Search results for: traumatic-brain-injury-post-concussion

A Neuropsychosocial Investigation of Persistent Post concussion Symptoms After Mild Traumatic Brain Injury

Author : Stacey Lynn Ross
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Objectives: The majority of individuals who sustain a mild traumatic brain injury (mTBI) will experience a full recovery within the first weeks or months post-injury. However, some individuals will experience ongoing difficulties, or persistent post-concussion symptoms (PCS), for years following the injury. To date, most researchers have attributed PCS to either neuropathological factors or to psychogenic factors. Lacking exploration has been the role of psychosocial variables and the consideration of PCS from a more holistic, or 'whole person', perspective. As such, the goal of the current study was to undertake an investigation of persistent PCS using a broad, neuropsychosocial framework. Specifically, this was done by investigating how (a) cognitive functioning, (b) susceptibility to anxiety while in the context of a stressful situation (i.e., anxiety susceptibility), and (c) multiple components of identity (including self-perception, TBI- related self-concept, and TBI-related social identity) influence the severity of persistent PCS. The main underlying assertion to this research is that there are multiple factors that underlie the experience of persistent PCS; a purely neuropathological or psychogenic perspective is not sufficient to understand the complex processes inherent in recovery after mTBI. Method: The sample consisted of 21 adults, between 20 and 65 years of age, who had sustained an mTBI at least one year earlier. Following a telephone interview to determine eligibility (and a separate telephone interview with a source of collateral information) the participants completed a number of standardized neuropsychological measures and self- report questionnaires during an in-person, one-on-one data collection session. Results: The only injury-related or demographic variable that had an influence on PCS was injury etiology, whereby individuals with sports related injuries reported significantly less PCS than did those who sustained non-sports related injuries (e.g., motor vehicle accidents). Cognitive functioning had no influence on PCS severity, nor did anxiety susceptibility. However, one's general propensity to experience anxiety (i.e., trait anxiety) was a significant predictor of PCS. Further, multiple aspects of identity influenced PCS with both current self-perception and TBI-related social identity being significant predictors of self-reported PCS severity. Conclusions: Despite the failure to find any impact of neuropsychological factors on PCS in the current study, other lines of research have demonstrated neuropathological changes associated with mTBI - some of which may be chronic. Therefore, cognitive functioning may not be a sufficiently sensitive indicator of possible neuropathology at more than one year post-injury. On the other hand, the current study demonstrates that psychological and psychosocial factors are highly relevant to recovery and outcome following mTBI, and are significant predictors of PCS severity. Overall, the results support the assertion that recovery after mTBI is complex and that there are multiple factors that underlie persistent PCS. Further, the study demonstrates the importance of conceptualizing the process of recovery from a broad, neuropsychosocial perspective. Implications for treatment interventions and future research are discussed.

Overcoming Mild Traumatic Brain Injury and Post Concussion Symptoms

Author : Nigel S. King
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HIGHLY COMMENDED for the British Medical Awards book prize for Popular Medicine Up to 10% of people will suffer a mild head injury (or 'mild traumatic brain injury') in their lifetime and up to 50% of those people will also find they have lingering post-concussion symptoms in the months or years afterwards. These symptoms can include headaches, dizziness, fatigue, irritability, sleep disturbance, reduced day-to-day memory, poor concentration, taking longer to think, 'muzzy' headedness, depression, anxiety, tinnitus, blurred or double vision, sensitivity to light or noise, frustration, nausea, restlessness and sensitivity to alcohol. In such circumstances the 'mild' head injury may feel anything but mild. This is particularly so if large areas of your day to day life are affected. People in these circumstances can have their difficulties compounded by the very different explanations for their persisting difficulties. These usually involve receiving contradictory opinions about the extent to which ongoing symptoms are caused by neurological brain injury or other factors. These complicating factors can make it very difficult to find the right kind of service or expertise after a TBI. Patients can easily feel like they are being ''pushed from pillar to post" when trying to find services that can help with their problems. On top of all of this, there is a distinct lack of good, science- based information for patients about the best ways to manage PCS. It is therefore very common for those who experience prolonged difficulties to find their situation extremely confusing, frustrating and stressful. Dr Nigel King is an expert with much experience in this area, and has written a very valuable book weaving together the most useful knowledge in this area. It clarifies some of the complex issues for those who suffer with prolonged problems and provides practical, science-based self-help guidance for managing TBI difficulties. Using cognitive rehabilitation techniques and CBT approaches for the associated mental health complications of PCS, this much need book provides help, hope and understanding for what can be a highly disabling and misunderstood condition.

