This is a mental health/psychiatric diagnostic evaluation for ages 18+ to clarify the presence of attention-deficit/hyperactivity disorder (ADHD).
This is a mental health/psychiatric diagnostic evaluation for ages 18+ to clarify the presence of autism (ASD).
This is a mental health/psychiatric diagnostic evaluation for ages 18+ to clarify the presence of ADHD and ASD.
This is a mental health/psychiatric diagnostic evaluation for your child (ages 4-17) to clarify the presence of attention-deficit/hyperactivity disorder (ADHD).
This is a mental health/psychiatric diagnostic evaluation for your child (ages 4-17) to clarify the presence of autism (ASD).
This is a mental health/psychiatric diagnostic evaluation for your child (ages 4-17) to clarify the presence of ADHD and ASD.
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This site is owned and operated by Michael Appelgren. All rights are reserved. No material from the site may be copied, reproduced, republished, uploaded, posted, transmitted, or distributed in any form or otherwise without prior written permission of its owner. The information contained on this website is intended to provide general information on mental health assessments and psychotherapy regarding various mental health issues, as well as services provided by Michael Appelgren and clinical staff. The information presented on this website is believed to be reliable when posted. Michael Appelgren and clinical staff do not guarantee or warrant the quality, accuracy, completeness, timeliness, or appropriateness of this information. Michael Appelgren and clinical staff will not be responsible for any direct, indirect, incidental, consequential, special, exemplary, punitive, or any other monetary or other damages, fees, fines, penalties or liabilities whatsoever arising out of, or in connection with, this information, the website, nor liable for any errors or omissions that may be found in the information or the results obtained from the use of the information. By using this website, you assume full responsibility for the use of the information. You agree not to make any claims whatsoever against Michael Appelgren and clinical staff in connection with any of the foregoing. All information presented on this site is not a substitute for medical or other professional advice, diagnosis, or treatment of specific medical conditions. You should visit a qualified physician or health care professional for individual and personal attention related to any medical issue. Any links Michael Appelgren provides on the site to other websites are provided as reference only and do not constitute or imply endorsement by Michael Appelgren or clinical staff. Such external sites contain information posted by organizations that function independently of Michael Appelgren, and Michael Appelgren is not responsible for the accuracy, timeliness, or appropriateness of the information presented on such websites, nor does Michael Appelgren endorse, warrant, or guarantee the products, services or information described or offered at these sites.
Privacy
Information provided in the contact forms will be kept confidential and will not be sold to entities outside of Dynamic Learning Services. Providing confidential information in the contact form will allow Michael Appelgren and/or clinical staff to contact you to follow up regarding your request(s). It is important to note there are risks whenever you use electronic devices or submit confidential information electronically or through the internet. To the extent possible, your information will be kept confidential. By providing contact and other relevant information will constitute your agreement despite the known risks aforementioned. You agree not to hold Michael Appelgren or clinical staff responsible for a breach of confidential information resulting from the use of third-party services.
Equal Care
Your culture is of great importance to us and how we provide treatment. Equal care is provided to all clients regardless of race, color, religion, creed, age, gender, gender expression, national origin, disability, marital status, sexual orientation, or military status.
A comprehensive evaluation, usually neuropsychological testing, can help identify required accommodations for standardized tests needed to meet criteria for testing boards. If you have a confirmed or suspected diagnosis of anxiety, depression, Autism, ADHD, or learning disorder and demonstrate significant difficulty causing a disability, the testing board should provide accommodations. The initial step to seek accommodations is to receive comprehensive testing.
We have shown to be successful in helping individuals obtain the required accommodations for standardized tests. We understand what the testing boards require as documentation for accommodations. We offer testing on weekends and can have a report within 2 weeks. We offer expedited services if needed.
This is not an exhaustive list, but provides examples of accommodations:
Do you or a loved one need accommodations on standardized tests? Would extra time or multiple breaks help you demonstrate all your knowledge? Standardized tests are our way of life now and are present in elementary schools through high school and even in post-secondary education. Standardized testing can be nerve-racking and intimidating. We can see if you require accommodations through the Americans with Disabilities Act (ADA).
Examples of accommodations include:
Accommodations are a change in teaching or testing procedures to provide an individual with an equal opportunity to demonstrate their knowledge and skills.
