The Cognitive Health Review is designed for patients where cognitive concerns are present but a full neuropsychological assessment may not yet be necessary. It offers a more robust alternative to basic screening — providing more depth, nuance, and clinical value.

This service is particularly helpful for:

- Patients reporting subjective cognitive difficulties without clear findings on neurological exam or imaging.

- Individuals with mild cognitive symptoms following illness, neurological events, or treatment, where the clinical picture is uncertain.

- High-functioning, working-age, or well-educated individuals, where standard screening tools often lack sensitivity and suffer from ceiling-effects.

- Patients with long-term conditions where monitoring cognitive change over time is important.

- Situations where you would value a brief but robust neuropsychological opinion to help determine whether full assessment or other input is warranted.

Overcoming the limitations of standard cognitive screens (such as the MoCA, ACE-III, or MMSE), the Cognitive Health Review includes psychometrically sound tests as standard — such as the NIH Toolbox, which is designed for repeated use across a wide age and ability range. Additional neuropsychological measures are selected where clinically appropriate, drawing on Dr Shah’s specialist judgement to ensure each assessment is tailored and meaningful.

You will receive a concise clinical report highlighting relevant cognitive patterns, potential contributing factors, and clear, practical recommendations for onward management, support, or follow-up.

This service provides a pragmatic and reliable bridge between emerging concern and full assessment — offering insight without over-investigation.

Comprehensive cognitive assessment with clinically grounded, person-centred reporting.

Our full neuropsychological assessment is designed for patients with complex, persistent, or unexplained cognitive difficulties where a detailed formulation is needed to support diagnosis, care planning, or rehabilitation.

We combine in-depth cognitive testing with a clear understanding of neurological conditions and the real-world impact of cognitive change.

This service is particularly helpful when insight is needed around the nature of cognitive difficulties, differential diagnosis, return-to-work planning, capacity issues, or rehabilitation needs.

What sets our service apart:

- Reports are returned the same day as the feedback session — minimising delay for you and your patients.

- Patients receive a clear, accessible, and jargon-free report that explains what the results mean in the context of their daily life.

- Referrers additionally receive a separate clinical letter summarising key findings, formulation, and implications for management.

- Assessments are tailored, drawing on a wide range of psychometric tools ensuring relevance to the referral question.

- Feedback sessions are structured to support understanding, adjustment, and engagement, not just to deliver results.

- Suitable for both diagnostic clarity and intervention planning.

We offer specialist psychological therapy for adults facing cognitive or emotional difficulties linked to neurological illness or injury. Our team is experienced in working with patients who are adjusting to a diagnosis, managing cognitive change, or coping with the psychological impact of neurological conditions.

Common approaches include:

- Cognitive Behavioural Therapy (CBT)
- Eye Movement Desensitisation and Reprocessing (EMDR)
- Acceptance and Commitment Therapy (ACT)
- Neuropsychological rehabilitation

Common referrals include:

- Memory concerns
- Functional neurological disorder 
- Adjustment to diagnosis
- Mood or anxiety issues linked to neurological illness
- Psychological trauma related to medical experiences/post-ICU

We offer tDCS using the Flow Neuroscience device — a safe, well-tolerated, and evidence-based non-pharmacological treatment for depression. The research base supporting its clinical use is well established, with studies consistently showing greater benefit when tDCS is used alongside other treatments, such as psychological therapy or medication.

This service is led by a clinical psychologist with specialist neuropsychology expertise, ensuring careful screening and clinical oversight — particularly important for patients with co-existing neurological conditions.

Two pathways are available:

- Psychologist-led initiation for independent use, with structured monitoring and follow-up

- Integration with ongoing psychological therapy, where tDCS complements active treatment

While there is growing evidence supporting the use of tDCS across a range of neurological and psychiatric conditions, patients must have a diagnosis of depression to access this service.

A pre-treatment psychological and neurological assessment is completed for every patient to ensure suitability, safety, and informed decision-making.

You can explore the research behind Flow at flowneuroscience.com/research.