Diagnosztikai vizsgálatok

Comprehensive Assessment

A comprehensive assessment for ADHD, autism and comorbid chronic symptoms, involving multiple professionals.

Comprehensive Assessment At MURMO, assessments for ADHD, autism and comorbid chronic symptoms are carried out as part of a comprehensive diagnostic process involving several professionals. Possible Stages of a Comprehensive Assessment:

Parent interview with a psychiatrist or clinical psychologist, including a review of the child’s medical history and previous documentation.
Psychological assessments usually 3 sessions.
Neuropsychological assessments 2 sessions: one 90-minute IQ test and one 50-minute assessment. For younger children, two 50-minute assessment sessions are conducted.
Special education assessments for children under the age of 8 and, where specifically indicated, alongside neuropsychological assessments. The assessment is available from the age of 4 and usually consists of one 90-minute session.
Psychiatric assessment usually 2–3 sessions.
Group diagnostic assessment 2 sessions.
Feedback session for parents usually with one or two professionals.

In some cases, our professionals may consider an additional specialized assessment necessary. An ADOS assessment may be required when difficulties associated with autism spectrum disorder are suspected. We only carry out an ADOS assessment when it is necessary to establish a reliable diagnosis. This decision is always made on an individual basis by our professionals, often during the assessment process and in light of the results obtained up to that point. In some cases—for example, where ASD, ADHD, or co-occurring symptoms are present—we only undertake assessment as part of a comprehensive diagnostic process. Fees for the Assessment Process Before committing to the process, it is important for families to consider the associated costs. At present, our foundation is unable to provide financial support for the diagnostic phase. The fees include the preparation of a detailed professional report, consultation between colleagues, participation in supervision, the formulation of recommendations, and—where possible—the coordination of further care within our service system. Where our team does not provide the recommended form of care, we are unable to take responsibility for arranging further treatment or support. Important Information Assessment sessions last 50 minutes and are generally available in the morning. We can provide a certificate of attendance. Please Note! Assessments require a set amount of time, and not every test can be interrupted once it has begun. In the event of late arrival, there may not be enough time to start the planned assessment. In such cases, the professional will offer a new appointment. Where clinically justified, the process outlined above may be adjusted. More or fewer assessments may be required if our professionals consider this necessary during the process. We also request a report from the child’s nursery, kindergarten, or school. You can request an appointment for an assessment, consultation, or therapy using the registration form. We will respond within 5 business days.

School Readiness Assessment

School readiness and ability assessments for preschool and school-age children using neuropsychological and special education methods.

School Readiness Assessment A cognitive, specific skills or school readiness assessment may be requested by a parent, preschool teacher or schoolteacher and carried out by the designated institution: the Educational Support Service responsible for the child’s place of residence. Following the assessment, the Educational Support Service also prepares the official opinion. This includes its recommendations, official documentation of any differences in learning abilities or, where appropriate, a recommendation to postpone school entry. For families who are already receiving therapy from us, we can provide the following support: we assess the child’s cognitive abilities using neuropsychological and special education assessment methods. Depending on the results, we may recommend contacting the local Educational Support Service or beginning developmental therapy for cognitive abilities if the child’s cognitive functioning is below the expected level for their age. Assessments Available at MURMO for Preschool and School-Age Children:

Motor development assessment
Assessment of the cognitive ability profile and intelligence structure
Assessment of learning abilities—reading, writing and mathematics
Attention assessment
Speech and language development assessment

You can apply for an assessment, consultation or therapy through the application form. We will respond within 5 business days.

Neuropsychological Assessment

A neuropsychological assessment beginning with an initial interview, followed by additional assessment sessions as needed and a written professional opinion.

Neuropsychological Assessment

The assessment begins with an initial neuropsychological interview. This is a 45–50-minute conversation with both parents or, in the case of an adult, with the patient.

During this session, previous medical, educational and psychological assessments and therapies are reviewed in light of the current neuropsychological and psychological concerns.