Consider the following as an example of an accommodation. Two individuals are required to copy notes from the classroom board, one individual has 20/20 vision (good eyesight); however the second individual cannot see far objects and, therefore, has difficulty copying objects from the board. The person with poor vision would be accommodated with the use of prescription eyeglasses. That is, the individual requires an accommodation (e.g., use of eyeglasses) because they would not be able to accomplish the task (e.g., copying from the board). Accommodations are not meant to provide an advantage for an individual, but they are meant to allow the individual the same opportunity to be successful as their peers.
It will be important to maintain school records, such as report cards, Individualized Education Program (IEP), accommodations plan, previous evaluations (e.g., psychoeducational), and teacher reports about what they observe in the classroom and the need for more time in the classroom to complete tests and/or tasks. These are essential to include in the evaluation to demonstrate a history of challenges. Additionally, it will be important to provide any medical reports or letters from a primary physician, neurologist, or psychiatrist indicating a diagnosis, including ADHD, learning disorder, Autism, anxiety, depression, communication disorder, or intellectual disorder. Providing documentation of accommodations provided in the past (formal or informally) on standardized tests will demonstrate the challenges with working quickly are long-standing and unremitting.
It will be important for you to understand and be able to explain how your disorder and/or symptoms lead you to not being able to complete a task, causing a disability, which leads to the need for accommodations (e.g., extra time). This, in turn, will help you advocate for yourself, and understand your strengths and weaknesses.
Click on the name of the test you are taking/planning on taking for more information on how to apply for accommodations on standardized tests:
An independent educational evaluation a.k.a. an IEE is an
evaluation conducted by a qualified person who is not employed by the school
district the student attends at the public’s expense. This request can be made
by a child’s parent. Families may seek an IEE to have an objective perspective of
the child’s needs. The testing procedures for the IEE are the same as those
followed by the school district.
Possible reasons for requesting an IEE
How do I request an IEE?
Submit a written letter to the special education coordinator,
case manager, or principal at your child’s school. You can also send the letter
by email or certified mail (dependents on the district’s policies). Include the
following:
Are you or your child struggling academically? Do you suspect an intellectual disorder, learning disorder, ADHD, or Autism? A comprehensive neuropsychological evaluation can help clarify one’s functioning and guide appropriate treatments and interventions.
A neuropsychological evaluation consists of a series of formal and structured psychological and academic/achievement tests, as well as clinical interviews to help identify one’s emotional, behavioral, learning, and cognitive profile. Neuropsychological assessments may be administered in writing or verbally, or conducted in-person or via the computer. A neuropsychological evaluation is used to assess brain-based disorders by examining cognitive and academic skills on brain function.
A neuropsychological evaluation can include multiple components such as:
Similar to the Mental Health Evaluation, Psychological Evaluation, and Psychoeducational Evaluation the process begins with an initial consultation. Afterward, an evaluation appointment is scheduled with our staff. On the day of the evaluation, a clinical interview will be completed to clarify any information in the intake paperwork, and gain insight into the client’s symptoms (e.g., mood, anxiety, executive functioning) and impairment in functioning. Norm-reference psychological, academic, language, memory, and executive functioning tests will be administered. Once all of the information is gathered, your clinician will conceptualize the underlying symptoms based on extensive professional knowledge, prior experience, and up-to-date research. The results will then be communicated to you outlining the most appropriate next steps and interventions.
A psychoeducational evaluation consists of a series of formal and structured psychological and academic/achievement tests, as well as clinical interviews to help identify one’s emotional, behavioral, learning, and cognitive profile. Psychoeducational assessments may be administered in writing or verbally, or conducted in-person or via the computer. This evaluation can be used to determine eligibility for special education services, 504 accommodations plan, or accommodations on standardized tests (e.g., SAT, ACT, Bar Exam).
A psychoeducational evaluation can include multiple components such as:
There are different types of cognitive measures (e.g., verbal and nonverbal). Cognitive measures assess one’s potential and examine the following areas:
Just the same as cognitive measures, there are various academic and achievement tests. Academic and achievement tests are designed to measure one’s level of skills and proficiency of knowledge in different domains such as:
Similar to the Mental Health Evaluation and Psychological Evaluation, the process begins with an initial consultation. Afterward, an evaluation appointment is scheduled with our staff. On the day of the evaluation, a clinical interview will be completed to clarify any information in the intake paperwork, and gain insight into the client’s symptoms (e.g., mood, anxiety, executive functioning) and impairment in functioning. Norm-reference psychological and academic tests will be administered. Once all of the information is gathered, your clinician will conceptualize the underlying symptoms based on extensive professional knowledge, prior experience, and up-to-date research. The results will then be communicated to you outlining the most appropriate next steps and interventions.
