Badanie neuropsychologiczne – jak się przygotować?

09/02/2025
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Czym jest diagnoza neuropsychologiczna?

Diagnoza neuropsychologiczna to szczegółowa ocena procesów poznawczych, emocjonalnych, motywacyjnych i behawioralnych dokonywana w kontekście funkcjonowania ośrodkowego układu nerwowego. Obejmuje badanie m.in. pamięci, uwagi, funkcji wykonawczych, językowych czy wzrokowo-przestrzennych. Ocena ta może pozwolić na określenie podłoża doświadczanych trudności, monitorowanie dynamiki objawów oraz planowanie procesu rehabilitacyjnego i prognozę jego powodzenia. Diagnoza neuropsychologiczna umożliwia również oszacowanie stopnia sprawności poznawczej pacjenta, co jest istotne m.in. w procesie leczenia, określeniu zdolności do pracy zawodowej oraz stopnia niepełnosprawności. Opinie neuropsychologiczne wydawane są również w sprawach sądowych (cywilnych i karnych).

Jak wygląda badanie neuropsychologiczne?

Diagnozę poprzedza wstępny wywiad diagnostyczny przeprowadzony z pacjentem i osobą bliską. W trakcie badania neuropsychologicznego pacjent staje w obliczu szeregu procedur diagnostycznych (testów i prób wykonaniowych) mających na celu zebranie niezbędnych danych i próbek zachowania, umożliwiających analizę funkcjonowania pacjenta w odniesieniu do pracy mózgu. Diagnoza neuropsychologiczna zwykle zajmuje 2-3 spotkania. Po wykonaniu  badania pacjent otrzymuje szczegółową opinię psychologiczną zawierającą wnioski, opis profilu funkcjonowania poznawczego oraz zalecenia obejmujące dalsze kroki. 

Kto powinien zgłosić się na badanie neuropsychologiczne?

Na diagnozę neuropsychologiczną często kieruje lekarz, jednak może okazać się ona istotna dla wszystkich osób, które doświadczają chorób neurologicznych (np. choroba Parkinsona, choroba Alzheimera, stwardnienie rozsiane, otępienie z ciałkami Lewy’ego), przebyły udar mózgu lub uraz czaszkowo-mózgowy bądź obserwują u siebie zmiany zachowania lub pogorszenie funkcjonowania poznawczego (np. pamięci, koncentracji uwagi). Wśród niepokojących objawów pacjenci często wymieniają: skłonności do zapominania bieżących zdarzeń, trudności z wydobyciem słowa, tendencje do „gubienia się”, trudności w planowaniu i wykonywaniu bardziej złożonych czynności, wycofanie z relacji. Badanie neuropsychologiczne warto również wykonać w przypadku niektórych zaburzeń psychiatrycznych, w których również mogą występować deficyty poznawcze. 

Jak przygotować się do badania neuropsychologicznego?

  1. Zarezerwuj czas – badanie neuropsychologiczne jest złożoną procedurą wymagającą kilku spotkań.
  2. Spisz niepokojące objawy i ich zmiany w czasie. Ułatwi to przekazanie diagnoście najważniejszych informacji.
  3. Przygotuj i zabierz ze sobą dotychczasową dokumentację medyczną oraz wyniki badań istotne w kontekście zgłaszanego problemu klinicznego (zwłaszcza wyniki badań obrazowych głowy – MRI, TK oraz poprzednie opinie psychologiczne).
  4. Przygotuj listę obecnie przyjmowanych leków.
  5. Zbierz informacje odnośnie chorób występujących w rodzinie.
  6. Zabierz ze sobą okulary i aparat słuchowy, jeśli ich potrzebujesz. Niektóre zadania mogą wymagać zaangażowania funkcji wzrokowych bądź uwagi słuchowej.
  7. Zadbaj o swoje samopoczucie i zaspokojenie potrzeb – przyjdź wypoczęty i wyspany, zjedz lekki posiłek.
UMÓW SIĘ NA BADANIE NEUROPSYCHOLOGICZNE

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