Another aim of the initial consultation is to allow the professional to determine the necessary stages of the assessment. These are discussed together at the end of the session.

Following the initial interview, individual assessment sessions lasting 45–90 minutes are held, usually across 1–4 appointments.

The number of sessions depends on the patient’s age, symptoms and medical history.

At the end of the assessment, the patient receives a written professional report summarizing the results.

The assessment process may also include additional consultations by phone or in person with the patient and with other professionals involved in the assessment or therapeutic process.

In some cases, the professional may provide recommendations at the end of the initial interview and determine that an assessment of cognitive abilities is either unnecessary or should be carried out at a later date.

In such cases, a brief written summary is also prepared, including recommendations and details of any other assessments or therapies that may be required.

You can apply for an assessment, consultation or therapy through the application form. We will respond within 5 business days.

Autism Assessment

A comprehensive autism assessment involving several professionals and, where necessary, neuropsychological, clinical, psychiatric and group observation methods.

Autism Assessment

In the case of autism, the comprehensive assessment consists of four components together with an educational report:

Neuropsychology 2–3 sessions
Clinical psychology 3–4 sessions
Child and adolescent psychiatrist 2–3 sessions
Group observation 2 sessions where necessary, most commonly for children up to the age of 12
Collection of school reports and previous professional opinions

The process described above may be adapted according to individual needs, the severity of the presenting difficulties, the family’s circumstances and any current crisis situations.

Each assessment session lasts 50–70 minutes, except for the initial interview, which may last up to 90 minutes.

For autism assessments, we use the Autism Foundation questionnaire as well as the ADI-R and ADOS assessments.

Children who are already receiving care within our system and who have undergone a detailed cognitive assessment and/or a clinical differential diagnostic assessment during the previous academic year only need to obtain a special education or educational report.

A childhood video may support the assessment process. Where necessary, we may record a session.

Written parental consent is required, clearly defining how the video may be handled and used.

You can apply for an assessment, consultation or therapy through the application form. We will respond within 5 business days.

Initial Assessment

A comprehensive assessment process involving collaboration between multiple professionals to gain a detailed understanding of the child’s circumstances, difficulties, and strengths.

Initial Assessment To gain the most accurate understanding of your child’s circumstances, difficulties, and strengths, we have developed a comprehensive assessment process involving collaboration between several professionals. This thorough evaluation enables us to recommend the most appropriate form of support or therapeutic approach for your child and family. The Assessment Process:

Initial Interview – Parent Consultation – 45 or 90 minutes. We begin the process together with the parents. We discuss your experiences, the background information you have provided, and any previous assessment results so that we can clearly define the aims of the assessment.
Individual Clinical Psychological Assessment – 4 sessions, 45 minutes each. During these meetings, we focus on the child’s individual psychological functioning, particularly their emotional development, impulse regulation, and personality development.
Neuropsychological Assessment – 1 session, 90 minutes. A comprehensive intelligence assessment, completed in one or two sessions depending on the child’s age. This part does not include a detailed assessment of attention; however, if this becomes necessary during the process, we will recommend an additional assessment.
Group observation – 2 sessions, 60 minutes each. For children up to the age of 12, we also observe them in a small-group setting facilitated by two professionals, allowing us to assess how they relate to and interact with their peers.
Final Parent Consultation – 1 session, 45 minutes. Once the assessments have been completed, one or more of our professionals will discuss the results with you, along with possible next steps and our recommendations.

The process also includes the preparation of a detailed written clinical report. Important Information About the Assessments Dates: Assessment sessions generally last 50 minutes and are usually scheduled in the morning. We can provide an official certificate for the child’s educational institution to confirm attendance at the assessment. Additional Recommendations: During the assessment process, our professionals may consider it necessary to involve specialists from other fields, such as a child and adolescent psychiatrist or a special education professional. We will discuss any such recommendations during the final consultation. What We Ask Parents to Provide Before the Assessment Begins: To gain the most accurate understanding possible, we also need feedback from the child’s wider environment.