A psychological evaluation consists of a series of formal and structured psychological tests, as well as clinical interviews to help identify one’s emotional, behavioral, and cognitive profile. Psychological evaluations may be administered in writing or verbally, or conducted in-person or via the computer. Psychological evaluations can be used in the identification of intellectual differences and personality disorders.
A psychological evaluation can include multiple components such as:
There are different types of cognitive measures (e.g., verbal and nonverbal). Cognitive measures assess one’s potential and examines the following areas:
Similar to the Mental Health Evaluation, the process begins with an initial consultation. Afterward, an evaluation appointment is scheduled with our staff. On the day of the evaluation, a clinical interview will be completed to clarify any information in the intake paperwork, and gain insight into the client’s symptoms (e.g., mood, anxiety, executive functioning) and impairment in functioning. Norm-reference psychological tests will be administered. Once all of the information is gathered, your clinician will conceptualize the underlying symptoms based on extensive professional knowledge, prior experience, and up-to-date research. The results will then be communicated to you outlining the most appropriate next steps and interventions.
Are you or a loved one undergoing surgery or procedure requiring a mental health evaluation? We provide specialized evaluations to assist in pre-operation procedures. As with most evaluations, it begins with a clinical interview to obtain background information. The evaluation includes a review of records and collateral information. The clinical interview focuses on behavior, psychiatric symptoms, and understanding of the surgery. The information discussed in the clinical interview is critical to assess the appropriateness of surgery and to enhance the client’s success during the post-surgery adjustment. The evaluation may require multiple sessions.
Receive your 15-minute free consultation with a knowledgeable clinician.
Our clinicians have a range of experiences working with diverse populations and assessing different mental health symptoms. We provide thorough and comprehensive mental evaluations for individuals of all ages (children, adolescents, and adults) based on symptomology and provide appropriate recommendations for intervention.
There will be an initial interview prior to testing, which occurs over the phone. You will consult with a clinician and determine the next steps forward and how we can meet your needs. During this time, our clinicians will provide information about the evaluation process and answer any questions you may have. We share the different services we offer, explain our accepted forms of payment, and schedule an appointment.
Feeling overwhelmed by life events? Struggling to maintain meaningful relationships with others? Feeling sad? Constantly worrying about the future or about your career? If you can relate, you might be one of many individuals who are struggling with mental health. We specialize in the assessment of a variety of symptoms, several including depression, autism, anxiety, depression, gender dysphoria, and attention-deficient/hyperactivity disorder.
What are the next steps? Don’t worry, our easy process is described below.
You will meet with a clinician to begin the evaluation. We start by building rapport and making you feel comfortable as we know this can be an overwhelming process. The clinical interview includes a discussion about your current unique challenges, early childhood and development, school and/or work, medical, and family histories. Additional questions are asked about past and present mental health symptoms. There is no simple “test” that can identify a mental health condition, that is why we use multiple evidence-based assessments and best practices to come up with our conceptualization and understanding of the issues.
After the clinical interview, you and/or your child will be asked to complete several scientifically validated rating scales on the computer. These scales may be completed independently or with the assistance of your clinician. Afterward, we generate scores that are compared nationally with thousands of other individuals, with symptoms or without symptoms, to statistically calculate the severity and impairment of your current symptoms.
A brief break is provided to you so your clinician can formulate their thoughts based on the clinical interview, standardized measurements administered, and years of clinical experience working with diverse populations. Your clinician will analyze the information gathered and rule out disorders that may be similar to the current presenting symptoms.
Your clinician will meet to share and discuss the findings with you based on the information gathered and our expertise. Receiving a confirmation of a mental health condition can be confusing or overwhelming. For these reasons, we take the time to answer your questions and provide you with a holistic approach to treatment. Your clinician will provide you with the most appropriate recommendations and interventions, which include psycho-education. Your clinician will discuss various services provided at Dynamic Learning Services should you decide to pursue treatment or provide you with appropriate referrals for additional interventions.