Impact of Traumatic Brain Injuries on Participation in Daily Life and Work Recent Research and Future directions

Author : Nada Andelic
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Brain Injury Medicine

Author : Nathan Zasler
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Covers the full continuum from early diagnosis and evaluation through rehabilitation, post-acute care, and community re-entry. Includes assessment and treatment, epidemiology, pathophysiology, neuroanatomy, neuroimaging, the neuroscientific basis for rehabilitation, ethical and medicolegal issues, life-care planning, and more.

Coping with Concussion and Mild Traumatic Brain Injury

Author : Diane Roberts Stoler Ed.D.
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A comprehensive guide for improving memory, focus, and quality of life in the aftermath of a concussion. Often presenting itself after a head trauma, concussion— or mild traumatic brain injury (mTBI)— can cause chronic migraines, depression, memory, and sleep problems that can last for years, referred to as post concussion syndrome (PCS). Neuropsychologist and concussion survivor Dr. Diane Roberts Stoler is the authority on all aspects of the recovery process. Coping with Concussion and Mild Traumatic Brain Injury is a lifeline for patients, parents, and other caregivers.

Post Concussion Syndrome

Author : William D. Boyd
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Post-Concussion Syndrome: An Evidence Based Approach surveys the research on this disorder. Most people recover completely following concussion, also known as mild traumatic brain injury, but some continue to have post-concussion syndrome symptoms for months or even years after the injury. This book explores the definition, genesis, assessment, diagnosis, recovery, and treatment of post-concussion syndrome.

Mild Traumatic Brain Injury and Postconcussion Syndrome

Author : Michael McCrea
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This is the first neuropsychology book to translate exciting findings from the recent explosion of research on sport-related concussion to the broader context of mild traumatic brain injury (MTBI) and post-concussive syndrome (PCS) in the general population. In addition, it includes a Continuing Education (CE) component administered by the American Academy of Clinical Neuropsychology. Traumatic brain injuries constitute a major global public health problem, but until now, MTBIs, which constitute up to 90 percent of all treated TBIs, have been difficult to evaluate and manage clinically because of the absence of a viable model. Dr. McCrea's book thus provides a welcome evidence base for all clinicians - including psychologists, neuropsychologists, neurologists, neurosurgeons, rehabilitation medicine physicians, physiatrists, and nurses - involved in the clinical diagnosis and treatment of MTBI, as well as attorneys involved in personal injury litigation and personal injury defense. Each section of the book ends with a helpful summary of the 'Top 10 Conclusions.' Instructions for earning AACN-administered CE credit are included.

Manual of Traumatic Brain Injury Management

Author : Felise S. Zollman, MD, FAAN, FAAMA
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Pocket-sized and portable, the Manual of Traumatic Brain Injury Management provides relevant clinical information in a succinct, readily accessible format. Expert authors drawn from the fields of rehabilitation medicine, neurology, neurosurgery, neurophysiology, physical and occupational therapy, and related areas cover the range of TBI, from concussion to severe injury. Organized to be consistent with the way TBI is managed, the book is divided into six sections and flows from initial injury through community living post-TBI, allowing clinicians to key in on specific topics quickly. Manual of Traumatic Brain Injury Management delivers the information you need to successfully manage the full spectrum of issues, medical complications, sequelae, and rehabilitation needs of patients who have sustained any level of brain injury. Features of Manual of Traumatic Brain Injury Management Include: Concise yet comprehensive: covers all aspects of TBI and its management A clinically-oriented, practical "how-to" manual, designed for rapid access to key information Organized to be consistent with the way TBI is managed Includes dedicated chapters on TBI in athletes and in military personnel. Internationally known contributors drawn from the leading TBI programs provide expert information

