Would you rather read the transcript? Click here. Watch the YouTube video here. Welcome back to another electronic health record review episode, where I dive deep into the platforms shaping modern clinical practices. In this episode, I provide an in-depth walkthrough of My Best Practice, an electronic health record system designed specifically by a psychologist, Dr. Ryan Fuller. I evaluate this platform through the lens of a testing psychologist, exploring its usability, onboarding experience, p...
Jun 04, 2026•1 hr 2 min
Would you rather read the transcript? Click here. In this episode, I sit down with Dr. Wenn Lawson, an autistic researcher and author, to explore the foundational cognitive structures of autism that often go unrecognized by traditional diagnostic frameworks. We move beyond the surface-level criteria of the DSM-5-TR to discuss monotropism and how it drives core autistic experiences such as sensory processing, object permanence, and interoception. Dr. Lawson shares insights into the heavy toll of ...
Jun 01, 2026•1 hr 2 min
Would you rather read the transcript? Click here. In this episode, I share a review of evaluation reports from my own practice to identify the five most common writing mistakes that we’re making. Report writing is an ongoing, evolving process, and even experienced practitioners frequently fall into patterns that hinder readability and utility for clients, parents, and educators. By breaking down issues such as over-utilizing clinical jargon, structuring reports around specific test names rather ...
May 28, 2026•49 min
Would you rather read the transcript? Click here. I have had the pleasure of reading Dr. Tony Attwood’s work since the beginning of my career, and it was a distinct privilege to sit down with him to discuss his fifty-five years of clinical experience. We discuss the transition from early work to our current neurodevelopmental framework, highlighting the critical shift in recognizing the female autism phenotype. Dr. Attwood provides deep insight into the internal experience of camouflaging and ex...
May 25, 2026•1 hr 2 min
Would you rather read the transcript? Click here. I am so excited to share this conversation with Dr. Paul Beljan, a pediatric neuropsychologist who is doing incredible work pushing our field forward. This episode is a deep dive into why we need to move past the outdated discrepancy models of the 1990s and start looking at the actual neurology of how kids learn. Paul and I talk about the “learn and lose” phenomenon, why math disorders are so frequently missed in schools, and the critical role of...
May 18, 2026•1 hr 2 min
Would you rather read the transcript? Click here. Watch the video here. It was a pleasure to dive back into the world of electronic health records. Today, I’m exploring Healthie, a platform that has gained significant traction recently. This review is a blind walkthrough from the perspective of a testing practice that bills insurance, focusing on whether the platform’s robust feature set actually translates to a smooth clinical workflow. I cover the initial setup and interface, the depth of thir...
May 14, 2026•49 min
Would you rather read the transcript? Click here. I’m excited to share this conversation with Dr. Maelisa McCaffrey, a clinical psychologist and documentation expert who has been closely monitoring the rapid evolution of artificial intelligence in the mental health field. In this episode, we move beyond the surface level of AI as a simple productivity tool and dive deep into the ethical, clinical, and compliance-related nuances that every practitioner needs to understand. Maelisa provides a comp...
May 11, 2026•1 hr 2 min
Would you rather read the transcript? Click here. The landscape of mental health regulation shifted dramatically in March 2026 with the Supreme Court’s ruling in Chiles v. Salazar. In this episode, I break down why a Colorado case about conversion therapy has far-reaching consequences for every licensed professional, particularly those of us in the assessment world. We explore the court’s decision to reclassify “talk therapy” and diagnostic reporting as protected speech rather than mere professi...
May 07, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I sit down with Drs. Stephanie Nelson and Alison Wilkinson-Smith to address a persistent gap in the field of psychological assessment: the lack of a structured, evidence-based approach to supervision. We move beyond the traditional “osmosis” model of training to explore how supervisors can intentionally externalize their implicit expertise. Our conversation focuses on the SCOOP framework and the SWIRL model, providing a roadmap f...
May 04, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I examine the diagnostic paradox of autism masking and camouflaging, specifically focusing on how clinicians can identify autism when a client’s surface behavior appears neurotypical. I discuss the limitations of traditional observational tools like the ADOS-2 and explain how the DSM-5-TR provides a framework for recognizing compensation and historical symptoms. By looking at the cognitive mechanisms behind masking and the signif...
