The Testing Psychologist Podcast

Would you rather read the transcript? Click here. In this episode, I sit down with Dr. Megan Helmen to delve into the complex clinical landscape of intellectual giftedness and twice-exceptionality. We explore how giftedness functions as a distinct neurotype rather than merely a high score on an intelligence test, emphasizing both its quantitative benchmarks and its qualitative realities. Dr. Helmen highlights the critical importance of looking beyond standardized psychometric thresholds, illustrating how bright children frequently utilize advanced compensatory strategies to mask underlying developmental disabilities like ADHD, autism, and dyslexia. By shifting our clinical focus from rigid score cutoffs to qualitative process observations during testing, we can better identify hidden impairments and avoid misinterpreting a child’s struggles as mere quirkiness. Our conversation offers actionable insights for refining the diagnostic interview, navigating overlapping constructs such as Dabrowski’s overexcitabilities, and connecting twice-exceptional families with appropriate educational and community resources. Main Topics Discussed 03:39: Defining Twice-Exceptionality from Quantitative and Qualitative Lenses 12:05: Understanding Asynchrony and Skill Variability in Gifted Profiles 14:57: Exploring the Link Between Gifted Traits, Anxiety, and Perfectionism 19:01: Deconstructing Dabrowski’s Five Overexcitabilities and Clinical Frameworks 27:14: Conducting Effective Diagnostic Interviews and Eliciting Parent Stories 38:56: Shifting Assessment Focus from Psychometric Scores to Process Observations 52:14: Analyzing the Intersection of Autism and Giftedness Through Discrepancy Profiles 01:05:45: Essential Resources and Interventions for Highly Gifted and 2E Individuals Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists National Association for Gifted Children: www.nagc.org  Davidson Academy: www.davidsonacademy.unr.edu  REEL 2E: www.reel2e.org  Bridges Graduate School of Cognitive Diversity in Education: www.bridges.edu  Bright and Quirky: www.brightandquirky.com Young Scholars Academy: www.youngscholarsacademy.org  Minnesota Council for Gifted and Talented: www.mcgt.net  American Academy of Pediatric Neuropsychology: www.theaapdn.org  Minnesota Psychological Association: www.mnpsych.org  Developmental Discoveries: www.developmental-discoveries.com Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!e from At Health! About Dr. Megan Helmen In her early work with autistic children and their families, Dr. Helmen became increasingly aware of how difficult and disorienting the diagnostic process could be. This awareness shaped her professional mission: to provide a more informed, compassionate, and empowering introduction to neurodevelopmental understanding. Dr. Helmen’s approach combines clinical expertise and research-backed strategies with genuine connection and a sense of humor. After more than a decade of clinical practice within medical systems, she founded Developmental Discoveries to offer a more humanized and family-centered model of service. The practice is built on ensuring that children feel welcomed and understood, while caregivers gain meaningful insight into their child’s strengths, struggles, and opportunities for growth. Get in touch: Email: [email protected] Speaking & consulting: https://www.developmental-discoveries.com/speaking Clinic website: developmental-discoveries.com Instagram: https://www.instagram.com/developmental_discoveries/ Facebook: https://www.facebook.com/DevelopmentalDiscoveries LinkedIn: https://www.linkedin.com/in/megan-helmen-psy-d-l-p-945b2716/ About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with renowned assessment expert Dr. Cecil R. Reynolds to discuss the upcoming release of the Behavioral Assessment System for Children, Fourth Edition, widely known as the BASC-4. We dive into the complex science behind test construction, examining why regular revisions are necessary to combat the seven year half-life of psychological knowledge and adapt to shifting clinical realities. Dr. Reynolds shares an insider look at the specific updates featured in the new edition, including neurodiversity-affirming adjustments to item language, an upgraded autism index for early childhood, and the upcoming introduction of narrowband scales for ADHD, autism, and mood disorders. We also address the systemic challenges of test development, the critical ethical requirement to choose instruments capable of withstanding legal cross-examination, and how practitioners can directly advocate for the creation of an adult broadband equivalent of the BASC system. 00:35: The upcoming summer release timeline and rollout schedule for the BASC-4 01:18: The seven year half-life of psychological knowledge and the necessity of test revisions 06:40: Incorporating neurodiversity-affirming language into standardized items without sacrificing validity 11:17: New positive development metrics and expanded early childhood autism screening capabilities 23:26: The clinical functions and structural features of the upcoming BASC-4 narrowband scales 34:08: The psychometric dangers of diagnostic over-identification when using standalone narrowband tools 45:37: Selecting legally defensible instruments aligned with the Standards for Educational and Psychological Testing 51:54: Market realities of the test publishing industry and the path forward for an adult broadband measure 01:00:21: Defining clinical efficacy and balancing workflow efficiency with scientific accuracy Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Purchase the BASC-4 Join the BASC-4 webinar trainings: https://www.pearsonassessments.com/en-us/Store/Professional-Assessments/Behavior/Behavior-Assessment-System-for-Children-%7C-Fourth-Edition-/p/P100125000?productId=A103000453455 https://www.pearsonassessments.com/en-us/Store/Professional-Assessments/Behavior/Behavior-Assessment-System-for-Children-%7C-Fourth-Edition-/p/P100125000?productId=A103000453456 Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!ount on ALL the course credits you purchase from At Health! About Dr. Cecil Reynolds Cecil Reynolds is author of what are now 4 editions of the Behavior Assessment System for Childre, with BASC-4 about to release in 3 weeks. He is also the author of more than 50 commercially published psychological tests and a frequent contributor to The Testing Psychologist. Get in touch: Email: [email protected] About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with Nicole Brewer to discuss a transformative approach to hiring within private practice: the integration of artificial intelligence. Nicole shares her journey from seeking simple efficiency to discovering how AI can expose deep seated biases like overconfidence and the halo effect. We explore her structured four layer hiring process and how tools like Claude can be primed with a practice’s mission and values to provide objective, data-driven insights. This conversation offers a practical framework for practice owners to move from hiring good candidates to securing the best possible fits for their leadership and clinical teams. Key Moments 00:53: Why AI is essential for uncovering hiring biases and gaps 03:04: Identifying the four main biases that plague traditional hiring 09:19: How the level of responsibility dictates the patience required in hiring 18:31: The four layer process for vetting candidates effectively 21:17: Integrating assessments like the Kolbe and DISC into the interview flow 35:15: Technical steps for priming AI projects with practice specific context 40:33: Using AI to generate custom interview guides and candidate reports 53:35: The limitations of AI and the enduring need for human intuition Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Free Hiring Prompt Pack: https://www.rethinkyourpractice.com/Hiring-Prompt Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!rrent and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Nicole Brewer, LCPC Nicole Brewer is the founder and CEO of reTHINK Therapy, a 24-person group practice in Henderson, Nevada, where she’s building what therapist employment should look like, salary-based, benefits-backed, and grounded in the belief that excellent therapy starts with great therapists. Over the past decade, she’s evolved from solo clinician to practice leader, and now shares what she’s learned with other practice owners through reTHINK Your Practice. Nicole is especially passionate about the practical, human side of running a therapy business: building teams, designing systems, and, lately, using AI to make hiring smarter, faster, and more aligned. Get in Touch: Website: www.rethinkyourpractice.com About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. Watch the YouTube video here. Welcome back to another electronic health record review episode, where I dive deep into the platforms shaping modern clinical practices. In this episode, I provide an in-depth walkthrough of My Best Practice, an electronic health record system designed specifically by a psychologist, Dr. Ryan Fuller. I evaluate this platform through the lens of a testing psychologist, exploring its usability, onboarding experience, pricing structures, and customizable features. From automated billing workflows and open-source outcome measure graphing to the challenges of manually inputting psychological testing CPT codes and building custom notes, I break down whether this affordable system truly accommodates the unique demands of an assessment-focused practice. Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists My Best Practice: https://www.mbpractice.com  Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with Dr. Wenn Lawson, an autistic researcher and author, to explore the foundational cognitive structures of autism that often go unrecognized by traditional diagnostic frameworks. We move beyond the surface-level criteria of the DSM-5-TR to discuss monotropism and how it drives core autistic experiences such as sensory processing, object permanence, and interoception. Dr. Lawson shares insights into the heavy toll of camouflaging, the reality of autistic burnout, and the “triple empathy problem” that occurs when autistic individuals navigate mismatched environments. Our conversation also provides practical, neuro-affirming shifts for clinical practice, from adapting standardized testing language to creating sensory-friendly office spaces that value authentic autistic expression. Key Moments 02:29: Limitations of the DSM-5 and the missing subtleties in current diagnostic frameworks 07:00: Gender differences in presentation and the impact of the double X chromosome on social masking 09:17: Defining monotropism as a foundational cognitive disposition in autism and ADHD 16:40: The connection between monotropism, object permanence, and relationship navigation 22:03: Interoception and the impact of internal sensing on behavior and regulation 25:37: Adaptive morphing and the mental health consequences of chronic camouflaging 32:22: Distinguishing autistic burnout from neurotypical burnout and the necessity of “passion-based” recovery 38:37: From the double empathy problem to the triple empathy problem in clinical and educational systems 41:13: Practical adaptations for the diagnostic interview and neuro-affirming assessment processes 46:48: Modifying standardized testing language to accommodate literal processing and monotropic focus Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Dr. Wenn Lawson Official Website: www.wennlawson.com Dr. Wenn Lawson YouTube Channel: https://www.youtube.com/channel/UCD8L-Ht_jSQxBmWe6MzZvJA  Patrick Dwyer’s research on monotropism: https://www.autisticscholar.com/monotropism/  Damian Milton and the Double Empathy Problem: www.tandfonline.com/doi/abs/10.1080/09687599.2012.710008 Curtin University Autism Research: www.curtin.edu.au/research/  Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Wenn Lawson Dr. Wenn, auDHD, dyslexic, and dyspraxic, is passionate about all things autism. He is a British Psychologist, a qualified Social Worker, a well-known Autistic Researcher, Author, Speaker and Poet. Wenn is a key theorist of the Monotropism theory of Autism and Adjunct Associate Professor with Curtin University, Western Australia. Get in Touch: Website: www.wennlawson.com Wenn Lawson Youtube Email: [email protected] About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I share a review of evaluation reports from my own practice to identify the five most common writing mistakes that we’re making. Report writing is an ongoing, evolving process, and even experienced practitioners frequently fall into patterns that hinder readability and utility for clients, parents, and educators. By breaking down issues such as over-utilizing clinical jargon, structuring reports around specific test names rather than functional domains, and overwhelming readers with an untriaged avalanche of recommendations, I provide concrete strategies to transform your reports into clear, actionable documents. I also discuss the impact of pathologizing language and defensive hedging, offering practical shifts to help you establish clinical authority while remaining affirming and accessible. 00:03: Introduction to report writing as an ongoing work in progress 01:40: Mistake 1: The jargon avalanche and the “so what?” test 04:55: Mistake 2: Reporting test names versus functional skills and abilities 08:55: Mistake 3: The recommendation avalanche and how to triage effectively 13:45: Mistake 4: Shifting away from deficit-first and pathologizing language 17:28: Mistake 5: Overcoming defensive hedging and passive voice 22:14: Overview of the Craft membership community and upcoming enrollment Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!” for a discount on ALL the course credits you purchase from At Health!hase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I have had the pleasure of reading Dr. Tony Attwood’s work since the beginning of my career, and it was a distinct privilege to sit down with him to discuss his fifty-five years of clinical experience. We discuss the transition from early work to our current neurodevelopmental framework, highlighting the critical shift in recognizing the female autism phenotype. Dr. Attwood provides deep insight into the internal experience of camouflaging and explains his pragmatic approach to preventing burnout using the energy accounting model. Our conversation also addresses the stark gaps in current research, specifically regarding non-speaking individuals and the unique challenges faced by the aging autistic population. Main Topics The evolution of autism awareness and clinical experience since 1971 Moving away from the refrigerator mother myth to neurodevelopmental genetics The shifting prevalence and male to female ratio in autism Recognizing the female autism phenotype and the toll of camouflaging Reconceptualizing diagnosis as a process of self-discovery and closure Identifying critical research gaps in sensory sensitivity and non-speaking autism The challenges and outcomes of aging with autism and the role of support networks Strategies for managing autistic burnout through the energy accounting model Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Attwood and Garnet Events: www.attwoodandgarnettevents.com Asperger’s Syndrome: A Guide for Parents and Professionals: www.amazon.com/Aspergers-Syndrome-Parents-Professionals-Attwood/dp/1853025771 The Complete Guide to Asperger’s Syndrome: www.amazon.com/Complete-Guide-Aspergers-Syndrome-Attwood/dp/1843106692 CDC Autism Prevalence Report (2023): www.cdc.gov/mmwr/volumes/72/ss/ss7202a1.htm  Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Tony Attwood Professor Tony Attwood is a leading British clinical psychologist and one of the world’s foremost authorities on Autism Spectrum Disorder (ASD), particularly Asperger’s syndrome. With a career spanning over five decades, he is highly celebrated for his pioneering research, therapeutic strategies, and advocacy for neurodiversity. About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I am so excited to share this conversation with Dr. Paul Beljan, a pediatric neuropsychologist who is doing incredible work pushing our field forward. This episode is a deep dive into why we need to move past the outdated discrepancy models of the 1990s and start looking at the actual neurology of how kids learn. Paul and I talk about the “learn and lose” phenomenon, why math disorders are so frequently missed in schools, and the critical role of the cerebellum in procedural learning. We also get into the weeds on how to write reports that parents actually want to read and how to give feedback to a child in a way that is empowering rather than pathologizing. This is a must-listen for anyone who feels like the standard way of identifying learning disorders just isn’t capturing the full picture of the kids sitting across from them. 00:32: The importance of accuracy in pediatric diagnosis and the weight of professional responsibility. 03:39: A critique of the discrepancy model and the “wait to fail” problem in schools. 07:34: Why math learning disorders are rarely diagnosed and the role of procedural consolidation. 11:32: Distinguishing between phonological and orthographic dyslexia through error analysis. 15:04: The “hook and ladder” fire truck analogy for the dual-tiered model of executive functioning and the cerebellum. 30:48: The failure to consolidate fundamentals versus conceptual understanding in dyscalculia. 45:13: Reforming neuropsychological report writing using the Stephanie Nelson model. 59:08: How to conduct an “awareness meeting” feedback session with children. Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Paul’s practice website: www.beljanpsych.com  The FAM and the FAR (Feifer Assessment of Math/Reading): www.parinc.com Lindamood-Bell Learning Processes: www.lindamoodbell.com Orton-Gillingham Academy: www.ortonacademy.org  The Executive Brain by Elkhonon Goldberg: www.amazon.com/Executive-Brain-Frontal-Lobes-Civilized/dp/0195156012 Neuro Summary Sheet The Wisdom Paradox by Elkhonon Goldberg: www.amazon.com/Wisdom-Paradox-Your-Mind-Stronger/dp/1592401872 Dr. Stephanie Nelson (The Peer Consult): www.thepeerconsult.com Misdiagnosis and Dual Diagnoses of Gifted Children and Adults: www.giftedbooks.com Overcoming Dyslexia by Sally Shaywitz: www.dyslexia.yale.edu  Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Paul Beljan Dr. Paul Beljan is a pediatric neuropsychologist practicing in Scottsdale, AZ. He is a past president of the American Board of Pediatric Neuropsychology (ABPdN). He holds child diplomate with ABPdN and adult diplomate with the American Board of Professional Neuropsychology (ABN). In 2016, Dr. Beljan completed a post-doctoral master’s degree in psychopharmacology from New Mexico State University. Dr. Beljan co-authored Misdiagnosis and Dual Diagnosis of Gifted Children and Adults: ADHD, BiPolar, OCD, Depression, and Other Disorders. He also co-authored Large Scale Brain Systems and Neuropsychological Assessment: An Effort to Move Forward. Dr. Beljan is a nationally retained forensic expert and lectures nationally and internationally. Get in Touch & Resources: Email: [email protected] Website: https://www.paulbeljan.com/ About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. Watch the video here. It was a pleasure to dive back into the world of electronic health records. Today, I’m exploring Healthie, a platform that has gained significant traction recently. This review is a blind walkthrough from the perspective of a testing practice that bills insurance, focusing on whether the platform’s robust feature set actually translates to a smooth clinical workflow. I cover the initial setup and interface, the depth of third-party integrations, and the specific hurdles a testing psychologist might face when trying to move from a six-hour assessment to a clean insurance claim. Pros Extensive Customization: The platform offers significant flexibility for intake forms and demographic tracking, including detailed options for gender identity and pronouns. Robust Integrations: It connects with a wide range of third-party tools such as ClaimMD, AI scribing software, and marketing platforms. Automated Intake Flows: Clinicians can build structured paperwork packets, allowing clients to move through forms in a seamless sequence. Flexible Scheduling: The system supports specific naming for appointment types, which is useful for distinguishing between different