Please send us all documentation from any previous assessments.
Please request a written educational report from the child’s nursery, kindergarten, or school. To support teachers in preparing it, we provide an attached or downloadable set of guidance criteria.

Initial Consultation

A structured parent consultation to help determine what type of assessment, specialist consultation, or therapeutic support the child may need.

Initial Consultation In child psychology and clinical assessment, it is common for symptoms, behavioural difficulties, or emotional concerns reported by parents not to be clearly distinguishable at the outset. In such cases, the first and most important step in the diagnostic process is an initial exploratory consultation. This is a structured parent consultation during which the clinical professional:

reviews the child’s developmental and medical history,
gains an understanding of the child’s current life circumstances,
helps interpret the child’s everyday difficulties from a professional perspective,
distinguishes natural developmental crises from difficulties requiring clinical intervention.

By the end of the consultation, it is possible to determine more precisely which specific diagnostic assessments are needed. The professional will outline the appropriate sequence of next steps and make recommendations regarding whether:

immediate therapeutic intervention is required,
a targeted specialist consultation—for example, in child and adolescent psychiatry or neurology—is required,
or a more comprehensive psychological assessment is required.

The initial exploratory consultation does not result in a definitive diagnosis. Instead, it identifies the fastest, most appropriate, and least burdensome pathway to help the family access the support they need.

Screening for Specific Learning Difficulties

A detailed assessment of abilities in cases of reading, writing, spelling, or mathematical difficulties, including suspected dyslexia, dysgraphia, or dyscalculia.

Screening for Specific Learning Difficulties Is your child experiencing difficulties with reading, writing, or mathematics? Has dyslexia, dysgraphia, or dyscalculia been suspected? The aim of the assessment is to provide a detailed picture of the child’s ability profile, strengths, and the areas that may require targeted support. Who Can Apply for an Assessment? The assessment is recommended in the following cases:

in cases of suspected dyslexia, dysgraphia, or dyscalculia,
for children who are already receiving developmental support or therapy, but whose professional would like a more detailed understanding of specific areas—such as reading, writing, spelling, or mathematics,
to identify the underlying causes of learning difficulties,
to gain a more precise understanding of the child’s strengths and areas for development.

The Assessment Process The process is always tailored to the child’s individual needs, but generally consists of the following steps:

1. Initial Consultations – 1–2 sessions. Gathering the child’s developmental history, reviewing the difficulties identified, and defining the aims of the assessment.
2. Intelligence Assessment – WISC intelligence assessment, approximately 90 minutes.
3. Additional Cognitive Assessments – Where necessary, assessment of attention, memory, executive functions, and other cognitive domains, lasting approximately 50 minutes.
4. Special education assessments – 1–3 sessions, 50 minutes each. A detailed assessment of reading, writing, spelling, and mathematical skills.
5. Feedback Consultation – Usually involving two professionals and lasting 50 minutes. A detailed discussion of the assessment results and formulation of recommendations.

Assessment Tools Used During the assessment, we use a range of standardised assessment tools selected according to the child’s age and the specific questions being explored, including:

WISC intelligence test,
GMP speech perception and comprehension assessment,
Meixner Reading Sheets,
reading comprehension, language, and spelling tests from the Handbook of Speech and Language Therapy Assessments,
dictation-based assessments,
Dyscalculia Educational Assessment,
Bender–Gestalt II test.

What Does the Family Receive? As a result of the assessment, the family receives a comprehensive overview of the child’s learning skills, the possible underlying causes of the difficulties, and personalised recommendations for further development and support. Important Information The purpose of the assessment is to gain a detailed understanding of the child’s learning skills and to identify their developmental support needs. This assessment is not equivalent to an assessment carried out by an expert committee. Its results therefore cannot be used to establish BTMN status—difficulties with integration, learning, or behaviour—or SNI status—special educational needs. These statuses may only be determined by the expert committees of the educational support services.

