Our Services

Biofeedback is a process that enables an individual to learn how to change physiological activity for the purposes of improving health and performance. Precise instruments measure physiological activity such as brainwaves (neurofeedback), heart function (e.g., HRV), breathing, muscle activity, and skin temperature. These instruments rapidly and accurately “feed back” information to the user. The presentation of this information — often in conjunction with changes in thinking, emotions, and behaviour — supports desired physiological changes. Over time, these changes can endure without continued use of an instrument (adapted from The International Society for Neurofeedback and Research www.isnr.org). Click HERE to learn more about neurofeedback, biofeedback, and other neuromodulation treatments.

Neurofeedbackbiofeedback, and other forms or neuromodulation (e.g., CES, tDCS, LENS, AVE, Transcranial Photobiomodulation)  are used to treat ADHD, anxiety, depression, stress, epilepsy/seizures, headache, traumatic brain injury (TBI), strokes, and to help with optimal performance. To learn more, click here.

For patients who can’t attend neurofeedback sessions in person, we NOW OFFER A REMOTE NEUROFEEDBACK/BIOFEEDBACK OPTION where you train out of your own home or place of work under Dr. Friesen’s supervision. Contact us for more details.

Dr. Friesen’s other practice, Friesen Sport & Performance Psychology (FriesenPerformance.com) offers in-person sport and performance psychology services to serious athletes from Ontario’s Golden Horseshoe region (Niagara to Oakville). We work with athletes at a distance, including national, Olympic, and professional, via phone/Skype. We also focus on helping other high achievers (e.g., executives, entrepreneurs, professionals, academics, writers) achieve goals and improve their performance and productivity. We do this by leveraging the latest research from sport/performance psychology, executive coaching, Acceptance & Commitment Training, and cognitive neuroscience. We offer coaching, consulting, and workshops to high-achieving individuals and businesses looking to maximize personal and professional potential.

Niagara Neuropsychology offers psychological and neuropsychological assessments and treatments to individuals. Our neuropsychological treatments focus on neuromodulation (e.g., neurofeedback, CES, tDCS, and other cutting edge modalities). Our psychological treatments are based on evidence-based approaches including biofeedback, Cognitive-Behavioural Therapy (CBT), and Acceptance & Commitment Therapy/Training (ACT).

Psychological and Neuropsychological Assessments and Treatments

Niagara Neuropsychology offers both neuropsychological and psychological assessment and treatment services for adolescents, adults, and seniors. Unfortunately, we do not offer services for children at this time. We offer services directly to patients or for third parties (e.g., IME companies, lawyers, occupational health/safety departments of various organizations, sports teams, nursing homes, police services, professional organizations/colleges, and family physicians, neurologists, geriatricians, psychiatrists, and other health professionals).


ATTENTION-DEFICIT/HYPERACTIVITY DISORDER – ADHD/ADD ASSESSMENTS & TREATMENTS

At Niagara Neuropsychology, we offer 3 levels of assessment for ADHD/ADD for those age 12 and up (including adults). These were developed in order to be able to provide the most comprehensive assessment possible and to ensure that even those with less financial means can obtain an adequate assessment and diagnosis.

Below are descriptions of each level of ADHD/ADD assessment from the top tier ADVANCED ADHD/ADD Battery, middle tier INTERMEDIATE ADHD/ADD Battery, and lowest tier BRIEF ADHD/ADD Battery. Note that even the BRIEF ADHD/ADD Battery is a more thorough assessment than what is obtained from most psychiatrists, pediatricians, and family physicians, and most psychologists.

To see some of the ADHD/ADD treatments we provide, CLICK HERE.

 TOP TIER—ADVANCED ADHD/ADD ASSESSMENT:

  • Most in-depth ADHD/ADD assessment available
  • A 30-minute intake interview with Dr. Friesen
  • Parent/teacher/self-rating measures of executive functions (~15-minutes each)
  • Parent/teacher/self-rating measures of ADHD symptoms (~10-minutes each)
  • Full neuropsychological and intellectual testing that includes measuring learning, memory, visuospatial abilities, auditory processing, language, cognitive processing speed, attention, working memory, and executive functioning (~3-hours testing)
  • Academic achievement testing to screen for Learning Disorders, if suspected (~1-hour testing)
  • Continuous performance testing which is the gold standard for measuring the ability to sustain attention in addition to inhibition/impulsivity and inattention. This can also be used to measure ADHD medication (e.g., Ritalin, Adderall, etc.) response (~30-minutes testing)
  • Psychological testing for psychological/emotional difficulties (~30-60-minutes)
  • Full psychophysiological stress testing to determine and quantify problems with coping/stress regulation (~30-minute test)
  • Whole brain quantitative electroencephalograph (qEEG) —brain mapping to measure brain function, determine whether the ADHD biomarkers are present, and to help predict response to medication (e.g., stimulants like Ritalin etc.) or other interventions like neurofeedback (~1-hour test)
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $1225