types of assessment sessions. Built-in Communications: Features like e-faxing and a secure client chat are integrated directly into the interface. Data Visualization: A dedicated dashboard provides high-level reports on practice metrics, including appointments and provider utilization. Cons Workflow Disconnect: There is a notable lack of integration between clinical charting and the billing process, requiring manual entry of CPT codes on claims. Manual Billing Hurdles: Creating CMS 1500 forms or superbills is a manual process that does not consistently auto-populate fees or codes. Steep Learning Curve: The interface is complex enough that new users often require guided onboarding or extensive use of the help center to navigate basic setups. Generalist Design: Because it serves many medical specialties, the interface includes irrelevant modules for mental health, such as meal plans and medical metrics. UI Inconsistencies: The user interface behaves differently across modules; for example, the claim interface provides error alerts that the superbill interface does not. Note Customization Limits: It is difficult to find obvious options for creating fully customized clinical note templates tailored to testing right out of the box. Cost Barriers: To access essential insurance billing features, practitioners must subscribe to higher-priced tiers, which can be expensive for group practices. Main Topics 00:01: Introduction to Healthie and the philosophy of blind EHR reviews 01:45: Initial onboarding process and navigating the primary user interface 05:20: Exploration of client demographics, gender identity options, and insurance entry 09:43: Review of the organizational settings, calendar functionality, and drag-and-drop features 13:20: Deep dive into the intake flow builder and paperwork automation 18:15: Evaluation of third-party integrations, including AI scribes and ClaimMD 22:30: Configuring appointment types and scheduling for long-form testing sessions 33:17: The disconnect between clinical charting and the CMS 1500 billing workflow 49:20: Final verdict on pricing, learning curves, and suitability for testing practices Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!hase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’m excited to share this conversation with Dr. Maelisa McCaffrey, a clinical psychologist and documentation expert who has been closely monitoring the rapid evolution of artificial intelligence in the mental health field. In this episode, we move beyond the surface level of AI as a simple productivity tool and dive deep into the ethical, clinical, and compliance-related nuances that every practitioner needs to understand. Maelisa provides a comprehensive overview of the current landscape, from the rise of ambient listening scribes to the ways insurance companies are leveraging AI in their own processes. We discuss the transition from being a “doer” of documentation to becoming a “supervisor” of AI-generated content, emphasizing that while these tools can be life-changing for clinicians struggling with burnout, they do not absolve us of our professional responsibility for accuracy and clinical judgment. Main Topics 00:01:21: The increasing pervasiveness of AI across personal and professional domains. 00:05:40: Overview of the current AI landscape in mental health, including documentation and chatbots. 00:15:48: Four primary ways AI platforms assist with clinical note-taking. 00:21:18: Risks associated with session transcripts and the importance of data retention policies. 00:30:10: Ethical requirements for informed consent and navigating state-specific AI laws. 00:38:30: Technical vetting of AI companies: HIPAA compliance, BAAs, and anonymized vs. de-identified data. 00:52:06: The effectiveness of AI in clinical formulation, diagnosing, and treatment goal generation. 00:55:12: How insurance companies are utilizing AI for claims processing and potential denials. Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists QA Prep: www.qaprep.com Maelisa McCaffrey’s  YouTube Channel: www.youtube.com/@MaelisaMcCaffrey  Quill Therapy: https://quilltherapysolutions.com/ Heidi Health: www.heidihealth.com  Berries: www.getberries.ai  Blueprint: www.blueprint-health.com  Maelisa’s book: www.amazon.com/Stress-Free-Documentation-Psychologists-Mental-Health/dp/1138038318 Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Maelisa McCaffrey Dr. Maelisa McCaffrey is a licensed psychologist, nail design enthusiast, and author of the book, Stress-Free Documentation for Mental Health Therapists. Through her business QA Prep, she empowers therapists with training and consultation on clinical documentation. Maelisa focuses on the “why” behind the usual recommendations and encourages clinicians to think outside the box, while also keeping their ethics intact. As someone with ADHD who’s had to figure out what works through trial and error, Maelisa aims to make sure her trainings are practical, while also allowing for plenty of laughter and fun. Get in Touch & Resources: Website: qaprep.com YouTube: https://youtube.com/@maelisamccaffrey?si=tGClPQpdMFBVxuWc About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. The landscape of mental health regulation shifted dramatically in March 2026 with the Supreme Court’s ruling in Chiles v. Salazar. In this episode, I break down why a Colorado case about conversion therapy has far-reaching consequences for every licensed professional, particularly those of us in the assessment world. We explore the court’s decision to reclassify “talk therapy” and diagnostic reporting as protected speech rather than mere professional conduct. While this ruling offers a new shield against state-mandated orthodoxy (potentially protecting gender-affirming care in restrictive states), it also weakens the ability of licensing boards to proactively prevent harmful “quackery.” I discuss the “intellectual disability paradox” in legal precedent and why we might need to return to more rigid documentation to protect ourselves from the coming wave of civil litigation. Main Topics 00:35: The origins of the Minor Conversion Law (MCTL) and the 2019 Colorado legislative intent 01:34: Kaylee Chiles’ First Amendment challenge and the “talk therapy as speech” argument 02:45: The Supreme Court’s 8-1 decision: Viewpoint discrimination and the Gorsuch majority opinion 04:30: Medical consensus vs. constitutional protection: Why the court rejected the “standard of care” defense 05:25: Justice Katanji Brown Jackson’s dissent: The “scalpel vs. speech” warning and the danger of substandard care 07:10: Potential negative impacts: Proliferation of unproven therapies and the erosion of consumer trust 08:45: The silver lining: How this ruling could safeguard gender-affirming and reproductive health care 10:34: Impact on testing psychologists: Diagnostic reports as “synthesis of clinical judgment” and protected viewpoints 13:45: The shift in accountability: From proactive board regulation to reactive medical malpractice lawsuits 16:50: Practical takeaways: Navigating the new requirement for “flexibility in interpretation, rigidity in documentation.” Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I sit down with Drs. Stephanie Nelson and Alison Wilkinson-Smith to address a persistent gap in the field of psychological assessment: the lack of a structured, evidence-based approach to supervision. We move beyond the traditional “osmosis” model of training to explore how supervisors can intentionally externalize their implicit expertise. Our conversation focuses on the SCOOP framework and the SWIRL model, providing a roadmap for navigating everything from case conceptualization to the emotional ruptures that occur when a supervisor and trainee reach a diagnostic stalemate. By integrating research on medical education and elite coaching with the core values of therapeutic assessment, Stephanie and Alison offer a comprehensive guide to becoming an attuned and effective supervisor. Main Topics Discussed 01:37: The origin of the collaboration and the “mixed bag” of early career supervision. 08:17: The current state of supervision literature and the competency-based shift. 12:42: Navigating the transition from unconscious effectiveness to expert teaching. 15:53: Establishing emotional safety and the “nesting bowls” of clinical containment. 35:29: An overview of the SCOOP model for structuring supervision sessions. 40:50: Using the “First Crack” method to identify a trainee’s zone of proximal development. 54:22: Strategies for externalizing implicit clinical skills and avoiding the “master-apprentice” trap. 59:37: Resolving friction and diagnostic stalemates using the SWIRL framework. Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Stephanie & Alison’s upcoming workshop: https://www.level2psychconsult.com/supervision-and-mentorship-workshop  Level 2 Psych Consult: https://www.level2psychconsult.com Essentials of Psychological Assessment Supervision (Jordan Wright): www.amazon.com/Essentials-Psychological-Assessment-Supervision-Essentials/dp/1119565507 Supervision in Neuropsychology (Bowden, Stuckey, and Bush): www.amazon.com/Supervision-Neuropsychology-Clinical-Neuropsychology-Practice/dp/0199837775 Therapeutic Assessment Institute: www.therapeuticassessment.com Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Stephanie Nelson Dr. Stephanie Nelson is a pediatric neuropsychologist who specializes in complex differential diagnosis. She is board certified in both clinical neuropsychology and pediatric neuropsychology, and she is currently the president of the American Board of Pediatric Neuropsychology. She has a private practice in Seattle, WA. She also has a consultation practice called The Peer Consult, through which she provides consultation to psychologists and neuropsychologists who specialize in pediatric assessment. Get in Touch Website: www.thepeerconsult.com About Dr. Alison Wilkinson-Smith Dr. Wilkinson-Smith is board certified in Clinical Neuropsychology and has a sub specialty certification in Pediatric Neuropsychology by ABPP. She is also certified in Therapeutic Assessment of children by the TA institute. She is a Professor of Psychiatry and practices clinical neuropsychology in an academic medical setting and in private practice. She offers