Child Cognitive Assessment
A cognitive assessment is a test that measures thinking abilities like memory, language, reasoning, perception, and processing speed. A cognitive assessment can help to identify strengths and difficulties, including learning difficulties like dyslexia and dyscalculia, and learning disability.
Child Cognitive Assessment Process
-
We will respond to your initial enquiry with an email to introduce ourselves and let you know more about what we offer including costs and timescales. We find that people prefer to have this information straight away. If you would like to speak to us we are very happy to give you a call to discuss what you are seeking help with and whether we might be a good fit. We can talk you through our processes, costs and timescales, as well as any other information you might need to help you make a decision about whether to work with us.
-
We will contact your child’s school to find out about your child's attainment and behaviour, and to discuss whether school have any concerns.
-
Our first meeting will take place either in person or on Teams, without your child. We will complete what we call a developmental history - a detailed review of your child's background and history, and their current difficulties.
-
During the next appointment we will see your child in person at our clinic. We will complete the Wechsler Intelligence Scale for Children Fifth Edition (WISC-V) and the Wechsler Individual Achievement Test - Third UK Edition (WIAT-III). This assessment can be completed over more than 1 session if neeed.
-
After the assessment appointments we can discuss how you would like to receive feedback. Some parents understandably want to hear the outcome of the assessment as soon as possible, and so brief feedback can be given over the phone before the report has been prepared. Sometimes parents might like to wait to receive the report so that they can read through the whole assessment, findings and recommendations. The draft report will be ready 2-3 weeks after the final assessment appointment.
Once the report has been received a feedback appointment can take place to review the report together, including recommendations.
If further support is desired we can discuss consultation or post-diagnostic work.
-
Post-diagnostic support or consultation sessions are available in a range of formats and might include the following:
- liaison with school or college to discuss reasonable adjustments
- post-diagnostic support to increase understanding and discuss helpful strategies to support and manage your child’s diagnosis or profile of strengths and difficulties
- sessions with a loved one or people in support roles to increase understanding and discuss helpful strategies
Post-diagnostic support and consultation sessions are additional services charged at £130 per session.
Cognitive Assessment FAQs
-
All children have strengths and weaknesses when it comes to learning - some children find language-based learning (reading, spelling, writing) easier than number-based learning (maths, science), and vice versa. The term 'learning difference' is a broad term which refers to differences in the way a person learns which may cause them difficulties. These difficulties can be in a range of different areas, for example understanding of language or numbers, memory, processing speed, spelling, and many more. Some learning differences can cause difficulties in achieving well at school. If these difficulties are not recognised and supported a child may struggle to reach their potential in school, and there can be a wider impact on the child's self-esteem and confidence. There are different types of learning difference and the terminology around these difficulties can be confusing.
-
A Specific Learning Difficulty (SpLD) is a neurodevelopmental condition which affects how a person understands, learns and processes different types of information. A learning difficulty does not affect overall IQ. The following are as defined as specific learning difficulties:
Dyslexia - difficulties with reading, writing and spelling
Dyscalculia - difficulty understanding numbers
Dysgraphia - difficulties with written handwriting and written expression
Developmental coordination disorder (Dyspraxia) - a difficulty with physical coordination
-
A learning disability is a defined as a reduced ability to learn and understand new information, and manage independently with activities of daily living. This means that a person's intellectual ability (ability to learn) and adaptive functioning (daily living skills) are far below average. All people with a learning disability have strengths and weaknesses, however their global ability (abilities across all areas of functioning) is far below average. A learning disability is lifelong. The diagnostic criteria for a learning disability are:
Lower intellectual ability (usually an IQ of less than 70)
Significant impairment of social or adaptive functioning
Onset in childhood
-
Before the assessment:
We will have a conversation about your child's background, medical history, current concerns, education, the things they are good at and areas in which they struggle more, and any particular difficulties you have noticed.
During the assessment:
Your child will be guided through various tasks. These will appear to your child to be like puzzles and games, which include:
Memory Tests
Remembering lists of words or stories, then recalling them later
Remembering patterns or locations on a screen
Attention & Concentration
Repeating number sequences
Problem-Solving & Reasoning
Solving puzzles or logic problems
Completing patterns or analogies
Language Skills
Naming pictures or objects
Describing what different words mean
Understanding spoken or written information.
Visual-Spatial Skills
Copying drawings or arranging blocks to match a design.
Processing Speed
Doing simple tasks quickly, like matching symbols or numbers.
Academic Skills
Reading at word level
Reading comprehension (understanding longer passages of text_
Writing
Spelling
Listening
Maths (sums) and maths problem solving
Oral expression (speaking
A cognitive assessment is not like a school test—there’s no 'pass' or 'fail', just a profile of how your child's brain is working and their strengths and areas they struggle more with.
-
We pride ourselves on offering a fully face to face, in-person assessment process. We can also offer some appointments on Teams, if this is your preference.
-
Assessments are done at your pace and we do not specify a certain number of sessions. Sometimes, for lots of reasons, an assessment needs to be done quickly (for example for an EHCP application or appeal). Sometimes an assessment needs to be taken more slowly, possibly because your child feels worried about the process or because you are juggling lots of competing demands. As a rough guide, cognitive assessments generally consist of 3 or 4 appointments - the developmental history can be done in 1 appointment, then 1 or 2 appointments for the assessments, and 1 appointment for feedback. If the assessment needs to be done over more than 3 or 4 sessions there is no additional charge for this.
From the first assessment appointment to receiving feedback and the final report is usually less than 4 weeks.
-
At the moment we can offer assessments beginning within 4 weeks of your initial enquiry. Once the assessment begins (the first assessment appointment) it should be complete (feedback and final report) within 4 weeks.
-
The support that a person with a learning difficulty or learning disability would benefit from depends on their individual profile of strengths and weaknesses and their context. A cognitive assessment will provide information about strengths and difficulties and recommendations are tailored to this profile. Recommendations can be shared with school or college.
-
If a cognitive assessment is needed as part of an EHCP application we can help. Please mention this when making contact.