Comprehensive Neuropsychology Services, PLLC

If you, as a young adult, or your child seem to be struggling with aspects of learning, memory, attention, executive functioning, mood, or behavior, an evaluation may be necessary. Testing can help better understand if these areas are below what is expected for age and what other factors may be influencing these difficulties. For giftedness, the question may be is your child being challenged enough.

However, there may be reasons not to seek an evaluation. If testing was recently completed (roughly within the past 6 months) and there have not been any changes that would affect the brain, it might not be the right time for more testing. If there were struggles in school, but your child is doing better with interventions, it may be best to see if the interventions help.

Refer to the ‘Evaluations’ page for details about each type of evaluation. In general, evaluations involve an initial interview or intake with parents or the young adult patient. If testing is needed, an interview with the child or other key family member, will be scheduled as will testing. I will also communicate with other key people, such as teachers, therapists, or physicians.

Testing is typically done in a single day ranging from 2-6 hours with breaks, depending on the type of evaluation. However, testing can be broken up into two days if needed. About 1-2 weeks after testing, we will schedule a feedback session in which we discuss results of the evaluation and next steps. A readable and comprehensive report will be finalized within two weeks of the final feedback. You can share this with whomever you would like.

Executive functioning refers to the set of mental skills that help us plan, organize, manage time, remember details, and follow through on tasks. These skills are like the “air traffic control system” of the brain—helping us shift between activities, stay focused, and regulate our emotions.

You or your child may benefit from executive functioning support if daily routines feel overwhelming, tasks are often started but not finished, time management is a frequent struggle, or school or work performance is impacted by organization or attention difficulties. In children and teens, this might look like missing assignments, difficulty transitioning between activities, or frequent forgetfulness. In adults, it may appear as chronic procrastination, trouble meeting deadlines, or difficulty balancing responsibilities.

Executive functioning training or therapy can provide structured strategies, accountability, and emotional support to strengthen these skills. Many people find this especially helpful during times of transition (such as moving to middle school, high school, college, or a new job) or when stress or anxiety makes it harder to stay on track.

People consider therapy for many different reasons. You or your child might benefit if stress, anxiety, or mood changes are starting to interfere with daily life, relationships, or academic or work performance. Some individuals also find therapy valuable when navigating transitions—such as starting high school, moving to college, or adjusting to new responsibilities—and want extra support with coping strategies and self-confidence.

Therapy does not always have to mean long-term treatment. Sometimes a short-term “booster” can be helpful, especially if you’ve worked on skills in the past and want to refresh or build on them.

At CNS, we offer evidence-based therapy tailored to your needs. Our new therapist, Dr. Hollie Duonnolo, specializes in working with adolescents and adults (roughly ages 12-50) who experience ADHD, learning differences, anxiety, depression, or chronic health conditions. Her approach is warm and collaborative, combining practical tools for stress management, motivation, and organization with the emotional support needed to create lasting change.

If you’ve been wondering whether therapy might help, it may be the right time to reach out and start a conversation.