professional consultation on pediatric psychological and neuropsychological assessment, and she specializes in therapeutic and collaborative assessment techniques, pediatric functional neurological disorders, and assessment of children living with medical and psychosocial complexity.Get in Touch Website: level2psychconsult.com Private Practice Website: Nextlevelneuropsychology.com About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I examine the diagnostic paradox of autism masking and camouflaging, specifically focusing on how clinicians can identify autism when a client’s surface behavior appears neurotypical. I discuss the limitations of traditional observational tools like the ADOS-2 and explain how the DSM-5-TR provides a framework for recognizing compensation and historical symptoms. By looking at the cognitive mechanisms behind masking and the significant mental health toll it takes, I offer a perspective that re-conceptualizes autism as a neurobiological reality rather than a purely behavioral one. My goal is to help practitioners understand that the ability to camouflage is not a reason to rule out a diagnosis but is often evidence of the diagnosis itself. Main Topics 00:01: Introduction to the diagnostic paradox of observable deficits versus effective camouflaging 02:20: Explicit recognition of compensation and the currently or by history clause in the DSM-5-TR 05:50: The cognitive shift from intuitive social cognition to rule-based learning and executive function 08:30: Why the need to camouflage confirms the presence of underlying social cognitive differences 13:50: Neuroimaging and the persistence of brain-based markers despite behavioral changes 18:00: Assessing functional impairment through the lens of exhaustion, burnout, and mental health burden 24:10: Re-conceptualizing autism as a neurobiological profile and the role of clinical consensus 27:30: Practical implications for clinicians and the risks of false negatives in adult evaluations Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. It’s great to be back with you all as we continue this deep dive into the world of autism and neurodivergence. Today, we are tackling a topic that has really taken the clinical world by storm over the last several years, and that is the concept of camouflaging and masking. Honestly, this is one of those areas where the research is moving so fast it can be hard to keep up, but it is also deeply personal for so many of the folks we see in our offices. I wanted to take some time to really look at the literature: what we actually know, what we think we know, and where the holes are. Because as much as we talk about “masking,” the science behind it is actually a lot more nuanced and a lot more complicated than it might seem on the surface. Main Topics 00:01: Defining camouflaging as the conscious or unconscious strategies used to hide or compensate for autistic characteristics in social settings 01:45: The three core components of camouflaging: compensation, masking, and assimilation according to the Hull et al. (2019) framework 04:10: Methods for measuring camouflaging, including the CAT-Q self-report measure and the discrepancy method between cognitive ability and observed traits 06:45: The weak correlation between self-report and discrepancy measures and what that tells us about intention versus effectiveness 08:15: Prevalence of camouflaging in autistic versus non-autistic populations and its role as a broader form of impression management 10:20: Sex and gender differences in camouflaging and why females consistently report higher scores across studies 12:40: The significant mental health impact of camouflaging, including burnout, identity confusion, and suicidal ideation 15:15: Critical validity concerns regarding the CAT-Q and potential construct overlap with social anxiety Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’m back with the second part of our mini-series on autism. Today I’m really trying to parse out why we’re seeing such a gap in how often we diagnose males versus females. We’re also diving into the social communication paradox (how someone can look really skilled on the surface while still struggling with the same underlying neurological hurdles), and the way restricted interests look different when they’re focused on things like animals or art instead of train schedules. It’s a lot to wrestle with, especially when the DSM hasn’t quite caught up to what we’re seeing in our offices every day, but I’m hoping this helps clear up some of that diagnostic fog. Main Topics 00:01: Discussion of the four-to-one male-to-female prevalence ratio and the evidence for under diagnosis in females 01:45: The timing of diagnosis and how delays in assessment compound over time for female patients 02:28: The intellectual disability paradox and how impairment levels influence diagnostic rates 03:20: Research on social communication differences and the distinction between observable skills and underlying understanding 04:55: Issues with measurement bias in the ADOS and the problem of diagnostic overshadowing with co-occurring conditions 07:10: Quantitative and qualitative differences in restricted interests and repetitive behaviors across sexes 10:21: Statistics on psychiatric comorbidities and why autistic females face higher rates of anxiety and depression 12:50: Developmental trajectories from early childhood through adulthood and the adolescence inflection point 14:30: A preliminary look at camouflaging and the CAT-Q subscales in the female phenotype Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testingn use code “TTP10” for a discount on ALL the course credits you purchase from At Health! NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’m coming at this episode as much as a parent as I am a psychologist or the co-founder of an AI company. After my own son got flagged by a teacher for potentially using AI on a writing assignment, I had a pretty humbling realization: I hadn’t actually taught him what responsible AI use looks like. Most of our kids (about 70% of teens) are already using these tools, but they’re doing it in a vacuum without much guidance from schools or home. In this conversation, I wanted to move past the “cheating” panic and look at the real developmental stakes. We’re talking about how passive AI use might be replacing the “cognitive heavy lifting” kids need to build critical thinking and how we, as clinicians and parents, can start having the “AI Talk” early and often to turn these tools into structured thought partners rather than just answer generators. Main Topics 00:01: The “Cop’s Kid” moment: How my son’s school assignment became a wake-up call about teaching responsible AI use. 03:05: Current statistics on teenage AI adoption and why school policies are struggling to keep pace with the technology. 05:40: Why the real concern isn’t just academic integrity, but the potential “atrophy” of critical thinking and analytical skills. 08:30: Comparing the “AI Talk” to the “Sex Talk”—why it needs to start early (age 8-10) and evolve over time. 11:20: Privacy red flags and why we need to monitor for “secrecy” or “humanizing” AI in our kids’ digital habits. 13:10: A framework for healthy AI use: Outsourcing the rote tasks while keeping the “human brain in the loop.” 14:50: Prompt Engineering as a metacognitive skill: Teaching kids to give context and identify where they are stuck. 18:20: Tailoring AI for neurodivergent kids: Specific strategies and prompts for ADHD, Dyslexia, and Autism. 24:30: Using the “Socratic Method” with AI to help teenagers navigate social conflict and perspective-taking. Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Simple prompt framework for kids document Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I remember being trained on the original ADOS back in grad school, and even though the ADOS-2 has been out for over a decade now, we are still constantly learning about where it shines and where it kind of falls short. In this episode, I’m digging into the actual numbers behind the instrument, from its 90% sensitivity to the much more complicated reality of its specificity, especially when we’re working with clinical populations like ADHD or anxiety. I’m also tackling the “compensation paradox” and the very real data showing how the ADOS-2 might be under-identifying females and people of color. It’s a nuanced look at a tool we use every day, and I think it’s a necessary conversation if we want to move toward more equitable, accurate assessments. 00:35: The history of the ADOS and its evolution into the current “gold standard” 02:21: Breaking down the five modules and how language level dictates administration 05:40: Sensitivity vs. Specificity: What the meta-analyses actually tell us about accuracy 08:25: The false positive problem and the predictive limitations of “Autism Spectrum” classifications 11:11: Why the ADOS-2 should never supersede clinical judgment in a comprehensive battery 12:45: Differential diagnosis challenges with ADHD, social anxiety, and language disorders 15:30: The “Compensation Paradox” in high-functioning and low-support needs individuals 18:49: Data on sex differences and why the algorithm might be biased against female presentations 21:13: Addressing racial bias and the limitations of a tool validated primarily on white samples Cool Things Mentioned Craft: the premier membership community for testing psychologists Crafted Practice: the only in-person business retreat for testing psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing NovoPsych brings 150+ standardized measures into one platform. If you’re interested in high quality measures for personality, disability, ADHD or Autism, try NovoPsych with a 15-day free trial via this link: https://novopsych.com/testingpsychologist  The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’ve been thinking a lot lately about how easy it is to let the “drift” happen in a testing practice. You start with these great clinical intentions and a solid business plan, but then a few months go by, the schedule gets packed, and suddenly you’re just trying to keep your head above water. This episode is really meant to be a 90 day reset to help us stop and look at the data before we get too far off track. I walk through