Adult ADHD Assessment

A comprehensive clinical and neuropsychological assessment for suspected adult ADHD, including a detailed evaluation of attention, executive functioning, and cognitive functions.

Adult ADHD Assessment The aim of the clinical assessment is to provide a detailed, evidence-based understanding of your cognitive functioning, executive functions, strengths, and the areas that may require targeted support or treatment. Who Might Have Adult ADHD, and Why Is an Assessment Recommended? Adult ADHD can remain undiagnosed for many years, as the physical hyperactivity seen in childhood often develops into inner restlessness, chronic forgetfulness, difficulties with time management, and problems with emotional regulation in adulthood. International clinical guidelines recommend structured screening and assessment because untreated adult ADHD may increase the risk of difficulties at work, relationship crises, anxiety and depressive disorders, and burnout. An accurate diagnosis is the first and most important step towards effective strategies for improving quality of life, as well as appropriate therapeutic or medication-based support where needed. Who Can Apply for the Assessment? The assessment is recommended in the following cases:

in cases of suspected adult ADHD—predominantly inattentive, hyperactive-impulsive, or combined presentation,
for adults experiencing difficulties with work organisation, time management, maintaining focus, or emotional and impulse regulation,
to identify the underlying causes of chronic, long-standing difficulties with learning or performance,
for adults who have already been diagnosed and would like a more detailed understanding of their current cognitive profile in order to refine an individual development plan or therapeutic approach.

The Assessment Process The assessment is carried out in two stages.

1. Psychological and Neuropsychological Stage – The process begins with an initial interview conducted by a MURMO neuropsychologist or clinical psychologist. This is followed by questionnaires and cognitive assessments covering areas such as the individual’s cognitive profile, attention regulation, and executive functions. The stage concludes with a feedback consultation and a written clinical report, usually after 4–5 sessions. Some sessions may also be conducted online or scheduled in a more intensive, block format.
2. Psychiatric Stage – The client then meets with an adult psychiatrist who works in collaboration with MURMO at an external location, bringing the completed assessment materials with them. The diagnosis is confirmed or ruled out at the end of this process, usually over 3–5 sessions, depending on any co-occurring conditions. Information about the current fees for the psychiatric assessment is available by email.

Assessment Tools Used During the assessment, we use a range of standardised tools selected according to the adult client’s age and the differential diagnostic questions being explored, including:

WAIS-IV — Wechsler Adult Intelligence Scale,
structured diagnostic interview for the assessment of adult ADHD,
Adult ADHD Self-Report Scale,
Conners’ Adult ADHD Rating Scales,
d2-R or other neuropsychological tests of attention,
BDI and BAI — Beck Depression Inventory and Beck Anxiety Inventory — to identify or rule out co-occurring conditions.

What Does the Client Receive? As a result of the assessment, you will receive a comprehensive and detailed clinical and neuropsychological profile of your cognitive functioning, attention, and executive functions, as well as the possible underlying causes of the difficulties you are experiencing. The process concludes with a written clinical report containing personalised recommendations for everyday life-management strategies, workplace adjustments, and further targeted support. Important Clinical Information The purpose of the assessment is to develop a detailed understanding of the adult client’s cognitive profile and symptoms and to prepare a psychological and neuropsychological clinical report. Where the clinical picture indicates that medication may be required, only a qualified adult psychiatrist is authorised to establish the final official clinical diagnosis and prescribe or adjust medication. Our clinical report and assessment results support the psychiatric diagnostic and treatment process.

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Diagnostic Assessments

Comprehensive Assessment

School Readiness Assessment

Neuropsychological Assessment

Autism Assessment

Initial Assessment

Initial Consultation

Screening for Specific Learning Difficulties

Adult ADHD Assessment

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