Receiving an accurate diagnosis is the beginning step to welcoming change. Understanding the diagnosis (i.e., what it is and what it is not) may help explain why it is challenging for you to start a task, finish a task, keep yourself organized, or why you might feel sad or anxious. Seeking treatment can help you manage your symptoms.
At Dynamic Learning Services, we offer individual, couple, and family therapy. We provide non-judgmental, holistic, collaborative, using primarily evidence-based cognitive-behavioral therapy (CBT) and trauma-focused cognitive-behavioral therapy (TF-CBT) when working with a diverse population. We use gender-affirming language when working with individuals who identify as LGBTQIA+.
Our experience includes treating a variety of symptoms, including anxiety, depression and mood, attention-deficit/hyperactivity disorder (ADHD), specific learning disorder, autism, executive functioning, and posttraumatic stress disorder (PTSD). Additional therapy modalities include solution-focused therapy, motivational interviewing, and communication/interaction family therapy.
The premise of CBT is that how we perceive situations (i.e., cognitions) affects our feelings and our behaviors. CBT tries to identify the underlying assumptions and beliefs that are causing impairment or dysfunction and challenge automatic thoughts through cognitive restructuring. CBT is evidence-based and is considered a brief psychotherapy approach.
The first step in initiating therapy is to reflect on whether you are ready to make changes in your life. Therapy can be challenging and frustrating and can feel like a waste of time if you are not receptive to making different decisions to allow yourself to grow.
If you choose to pursue treatment with us, you or you and your child will meet with a clinician so they may learn more about the current symptoms. During this time, the clinician will ask about challenges faced at home and in school. After the evaluation, the clinician will provide initial diagnostic impressions and recommendations.
Your clinician and you will collaborate and develop a personalized treatment plan based on the current symptoms and the severity of symptoms. The treatment plan will incorporate the goals you identify for treatment.
Periodically, you and your clinician will meet to review what is working in sessions and make adjustments to treatment as needed.
Termination in therapy is typically referred to as the period in which the psychotherapy relationship comes to an end. There are several reasons for termination, which includes achieving therapeutic progress (i.e., decrease in symptomology and intact functioning), the client’s lack of commitment to therapy, or symptoms are beyond the scope of available care. Termination can be a stressful time for clients; therefore, your clincian will assist you in processing your thoughts and feelings toward termination, discuss the next steps, and provide appropriate referrals if needed.
There are multiple definitions, explanations, and theories of executive functioning and there is no consensus of a single definition. From our experience and an easy way to think about executive functioning is imagining an orchestra conductor of all other orchestra conductors in the brain. It is the part of the brain that cues and directs how the brain works and processes information.
Executive functioning is located in the frontal lobe of the brain (the area right behind the forehead), and it takes about 20-something years to develop and fully mature. Our executive functioning helps not only with the organization but also assists in the managing of our emotions and our behaviors.
If you struggle with daily functioning such as keeping up with assignments and projects, decision-making, difficulty staying focused when required, then you might have vulnerability in your executive functioning. If you think or suspect you have an attentional disorder, such as attention-deficit/hyperactivity disorder (ADHD) then testing can help clarify your skills. Testing for executive functioning weaknesses should be completed as part of a full evaluation that looks at how you learn and think. Licensed psychologists and/or neuropsychologists can conduct the necessary evaluation to assess executive functioning.
Here are some signs and issues individuals struggle with when executive functioning is impaired:
We provide individualized and prescriptive organizational skills training to address an individual’s executive functioning. We start with an initial assessment (e.g., clinical interview and rating scales) to obtain a baseline and pinpoint the areas of need.
Each session consists of direct instruction on the identified executive functioning skill. Individuals will be tasked to practice the skills taught, discussed, and reviewed in sessions from week to week. Reflection and metacognition (awareness and understanding of one’s own thought processes) are important components of the training.
There are measures and tests that look at a wide range of executive skills.
Measures used to assess executive functioning:
Executive skills include:
Have you received previous evaluations and/or have Individualized Education Programs (IEP) and are not sure what should come next? Do not worry, our team will thoroughly review all the past reports and documentation. With permission, we will also contact current and past treatment providers and/or teachers. Once the information has been reviewed, we can discuss the next steps including a personalized evaluation and intervention plan. It is important to obtain an accurate diagnosis to be able to identify the most effective treatment.
