Alzheimer's, ADHD, Autism, Brain Injury Treatment, Mood Disorders New Jersey: The NeuroCognitive and Behavioral Institute » Clinical Services

Clinical Services

Diagnostics & Treatments

The NeuroCognitive & Behavioral Institute’s (formerly The NeuroCognitive Institute) Pediatric track focuses on accurate diagnosis and effective and comprehensive treatments for patients and their family suffering various neurodevelopmental disorders. We have half and full-day specialized and comprehensive treatment programs for patients with attention deficit disorder, learning disabilities and autistic spectrum disorders. Most of our treatments are non-drug based and including individual and group psychotherapy, behavioral management, social skills training, cognitive rehabilitation including various neuromodulation interventions such as neurofeedback.

Similar to our pediatric track, our adolescent clinical team specializes in diagnosing and treating a variety of neurodevelopmental and neuropsychiatric disorders. This includes comprehensive adolescent programs for patients with obsessive compulsive disorder, Tourette’s syndrome, mood disorders and behavioral programs such as anger control difficulties. Both individual and group based treatments are offered at NCBI for our adolescent patients.

Our adult and geriatric tracks also focus on accurately diagnosing and treating cognitive impairment. One of our unique aspects is our ability to differentiate among the various neurodegenerative diseases that can cause cognitive deficits such as dementia. Our commitment to disease identification is critical for development effective treatments including exposing our patients to potentially disease modifying therapies within our clinical research division.

Over the past 20 years – we have learned how to get patients better. With the exception of some of the neurodegenerative dementia-producing diseases, we typically can improve cognitive functioning and reduce neuropsychiatric symptoms in 80% of the patients we serve. The average therapeutic gain is a 1 and 1/ 3 standard deviation improvement in functional outcome for the following disorders (based on meta-analytic data analysis from NCBI outpatient clinics from 2010-2015).

In addition to diagnosing and treating mood and behavioral disorders in children, adolescents, adults, and seniors, our team specializes in:

 

These are cortical disorders. Generally speaking, the cortex is made up of the frontal, temporal, parietal and occipital lobes. Impairment of the cortex can result in a variety of cognitive, behavioral and emotional disorders. Cortical dysfunction can be diagnosed and treated. We have eight locations in New Jersey staffed with caring experts ready to help. Please contact us to learn more or to schedule an appointment.

The NeuroCognitive & Behavioral Institute also offers the following clinical services:

Clinical Research
Functional Brain Mapping
Neurocognitive Rehabilitation
Neuromodulation
Brilliance on Demand
Medicolegal
Program Development

Clinical Research

Clinical research is a critical pathway in the development of new diagnostic tools and more effective clinical researchtreatments for patients. Historically, clinical research, which is sometimes referred to as clinical trials, has been conducted at academic medical centers. If your doctor was not affiliated with these centers and not aware of these trials, you, like most patients, would not have considered treatment options through a clinical trial. At NCBI, all of our patients are aware of and have access to clinical trials as a possible treatment option for their central nervous system related condition.

At The NeuroCognitive & Behavioral Institute, we have a newly renovated clinical research unit. Here, we study promising new diagnostic and treatment options with our patients and their family members. The clinical research unit is managed by Exodon, a leading clinical research organization. Our clinical research unit offers all the latest safety equipment and medications. Aside from clinical neuroscientists, the CRU is supervised by doctors and nurses trained in critical care and internal medicine. Our clinical research unit is an integral part of the comprehensive clinical services we offer to our patients with cognitive, neurobehavioral and neuropsychiatric disorders.

The NeuroCognitive & Behavioral Institute is currently enrolling volunteers for the following clinical trials.

Clinical Trials on Neuropsychiatric Disorders
Attenuation of Anxiety Symptoms by Neuromodulating Amygdala: A Proof-of-Concept and Intent-to-Treat Study

To learn more about these and other clinical research trials at NCBI – please call us at 973-601-0100. Please contact us to sign up for a service that matches your condition(s) or for new investigational treatments.

