA (Violence Against Women Act)
  • Hardship immigration evaluation
  • Asylum evaluation

why is psychological evaluation important and what does it involve?

There are several reasons why it is important to undertake a psychological evaluation. These include:

  1. Providing a clear, accurate diagnosis.
  2. Identifying effective, customized treatment and support options for the applicant.
  3. Providing guidance and additional information for other professionals working on the case, including other medical professionals, such as immigration doctors, and attorneys.
  4. Promoting collaborative working between immigration psychologists and immigration attorneys.
  5. Offering clients detailed information about their psychological health and well-being. 

Psychological evaluations comprise different assessments and stages, including:

  • Clinical interviews
  • Psychological testing and questionnaires
  • Consultation with immigration attorneys
  • Reviewing medical history
  • Filing a comprehensive report

how can psychological evaluations help applicants?

Immigration psychological evaluations can help attorneys to build a stronger and more persuasive case on behalf of their client. Immigration psychologists are experts in their field. They use accurate, effective testing processes and techniques to ascertain information about the individual’s psychological health and build a clear picture of the applicant’s mental state and well-being. The results of evaluations and interviews can help decision-makers to understand the potential implications of accepting or rejecting applications and ensure that the individual’s mental health and well-being are taken into account. 

By working with licensed psychologists, immigration attorneys have access to reliable data and comprehensive reports that can strengthen the case and help applicants to achieve the desired outcome. 

how to find an immigration psychologist

If you are looking for an immigration psychologist to carry out psychological evaluations, it is understandable to want to find the best psychologists available. To help you make the right decision, here are some essential factors to consider:

    • Level of expertise: when researching immigration psychologists, look for professionals with a high level of expertise and significant clinical experience. You can often find information about qualifications and experience online or you can ask a psychologist to tell you more about their expertise. 

    • Knowledge and experience of different types of cases: there are all kinds of different types of immigration cases and one applicant may be in a very different situation from another. It’s beneficial to choose an immigration psychologist who has experience in a wide range of cases. 

    • Understanding of immigration law: there are laws and regulations in place governing immigration and the right to relocate and settle in the US permanently. It is essential that immigration psychologists understand immigration laws and that they are familiar with the latest guidelines and rules. 

    • Compassion: many people who are looking for an immigration psychologist may be anxious about undergoing evaluations and they may be going through difficult or worrying times. It is important that clients feel comfortable around their psychologist. Compassion can help to make people feel more confident and relaxed. 


Immigration psychological evaluations are designed to provide detailed, accurate information about an applicant’s mental state and psychological health. Undergoing evaluations and working with professional, licensed immigration psychologists can help to strengthen immigration cases and increase the chances of a successful outcome. 


Neuropsychological evaluation for adhd

According to estimations by the CDC, around 6 million children in the US are diagnosed with ADHD, and this condition affects over 8 million American adults. So, if you suspect that a loved one has ADHD or are in the process of better understanding your diagnosis, you are not alone. 

To learn more about ADHD and start looking for adequate treatment, you’ll need to start by getting an accurate assessment. A neuropsychological evaluation, also known as a “neuro-psych eval”, provides valuable insight into the complexity of ADHD. This type of cognitive testing helps in understanding and managing the disorder more effectively by offering a more accurate diagnosis and treatment options. 

At our clinic, neuropsychological assessments are conducted by experienced professionals specializing in children and adults with attention-deficit/hyperactivity disorder (ADHD). We combine psychological testing – such as psychometrics and achievement testing – along with meetings with parents or educators and behavioral assessments. 

using neuropsychological evaluation to understand adhd: what to expect

A psych assessment can help understand how an individual’s brain functions differently in various scenarios and environments. Although each test can be adjusted to the individual’s needs, our specialist conducts ADHD neuro-psych testing using a set of standardized tests.

During your appointment, you can expect to have an interview with our specialists to better understand your concerns, lifestyle needs, and medical history. Then, you’ll undergo a series of tests, which aim to assess your problem-solving capabilities, general intellect, mood and personality, visuospatial skills, language, comprehension, and reading capabilities, attention and concentration levels, reasoning, processing times, and memory.

