Providing timely and effective neuropsychological services. Find out how a consultation or evaluation may benefit you or your clients.
Neuropsychological assessment is the most accurate method of identifying cognitive dysfunction. One cannot evaluate a person’s complaints of memory loss, for example, without testing memory. The approach used by Edelson Forensics entails a review of medical records, a thorough interview, an extensive battery of tests, rigorous data analysis, and production of a comprehensive report. The practice is unique in that two psychologists are always involved in the assessment.
With adult evaluations, those psychologists are Richard I. Edelson, Ph.D., ABN, and Donna Smith, M.A., LPP. Ms. Smith has worked with him in forensics and patient care for more than 30 years, and is licensed to practice independently. With child cases, doctoral pediatric psychologists work with Dr. Edelson. Both clinicians contribute to all evaluations and reports, which are tailored to answer the attorney’s specific questions. They are neither formulaic nor written in language difficult for lawyers and juries to understand. Depositions and courtroom testimony, if requested, are based on the comprehensive reports, as well as observations from interactions during the assessment.
Referrals for independent medical examinations (IME’s), record review, and/or consultation have come from plaintiffs' and defense attorneys, insurance companies, and case managers in worker's compensation situations. Reports have focused on the possibility of damage to the brain, or comparison of evaluations of the same individual by different psychologists or psychiatrists and explaining what may be conflicting results. Dr. Edelson also advises the courts regarding disability determination and financial and testamentary capacity.
When legal issues involve the presence of brain or emotional injury, and their causes, forensic neuropsychological examinations are requested. In these situations, medical records are reviewed as part of the evaluation. Testing is more lengthy than in a typical clinical/medical case, and includes symptom validity (i.e., malingering) tests, cognitive tasks, as well as more measures of emotional distress. Reports provide opinions regarding causation, location of brain impairment (if present), and explanations of the effects of cognitive and psychological dysfunction on the examinee. Assessments can include MRI scans, if requested or thought to be beneficial for diagnostic purposes.
At times legal requests involve emotional damage, without any identifiable brain lesion or impairment, as in PTSD, for example. Forensic psychological examinations include record review, a lengthy interview, and measures of affective distress, with conclusions based on the results of the extensive battery of standardized and normed tests, not just the psychologists’ opinions. Symptom validity is assessed in these instances as well.
Attorneys are often confronted with neuropsychological evaluations that are difficult to understand, or which conflict with other medical or psychiatric findings and opinions in the course of treatment. Record reviews in these situations may provide explanation of the varied results, and reasons for the conflicts, or flaws in the evaluation process and/or the conclusions drawn from them. Suggestions may follow for further testing or treatment, or referral to other specialists, if deemed beneficial. At times help has been requested in developing questions to ask other mental health experts during depositions.
Independent medical evaluations typically involve the determination of severity of illness and whether it affects thinking, emotional functioning, degree of causation between the subject trauma and the overall clinical status of the patient, and most importantly, ability to return to work after some type of injury. These referrals most often come from insurance companies or workers compensation case managers.
Dr. Edelson graduated with High Honors and High Distinction from the University of Illinois in Urbana-Champaign. He earned a BA in Psychology, and was elected to Phi Beta Kappa. Dr. Edelson has an M.Ed. in Special Education from Illinois State University, with a focus in Mental Retardation, and an M.A. and Ph.D. in Clinical Psychology from the University of Illinois. He completed a clinical internship at the VA Medical Center in Portland, Oregon, where he trained under the guidance of Muriel Lezak, Ph.D., a world-renowned neuropsychologist. Dr. Edelson then worked at the VA Medical Center in Louisville as a Medical Neuropsychologist, until beginning full-time private practice at Edelson & Associates in 1980.
He has been a Diplomate and Fellow of the American Board of Professional Neuropsychology since 1991, and is one of only a few Board-Certified Neuropsychologists in Kentucky. This allows him to testify as an “expert” without undue challenge to his credentials. Graduate students from the University of Louisville and Spalding University were trained in Neuropsychology by him and his staff for decades. Dr. Edelson testified as a Medical Expert for the Social Security Administration for many years, was on the Board of Directors of the Alzheimer's Association, and has maintained privileges at several hospitals in the greater Louisville area for decades. Dr. Edelson is also a participating member of the following neuropsychological organizations: National Academy of Neuropsychology, American Academy of Clinical Neuropsychology, International Neuropsychological Society, and the American Psychological Association (Division 40).
Clinically, Dr. Edelson specializes in assessment of brain illness and injury. Common diagnostic issues include Alzheimer's, Parkinson's, Traumatic Brain Injury, Multiple Sclerosis, and Stroke. He has evaluated patients with chronic pain and work-related injuries for most of his career. Other psychologists meet with him regularly for consultation on cases and discussion of new clinical information.
Dr. Edelson started his career as a medical psychologist. Because he treated patients who were dealing with pain, head injuries, and other problems that at times crossed into the legal realm, he began to work with attorneys, who sought his opinion regarding their clients’ psychological issues. He realized that he enjoyed the interactions with attorneys; the challenges of preparing cases for court; and testifying about the complex causes, prognoses, and interactions between medical, neurological, and emotional difficulties when required.
Dr. Edelson has utilized an objective, strategic approach to forensic work over the more than 30 years he has been involved with the legal field, and attributes this to the reason so many attorneys have relied on his expertise. He lectures, consults, and testifies on neuropsychological issues involving brain damage, and its causes and effects. Included in areas of assessment and discussion in reports are issues such as the presence and extent of cognitive damage, emotional consequences of injuries (such as anxiety, depression, or PTSD); prognosis for recovery, including any likely future impairments; distinguishing the identifiable results of trauma from other contributing historical, behavioral or anatomical factors; potential to return to work; and ratings for disability purposes (short-term, long-term, or Social Security).
7511 New La Grange Rd, Louisville, Kentucky 40222
Phone: (502) 438-9279 Secondary: (502) 423-1151
Mon | 09:00 am – 05:00 pm | |
Tue | 09:00 am – 05:00 pm | |
Wed | 09:00 am – 05:00 pm | |
Thu | 09:00 am – 05:00 pm | |
Fri | 09:00 am – 05:00 pm | |
Sat | Closed | |
Sun | Closed |
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