a four part audit covering clinical quality, financial health, our tech stacks, and our operational flow. I’m doing these same checks in my own practice right now because I’ve realized that if we aren’t measuring these things, we can’t actually manage them, and I’d much rather catch any issues now than a year down the road. Main Topics 01:05: Performing a clinical audit by reviewing battery architecture and front loading high demand tasks 02:22: Monitoring the validity chain and adhering to the AACN and NAN two failure rule 03:32: Moving beyond the “score dump” to focus on narrative synthesis and a one page roadmap 05:25: Conducting a financial health audit by measuring administrative to clinical time ratios 06:42: Calculating your real hourly rate by accounting for overhead and total hours worked 07:14: Benchmarking profit margins for solo versus group practices and monitoring labor to revenue ratios 08:48: Executing a technology audit including BAA verification and data sovereignty checks 11:24: Evaluating data security through “leak tests” and moving toward portal only report delivery 13:01: Running an operational friction test to measure the referral to feedback timeline Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Downloads The Practice Audit Checklist Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. Staying on top of the legal side of things is a huge pain, but we are at a point where keeping up with these digital shifts is just a core part of running a practice. In this episode, I’m walking through the 2026 HIPAA Security Rule updates and what they actually mean for you on a day-to-day basis. We’re moving away from the old “addressable” safeguards into a world where everything is mandatory, from multi-factor authentication to specific 72-hour data recovery rules. I also dig into the concept of data sovereignty, which is really just a fancy way of saying who actually controls your client data, and how to spot red flags in those long terms of service agreements that none of us ever want to read. My goal is to help you build a simple vetting process for your software so you can focus on the clinical work without worrying that your data is leaking into a global AI training model. Main Topics 00:38: The 2026 HIPAA Security Rule update and the end of addressable safeguards 01:12: Mandatory multi-factor authentication (MFA) requirements for all systems 02:20: The 72-hour recovery rule for clinical data and vendor contract obligations 03:25: Updating Business Associate Agreements (BAA) for AI-specific clauses 04:15: Defining data sovereignty vs. data residency and why control matters 07:45: A three-point vetting checklist for clinical software and AI tools 09:12: Red flag phrases to look for in Terms of Service agreements 11:35: Cross-state compliance and the impact of the Delete Act on practice inventory Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’ve been thinking a lot lately about how much tele-assessment has changed since the early days of the pandemic, and we’re definitely moving past the “just trying to survive” phase into something a bit more rigorous. I wanted to sit down and look into where the research actually stands right now, especially when it comes to the “spatial problem” and why our tech setups might be accidentally measuring screen resolution instead of actual cognitive ability. Today, I’m summarizing the research on which parts of the assessment are best conducted remotely vs. in-person, along with offering some concrete tips to improve the quality of your remote protocol. At the end of the day, we’re trying to bring the rigor of the clinic into the client’s living room, and that takes a lot more than just a laptop and a prayer. Main Topics 00:15: The foundational research in tele-neuropsychology and the high reliability of remote verbal tasks 00:45: The spatial problem and how parallax or mirroring errors can create a tele-assessment penalty 01:45: Using the Tele-ASD-PEDS to observe naturalistic parent-child interactions in the home environment 03:10: Addressing the sensory bottleneck and hearing loss confounds in geriatric cognitive screening 04:40: Comparing developmental distractions in kids versus facilitator influence in older adults 06:15: The 2026 remote protocol including the three-camera setup and audio priority requirements 08:05: Technical environment audits and the importance of a 10-inch minimum screen size 09:20: Establishing a hard “discontinue threshold” to prevent powering through bad data Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’m diving back into a topic that I feel more strongly about every day, which is the intersection of professional burnout and the way we handle our documentation. Honestly, the research on clerical burden as a driver of exhaustion is pretty staggering, and in our field of assessment, it’s compounded by the fact that we’re writing these massive integrated narratives rather than simple chart notes. In this episode, I’m making a bit of an ethical plea for automation—not as a way to cut corners, but as a clinical safety measure to preserve our executive functioning for the high-level synthesis our clients actually need. I walk through the APA ethics code, the “skeleton versus soul” model of report writing, and the non-negotiables of data sovereignty in 2026. I also share a four-point protocol for integrating these tools responsibly, from the “blind edit” to clear disclosure, because at the end of the day, I’d much rather we use our brain power for conceptualization than for transcribing scores into tables. Main Topics 00:38: The documentation crisis and the burnout loop in psychological assessment 01:25: Why documentation efficiency is a clinical safety and practice issue 02:44: Navigating APA Ethics Standard 9.09 regarding automated interpretation 03:35: The skeleton versus soul model of AI-assisted report writing 04:58: Current state of research on AI writing quality and patient outcomes 05:55: Data sovereignty and the dangers of public LLMs in clinical practice 07:45: A four-point ethical efficiency protocol for clinicians 10:28: Transparency and disclosure statements for AI-assisted reports Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. As we continue our exploration of modern assessment, I wanted to dive deep into the long-standing debate between digital and paper-based administration. While many of us have made the switch to platforms like Q-interactive, concerns about mode effects and statistical differences in scores remain a common point of anxiety. In this discussion, I review the robust research confirming cross-mode equivalence for most cognitive subtests, but I also highlight critical nuances like technology anxiety in older adults and the tactile friction gap that can influence fine motor performance. We also look at the significant advantage of digital tools in eliminating the 5% human error rate common in manual scoring. To wrap up, I outline a 2026 mode integrity protocol to help you maintain data purity, including screening for digital literacy and proper documentation of your administration methods. Main Topics 00:35: The evolution of digital platforms and research regarding mode effects 01:15: Meta-analysis findings on cross-mode equivalence for cognitive subtests 01:50: User experience bias and the impact of technology anxiety on older adults 03:02: The tactile friction gap and how stylus-on-glass influences motor speed 04:15: Human error rates in manual scoring and the benefits of digital clerical accuracy 05:40: Granularity in timing and the value of millisecond-accurate digital precision 06:45: The 2026 mode integrity protocol for clinical practice 08:35: Best practices for documenting digital administration and AI disclosures in reports Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!th! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I am so excited to dive into one of the most requested topics we have ever had: making the transition from an insurance-based model to a private pay practice. Many of us feel a lot of trepidation about this shift, wondering why a family would ever choose to pay out of pocket for an evaluation they could technically get elsewhere for a copay. In this episode, I break down the consumer psychology behind high-stakes assessments and why parents are often looking for a comprehensive life roadmap rather than just a bare-minimum diagnosis. We talk about the quality-price inference, how to leverage your calendar to offer the speed that hospitals cannot match, and how to create a premium experience that justifies your rates. Whether you are ready to go fully out of network or just want to test a hybrid model, this episode provides a clear path forward for valuing your expertise and your time. Main Topics 00:14: The mindset shift and consumer psychology of the quality-price inference 01:25: Moving from a minimum diagnosis model to a maximum life roadmap 02:48: Using speed and your calendar as your strongest marketing leverage 04:55: Implementing a hybrid strategy with premium private pay add-on packages 08:15: Upgrading the physical and digital client experience to match premium pricing 10:15: Turning the superbill process into a concierge marketing asset 12:40: The long-term rewards of autonomy and freedom from insurance audits Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I break down the financial and operational logic behind transitioning from a solo assessment model to a technician-led model. Many psychologists hesitate to hire a psychometrist because technician CPT codes reimburse at a lower rate, but looking at the unit’s revenue alone misses the bigger picture of your effective hourly rate. I walk through the specific math of a 15-hour evaluation case to show how delegating the six hours of administration actually increases your hourly value and frees you up to see more clients. We also dive into the reality of the supervision tax, how to handle quality control concerns, and the mindset shift required to move from being a tester to a diagnostician. Main Topics Covered 00:00 Understanding Psychometrist Codes and Reimbursement 06:21 Solo vs. Scaled Models in Assessment 08:46 The Supervision Tax and Its Impact 11:53 Quality Considerations in Psychometrist Models 14:49 When to Hire a