These tests are chosen by our team of neuropsychologists based on your medical history and symptoms and are entirely pain-free. They might include drawing or writing tests, answering questions, solving puzzles, and filling out questionnaires. Results are most accurate when patients work hard on each test.

The test’s results may point towards specific cognitive deficits that need to be taken into account when deciding upon appropriate interventions for treating symptoms related to ADHD. For example, results from psychometrics tests might indicate inhibited organizational skills, inefficient memory functions, and learning difficulties. These results can help you decide on the right treatment for your needs.

a step closer to finding the right treatment: contact our team to book a neuropsychological test

Undergoing psychological and psychoeducational testing is the first step to better understanding your ADHD and choosing the right treatment path for your needs. Get in touch with our specialists today to book your initial consultation.


Adhd diagnostic evaluation

Meta: Learn the key symptoms of ADHD and how this condition could impact your ability to concentrate as well as your overall academic or workplace performance.

Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition, believed to affect 8.4% of children and approximately 2.5% of adults, according to the latest research. Some argue that it is over-diagnosed and that ADHD symptoms are a result of poor exercise and sleep. If you are wondering whether you or your loved one has this condition, it’s important to recognize the key symptoms that can be identified through a neuropsychological evaluation, sometimes called “neuro-psych eval,” or “ADHD testing.”

symptoms of adhd

There are two main behavioral categories that comprise ADHD:

  • Inattentiveness
  • Impulsiveness and hyperactivity

Inattentiveness refers to individuals struggling to concentrate or focus, or being easily distracted. Along with relevant symptoms of frequent forgetfulness and disorganization, inattention can impact academic performance and stop people from reaching their full potential.

Hyperactivity refers to a sense of physical restlessness, including urges to stand up and move around during situations when one is expected to remain seated (i.e., a classroom, restaurant, or place of worship). Frequent fidgeting is also a relevant symptom. Often accompanying hyperactivity is impulsivity, which is the inability to stop oneself from doing or saying things. This results in verbal impulsivity (i.e., interrupting others, failing to “think before you speak”) or behavioral impulsivity (failing to “think before you act”).

Individuals who have the Combined subtype will often experience both types of behavior — both inattention and hyperactivity/impulsivity. However, this is not always the case. Other ADHD subtypes include ADHD Predominantly Inattentive Presentation and ADHD Predominantly Hyperactive/Impulsive Presentation. Research suggests that approximately 3 in 10 people with ADHD will struggle to concentrate or focus but may not have issues with hyperactivity or impulsiveness. The differences among subtypes can be distinguished during a neurocognitive assessment.

Notably, individuals with inattentiveness will often have a short attention span and may make mistakes in school or at work. They could also appear forgetful or lose things frequently. Individuals can also find it difficult to remain focused on one task because their minds will often wander. This has inherent benefits, including creativity, innovative thinking, and humor; however, the inherent challenges include difficulties with detail-comprehension and organization.

Individuals with hyperactive and/or impulsive traits will find it difficult to sit still and remain calm for long periods. They will tend to struggle with patience (i.e., waiting for their turn) and will frequently interrupt people. They may also have little to no sense of danger and will often act without thinking carefully.

children and teenagers with adhd

Children and teenagers with ADHD can display some or all of the symptoms mentioned above. Symptoms will often become noticeable by the age of 6, which can result in an early diagnosis.

get support

If you think that you or a loved one is displaying symptoms of ADHD, it’s important to seek support from a professional and gain clarity about whether or not a formal diagnosis is warranted. A licensed psychologist can provide ADHD diagnostic testing services, which will provide the scaffolding needed to suggest appropriate treatments for you or your loved one. For example, most individuals respond well to cognitive-behavioral therapy and coaching with respect to time-management and sustaining healthy habits. Others may need additional tools, which may include medication.

The first step is to identify your cognitive profile (i.e., learning style), and other social-emotional and medical factors that impact attention — which is accomplished via an in-depth interview and psychological testing. Recommendations, via a written report, are tailored to your specific circumstances and will position you to better meet life’s demands, and improve your quality of life.

Feel free to contact us if you wish to receive additional information or an initial consult.