Apr 29, 2026•49 min
Would you rather read the transcript? Click here. It’s great to be back with you all as we continue this deep dive into the world of autism and neurodivergence. Today, we are tackling a topic that has really taken the clinical world by storm over the last several years, and that is the concept of camouflaging and masking. Honestly, this is one of those areas where the research is moving so fast it can be hard to keep up, but it is also deeply personal for so many of the folks we see in our offic...
Apr 20, 2026•49 min
Would you rather read the transcript? Click here. I’m back with the second part of our mini-series on autism. Today I’m really trying to parse out why we’re seeing such a gap in how often we diagnose males versus females. We’re also diving into the social communication paradox (how someone can look really skilled on the surface while still struggling with the same underlying neurological hurdles), and the way restricted interests look different when they’re focused on things like animals or art ...
Apr 13, 2026•49 min
Would you rather read the transcript? Click here. I’m coming at this episode as much as a parent as I am a psychologist or the co-founder of an AI company. After my own son got flagged by a teacher for potentially using AI on a writing assignment, I had a pretty humbling realization: I hadn’t actually taught him what responsible AI use looks like. Most of our kids (about 70% of teens) are already using these tools, but they’re doing it in a vacuum without much guidance from schools or home. In t...
Apr 09, 2026•49 min
Would you rather read the transcript? Click here. I remember being trained on the original ADOS back in grad school, and even though the ADOS-2 has been out for over a decade now, we are still constantly learning about where it shines and where it kind of falls short. In this episode, I’m digging into the actual numbers behind the instrument, from its 90% sensitivity to the much more complicated reality of its specificity, especially when we’re working with clinical populations like ADHD or anxi...
Apr 06, 2026•49 min
Would you rather read the transcript? Click here. I’ve been thinking a lot lately about how easy it is to let the “drift” happen in a testing practice. You start with these great clinical intentions and a solid business plan, but then a few months go by, the schedule gets packed, and suddenly you’re just trying to keep your head above water. This episode is really meant to be a 90 day reset to help us stop and look at the data before we get too far off track. I walk through a four part audit cov...
Mar 30, 2026•49 min
Would you rather read the transcript? Click here. Staying on top of the legal side of things is a huge pain, but we are at a point where keeping up with these digital shifts is just a core part of running a practice. In this episode, I’m walking through the 2026 HIPAA Security Rule updates and what they actually mean for you on a day-to-day basis. We’re moving away from the old “addressable” safeguards into a world where everything is mandatory, from multi-factor authentication to specific 72-ho...
Mar 27, 2026•49 min
Would you rather read the transcript? Click here. I’ve been thinking a lot lately about how much tele-assessment has changed since the early days of the pandemic, and we’re definitely moving past the “just trying to survive” phase into something a bit more rigorous. I wanted to sit down and look into where the research actually stands right now, especially when it comes to the “spatial problem” and why our tech setups might be accidentally measuring screen resolution instead of actual cognitive ...
Mar 26, 2026•49 min
Would you rather read the transcript? Click here. I’m diving back into a topic that I feel more strongly about every day, which is the intersection of professional burnout and the way we handle our documentation. Honestly, the research on clerical burden as a driver of exhaustion is pretty staggering, and in our field of assessment, it’s compounded by the fact that we’re writing these massive integrated narratives rather than simple chart notes. In this episode, I’m making a bit of an ethical pl...
Mar 25, 2026•49 min
Would you rather read the transcript? Click here. As we continue our exploration of modern assessment, I wanted to dive deep into the long-standing debate between digital and paper-based administration. While many of us have made the switch to platforms like Q-interactive, concerns about mode effects and statistical differences in scores remain a common point of anxiety. In this discussion, I review the robust research confirming cross-mode equivalence for most cognitive subtests, but I also hig...