Psychometrist Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I break down the essential components of the “core stack” for psychological and neuropsychological testing billing. Many clinicians leave significant revenue on the table by skipping the diagnostic interview code or miscategorizing professional integration time as simple test administration. I explain the critical differences between the 60-minute professional work codes and the 30-minute administration codes, while highlighting the “half plus one” rule that can legitimately maximize your reimbursement. We also touch on specialized codes for developmental and neurobehavioral screens and the absolute necessity of maintaining an audit-ready log to protect your practice. Main Topics Covered 00:01: Introduction to the core billing stack: 90791, 96132, and 96133 02:08: Why you must never skip the 90791 diagnostic interview code 03:25: Understanding 96132 and 96133 as 60-minute professional work units 05:20: Differentiating between psychological (96130) and neuropsychological (96132) evaluation codes 07:15: Deep dive into test administration and scoring codes 96136 and 96137 08:55: Navigating daily unit caps and insurance panel “soft caps” 10:45: Utilizing obscure codes for neurobehavioral and developmental testing 12:45: The “half plus one” timing strategy for maximizing billed units 15:20: Creating audit-ready documentation and the importance of precise time logs Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I’ve found that many assessment clinicians struggle to set fees that actually support their lives and prevent burnout. In this episode, I break down a mathematical approach to setting your hourly rate by starting with your desired take-home pay and working backward. We explore how to account for the hidden administrative drag that often eats into our margins, the reality of overhead in testing practices, and why pricing your services correctly is actually a vital clinical intervention for the sake of your clients. Main Topics Covered 00:01: Defining sustainable capacity and identifying cognitive diminishing returns in diagnostic roles 01:25: Calculating the 1:6 ratio of administrative drag to billable clinical hours 02:40: Setting a personal income goal and accounting for tax allocations and profit margins 04:15: Factoring in the high overhead costs specific to psychological assessment practices 05:00: Planning for annual billable capacity by pre-determining vacation weeks 06:10: The final math to arrive at an ideal hourly rate based on revenue targets 07:15: Implementing the rate by accounting for admin time within flat-fee evaluations 08:40: Conducting a true cost audit using time-tracking tools to find your actual hourly pay 10:45: The ethical case for high rates as a tool to prevent rushed data and templated reports Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I dive deep into the modern evolution of neuropsychological and psychological report writing. We explore why the traditional model of listing scores and rote data is no longer effective for our primary audience: the clients and their families. I discuss the cognitive load placed on readers when we fail to synthesize information and introduce the clinical snapshot as a way to prioritize the most important findings on page one. We also cover the so what rule for narrative synthesis and a tiered approach to recommendations that prevents client overwhelm. The goal is to move from a score-centric document to an integrative narrative that ensures your expertise is actually utilized to improve lives. Main Topics 00:02: The Prime Real Estate of Page One 01:45: The Inverted Pyramid and Clinical Snapshots 02:27: The Two-Sentence Synthesis Challenge 04:35: The So What Rule 07:05: AACN Guidelines and Domain Interaction 08:20: Managing Reader Shame and Overwhelm 09:01: Tiered Recommendations 11:16: The Report as a Lasting Product Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. Clinical intuition is often little more than a coin flip when it comes to detecting suboptimal effort. We like to think we can spot a client who isn’t giving their best, but the data suggests otherwise. In this episode, I dive into the necessity of using objective performance validity indicators rather than relying on gut feelings. I discuss the prevalence of failure rates in adult ADHD evaluations, the difference between malingering and a cry for help profile, and the technical balance between sensitivity and specificity in the tools we choose. I also share a practical framework for addressing poor effort in the moment using a three stage feedback sandwich to preserve the clinical alliance while ensuring the integrity of your data. Main Topics The limitations of clinical intuition in determining optimal effort Prevalence of validity failure rates in clinical ADHD evaluations Distinguishing between malingering and the cry for help profile Balancing sensitivity and specificity in validity measure selection The shift from legacy recognition tasks to multi stage symptom validity tests The two failure rule and the utility of the $0 embedded indicator Strategic scheduling and administration of PVIs throughout a battery The feedback sandwich: affirmation, calibration, and the reset Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I dive into the evolving understanding of Cognitive Disengagement Syndrome (CDS), formerly known as sluggish cognitive tempo. I explain why we are moving away from the older terminology toward a label that more accurately describes the internal mechanisms of the brain. We explore the neurobiological differences between CDS and traditional ADHD, specifically looking at the posterior attention system and the default mode network. I share how these differences manifest in clinical testing, such as the slow and accurate profile on processing speed tasks, and offer concrete tips for adjusting your assessment battery. We also touch on why traditional stimulant medications might not be the first line of defense for these individuals and what environmental primers might work better to wake up their attention systems. Main Topics Discussed 00:01 Introduction to the transition from sluggish cognitive tempo to Cognitive Disengagement Syndrome. 02:28 Defining CDS as a mental disengagement from the external environment. 04:54 Analyzing the 2022 Becker meta-analysis and the distinction between CDS and ADHD symptoms. 06:30 Neurobiology: Frontal-striatal circuits versus the posterior attention system and default mode network. 07:20 Differentiating CDS from predominantly inattentive and combined ADHD presentations. 08:45 The orienting network versus the executive control network in cognitive profiles. 09:38 Identifying the slow and accurate pattern in cognitive testing data. 11:15 Clinical recommendations: Rating scales, environmental primers, and medication considerations. Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I dive into the neurobiology of testing fatigue and why it is much more than just a simple lack of energy. We explore how high-demand cognitive tasks lead to a measurable buildup of glutamate in the prefrontal cortex, essentially creating metabolic debris that forces the brain into a self-preservation mode. I discuss the specific hierarchy of cognitive decline, noting why executive functioning and fluid reasoning are the first to fail while crystallized intelligence often remains deceptive and intact. To help you maintain the validity of your data during long assessment days, I share three concrete strategies: implementing a heavy-to-light task rotation, scheduling mandatory 90 minute movement resets, and utilizing proactive glycemic management through low-glycemic snacks. Main Topics 01:34: The neurobiology of cognitive fatigue and the role of the anterior cingulate cortex in cost-benefit analysis. 02:30: How intensive cognitive work leads to an accumulation of glutamate in the lateral prefrontal cortex. 03:45: Applying cognitive load theory and the “overflowing glass” metaphor to the six-hour assessment session. 04:54: Why executive functioning and fluid reasoning fail first while vocabulary and general knowledge remain resistant to fatigue. 06:15: The diagnostic trap of crystallized intelligence and how an articulate patient can mask underlying cognitive exhaustion. 07:45: Strategy 1—Heavy-to-light rotation and the importance of front-loading high-effort tasks. 09:10: Strategy 2—The 90-minute pivot and movement reset to clear adenosine and reset performance cycles. 10:15: Strategy 3—Glycemic management and using small, low-glycemic snacks to prevent the afternoon “food coma.” Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with Jennifer Taylor, an expert therapeutic educational consultant, to demystify the niche world of out-of-home placements and residential treatment. We explore the critical emotional journey parents face when realizing their child needs a higher level of care and how psychologists can play a foundational role in that transition. Jennifer shares her personal “why” as a parent of children who required intensive support, providing a deeply empathetic lens on the process of navigating wilderness programs, therapeutic boarding schools, and young adult transition services. We discuss the “safety quotient” and “anxiety quotient” for parents, the practicalities of how consultants vet programs through rigorous site visits, and why a high-quality neuropsychological evaluation is the essential roadmap for successful placement and treatment planning. Main Topics 00:01:36 – Introduction to Jennifer and the niche of therapeutic educational consulting. 00:04:02 – Jennifer’s personal story: Navigating the special education and residential world as a parent. 00:07:48 – Defining the role of a therapeutic educational consultant versus traditional consultants. 00:13:31 – Case study: The trajectory from suicidal ideation to University of Chicago admission. 00:20:52 – Determining when a higher level of care is necessary: Identifying school refusal and “pattern interrupts.” 00:25:20 – How psychologists can find and collaborate with reputable educational consultants. 00:36:07 – Managing parent ambivalence and the “safety and anxiety quotients” during transitions. 00:43:31 – The vetting process: Why visiting programs in person is non-negotiable for consultants. 