MIDDLE TIER—INTERMEDIATE ADHD/ADD ASSESSMENT:

  • Detailed, thorough multimodal ADHD assessment
  • A 30-minute intake interview with Dr. Friesen
  • Parent/teacher/self-rating measures of executive functions (~15-minutes each)
  • Parent/teacher/self-rating measures of ADHD symptoms (~10-minutes each)
  • Neuropsychological and intellectual testing that includes measuring learning, memory, visuospatial abilities, auditory processing, language, cognitive processing speed, attention, working memory, and executive functioning (~2-3-hours testing)
  • Continuous performance testing which is the gold standard for measuring the ability to sustain attention in addition to inhibition/impulsivity and inattention. This can also be used to measure ADHD medication (e.g., Ritalin, Adderall, etc.) response (~30-minutes testing)
  • Psychological testing for psychological/emotional difficulties (30-60-minutes)
  • Single point quantitative electroencephalograph (qEEG) done under 4 conditions (sitting still, reading, listening, and drawing) to determine whether a primary ADHD biomarker found in 85-90% of those with ADHD is present and to help predict response to medication (e.g., stimulants like Ritalin etc.) or other interventions like neurofeedback (~30-minute test)
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $800

LOWEST TIER—BRIEF ADHD/ADD ASSESSMENT:

  • Although brief relative to the Intermediate and Full ADHD Assessments, this assessment is more thorough than ADHD assessments available via family physicians, pediatricians, psychiatrists, and most psychologists
  • A 30-minute intake interview with Dr. Friesen
  • Parent/teacher/self-rating measures of executive functions (~15-minutes each)
  • Parent/teacher/self-rating measures of ADHD symptoms (~10-minutes each)
  • Brief neuropsychological testing that includes estimated intellectual abilities and measuring cognitive processing speed, attention, working memory, and executive functioning (~2-hours testing)
  • Continuous performance testing which is the gold standard for measuring ability to sustain attention in addition to inhibition/impulsivity and inattention. This can also be used to measure ADHD medication (e.g., Ritalin, Adderall, etc.) response (~30-minutes testing)
  • Brief psychological testing for psychological/emotional difficulties (~10-minutes)
  • Single point quantitative electroencephalograph (qEEG) done under 4 conditions (sitting still, reading, listening, and drawing) to determine whether the primary ADHD biomarker found in 85-90% of those with ADHD is present, and to help predict response to medication (e.g., stimulants like Ritalin etc.) or other interventions like neurofeedback (~30-minute test)
  • 60-90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided

  • Cost: $675

CONCUSSION/MILD TRAUMATIC BRAIN INJURY (MTBI) – ASSESSMENTS & TREATMENTS

At Niagara Neuropsychology, we offer 3 levels of assessment for Concussion/Mild TBI for those age 12 and up (including adults). These were developed in order to be able to provide the most comprehensive assessment possible and to ensure that even those with less financial means can obtain an adequate assessment.

Below are descriptions of each level of Concussion/Mild TBI assessment from the top tier ADVANCED Concussion/Mild TBI assessment, middle tier INTERMEDIATE Concussion/Mild TBI assessment, and lowest tier BRIEF Concussion/Mild TBI assessment. We also offer baseline (i.e., before a concussion) neuropsychological testing (no interview or feedback from Dr. Friesen) for each of the 3 tiers and repeat testing after a concussion to determine recovery.

To see some of the CONCUSSION/MTBI treatments we provide, CLICK HERE.

HIGHEST TIER—ADVANCED CONCUSSION ASSESSMENT 

  • Most in-depth Concussion/Traumatic Brain Injury (TBI) assessment available
  • A 30-minute intake interview with Dr. Friesen
  • Concussion/TBI symptom ratings (~20-minutes)
  • Full neuropsychological testing (includes the NHL and NFL concussion batteries but goes well beyond these) measuring visual and verbal learning/memory, verbal fluency, cognitive processing speed, attention, working memory, and executive functioning (~2.5-hours testing)
  • Computerized testing of the brain’s reaction time and information processing speed as these are reduced with concussion and other TBIs (~25-minute test)
  • Sensory and motor testing, that includes coordination, vestibular/ocular/motor screening, & eye movement (~15-minute testing)
  • Balance and gait testing (~15-minute testing)
  • Depression, anxiety, and stress symptom measurement (~15-minutes measure)
  • Full psychophysiological stress testing to determine and quantify problems with sympathetic nervous system hyperactivation common in concussion/TBI (~30-minute test)
  • Whole brain quantitative electroencephalograph (qEEG)—brain mapping to measure brain function, determine whether the concussion/TBI biomarkers are present, and to help predict response to interventions like neurofeedback (~1-hour test)
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $995
  • For baseline testing (e.g., pre-season) which includes all the testing above but with no interview or meeting with Dr. Friesen, the cost is $695

