Sometimes you know exactly what you want an assessment to answer. Other times, the picture is less clear.
You may be experiencing difficulties with attention, memory, learning, executive functioning, mood, anxiety, relationships, or everyday functioning that don't seem to have a straightforward explanation. You may have received different diagnoses or explanations over time, or wonder whether several factors are contributing at once.
For others, the question emerges after treatment hasn't worked as expected, a major life or professional transition exposes new difficulties, or longstanding strategies for managing work and daily life are no longer enough.
A comprehensive psychological assessment takes a broader approach. Rather than beginning with one diagnosis as the presumed explanation, Dr. Ashley works with you to identify the questions the assessment needs to answer and selects the evaluation approach accordingly.
The goal is not simply to find a diagnosis. It's to develop a clearer understanding of how you think, function, and experience the world—and what may help moving forward
Sometimes difficulties don't fit neatly into a single category. Problems with attention, memory, organization, motivation, emotional regulation, or everyday functioning can have multiple possible explanations—and different conditions can look similar on the surface.
You may already have a diagnosis but wonder whether it explains the full picture. Perhaps treatment has helped in some ways but not others, or you've received different diagnoses or recommendations over time. You may also be trying to understand whether difficulties that seem separate are actually connected.
In other situations, the question isn't primarily about a particular diagnosis. You may want to better understand changes in cognitive functioning, persistent difficulties with learning or memory, or patterns that have become more noticeable as the demands of work, school, parenting, caregiving, or daily life have increased.
A comprehensive assessment allows the evaluation to be built around your questions rather than a predetermined diagnosis. Depending on what needs to be understood, that may involve examining cognitive abilities, attention and executive functioning, learning and memory, emotional functioning, personality, or other relevant areas.
The purpose is to bring the different pieces together—to understand not only what you're experiencing, but what may be contributing to it.

A comprehensive psychological assessment is designed around the questions you want to understand. Rather than using the same set of tests for everyone, Dr. Ashley selects assessment methods based on your history, current concerns, and the areas that need further clarification.
When relevant, assessment may examine areas such as verbal and visual reasoning, working memory, processing speed, and other aspects of cognitive functioning. Understanding patterns of cognitive strengths and weaknesses can provide important context for difficulties experienced at work, school, or in everyday life.
Assessment may explore attention, working memory, organization, planning, task initiation, inhibition, cognitive flexibility, and other executive functions involved in managing complex demands and daily responsibilities.
When learning or memory is part of the question, assessment can examine how you take in, retain, retrieve, and use information. This can help distinguish memory concerns from difficulties related to attention, executive functioning, emotional factors, or other influences.
Mood, anxiety, trauma, personality, stress, and other aspects of psychological functioning may be evaluated when relevant. These factors are considered alongside cognitive and behavioral findings rather than treated as separate from them.
The most useful information often comes not from any one score or diagnosis, but from understanding the pattern across your history, experiences, test results, and current functioning. Findings are integrated to identify the explanations that are best supported—and to clarify where the evidence may be less definitive.
The goal is a focused assessment broad enough to answer the questions that brought you in—not testing for the sake of testing.
Questionnaires & Background Information
Before your appointment, you'll provide information about your history, current concerns, and the questions you hope the assessment will help answer. Questionnaires may also be used to better understand relevant areas of functioning.
In-Depth Clinical Interview
You'll meet with Dr. Ashley to explore your concerns in greater depth, including when difficulties began, how they have changed over time, and how they affect different areas of your life. This helps determine what additional assessment will be most useful.
Individualized Testing
Testing is selected based on the questions being evaluated and may examine cognitive abilities, attention and executive functioning, learning and memory, emotional functioning, personality, or other relevant areas. Some assessments involve several testing sessions, while others are more focused.
Additional Information When Helpful
Relevant records or information from other providers or people who know you well may be incorporated when it would help clarify the assessment findings.
Feedback, Written Report & Recommendations
You'll meet with Dr. Ashley to review the results, discuss how the findings fit together, and ask questions. You'll receive a comprehensive written report documenting the findings and individualized recommendations for next steps.
The assessment process will be discussed with you in advance so you understand what is being evaluated, why particular measures are being used, and what to expect.

Comprehensive psychological assessments are individualized based on the questions being evaluated and the professional time anticipated to complete the assessment. This may include clinical interview, testing, scoring and interpretation, record review or collateral consultation when relevant, feedback, and preparation of the written report.
The proposed scope of the assessment and estimated total cost will be discussed with you before the assessment begins. If findings indicate that additional testing or professional time may be helpful, any change in scope and associated fees will be discussed with you before additional services are completed.
The length of the assessment process varies depending on the scope of the evaluation and the types of testing involved. An anticipated timeline will be discussed with you when the assessment plan is developed.
AJR & Co. is an out-of-network practice and does not bill insurance directly. Superbills are available for eligible psychological assessment services for possible out-of-network reimbursement. Coverage and reimbursement are determined by your insurance plan and are not guaranteed.

Many comprehensive psychological assessments can be completed partially or entirely through secure telehealth. Depending on the questions being evaluated and the standardized measures needed, some assessments may require in-person testing. In-person assessment is available in Edina, Minnesota.
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