Mar 24, 2026•49 min
Would you rather read the transcript? Click here. I am so excited to dive into one of the most requested topics we have ever had: making the transition from an insurance-based model to a private pay practice. Many of us feel a lot of trepidation about this shift, wondering why a family would ever choose to pay out of pocket for an evaluation they could technically get elsewhere for a copay. In this episode, I break down the consumer psychology behind high-stakes assessments and why parents are o...
Mar 22, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I break down the financial and operational logic behind transitioning from a solo assessment model to a technician-led model. Many psychologists hesitate to hire a psychometrist because technician CPT codes reimburse at a lower rate, but looking at the unit’s revenue alone misses the bigger picture of your effective hourly rate. I walk through the specific math of a 15-hour evaluation case to show how delegating the six hours of ...
Mar 21, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I break down the essential components of the “core stack” for psychological and neuropsychological testing billing. Many clinicians leave significant revenue on the table by skipping the diagnostic interview code or miscategorizing professional integration time as simple test administration. I explain the critical differences between the 60-minute professional work codes and the 30-minute administration codes, while highlighting ...
Mar 20, 2026•49 min
Would you rather read the transcript? Click here. I’ve found that many assessment clinicians struggle to set fees that actually support their lives and prevent burnout. In this episode, I break down a mathematical approach to setting your hourly rate by starting with your desired take-home pay and working backward. We explore how to account for the hidden administrative drag that often eats into our margins, the reality of overhead in testing practices, and why pricing your services correctly is...
Mar 19, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I dive deep into the modern evolution of neuropsychological and psychological report writing. We explore why the traditional model of listing scores and rote data is no longer effective for our primary audience: the clients and their families. I discuss the cognitive load placed on readers when we fail to synthesize information and introduce the clinical snapshot as a way to prioritize the most important findings on page one. We ...
Mar 13, 2026•49 min
Would you rather read the transcript? Click here. Clinical intuition is often little more than a coin flip when it comes to detecting suboptimal effort. We like to think we can spot a client who isn’t giving their best, but the data suggests otherwise. In this episode, I dive into the necessity of using objective performance validity indicators rather than relying on gut feelings. I discuss the prevalence of failure rates in adult ADHD evaluations, the difference between malingering and a cry fo...
Mar 12, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I dive into the evolving understanding of Cognitive Disengagement Syndrome (CDS), formerly known as sluggish cognitive tempo. I explain why we are moving away from the older terminology toward a label that more accurately describes the internal mechanisms of the brain. We explore the neurobiological differences between CDS and traditional ADHD, specifically looking at the posterior attention system and the default mode network. I...
Mar 10, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I dive into the neurobiology of testing fatigue and why it is much more than just a simple lack of energy. We explore how high-demand cognitive tasks lead to a measurable buildup of glutamate in the prefrontal cortex, essentially creating metabolic debris that forces the brain into a self-preservation mode. I discuss the specific hierarchy of cognitive decline, noting why executive functioning and fluid reasoning are the first to...
Mar 09, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I sit down with Jennifer Taylor, an expert therapeutic educational consultant, to demystify the niche world of out-of-home placements and residential treatment. We explore the critical emotional journey parents face when realizing their child needs a higher level of care and how psychologists can play a foundational role in that transition. Jennifer shares her personal “why” as a parent of children who required intensive support,...
Mar 05, 2026•1 hr 2 min
Would you rather read the transcript? Click here . In this episode, Dr. Jeremy Sharp shares a personal and professional deep dive into the opaque world of InterQual and prior authorization. After experiencing a near-total rejection rate of clinical prior authorization requests within his own practice, Dr. Sharp investigates the history, logic, and evidence—or lack thereof—behind the criteria that dictate medical necessity for neuropsychological services. He breaks down the “checkbox” workflow us...
Feb 19, 2026•49 min
Would you rather read the transcript? Click here. In this episode, I sit down with Sara Woods to challenge the traditional, deficit-heavy lens of autism diagnostics and explore what it means to practice in a truly neurodiversity-affirming way. We discuss the shift from seeing autism as a collection of clinical “problems” to recognizing it as a natural variation of the human brain that brings unique strengths, such as integrity, systemizing, and deep focus. Sara shares her research-backed insight...
Feb 16, 2026•49 min
