Neuropsychology: Expert Evaluation and Compassionate Care
Compassionate, patient-centered care for individuals & families concerned about changes in memory, thinking, or brain health.
Who We Serve & How We Can Help
Comprehensive Neuropsychological Services
At Butterfield Neuropsychology, we provide a wide range of neurological services for adults of all ages (18+). Our comprehensive evaluations include cognitive testing to assess cognitive, emotional, and behavioral functioning. We help identify cognitive changes, assist in diagnosing conditions such as Alzheimer's and dementia, discuss ways to slow further decline, and develop treatment plans for neurocognitive disorders. Our neuropsychological evaluations offer personalized recommendations for brain health, memory assessment, treatment, and accommodations, as well as tracking cognitive changes over time. We are dedicated to compassionate, evidence-based care. Medicare and self-pay options are available, with assistance for out-of-network reimbursement. View our printable brochure by clicking here.
Memory Disorders
We specialize in the diagnosis and treatment of memory disorders, such as Dementia and Mild Neurocognitive Disorder/Mild Cognitive Impairment. Our comprehensive evaluations include testing of memory and other cognitive abilities to determine whether perceived changes are due to normal age-related decline, Alzheimer's disease, or other factors, such as brain injury, concussion, stroke/vascular cause, movement disorder, or other medical or psychological cause. We provide tailored care for patients and their families, offering education grounded in research evidence on ways to delay cognitive decline, as well as support resources.
Normal Age-Related Cognitive Changes
Not every change in memory or thinking is a sign of a neurological disorder. Some changes in memory, processing speed, and other cognitive abilities are a normal part of aging, but it can be difficult to know when changes have progressed beyond what is expected for someone’s age. A neuropsychological evaluation provides a detailed picture of an individual’s cognitive strengths and weaknesses to help determine whether concerns are consistent with normal age-related changes or reflect clinically meaningful cognitive decline. We consider age, educational and occupational background, medical and neurological history, and other factors that may influence cognitive functioning.
Understanding where an individual stands cognitively can provide reassurance when changes are within the expected range, or help identify early signs of cognitive decline when further evaluation or monitoring may be appropriate. Identifying concerns early also provides an opportunity to be proactive about brain health by addressing modifiable factors that may support cognitive health and reduce the risk of further decline. When findings are within the expected range, we can provide individualized recommendations for maintaining cognitive health and establish a baseline for comparison if concerns arise in the future.
Movement Disorders
Our team specializes in the evaluation and treatment of movement disorders, including Parkinson’s disease and atypical Parkinsonian syndromes (corticobasal degeneration [CBD], multiple system atrophy [MSA], and progressive supranuclear palsy [PSP]). We also see individuals with essential tremor, Huntington’s disease, and similar conditions.
We also provide pre- and post-surgical neuropsychological evaluations for deep brain stimulation (DBS). Pre-surgical evaluation helps establish a baseline of cognitive and emotional functioning, identify factors that may affect surgical candidacy or outcomes, and provide important information for the treatment team. Post-surgical evaluation can assess cognitive and emotional changes following DBS, monitor functioning over time, and help guide ongoing care and treatment planning.
Primary Progressive Aphasia
We specialize in the evaluation of primary progressive aphasia (PPA) and other neurological conditions that cause progressive changes in language. We assess individuals experiencing word-finding difficulties, changes in speech fluency, grammar, comprehension, reading, writing, or knowledge of words and their meanings. Comprehensive neuropsychological evaluation can help characterize the pattern and severity of language changes, identify the PPA subtype when appropriate, and distinguish progressive language changes from other neurological, medical, or psychological causes. We also evaluate other areas of cognitive functioning to determine whether changes extend beyond language and to establish a baseline for monitoring progression over time. Our evaluations provide patients and families with a clearer understanding of the nature of the changes, along with individualized recommendations, education, and resources to support communication and quality of life.
Brain Injury (TBI) & Stroke
We provide comprehensive neuropsychological evaluations for individuals who have experienced traumatic brain injury (TBI), concussion, stroke, small vessel disease/microangiopathy, or other vascular brain conditions. Evaluations can help identify changes in memory, attention, processing speed, executive functioning, language, and other cognitive abilities, while also considering emotional and behavioral changes that may occur following neurological injury or disease. Neuropsychological assessment can help clarify the effects of a neurological injury or condition, identify areas of cognitive strength and difficulty, guide treatment and rehabilitation recommendations, and provide a baseline for monitoring recovery or changes over time. We also provide education and recommendations focused on optimizing cognitive functioning, supporting brain health, and promoting recovery.
Epilepsy/Seizures
We provide comprehensive neuropsychological evaluations for individuals with epilepsy to understand how seizures, seizure frequency, medications, and underlying neurological factors may affect memory, attention, learning, language, executive functioning, and other aspects of cognition. Neuropsychological assessment is an important component of comprehensive epilepsy care and can help establish a cognitive baseline, identify areas of strength and difficulty, guide treatment and rehabilitation recommendations, and monitor cognitive changes over time.
We also provide pre- and post-surgical neuropsychological evaluations for epilepsy surgery. Pre-surgical evaluation helps characterize cognitive functioning, identify patterns that may provide important information about seizure focus and potential risks associated with surgery, and establish a baseline for comparison. Post-surgical evaluation can assess cognitive changes following surgery, monitor recovery and functioning over time, and help guide ongoing treatment and rehabilitation.
Complex Medical Conditions
Many individuals with other complex medical histories, such as those with multiple sclerosis (MS), autoimmune disease, cancer, cardiovascular disease, or status post surgery, notice cognitive changes. We can tailor cognitive testing and neuropsychological evaluations to identify cognitive strengths and weaknesses, and can discuss the factors most likely contributing to perceived and observed declines.
ADHD
For individuals concerned about Attention Deficit Hyperactivity Disorder (ADHD), we will conduct a thorough evaluation of symptoms across the lifespan while also considering other conditions that may be impacting attention and other aspects of functioning.
About Butterfield Neuropsychology
Our Philosophy
At Butterfield Neuropsychology, we believe in a patient-centered approach to care, particularly for those facing challenges such as Alzheimer's, dementia, and Parkinson's. We strive to provide individualized and expert neuropsychological evaluations and treatment plans that address each patient's unique needs and concerns, including those recovering from brain injuries or concussions. Our dedicated team focuses on cognitive testing and memory assessments to identify any memory decline early on. We are committed to offering clear education to patients and their families regarding diagnoses and effective strategies to delay cognitive decline while promoting overall brain wellness.
To better understand what to expect when you schedule a neuropsychological evaluation with us, click here.
About Dr. Butterfield
Dr. Butterfield is a neuropsychologist specializing in neurodegenerative diseases, including Alzheimer's, memory decline, and movement disorders, as well as brain injury, epilepsy, stroke, cancer, and ADHD. She conducts comprehensive cognitive testing (e.g., memory assessment) in various populations (adults only) to evaluate neuropsychological functioning.
Dr. Butterfield has a strong passion for dementia prevention and promoting overall brain health. Her research focuses on developing and evaluating interventions aimed at improving mood, motivation, and cognitive function in individuals with Parkinson's disease and healthy older adults.
Dr. Butterfield completed her Ph.D. at the University of South Florida and her residency and postdoctoral fellowship at the University of Florida, where she gained invaluable experience under the mentorship of some of the most respected neuropsychologists in the country. (Link to CV.)