Mild Traumatic Brain Injury

Author : Dominic A. Carone, Ph.D.
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This authoritative volume is the first book specifically devoted to symptom validity assessment with individuals with a known or suspected history of mild traumatic brain injury (MTBI). It brings together leading experts in MTBI, symptom validity assessment, and malingering to provide a thorough and practical guide to the challenging task of assessing the validity of patient presentations after an MTBI. The book describes techniques that can drastically alter case conceptualization, treatment, and equitable allocation of resources. In addition to covering the most important symptom validity assessment methods, this timely volume provides guidance to clinicians on professional and research issues, and information on symptom validity testing in varied populations. The book covers MTBI assessment in such specific settings and populations as clinical, forensic, sports, children, gerontological, and military. It also addresses professional issues such as providing feedback to patients about symptom validity, ethical issues, and diagnostic schemas. Mild Traumatic Brain Injury will provide neuropsychologists, referring health care providers, courts, disability insurance companies, the military, and athletic teams/leagues with the in-depth, current information that is critical for the accurate and ethical evaluation of MTBI. Key Features: Provides in-depth, expert coverage of one of the most critical topics for clinical neuropsychologists Includes contributions from the leading authorities on both MTBI/post-concussive syndrome and malingering/symptom validity Covers assessment in such contexts as civil forensics, sports, military/veterans, and gerontological settings

Neuropsychiatry of Traumatic Brain Injury An Issue of Psychiatric Clinics of North America

Author : Ricardo Jorge
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It is widely recognized that neuropsychiatric disturbances contribute substantially to disability among persons with traumatic brain injury (TBI). This issue of Psychiatric Clinics addresses the most common and the most clinically challenging neuropsychiatric sequelae of TBI. The overarching aim of this publication is to provide clinicians with information about the clinical characteristics, diagnostic assessment, neurobiology and treatment of these conditions that will be useful in their work with individuals and families affected by TBI. Topics include: Posttraumatic Encephalopathy; Cognitive Disorders after TBI; Emotional and Behavioral Dyscontrol after TBI; Mood Disorders following TBI; Apathy following TBI; Psychotic Disorders following TBI; Sleep and Fatigue following TBI; TBI and Posttraumatic Stress Disorder; Neuropsychiatry of Persistent Post-concussive Symptoms; Psychiatric Disorders following Pediatric TBI.

Youth Sports Concussions An Issue of Physical Medicine and Rehabilitation Clinics E Book

Author : Stanley A. Herring
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Epidemiology of Sports Concussions, Pathophysiology of Concussion in Youth, On the Field Identification and Sideline Management of Concussion, Return to Play Decisions, Diagnosis of Concussion: The Role of Imaging Now and In Future, Use of Neuropsychological Examinations, Subacute Management of Concussion Related Symptoms, Long Term Consequences: Effects on Normal Development Profile After Concussion, School and the Concussed Youth, Community Response to Concussion: Legislative Updates, Best Practices in Concussion Education and Prevention Epidemiology of Sports Concussions, Pathophysiology of Concussion in Youth, On the Field Identification and Sideline Management of Concussion, Return to Play Decisions, Diagnosis of Concussion: The Role of Imaging Now and In Future, Use of Neuropsychological Examinations, Subacute Management of Concussion Related Symptoms, Long Term Consequences: Effects on Normal Development Profile After Concussion, School and the Concussed Youth, Community Response to Concussion: Legislative Updates, Best Practices in Concussion Education and Prevention

Secondary Headache An Issue of Neurologic Clinics

Author : Randolph W. Evans
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Secondary headaches account for about 10% of headaches and require meticulous diagnosis because of their life-threatening potential. The secondary headaches include a diverse and fascinating array of etiologies which can mimic primary headache disorders ranging from the rare to the mundane and from the well established to the highly controversial. This issue of Neurologic Clinics is devoted entirely to secondary headaches with topics that include: Headaches due to nasal and paranasal sinus disease; Headaches due to vascular disorders; Headaches and brain tumors; Low cerebrospinal fluid pressure syndromes; Painful ophthalmologic disorders and eye pain; Idiopathic intracranial hypertension (pseudotumor cerebri); Cough, exertional, and sex headaches; The neck and headaches; Drug-induced headaches; Trigeminal neuralgia and glossopharyngeal neuralgia; Headaches and vasculitis; Tonsilar ectopia and headaches; Post-traumatic headaches; Metabolic headaches; Temporomandibular joint disorders, bruxism, and headaches.

