Dr.Kay Tanaka
Licensed Clinical Psychologist (PSY18375)
South County Office
23461 South Pointe Dr. #190
Laguna Hills, CA 92653

Phone/Fax  (949)334-3987
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Psychological Testing

Psychological tests can offer valuable information for children struggling with school, social, and/or behavioral problems.  Psychological tests are standardized measures of mental functioning used to assess various abilities and attributes, such as cognitive ability, academic achievement, personality, and neuropsychological functioning. 

For many children, psychological tests may be used as a tool in tracking cognitive/intellectual development, and in identifying possible learning disability, developmental delay, or giftedness.   Psychological testing helps identify the child’s strengths and weaknesses and can serve as a road map of how to best assist the child in improving his/her academic work and social/emotional functioning.   

Purpose of psychological testing

·         Attention Deficit/Hyperactivity Disorder (ADHD) Diagnosis and Screening  

·         Learning Disability (LD) Screening

·         Giftedness Screening

·         Identify possibilities of other psychological issues that can mimic as, or can be associated with ADHD and/or LD

o   Depression

o   Anxiety

o   Oppositional Defiant Disorder /Conduct disorder

o   Developmental delay and/or pervasive developmental disorders

·         Provide guidance and directions to best help the child

Types of Tests Offered

 

Please note that all areas must be included in the testing for results to be meaningful. 

 Intelligence (Cognitive abilities) Test

 The Wide Range Intelligence Test (WRIT) is a test of cognitive functioning.  It consists of two components and four subscales:

  • Verbal IQ (crystallized intelligence) that has Verbal Analogies and Vocabulary subscales

  • Visual IQ (fluid intelligence) that has Matrices and Diamonds subscales.

 

Academic Achievement Test

The Wide Range Achievement Test (WRAT-4) is a standard achievement test. 

Word Reading measures letter and word decoding through letter identification and word recognition. 

  • Sentence Comprehension measures an individual's ability to gain meaning from words and to comprehend ideas and information contained in sentences through the use of a modified cloze technique.  

  • Spelling measures an individual's ability to encode sounds into written form through the use of a dictated spelling format containing both letters and words. 

  • Math Computation measures an individual's ability to perform basic mathematics computations through counting, identifying numbers, solving simple oral problems, and calculating written mathematics problems. 

  • Reading Composite is obtained by combining the Word Reading and Sentence Comprehension standard scores.  It is used as a comprehensive measure of reading achievement. 

Behavioral Rating Scales

The Conners’ Rating Scale is a behavioral questionnaire completed by the parent, teacher, and the child (ages 11 and up).  It assists in the assessment of cognitive difficulties, conduct, and emotional problems, attention deficit disorder, and hyperactivity. 

 

Projective Tests

The Draw-A-Person test (DAP) uses figure drawings in a projective way, focusing on how the drawings reflect the anxieties, impulses, self-esteem, and personality of the child.  The DAP is the most frequently used figure drawing test today.

The Kinetic Family Drawing technique (KFD) requires the child to draw a picture of his/her family, including him/herself, "doing something."  The drawing is meant to elicit the child's attitudes toward his or her family and the overall family dynamics. 

 

 Diagnostic Interview with parents and child

Both the parent and the child are interviewed.  In most cases, both the parent and the child are interviewed together to gather pertinent information, such as developmental history, medical history, and background family information.  This is done during the initial intake.  During the testing session, the child is interviewed individually.  Parents are also asked to complete developmental questionnaire. 

 

Process of Psychological Testing

 

1.      Intake Interview

 The purpose of intake interview is to get a history, to obtain and review available records, and to answer any questions and concerns from parents. 

2.      Psychological Testing Session

Because of the comprehensive nature of the psychological assessment, the testing session can take 3 to 4 hours. 

3.      Feedback Session

A copy of the report will be provided to the parents.  The purpose of the feedback session is to assist parents in thoroughly understanding the test results, interpretation, the child’s strengths and weaknesses, and most importantly, the recommendations. Please remember that psychological test results are a “snapshot” of the child’s functioning and performance at the moment.  Mental abilities can be affected by transient factors such as anxiety, fatigue, and oppositionality.  Although test scores provide clues as to the child’s current functioning, scores often change with appropriate intervention

4.      Test Report

Test reports are typically 6 to 10 pages in length, depending on the complexity of the child’s problems.  Parents are highly encouraged to double-check for misinformation in the history.  All reports are written in English.  A Japanese translation of the test report may be requested for a fee. 

Costs and Insurance

Psychological assessment fee is billed hourly at $150.00/hour.  Typical psychological assessment, from start finish, takes about 12 hours, costing approximately $1800.00.  This includes initial intake session, testing sessions, test interpretation, report write-up and preparation, and feedback session.  The fee for the first hour ($150.00) is due on the day of the initial intake.  On the day of the first testing session, 50% of the expected testing fee ($900.00) is due.  On the day of the feedback session, the remainder of the fee is due.         

Although psychological assessment is often not covered by health insurance, some insurance companies offer limited hours of psychological testing.  Hours covered by the insurance will be billed to the insurance company, but you will be responsible for co-payment per session if it is applicable.  For instance, if your insurance covers 4 hours of psychological testing, and assessment takes 12 hours, you will be expected cover 8 hours of services, plus the co-payment for those 4 hours of session (if your copayment is $20/session, you need to pay $80 of co-payment).  If the insurance company denies the claim, you will be billed for the balance.    Initial intake session and feedback session can be considered regular office visits and insurance may be applied.