Yes. A neuropsychological evaluation can be requested through your primary care physician. Depending on your insurance and how your PCP writes it up, insurance may pay for a significant portion of it. You can also have components of it done by requesting an initial evaluation for special education through your local public school district. You would pay nothing additional for that. A school eval typically would include testing in the areas of suspected disability, which in this case you would identify as anxiety, social skills, handwriting/fine motor, and a possible learning disability in written expression. A decent school eval would then test him in the areas of cognitive ability, academics, social-emotional, and occupational therapy. A clinic-based neuropsychological would cover all of these areas except OT, but would likely have some additional assessments in executive functions and various specific cognitive processes. If cost is an issue, and your insurance doesn't approve or cover a private neuropsychological, the school eval can be a good place to start. You probably won't get in to see anyone in either place until the fall, though.

I would be concerned that he has a learning issue as well.


...pronounced like the long vowel and first letter of the alphabet...