Questions & Answers

We are unique in that we connect you with highly experienced doctoral level, licensed psychologists who provide comprehensive neuropsychological assessments, talk therapy, and cognitive rehabilitation (e.g., executive coaching, brain training) via videoconference (telepsychology/telehealth). We consistently provide our services with privacy and kindness and we are flexible in making appointments.

Yes! Our sessions are not recorded and are in adherence with HIPPA, APA, and Delaware and New York State licensing requirements.

Interview, test administration, and feedback session.

The ideal time to seek treatment after concussion is immediately. If you or someone you know experiences significant changes in emotional well-being, or thinking, research has shown that earlier interventions are most successful in managing and treating symptoms of concussion.

A concussion is a traumatic brain injury caused by a hit or blow to the head, face (especially the chin), neck, or elsewhere on the body where the force is transmitted to the head. Some people need emergency treatment, is transmitted to the head. Some people need emergency treatment, however, most concussions, including sports-related concussions, have minimal to mild effects and very few will have prolonged problems.

For the vast majority of people, its effects only last a few hours to up to 6 weeks.

No, the effects of a concussion are usually temporary and can resolve within 1-6 weeks. If you suspect that your symptoms have lasted longer than a couple of months, a more extensive neuropsychological assessment and medical or care is recommended.

• Symptoms usually appear within a few minutes or hours. Hence, it's important to monitor yourself or a loved one for a few days for any symptoms or changes.
• Physical symptoms of a concussion can include a loss of consciousness, headache, dizziness, nausea, feeling sick, fatigue/tiredness, clumsiness or balance trouble, vision changes (e.g., double vision, blurred vision, "seeing stars"), sensitivity to light or noise, numbness/tingling, and sleep difficulties.
• Cognitive symptoms include memory difficulties, repeating questions or thoughts, feeling dazed or foggy, trouble concentrating during a conversation or when reading, confusion, and slower thinking or speaking speed.
• Emotional symptoms are increased irritability or mood swings, sadness, anxiety or nervousness, and being more emotional.

Not necessarily, however, if you have any of the above symptoms, especially within 24 hours of a head injury, we would recommend seeking medical care as soon as possible. In particular, this is very important to do, even if you did not have symptoms immediately after the head injury

A neuropsychologist can assess your deficits and strengths in cognitive and emotional functioning. She can also make a recommendation on helpful interventions for you and your family.

In a addition to a neuropsychologist, the following treatment providers can be helpful:

• Neurologist to address headaches and sleep difficulties.
• Neuro-ophthalmologist and Occupational Therapist for visual disturbance (which sometimes impact balance).
• Physiatry and Occupational Therapy for problems with balance or vertigo.

Even after 1-6 weeks or after multiple concussions or traumatic brain injuries, some people experience lingering cognitive, physical, visual, and emotional symptoms. A neuropsychologist can help identify post- concussion difficulties requiring interventions and the appropriate treatment.

Cognitive remediation is also called cognitive rehabilitation or cognitive rehab. It is several sessions of therapy to teach long-lasting skills to help restore and maintain everyday functioning. IT usually focuses on aspects of concentration, memory, processing speed, problem-solving, multi- tasking or mental flexibility, etc. This individualized treatment also incorporates emotional and behavioral functioning.

Unfortunately, no. A helmet protects you from having a skull fracture, however, it can't prevent your brain from moving within the skull and experiencing a concussion or traumatic brain injury.

Unfortunately, yes. You have an increased risk of a second concussion, especially within the first few weeks after the concussion. This is due to your slower reaction time, headache, dizziness, decreased attention, and other concussion symptoms increasing you risk. It is important to follow the recommendations of your medical doctor or neuropsychologist to reduce your risk factors.

We are out-of-network providers and if you have a PPO or POS we qualify for you to receive reimbursement for your services. We can work with your insurance company to get reimbursed.