Medicolegal

Neuropsychological Assessment in Litigation
Neuropsychological testing fills the gap between traditional neurological and psychiatric exams by providing a Cognitive Enhancementcomprehensive and standardized examination of cortical, cognitive, emotional and behavioral functions. Neuropsychological testing is often the most sensitive diagnostic method of detecting and measuring brain injury.  Disruption of cortical functions, particularly higher cortical functions, is often the only indication of brain dysfunction. This sensitivity, makes neuropsychological testing a very valuable tool for the attorney who needs to show, quantify and document evidence of brain pathology; or alternatively, demonstrate normal brain functioning.

Other Advantages of Neuropsychological Assessment
Neuropsychological assessment is frequently used in legal settings  to help determine if patients are malingering or embellishing their cognitive and psychiatric symptoms. Over the last decade, the detection of malingering of cognitive dysfunction using neuropsychological tests has received more research and development than any other area of the neuropsychological examination.

What is neuropsychological testing?
Cortical functions regulate emotions and behaviors and are responsible for cognition. Neuropsychological testing is the only standardized method for assessing cortical functions in legal settings.  The neuropsychological exam, sometimes referred to as cortical or cognitive testing, typically picks up where the neurological exam ends. Although there is some overlap between the two exams, the emphasis of the neuropsychological evaluation is on cortical systems such as attention, language, learning and memory as well as executive system functions.

How is a neuropsychological exam different from a psychiatric exam?
A psychiatric exam is needed to diagnosis psychiatric disorders such as Post-Traumatic Stress Disorder and Schizophrenia and is not intended to diagnose neurocognitive and neurobehavioral syndromes such as Dysbulia, Dysexecutive Syndromes or Apraxia. Because psychiatric disorders, such as Major Depression, can also affect brain functions, a psychiatric exam is built into every neuropsychological evaluation.

How is a neuropsychological exam different from neuroimaging studies?
Neuroimaging studies such as CT and MRI scans of the brain are structural tests providing information about the integrity of the brain based on an assessment of brain tissue as oppose to brain functionality. Given this difference, neuroimaging tests results are very helpful and are incorporated by the clinical neuropsychologists to help interpret neuropsychological test results and aide in making a central nervous system (CNS) related diagnosis.

Why refer your clients for neuropsychological assessment at NCBI?
Experience and expertise. Our clinical neuropsychologists have an average of 15 years of post-residency experience completing competency to stand trial and forensic neuropsychological examinations. Often our neuropsychological test results and testimony have been the critical data relied upon to successfully settle several hundred litigation cases.

The NeuroCognitive & Behavioral Institute Medicolegal Services:

  • Forensic Neuropsychological Services
  • Competency to Stand Trial Evaluations
  • Differential Cognitive and Neuropsychiatric Diagnostic Exams
  • Consulting, Record Review and Report Writing
  • Independent Neuropsychological Exam

 

Medicolegal Publications by The NeuroCognitive & Behavioral Institute Staff:

QEEG Testing Can Discern Reason for Cognitive Disorder: Digital EEG Recordings of Brainwaves Can Determine TBI Etiology
By Gerald Tramontano Ph.D.

Realities: Mild Traumatic Brain Injury by Gerald Tramontano

Mild Traumatic Brain Injury Poses Different Set of Rules, Part I by Gerald Tramontano

Mild Traumatic Brain Injury Poses Different Set of Rules, Part II by Dr.Gerald Tramontano

Program Development
Aside from our own clinics, NCBI helps run inpatient and outpatient NeuroCognitive programs in general medical centers and rehabilitation hospitals. NCBI also provides clinical services to free standing outpatient practices that wish to expand the clinical interventions that they are able to offer to their patients.

The NeuroCognitive & Behavioral Institute offers development of the following programs:

“Hand in hand” with these, we also offer Unit Design consultation services designed to lower staff to patient ratio and lower costs.

To find out more, please contact us.

 


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