00:52:15 – Best practices for collaboration between assessing clinicians and consultants. 01:02:42 – Final takeaways: Making psychological reports accessible and engaging for families and teens. Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb AI-powered report-writing software Independent Educational Consultant Association (IECA): www.iecaonline.com Therapeutic Consulting Association (TCA): www.therapeuticconsulting.org JET Ed Consulting: www.jetedconsulting.com Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Jennifer Taylor Jennifer Eve Taylor, JD, is the Founder of JET ED Consulting, and her practice specializes in supporting families and their children who are affected by mental health, emotional challenges, and learning differences. Jennifer is an expert in residential, therapeutic, and learning differences programs. Get in Touch & Resources: Website: www.jetedconsulting.com Email: [email protected] About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, Dr. Jeremy Sharp shares a personal and professional deep dive into the opaque world of InterQual and prior authorization. After experiencing a near-total rejection rate of clinical prior authorization requests within his own practice, Dr. Sharp investigates the history, logic, and evidence—or lack thereof—behind the criteria that dictate medical necessity for neuropsychological services. He breaks down the “checkbox” workflow used by utilization management reviewers, explains the origins of the controversial eight-hour testing benchmark, and highlights critical gaps in the system regarding clinical complexity and social determinants of health. Most importantly, the episode provides listeners with concrete, strategic language and documentation tips to help navigate these administrative hurdles and maximize the likelihood of securing the care their patients need. Main Topics Covered 00:01: The personal story of 100% denial rates and the motivation for investigating InterQual. 02:25: The history and objective of InterQual as a measurable indicator for standardizing care. 04:43: The massive scale of InterQual within the Optum and UnitedHealthcare ecosystem. 07:01: Decoding the “Black Box”: The decision-tree and checkbox software used by reviewers. 09:20: Why common referrals like ADHD and autism struggle to pass first-level screening. 11:43: Exploring the GRADE approach and the evidentiary standards used to build the criteria. 14:09: The eight-hour benchmark: Concept of testing fatigue vs. clinical complexity. 16:33: Critical gaps: Social determinants of health and the failure to account for environment. 18:57: The Appeals Paradox: Why the totality of the record wins when criteria fail. 21:18: “Playing the Game”: Specific keywords and strategies for successful prior authorizations. Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!edit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with Sara Woods to challenge the traditional, deficit-heavy lens of autism diagnostics and explore what it means to practice in a truly neurodiversity-affirming way. We discuss the shift from seeing autism as a collection of clinical “problems” to recognizing it as a natural variation of the human brain that brings unique strengths, such as integrity, systemizing, and deep focus. Sara shares her research-backed insights on why “repetitive behaviors” can be vital for regulation and how the “double empathy problem” reframes communication difficulties as a two-way street rather than an individual failure. We also dive into concrete tools for clinicians, including her Survey of Autistic Strengths, Skills, and Interests (SASSI), and practical tips for writing reports that validate a client’s struggles while celebrating their humanity and joy. Episode Topics 00:01-01:38 Why direct experience and neurodiversity matter beyond the textbook 01:39-05:00 Defining the neurodiversity paradigm and patient-led care 05:01-07:43 How differential diagnosis can be empowering rather than pathologizing 07:44-10:43 Reframing repetitive play as a foundation for cognitive development 10:44-12:52 Reconsidering eye contact through the lens of cultural difference 12:53-16:15 Integrity versus reputation management in autistic individuals 16:16-19:00 The functional purpose of stimming and sensory regulation 19:01-21:37 Navigating societal expectations and the choice to disclose 21:38-26:15 The double empathy problem and communication in mixed groups 26:16-31:06 Balancing the “superpower” narrative with authentic support 31:07-34:00 Frameworks for accommodations: Strengths, difficulties, and neutral differences 34:01-38:58 Introduction to the Survey of Autistic Strengths, Skills, and Interests (SASSI) 38:59-42:15 Specific interviewing strategies for eliciting joy and strengths 42:16-46:30 Adapting the assessment battery and the role of the ADOS 46:31-52:00 Writing affirming reports and the use of first-person language 52:01-56:30 Leveraging special interests in recommendations and school settings 56:31-01:01:20 Validating distress while maintaining a strengths-based perspective Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb AI-powered report-writing software Sara’s upcoming talk: Autism or Something Else? Avoiding Misdiagnosis in Neurodiversity-Affirming Assessment Across the Lifespan – The Chicago School | Office of Continuing Education (Time-Limited Code for 15% OFF: TestingPsych2026) Neurodiversity-Affirming Observation Form Autistic Strengths Diagram Survey of Autistic Strengths Skills and Interests Suggested Autism Batteries across the lifespan Helpful Articles: Toward a More Comprehensive Autism Assessment: Article on the SASSI: Frontiers | Toward a more comprehensive autism assessment: the survey of autistic strengths, skills, and interests Neurodiversity 2.0 Article by Hari Srinivasan: Neurodiversity 2.0 – Harnessing cross-disciplinary disability insights – ScienceDirect The Neurodiversity Paradigm According to Nick Walker: NEURODIVERSITY: SOME BASIC TERMS & DEFINITIONS • NEUROQUEER Ideas for Identifying Autistic Strengths Using the ADOS-2: https://asha2024-asha.ipostersessions.com/?s=7F-36-58-FD-20-58-05-C5-E0-D3-C1-14-74-B4-C5-BE Girard et al. study on Autistic Play: Visual abilities and exploration behaviors as predictors of intelligence in autistic children from preschool to school age – Dominique Girard, Valérie Courchesne, Catherine Cimon-Paquet, Claudine Jacques, Isabelle Soulières, 2023 Granieri et al. study on Reduced eye contact being preferred among Autistic children: Atypical social communication is associated with positive initial impressions among peers with autism spectrum disorder – Jessica E Granieri, Morgan L McNair, Alan H Gerber, Rebecca F Reifler, Matthew D Lerner, 2020 Crompton et al. Telephone Study: Autistic peer-to-peer information transfer is highly effective – Catherine J Crompton, Danielle Ropar, Claire VM Evans-Williams, Emma G Flynn, Sue Fletcher-Watson, 2020 Hu et al. Reputation Study in which ethical consistency was framed as a problem: https://www.jneurosci.org/content/early/2020/11/02/JNEUROSCI.1237-20.2020?__cf_chl_tk=7KPu3hAVr6Rw_clfWWSLepcckNZdODcVgO_m94bHv6s-1770332980-1.0.1.1-.glkRotgLSe7lLFvTGYt5qjLBjaHIKk8XNOMroF3c_4 Kapp et al. Stimming Study: ‘People should be allowed to do what they like’: Autistic adults’ views and experiences of stimming – Steven K Kapp, Robyn Steward, Laura Crane, Daisy Elliott, Chris Elphick, Elizabeth Pellicano, Ginny Russell, 2019 Woods, Brook, & Angoff Neurodiversity-Affirming Collaborative Assessment Article: Principles of Neurodiversity-Affirming Collaborative Assessment – Sara Eileen O’Neil Woods, Amara Brook, Liz Angoff, 2025 Autism-Related Resources Thinking Person’s Guide to Autism: Strategies for Creating a Neurodiversity-Affirming Classroom: How to Create a Neurodiversity-Affirming Classroom — THINKING PERSON’S GUIDE TO AUTISM Subtle Signs of Autism: Could Your Child Be Autistic? Here Are Seven Subtle Signs. Talking to Your Child About Their Autism Diagnosis: 13 Tips for Talking to Your Child About Their Autism | ParentMap Outschool: Online classes for children that help them find other neurodivergent children and include classes with their special/foused interests: www.outschool.com Autistic Self-Advocacy Network: Autistic Self Advocacy Network Additional Neurodiversity Resources from the University of Washington Autism Center: Neurodiversity – UW Autism Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Sara Woods Dr. Woods is a clinical psychologist who specializes in assessment across the lifespan at the University of Washington Autism Center and in private practice at Discover Psychology Services. She has been licensed as a psychologist for over 10 years. She offers continuing education training and consultation to other psychologists, providers, and graduate students to help them better understand how to complete evidence-based assessments in a neurodiversity-affirming and strengths-based ways. She is passionate about bringing communities together to better understand autism, ADHD, Bipolar, and other types of neurodivergence. Get in Touch & Resources: Website: www.laceypsychology.com Email: [email protected] Website: https://depts.washington.edu/uwautism/about/clinical-staff/ About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to join our Waitlist! Join the Waitlist

Would you rather read the transcript? Click here. I have been a bit quiet lately, but for good reason, and I wanted to take a moment to reorient myself and check in with all of you. After taking two solid weeks off for a meaningful family Christmas in South Carolina (the first in almost 15 years!), I returned to a whirlwind January filled with major project launches. From opening the doors to our new membership community, Craft, to preparing for the upcoming Crafted Practice summer intensive and launching Reverb 2.0, it has been a season of intense “sprints.” In this episode, I share the personal reflections that came from that time away, the philosophy of why “later equals never,” and the exciting updates coming to the podcast, including the addition of a production and research assistant to help us bring even more high-quality content to your ears. Reconnecting with family and the importance of the present (01:10) The Later Equals Never philosophy for life and business (02:15) Reflecting on the benefits of a true two-week work hiatus (03:00) Launching the Craft membership community for accountability and action (04:15) Details and registration for the Crafted Practice summer in-person event (06:30) Hiring a new production and research assistant for the podcast (08:45) Updates on the Reverb 2.0 AI report writing platform launch (09:30) A call to action for listeners to engage and connect in 2026 (10:15) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Craft: the only membership community just for testing psychologists Featured Resources TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to get on the waitlist! Join the Waitlist

