Dr. Kathleen Sandal-Miller, Licensed Psychologist

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PSYCHOLOGICAL TESTING AND DIAGNOSIS

Sophisticated psychological testing to aid in the diagnosis and monitoring of treatment. Administered by a licensed psychologist with a doctorate and specialized training.
Introduction
According to MHS, a leading company in the testing field, clinical assessment tools cover the spectrum of mental disorders and aid in the identification and treatment management process. They can also play a role in drug dosing and selection. Well-researched assessment tools are available in areas such as depression, anxiety, adult ADHD, neuro-psychology and memory, anger, post-traumatic stress, schizophrenia, marriage and family relationships, social phobias, and coping strategies. DSM-IV (the accepted classification for mental health diagnosis) assessments are combined with treatment outcome measures.

Tools are cost-effective ways to expedite diagnosis and treatment while maintaining systematic documentation.

Psychological tests assess and evaluate information that you provide to the examiner, which is why the formal name of psychological testing is psychological assessment. You give this information either in the form of answers to interview questions or as answers on paper or on a computer, to specific questions. Ultimately, a test's accuracy depends on how carefully and seriously you answer the questions you are asked.


 
Kinds of Psychological Tests

Achievement and aptitude tests--are usually seen in educational or employment settings, and they attempt to measure either how much you know about a certain topic (i.e., your achieved knowledge), such as mathematics or spelling, or how much of a capacity you have (i.e., your aptitude) to master material in a particular area, such as mechanical relationships.

Intelligence tests-- attempt to measure your your basic ability to understand the world around you, assimilate its functioning, and apply this knowledge to enhance the quality of your life. Intelligence is a measure of a potential, not a measure of what you've learned (as in an achievement test). It is supposed to be independent of culture.

Neuropsychological tests--attempt to measure deficits in cognitive functioning (i.e., your ability to think, speak, reason, etc.) that may result from some sort of brain damage, such as a stroke or a brain injury.

Occupational tests --attempt to match your interests with the interests of persons in known careers. The logic here is that if the things that interest you in life match up with, say, the things that interest most school teachers, then you might make a good school teacher yourself.

Personality tests-- attempt to measure your basic personality style and are most used in research or forensic settings to help with clinical diagnoses. Two of the most well-known personality tests are:

o the Minnesota Multiphasic Personality Inventory (MMPI), or the revised MMPI-2, composed of several hundred yes or no questions, and 

o The Rorschach (the inkblot test), composed of several cards of inkblots you simply give a description of the images and feelings you experience in looking at the blots.

Specific clinical tests--attempt to measure specific clinical matters, such as your current level of anxiety or depression.

Psychological tests are usually administered and interpreted by a licensed psychologist because studies in psychopathology, along with academic courses and supervision in psychological testing, are an integral part of the doctoral degree in clinical psychology. A counselor who has had the appropriate academic courses and supervision may administer certain occupational tests or achievement and aptitude tests, but most counselors have not received the training to administer personality tests. Academic courses and supervision in psychological testing are usually not part of a psychiatrist's medical training, so most psychiatrists can ethically administer only specific clinical tests that are a straight-forward check-list of symptoms.

The rise of the Internet, ethical breaches and economic motivations has led to certain individuals offering to do all kinds of psychological testing even when they lack the professional training to administer and interpret such tests. Insist that the person administering the test is a licensed psychologist with a doctorate degree from an accredited university. Resist tests administered by psychological "assistants", "registered" psychologists or student interns, particularly if a licensed psychologist is only rubber stamping the interpretations.



 
 
 
The Future of Diagnosis, Testing, Treatment

Three mega-trends are converging to transform the practice of psychology and mental health. This includes:

1. Advanced Neuro-Imagery of the Brain
Recent advances in computerized imagery including PET and fMRI allows not only the structure, but also the process of the brain to be analyzed. At present this diagnosis more precise in areas such as trauma, epilepsy, and dementia. Further research will likely lead to breakthroughs in the use of imaging technology as a feedback device to perform treatments in real-time.
It may well be that neuro-feedback of electrical signals from the brain will have as much or more significance for therapy.

2. Genetic Analysis and Treatment of Metabolism and Psychological Predispositons

During the past decade the delineation of the human genome has positioned medicine and psychology to use the tools of genetics, proteins, metabolism and other dimensions to not only be analyzed but also possibly treated at the genetic level. This will reduce the need for therapies with highly variable and questionable outcomes to be performed with greater scientific precision.

3. Nutraceutical and advanced drug treatments,
Beginning in the 1970s, the pharmaceutical industry synthesized chemical drugs which alleviated many of the most severe symptoms in mental health and advanced the potential for treatment. This allowed the abandonment of barbaric treatments of the past such as lobotomies and the warehousing of the mentally ill. Further advances in chemically determined substances, not only for drugs, but also natural substances such as food and nutraceuticals offer the potential for treatment of many conditions heretofore resistant to traditional therapy with fewer side effects.

Conclusion
There is reason to believe that advances in the next 20 to 30 years will eclipse the previous two centuries leading up to today's methods for diagnosis and treatment. Two things are clear: There will continue to be a great need for licensed psychologists to plan and coordinate diagnosis and treatment amongst the many specialists. Second, severe conditions will require advanced training rather than the more casual treatment modalities prevalent in some psychotherapy today. As important, the rise of advanced technology will create an even greater need for "high-touch" therapies to help clients navigate a health system that will be increasingly expensive, subject to change, and able to harm when misapplied.






 
 
 

Parker Office: 19755 East Pikes Peak Ave., Suite 202 (In Victorian Park) Parker, CO 80138

303-841-0529 for Voice Messages

E-Mail: drkathleen@drsandal-miller.com   Website: http://www.drsandal-miller.com

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