Thanks Deedee.  We do have a children's hospital nearby, and they have one neuropsychologist.  I just don't know much about her.  There's also another neuropsych nearby, who appears to be pretty good on paper, but I don't know anyone who can give me a recommendation.  Even our developmental-behavioral pediatrician doesn't have anyone she specifically recommends. I'd definitely prefer not to go traveling all over the country!  We just need answers, and I want ds to finally get the help he needs. I feel like everything we try is like a shot in the dark. Your post helps me to feel better about our local options.  Thank you.