Traumatic Brain Injury

Author : Connie Goldsmith
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Two soccer players collide on the field. A soldier in Afghanistan is thrown to the ground during a bomb explosion. A teen has an accident while riding her bike--and she isn't wearing her helmet. Each of these incidents can produce a traumatic brain injury (TBI). Of the 1.7 million Americans officially diagnosed with TBI each year, 52,000 die from their injuries. And that doesn't count all the unreported TBIs, which experts estimate range from abouttwo to four million more incidents.TBIs range from concussions to penetrating head injuries to life-threatening brain swelling and coma. And they have countless causes: war, sports, car and motorcycle accidents, falls, and physical violence. The aftereffects can be devastating, including compromised memory and concentration, loss of hearing, physical disabilities, depression, brain disorders, and, in the worst-case scenario, death.Find out about the different types of TBIs, what causes them, and how they are diagnosed and treated. Along the way, you'll learn about National Hockey League player Derek Boogaard and U.S. Representative Gabby Giffords, both of whom sustained TBIs, with dramatically different outcomes. You'll also meet teens and young adults living with TBIs and the doctors who treat them. And you'll learn about amazing medical technologies that help victims recover and promise hope for the future.

Traumatic Brain Injury

Author : Jack W. Tsao
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Traumatic brain injury (TBI) is a major cause of disability worldwide. Each year 1.7 million new TBIs occur in the United States, and it is also considered a signature injury of the Iraq and Afghanistan conflicts. Despite the relatively high incidence-within both civilian and military populations-the diagnosis and treatment, particularly of mild TBI/concussion, remains an inexact science. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation is a concise guide designed for neurologists, primary care, and sports physicians and other medical providers, psychologists and neuropsychologists, and athletic trainers who may evaluate and care for patients with TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies. A superb contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation offers a well-designed, well-written, useful resource for all providers who treat patients with TBI.

Essentials of Physical Medicine and Rehabilitation E Book

Author : Walter R. Frontera
File Size : 71.65 MB
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From sore shoulders to spinal cord injuries, Essentials of Physical Medicine and Rehabilitation, 3rd Edition provides you with the knowledge you need to get your patients moving again. This practical and authoritative new edition delivers easy access to the latest advances in the diagnosis and management of musculoskeletal disorders and other common conditions requiring rehabilitation. Each topic is presented in a concise, focused, and well-illustrated format featuring a description of the condition, discussion of symptoms, examination findings, functional limitations, and diagnostic testing. An extensive treatment section covers initial therapies, rehabilitation interventions, procedures, and surgery. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Put concepts into practice. Practical, clinically relevant material facilitates the diagnosis and treatment of musculoskeletal, pain, and chronic disabling conditions. Develop a thorough, clinically relevant understanding of interventions such as physical agents and therapeutic exercise in the prevention, diagnosis, treatment, and rehabilitation of disorders that produce pain, impairment, and disability. Find answers fast thanks to a consistent chapter organization that delivers all the content you need in a logical, practical manner. Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome, and Neural Tube Defects. Stay current with expanded and updated coverage of diagnosis, management and rehabilitation of Cervical Dystonia, Suprascapular Neuropathy, Epicondylitis, Temporomandibular Joint Pain, Spinal Cord Injury, Stroke, Adhesive Capsulitis of the Hip, and Adductor Strain of the Hip. Glean the latest information on hot topics in the field such as cancer-related fatigue, polytrauma, and traumatic brain injury Efficiently and expertly implement new ICD-10 codes in a busy outpatient setting.

