Consultations with Dr. Brown

Consultations for Patients and Families:

Dr. Brown personally sees a limited number of children, adolescents and adults for evaluations and consultations at his private practice office in Manhattan Beach, California (near LAX). He has special interest in individuals with high IQ who have ADHD. Usually these consultations are for individuals who suspect they have or have already been diagnosed with an attention deficit disorder, often in combination with additional problems related to learning, anxiety, depression, obsessive compulsive disorder, sleep, substance abuse, Asperger’s Disorder, etc. Prospective patients may be referred by their personal physician or may self-refer for evaluation and recommendations for treatment.

Such consultations involve clinical interviews of the patient (for children or adolescents under 18 years, participation in the interview by at least one parent is needed.) For adults, it is desirable, but not required, to have a parent, partner or close friend participate in at least part of the initial interview. These interviews involve discussion about educational, social and family history, health issues, etc. to determine areas of personal strengths and difficulties in past and present. If learning problems are involved, IQ testing or standardized achievement testing may also be recommended, unless adequate testing has been done within the past 2-3 years. For patients who have had previous evaluations, it is helpful to send copies of the reports of those evaluations prior to consultation with Dr. Brown.

Treatment and Follow-up
After interviews and administration of rating scales and memory measures, as well as careful screening for other possible disorders, the patient is provided detailed information about Dr. Brown’s impression of the appropriate diagnosis and specific recommendations for treatment. If medication is recommended, this may be provided in collaboration with the patient’s personal physician or psychiatrist. Usually it is recommended that patients maintain contact with Dr. Brown for follow-up, at least until treatment is adequately stabilized.

Arranging a Consultation
For patients traveling from short distances, an initial evaluation is usually done in a 2 hour session with one or more follow-up sessions weeks later. Administration of IQ or achievement tests requires additional sessions. For patients traveling internationally or for longer distances within the U.S., a consultation may be done in multiple sessions over a two or three day period. A request to arrange a personal consultation with Dr. Brown can be made by telephone (310-590-7181) or by email using the contact us link on this site.

Evaluations for Accommodations
Students seeking evaluation to determine eligibility for accommodations at schools, colleges or universities, or on standardized testing [such as Scholastic Aptitude Test (SAT I or II), ACT, GRE, GMAT, LSAT, MCAT] or professional board examinations [such as Medical Board or Law Board examinations] are usually required by the authorities to have a comprehensive psychoeducational evaluation. This requires clinical interviews, review of school records, current ability testing such as the age-appropriate form of the Wechsler IQ test (WISC-V or WAIS-IV) and standardized achievement testing such as the Wechsler Individual Achievement Test (WIAT-III).

Detailed information about requirements for eligibility for non-standard administration of such tests is usually available on the web sites of the school, college, university or examining authority. Such evaluation does not guarantee eligibility for accommodations on testing; this depends on results of the evaluation and the appropriate authorities.

Written Reports
Written reports of consultations can be prepared by Dr. Brown to fit the needs of each patient. Some need only very brief notes to their physicians that can be prepared during the initial consultation. Others, especially those who want to apply for accommodations for standardized testing, need very detailed narrative reports to submit to authorities with their application. Written reports requested by the patient and prepared outside the consultation session are billed at Dr. Brown’s usual hourly rate.