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CFNA Med-Legal Brochure

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BURBANK 2600 W Olive Ave Floor 5 Burbank CA91505 SHERMAN OAKS 15260 Ventura Blvd Ste 1200 Sherman Oaks CA 91403 DOWNTOWN L A 355 S Grand Ave Ste 2450 Los Angeles CA 90071 SEASONED NEUROPSYCHOLOGY EXPERT WITNESS FOR CIVIL AND CRIMINAL LITIGATIONS CALABASAS 26565 W Agoura Rd Ste 200 Calabasas CA 91302 NEWPORT BEACH 4000 MacArthur Blvd East Tower Ste 600 Newport Beach CA 92660 Additional locations throughout Southern California v v v v v v v v v v v v v v v v v Anaheim Hills Carlsbad Cerritos El Segundo Huntington Beach Irvine Long Beach Manhattan Beach Mission Viejo Orange Pasadena Rancho Cucamonga San Diego Santa Clarita Temecula Westlake Village Woodland Hills Suspected cognitive behavioral and or emotional dysfunction as a result of brain injury and or disease For Dr Mangassarian s fee schedule CV and or expert witness log or for a complimentary case consultation please contact CFNA at 818 588 4300 or info CFNAneuropsych com A neuropsychological evaluation can Establish confirm or differentiate between diagnoses that affect cognition behaviors and or emotional disturbances Provide prognostic information and treatment recommendations for patients with cognitive disturbances related to brain injury and or disease Assess for psychological contributions to symptom presentations e g depression PTSD features Identify symptom and cognitive performance validity to establish client credibility Be used to reveal or diagnose brain dysfunction when no structural brain abnormalities can be seen When structural brain abnormalities have been found an evaluation can determine what functions may be impaired and the severity of these impairments Evaluate the veracity and degree of cognitive and psychiatric symptoms for litigation You can also upload case consultation files through our HIPPA compliant platform on https CFNAneuropsych com A neuropsychological evaluation may be the only objective evidence of functional damages by presenting quantifiable data comparing current to previous abilities https CFNAneuropsych com

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CFNA specializes in evidence based neuropsychological and psychodiagnostic evaluations and is retained by both Plaintiff and Defense for impartial evaluations Neuropsychology is concerned with relationships between the brain and behavior Neuropsychologists conduct evaluations to characterize behavioral and cognitive changes resulting from central nervous system disease or injury Neuropsychological evaluations examine the impact of functional and cognitive skills as a result of brain dysfunction related to neurological medical developmental and or psychiatric conditions The neuropsychologist s role is to determine the degree of impairment resulting from brain dysfunction and to document mental health conditions Dr Mangassarian has years of experience serving as an expert witness for attorneys across a variety of legal settings Dr Mangassarian s education and background meet specialty neuropsychology and forensic psychology boardcertification requirements Examples of appropriate referrals Personal Injury e g TBI Employment e g Fitness for duty Wrongful termination Criminal e g Competency Specific Intent Family Elder e g Capacity Conservatorship CFNA services include but are not limited to v Case consultation v Record review v Psychological and neuropsychological testing v Analysis of opposition experts methods and opinions v Research relevant to issues at hand v Deposition consultation Expert testimony concerning v v v v v v Credibility Performance Symptom Validity Diagnoses Treatment Causation Prognosis Damages Dr Mangassarian personally completes all portions of evaluations without the use of assistants or technicians Memory Changes A neuropsychological evaluation involves Decreased Attention Concentration v A thorough clinical interview with the client and when appropriate collateral informants v Extensive review of relevant medical academic legal and or occupational records v Administration of standardized and objective psychological and or neuropsychological measures via paper pencil and or computerized tests Areas of functioning assessed depend on the referral question but typically include Intellectual functioning Current and premorbid Learning and memory Verbal and non verbal Attention and concentration Executive functioning Language abilities Visuospatial skills Verbal and non verbal reasoning Academic achievement Gross and fine motor functioning Daily living functioning Personality and emotional functioning Behavioral functioning Credibility e g Performance Symptom Validity Capacity e g Financial management Criminal cases e g Specific intent v Scores are compared to normative data of healthy age matched individuals and other demographic information when available to determine the degree of performance deviation from expected ranges v Dr Mangassarian determines if performance reveals a pattern consistent with neurocognitive pathology v Dr Mangassarian produces a comprehensive report of findings utilizing data from all evaluation components and provides diagnostic impressions when applicable If requested treatment recommendations and cost estimates are provided v Poor short term recall Increased forgetfulness v Difficulty following the flow of conversation v Difficulty with working memory Changes to Language v Word finding issues Expressive Aphasia v Comprehension of language Receptive Aphasia Executive Dysfunction v Difficulty planning organizing and or multitasking v Poor judgment decision making and or complex problem solving Changes to Visuospatial Skills v Difficulty navigating one s environment v Misperceive the environment Changes to Daily Functioning v Driving abilities v Medication management v Financial management Personality Emotional and or Behavioral Changes Irritability Depression PTSD Anxiety Impulsivity difficulty controlling emotions Determine if current deficits resulted from and or are influenced by a particular disease or injury e g TBI and if they represent a decline from previous abilities Differentiate between diseases and or disorders with consideration of possible previous existing diagnoses Identify cognitive deficits predict functional outcomes and monitor patient recovery after TBI Assess for psychological contributions to symptom presentation e g PTSD Depression Document functional limitations e g driving capacity to make decisions ability to live independently Establish credibility of the client s claims

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