Special Education and the IEP Process can be overwhelming and confusing. You recognize your child is struggling academically or socially and want the best possible plan to ensure academic success. You might ask yourself, “what is the difference between a 504 plan or an IEP?” We have years of experience working in NYC and NJ school systems so we understand the process. We can explain special education law and the IEP process in detail. Initially, we will review background information such as previous evaluations and IEPs. At times an updated evaluation or additional testing may be warranted after a review of records. Afterward, we will work with you to create a meeting strategy to prioritize the most effective classroom placement, supportive services, and accommodations for your child.
Has your child been referred for an evaluation to determine eligibility for special education but you are not in agreement? We offer independent (second opinion) educational evaluations (IEE) when necessary. The initial step is for our dedicated and experienced staff to review background information and previous evaluations. Then we create an individualized testing plan that addresses your concerns. Once testing is complete, we will create a plan to discuss educational placement, supportive services, and accommodations for your child. We also consult with other professionals such as occupational therapists, physical therapists, speech-language pathologists, psychiatrists, and neurologists.
Does your workplace need training on LGBTQIA+ related topics? Are you in need of a trainer/presenter at your school to discuss how staff can support LGBTQIA+ youth? We have expertise in providing training to different audiences on LGBTQIA+ topics. We have experience providing consulting services to school districts (e.g., administrators and teachers) and mental health practitioners (e.g., social workers). We believe it is important to provide supports in school and in the workplace for LGBTQIA+ individuals.
Read Dr. Michael Appelgren’s dissertation titled:
Although the terms are frequently used interchangeably, they are different. A service animal (e.g., dog) is trained to assist and guide a person with an identified disability that impairs one’s physical, intellectual, sensory, or mental functioning. Service animals help an individual with a disability perform everyday tasks, such as pressing the elevator button, altering the person to anger, picking up dropped items, and pulling a wheelchair.
An emotional support animal (ESA) provides relief to its owner as a result of having an emotional or mental disability and provides companionship and relieves loneliness. Under the Americans with Disabilities Act (ADA), an ESA encompasses animals from all species. It is important to note that over the years there has been an increase in emotional support animals (ESAs) on airplanes, in community settings, and in homes/apartments. Airlines and landlords beginning to tighten up the way they are coping with the increase of ESAs.
These are some of the common mental health disabilities that qualify an individual for an ESA:
The following are examples of some of the benefits of ESAs:
Possible risk of being granted an ESA would require a letter indicating the presence of a disability that becomes part of the individual’s clinical record. Questions about mental health disability can be asked about as qualifications in certain employment. In some states, the mental health evaluator is required by law to inform the state of a person’s mental health disability. Mental health disabilities can come up when seeking government security clearance and life and disability insurance. A finding of a mental health disability and not reporting it on certain applications may have serious consequences for the individual. Documentation of a mental health disability can become a factor in child custody cases.
First and foremost, legal and ethical considerations must be taken when providing an evaluation for ESAs. Regarding this point, mental health professionals must avoid entering into multiple relationships. If a client is already in therapy with a provider, then the clinician must consider their dual role of therapy provider and evaluator. A clinician must be able to identify any biases or other factors that might possibly interfere with the therapeutic relationship.
Second, the individual seeking the accommodation of an ESA must meet the criteria for a psychiatric disorder (e.g., anxiety, PTSD, depression) consistent with the Diagnostic and Statistical Manual- 5th Edition (DSM-5) and be assigned the disorder by a mental health professional. The individual must qualify as disabled based on a mental health condition and the presence of the animal must provide some relief of symptoms to the individual. A disability describes a psychological condition that substantially interferes with the individual’s ability to perform major life activities. It means the person requires the presence of the animal to function or remain psychologically stable, which is more than having a pet.
One of the limitations of the evaluation is the fact the assessment of the animal is beyond the scope of the evaluator’s skill set. Clients may consider assessing the animal’s temperament by obtaining documentation such as the Canine Good Citizen (CGC) test.
The evaluation process for an ESA may require multiple sessions.
Clinical Interview- A thorough and comprehensive interview will be conducted with one of our trained professionals in-person or virtually. The interview would include background history and mental health symptoms. Information will be gathered through direct interviews, as well as the use of multiple tools (e.g., surveys and rating scales). A review of previous records and collateral information is also part of this process. The evaluation also assesses the presence of malingering using objective measures (e.g. MCMI-IV, MMPI-2), how does the animal alleviate their owner’s symptoms, and how the animal responds in public settings and with others. The evaluation also includes observing the client and animal interact.