Neuropsychology for Health Care Professionals and Attorneys

Author : Robert J. Sbordone
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Regardless of your specialty - physician, psychologist, nurse, rehabilitation specialist, or attorney -post-traumatic stress disorder cases and brain injury cases are arguably the most difficult to understand, treat, and evaluate. All of the tools you need are in the new Neuropsychology for Health Care Professionals and Attorneys, Second Edition. It contains An easy-to-understand description of the neuroanatomy of the brain Four chapters devoted to neurobehavioral disorders such as amnesia, attentional deficits, delirium, dementia, disorders of executive functions of the brain, electrical injury, hypoxic encephalopathy, neurotoxic encephalopathy, learning disorders, post-traumatic stress disorders, mild traumatic brain injury (MTBI), post-concussive syndrome, seizure disorders, and others A detailed description of neuropsychological assessment, including a critique of approximately 80 neuropsychological tests: their intended use, purpose, administration, sensitivity to brain damage, reliability, validity, strengths, and limitations How factors such as medical illness, medication, psychiatric disorders, stress, anxiety, culture, language, suboptimal motivation, and pre-existing neurological disorders can alter test performance Ways to determine whether the neuropsychological test results are consistent with brain damage or due to non-neurological factors A discussion of how the use of test norms can result in the misdiagnosis of brain damage A critical review of actual neuropsychological reports A glossary of neuropsychological and neurological terms

Healing Stress in Military Families

Author : Lorie T. DeCarvalho
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Eight practical steps to help military families through the unique issues they face When service members return, it's up to their families to try to soften their re-entry into civilian life. Healing Stress in Military Families offers practical help for military families coping with the myriad repercussions of their loved ones' duties, from their deployment to their return home. Based on the latest scientific research and best practice guidelines—as well as the authors' experience treating veterans and their families—Healing Stress in Military Families offers answers for the stress that comes not only from war, but also from other related issues, including deployment and redeployment, relocation, and reunion. Healing Stress in Military Families provides: Evidence-based advice for clinicians helping military families with adjustment problems by facilitating communication, reconnection, and growth "Making It Real" exercises for clinicians to employ with families in sessions "Talking Points" that explore how to guide the family in their healing process Homework handouts and between-session "Taking Action" exercises for families that reinforce and build on skills and information introduced in sessions Compassionately written with the military family at heart, Healing Stress in Military Families provides the information, tools, and skills that will empower these courageous families to more easily heal and become stronger and more resilient as they go through life. "This practical workbook will help others understand the highly complex factors that cause dysfunction within military families. Using a clear format that avoids jargon, providers and families can work through the eight practical steps that focus on reconnecting the family and improving resiliency. This excellent book will surely become core material for anyone interested in working with military families." —Bradford Felker, MD, Director, Mental Health Primary Care Service, VA Puget Sound Health Care System and Associate Professor, Department of Psychiatry, University of Washington School of Medicine "Healing Stress in Military Families: Eight Steps to Wellness is a timely, practical publication that recognizes and addresses the impact of traumatic stress on countless 'hidden victims,' our military families. The focus on empowerment and goal-directedness—versus illness, disorder and dysfunction—is so needed today." —Mark D. Lerner, PhD, President, American Academy of Experts in Traumatic Stress