INTERMEDIATE TIER—CONCUSSION ASSESSMENT 

  • In-depth Concussion/Mild TBI assessment
  • A 30-minute intake interview with Dr. Friesen
  • Concussion/TBI symptom ratings (~20-minutes)
  • Neuropsychological testing, including NHL and NFL concussion batteries (~1-hour testing)
  • Computerized testing of the brain’s reaction time and information processing speed as these are reduced with concussion and other TBIs (~25-minute test)
  • Sensory and motor testing, that includes coordination, vestibular/ocular/motor screening, & eye movement (~15-minute testing)
  • Balance and gait testing (~15-minute testing)
  • Depression, anxiety, and stress symptom measurement (~15-minutes measure)
  • Heart Rate Variability (HRV) testing to determine and quantify problems with sympathetic nervous system hyperactivation common in concussion/TBI (~20-minute test)
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $560
  • For baseline testing (e.g., pre-season) which includes all the testing above but with no interview or meeting with Dr. Friesen, the cost is $265

LOWEST TIER—BRIEF CONCUSSION ASSESSMENT 

  • Basic Concussion/Traumatic Brain Injury (TBI) assessment
  • Concussion/TBI symptom ratings (~20-minutes)
  • Brief computerized neuropsychological screening (note, computerized testing is the least accurate form of concussion testing) (~1-hour testing)
  • Heart Rate Variability (HRV) testing to determine and quantify problems with sympathetic nervous system hyperactivation common in concussion/TBI (~20-minute test)
  • Eye movement testing (~10-minute testing)
  • 60-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $345
  • For baseline testing (e.g., pre-season) which includes all the testing above but with no interview or meeting with Dr. Friesen, the cost is $150

MEMORY/COGNITIVE/EARLY DEMENTIA ASSESSMENTS & TREATMENTS FOR OLDER ADULTS

Interested in learning how to keep your brain healthy and sharp as you age? Drs. Robert and Alanna Conder and I recently published a review article in OBM Geriatrics where we outline ways to promote healthy neuro-cognitive aging.

In our article we cover:

Click HERE for the link and HERE for the PDF.

At Niagara Neuropsychology, we offer 3 levels of assessment for Memory/Cognition/Early Dementia Assessment for Older Adults. These were developed in order to be able to provide the most comprehensive assessment possible and to ensure that even those with less financial means can obtain an adequate assessment.

Below are descriptions of each level of Memory/Cognition/Early Dementia Assessment for Older Adults from the top tier ADVANCED assessment, middle tier INTERMEDIATE assessment, and lowest tier BRIEF SCREENING assessment. We also offer repeat testing to determine or track change over time.

To see some of the MEMORY/EARLY DEMENTIA treatments we provide, CLICK HERE.

Memory/Cognition/Early Dementia Assessment for Older Adults ADVANCED Assessment:

  • The most advanced/thorough assessment of memory/cognitive and brain function
  • A 30-minute intake interview with Dr. Friesen
  • Full neuropsychological and intellectual testing that includes measuring learning, memory, visuospatial abilities, auditory processing, language, cognitive processing speed, attention, working memory, and executive functioning (~3-4 hours testing)
  • Determines presence and areas of cognitive impairment
  • Many aspects of memory/cognition naturally decline with age. This assessment helps determine whether a patient has normal age-related changes, mild cognitive impairment, pseudodementia (i.e., cognitive impairment due to depression) or more significant impairment the result of various forms of dementia
  • If early signs of dementia are present, this assessment helps neurologists and geriatricians in determine what the probable cause is (e.g., vitamin B-12 deficiency, vascular dementia, stroke, Alzheimer’s disease, Fronto-Temporal Dementia, Parkinson’s disease, traumatic brain injuries, concussions, etc.)
  • Psychological testing for psychological/emotional difficulties (~60-90-minutes)
  • Whole brain quantitative electroencephalograph (qEEG)—brain mapping to measure brain function relative to others the same age and predict response to interventions like neurofeedback (~1-hour test)
  • Can re-test to track changes over time
  • Brief summary report provided
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Cost: $1030

Memory/Cognition/Early Dementia INTERMEDIATE Assessment for Older Adults:

  • Thorough and comprehensive assessment of memory/cognitive function
  • A 30-minute intake interview with Dr. Friesen
  • Full neuropsychological and intellectual testing that includes measuring learning, memory, visuospatial abilities, auditory processing, language, cognitive processing speed, attention, working memory, and executive functioning (~3-hours testing)
  • Determines presence and areas of cognitive impairment
  • Many aspects of memory/cognition naturally decline with age. This assessment helps determine whether a patient has normal age-related changes, mild cognitive impairment, pseudodementia (i.e., cognitive impairment due to depression) or more significant impairment the result of various forms of dementia
  • If early signs of dementia are present, this assessment helps neurologists and geriatricians in determine what the probable cause is (e.g., vitamin B-12 deficiency, vascular dementia, stroke, Alzheimer’s disease, Fronto-Temporal Dementia, Parkinson’s disease, traumatic brain injuries, concussions, etc.)
  • Psychological testing for psychological/emotional difficulties (~60-minutes)
  • Can re-test to track changes over time
  • 90-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $640

Memory/Cognition/Early Dementia BRIEF SCREENING Assessment for Older Adults:

  • A screening assessment of memory/cognitive function
  • A 30-minute intake interview with Dr. Friesen
  • Basic neuropsychological and intellectual testing that includes measuring learning, memory, visuospatial abilities, auditory processing, language, cognitive processing speed, attention, working memory, and executive functioning (~90-minutes testing)
  • Determines presence and areas of cognitive impairment
  • Many aspects of memory/cognition naturally decline with age. This assessment helps determine whether a patient has normal age-related changes, mild cognitive impairment, pseudodementia (i.e., cognitive impairment due to depression) or more significant impairment the result of various forms of dementia
  • If early signs of dementia are present, this assessment helps neurologists and geriatricians determine what the probable cause is (e.g., vitamin B-12 deficiency, vascular dementia, stroke, Alzheimer’s disease, Fronto-Temporal Dementia, Parkinson’s disease, traumatic brain injuries, concussions, etc.)
  • Psychological testing for psychological/emotional difficulties (~45-minutes)
  • Can re-test to track changes over time
  • 60-minute feedback session with Dr. Friesen to go over findings and treatment options
  • Brief summary report provided
  • Cost: $500

Our assessment services are usually focused on the questions posed to us by the individual or the referral source but can also be more general. Assessments can help determine:

  • DSM-5 Psychological Diagnoses (e.g., Major Depressive Disorder, Generalized Anxiety Disorder, etc)
  • Neuropsychological assessments for ADHD/ADD, Concussion/TBI, age-related memory changes, early stage dementia
  • Disability status
  • Barriers to working
  • Return to work plans
  • Treatment plans
  • Prognosis for recovery
  • Violence risk screening
  • Return to play determinations for sports concussions
  • Police candidate psychological screenings

Who pays for the services of a Neuropsycholoist or Psychologist?

The Ontario Health Insurance Plan (OHIP) does not pay for the services of a psychologist. Although some clients pay their own fees directly, there are a number of options for funding and reimbursement available to many people who are interested in seeing a psychologist.

Automobile Insurance Coverage – If you are involved in a motor vehicle accident and are suffering from psychological/emotional changes as a result, you may be eligible for a psychological and/or neuropsychological assessment and treatment (if deemed required). Such services are directly billed to your insurance company once it has been approved. Unfortunately, we are not accepting automobile insurance referrals at this time.

Extended Health Plans – Many people who are employed have an extended health care plan through their employer. Many of the health care plans pay all or a portion of the costs of seeing a Registered Psychologist. Look in the booklet describing your benefits or talk to your insurance company to find out about your coverage. Coverage for psychologists varies from around $300 per year to $1200 per year for most plans. Typically, you will pay the psychologist and then be reimbursed by the insurance company.

Workplace Safety and Insurance Board – If you have psychological problems because of an accident or other workplace stress or incident, you may qualify for psychological treatment through the Workplace Safety and Insurance Board. Your claim adjudicator or family physician may be able to help you with this. Unfortunately, we are not accepting WSIB referrals at this time.

Veterans Affairs Canada – Psychological/neuropsychological assessments and treatments may be funded through Blue Cross if you are an eligible member of the Canadian Armed Forces, the RCMP, or a veteran.

Criminal Injuries Compensation Board – The Criminal Injuries Compensation Board provides compensation for psychological services to eligible applicants who experience psychological problems as a result of being a victim of crime.

NIAGARA NEUROPSYCHOLOGY

Providing neuropsychological and psychological services to the Niagara, Hamilton, Halton, Haldimand-Norfolk, and Brant regions

APPOINTMENTS/REFERRALS

To make an appointment please contact us via phone or email.

Email: niagaraneuropsychology@gmail.com
Phone: 289-969-7996
Fax: 289-235-9140
Address: 166 Main Street East
Grimsby, Ontario
L3M 1P4

Phone: 289-235-8848 · Email: niagaraneuropsychology@gmail.com · Copyright © 2016 · Niagara Neuropsychology · All rights reserved.