Neuropsychological Practice with Veterans

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"In Neuropsychological Practice with Veterans, Bush endeavors to compile a comprehensive account of how neuropsychological research, assessment, and treatment of veterans are impacted by military status. He succeeds brilliantly with this undertaking...[T]his is an essential text for those working with active duty service members and veterans, and is highly recommended to all those seeking new perspectives."--Journal of the International Neuropsychological Society "In Neuropsychological Practice with Veterans, Dr. Shane S. Bush provides a multifaceted overview of neuropsychological assessments and treatments associated with war veterans who have suffered from traumatic brain injury (TBI) during their service."--Somatic Psychotherapy Today Traumatic brain injury (TBI), afflicting approximately one third of injured veterans returning from duty in Iraq and Afghanistan, is considered the signature injury in these conflicts. In addition to TBI, symptoms of posttraumatic stress disorder (PTSD) and major depression often afflict these veterans and contribute to neurological symptoms. This is the first volume to provide a comprehensive overview of neuropsychologically grounded assessment, treatment, training, and trends for clinicians who work with this population. Encompassing the writings of clinicians and researchers experienced in working with the Veterans Administration (VA) population, the book is grounded in an understanding of the unique culture of the veteran with its specialized service delivery methods and procedures. In addition to its focus on veterans with TBI, the text also addresses the assessment and treatment of aging veterans of previous military conflicts and of combat and non-combat veterans with neurological and emotional problems related to aging, substance abuse, HIV/hepatitis, psychiatric disorders, and other problems. Key Features: Addresses the growing need for neuropsychological assessment and treatment of returning veterans as well as aging veterans of earlier conflicts Focuses on traumatic brain injury, posttraumatic stress disorder, and major depression Discusses assessment of malingering (faking); benefits, pension, return-to-work evaluations; polytrauma management; and training concerns Written by clinicians and researchers experienced in working with veterans Edited by a neuropsychology specialist who is well known in the VA community

Gender Differences in Psychosocial Adjustment Post mild Traumatic Brain Injury

Author : Abby Danielle Howard
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The Little Black Book of Neuropsychology

Author : Mike R. Schoenberg
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From translating the patient’s medical records and test results to providing recommendations, the neuropsychological evaluation incorporates the science and practice of neuropsychology, neurology, and psychological sciences. The Little Black Book of Neuropsychology brings the practice and study of neuropsychology into concise step-by-step focus—without skimping on scientific quality. This one-of-a-kind assessment reference complements standard textbooks by outlining signs, symptoms, and complaints according to neuropsychological domain (such as memory, language, or executive function), with descriptions of possible deficits involved, inpatient and outpatient assessment methods, and possible etiologies. Additional chapters offer a more traditional approach to evaluation, discussing specific neurological disorders and diseases in terms of their clinical features, neuroanatomical correlates, and assessment and treatment considerations. Chapters in psychometrics provide for initial understanding of brain-behavior interpretation as well as more advanced principals for neuropsychology practice including new diagnostic concepts and analysis of change in performance over time. For the trainee, beginning clinician or seasoned expert, this user-friendly presentation incorporating ‘quick reference guides’ throughout which will add to the practice armentarium of beginning and seasoned clinicians alike. Key features of The Black Book of Neuropsychology: Concise framework for understanding the neuropsychological referral. Symptoms/syndromes presented in a handy outline format, with dozens of charts and tables. Review of basic neurobehavioral examination procedure. Attention to professional issues, including advances in psychometrics and diagnoses, including tables for reliable change for many commonly used tests. Special “Writing Reports like You Mean It” section and guidelines for answering referral questions. Includes appendices of practical information, including neuropsychological formulary. The Little Black Book of Neuropsychology is an indispensable resource for the range of practitioners and scientists interested in brain-behavior relationships. Particular emphasis is provided for trainees in neuropsychology and neuropsychologists. However, the easy to use format and concise presentation is likely to be of particular value to interns, residents, and fellows studying neurology, neurological surgery, psychiatry, and nurses. Finally, teachers of neuropsychological and neurological assessment may also find this book useful as a classroom text. "There is no other book in the field that covers the scope of material that is inside this comprehensive text. The work might be best summed up as being a clinical neuropsychology postdoctoral residency in a book, with the most up to date information available, so that it is also an indispensible book for practicing neuropsychologists in addition to students and residents...There is really no book like this available today. It skillfully brings together the most important foundationsof clinical neuropsychology with the 'nuts and bolts' of every facet of assessment. It also reminds the more weathered neuropsychologists among us of the essential value of neuropsychological assessment...the impact of the disease on the patient’s cognitive functioning and behavior may only be objectively quantified through a neuropsychological assessment." Arch Clin Neuropsychol (2011) first published online June 13, 2011 Read the full review acn.oxfordjournals.org