Would you rather read the transcript? Click here. In this episode, I sit down with Nicole McCance of the McCance Method to talk about what’s actually working right now to grow a therapy group practice when the market feels tighter and “easy referrals” aren’t showing up like they used to. We dig into practical lead generation moves that don’t depend on social media, how to use consult calls and follow-up like an actual sales process, and why hiring an admin sooner than you think can pay for itself. Nicole also shares a physician-referral playbook, a “waitlist strategy” you can run this week, and a simple end-of-year review approach to double down on what’s working and cut the rest. Main Topics Discussed Nicole’s origin story: from solo practice to 55 clinicians, then selling the practice (00:39) Why practice growth feels harder right now and how coaching strategies have shifted (02:12) Social media reality check, and what tends to convert faster than “content” (03:00) Lead sources: SEO vs Google Ads vs optimizing your Google Business Profile (06:17) Email marketing, consult calls, and the follow-up process most clinicians skip (07:32) Handling “I want to see the owner” and positioning the team-based model (08:15) Hiring an admin early and making the role revenue-generating through follow-ups (09:50) Physician referral strategy: scripts, getting into the EMR, and progress reports (27:27) End-of-year review: referral data, focus, and the 80/20 clean-up (35:48) December planning: clinician vacation coverage and PTO cashflow surprises (38:20) The “waitlist strategy” for warm referrals from therapists who can’t take new clients (41:17) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Nicole’s website: www.mccancemethod.com The Business Savvy Therapist podcast: www.mccancemethod.com/podcast Nicole on Instagram: www.instagram.com/nicole.mccancemethod Free masterclass (How to Build a 7-Figure Group Practice): www.mccancemethod.com/webinar-free-masterclass-from-solo-to-superteam Google Business Profile: www.google.com/business Google Business Profile Help: support.google.com/business Psychology Today therapist directory: www.psychologytoday.com/us/therapists Indeed employer hiring platform: www.indeed.com/hire SimplePractice: www.simplepractice.com TherapyNotes: www.therapynotes.com Jane App (practice management): www.jane.app Canada’s Anti-Spam Legislation (CASL): ised-isde.canada.ca/site/canada-anti-spam-legislation/en Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Nicole McCance Nicole McCance is a Psychologist (retired) turned Business Coach for therapists scaling to a group practice. She expanded her private practice to 55 therapists and multiple 7 figures in 3 years (with toddler twins at home). Nicole sold her clinic in the 4th year and then retired as a Psychologist in her 5th year. She now teaches therapists how to help more people, make more money and have more freedom following her proven method. Get in Touch & Resources: The McCance Method: https://mccancemethod.com/ IG: https://www.instagram.com/nicole.mccancemethod/ Podcast: https://mccancemethod.com/podcast/ Facebook group: https://www.facebook.com/groups/947689352498639 About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. As this year winds down, I’ve been reflecting on how much of 2025 was about refinement rather than expansion. The Testing Psychologist stayed true to what it’s always been for me: a place for honest conversations about assessment, business, and the realities of this work. The podcast hit some meaningful milestones (500 episodes!), Crafted Practice was once again one of the highlights of my year and proved that small, close-knit spaces beat big, noisy ones any day, and the community around this work continued to grow in a way that felt grounded and sustainable. A lot of my energy this year also went into Reverb, which stretched me in ways I didn’t fully anticipate. Building something new alongside established businesses forces you to slow down and get very clear about what actually matters. There were plenty of decisions that didn’t make for exciting updates, but did make the product better. What feels solid now is the “why”: helping clinicians spend less time wrestling with reports and more time doing the parts of the job that actually require a human brain. That focus has guided every hard call along the way. Personally, 2025 pushed me to pay closer attention to my own limits. Heart surgery on January 3rd, 2025 forced me to slow down and be very intentional about my capabilities. I worked fewer hours, protected more unstructured time, and noticed how much better everything runs when I’m not operating at a constant low-grade sprint. I’m ending the year clearer, steadier, and more confident about what I want to carry forward (and what I don’t).  Before transitioning to the episode, I want to give shout outs to a few folks who are integral to the Testing Psychologist team. First, Facebook group moderators: Chris Mulchay, Laura Sanders, and Andres Chou. They keep the group on the rails so that we can continue to have a stable, safe place to talk about testing. I also have to thank my assistant, Laura, who does everything from podcast editing to researching spots for the next in-person retreat. I couldn’t do this without her. Speaking of which, I have to thank my sponsors as well. TherapyNotes and PAR continued to support the podcast this year, making all of this possible. While we’re saying goodbye to PAR for 2026, I’m excited to get some fresh sponsorship on the books. And of course, I have to thank all of you. If you’ve listened to the podcast, come to an event, sent a note, or just quietly followed along, thank you. I don’t take that support lightly, and I’m looking forward to what comes next.  Thanks for joining me one last time in 2025 to discuss the top five most downloaded podcast episodes! Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Craft interest list sign-up: www.thetestingpsychologist.com/craft 515: AI, Admin, and the Future of Private Practice w/ Uriah Guilford 521: Pathological Demand Avoidance w/ Dr. Donna Henderson 512: Better Feedback for Parents w/ Dr. Liz Angoff 509: “That” NYT Article on ADHD: Challenging Our Beliefs 497: ADI-R and ADOS-2 as the “Gold Standards” Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I break down what I believe are the most important business trends shaping assessment practices in 2026. Rather than focusing on vague predictions or generic AI hype, I zero in on the operational, regulatory, and payer-driven forces that are already creating friction for assessment-focused psychologists. My central argument is that 2026 will not be a “breakthrough” year. It will be a friction year, where practices succeed or struggle based on how clearly they can justify, document, and defend their work. I walk through how insurance pressures, prior authorization, AI governance, workforce scarcity, and shifting expectations around comprehensive batteries are converging, and what practical steps assessment clinicians can take now to stay viable, ethical, and sustainable. Main Topics Discussed Why 2026 is a “friction year,” not a breakthrough year (00:01) The unifying trend: auditability, justification, and traceability across systems (02:23) Efficiency adjustments and why integration work matters more than test administration (03:00) Auditing CPT code mix and aligning documentation with payer values (04:45) Prior authorization becomes more structured—and less forgiving (05:30) Building repeatable medical necessity language and pre-auth workflows (07:07) Payers tightening testing policies and eliminating “neutral” practice models (08:30) Choosing explicitly between insurance-first, hybrid, or cash-pay models (09:28) AI’s shift from convenience tool to governance and risk issue (10:30) Clinicians moving from “writer” to “editor” roles with AI-assisted workflows (11:38) State-level healthcare AI laws and the need for internal AI policies (12:30) Validity and defensibility becoming built-in, not optional (13:45) Rethinking over-testing and defining a minimum defensible data set (14:01) Hybrid assessment models and redesigning physical office space (15:00) Workforce scarcity and choosing between boutique vs scalable models (17:30) The controversial take: rethinking the default comprehensive battery (18:53) Why auditability—not tools—is the real work of 2026 (20:00) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists CMS Prior Authorization and Interoperability Rule overview: https://www.cms.gov/priorities/key-initiatives/burden-reduction/prior-authorization APA guidance on medical necessity and documentation: https://www.apaservices.org/practice/reimbursement/health-plans/medical-necessity APA resources on AI and ethics in practice: https://www.apa.org/monitor/2023/07/ai-psychology Episode on medical necessity: https://thetestingpsychologist.com/ttp-49-medical-necessity-pre-authorization-testing-services/ Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. Today, I sit down with Dr. Andrea Zartman, a neuropsychologist and training director at the Dallas VA, to unpack what actually matters in internship and postdoc applications and interviews. We walk through the entire process, from CV structure and cover letters to letters of recommendation and interview performance, with a frank, insider perspective. Andrea shares concrete, experience-based guidance from nearly two decades of training work, including what makes candidates stand out, what quietly sinks applications, and how to approach interviews with confidence, authenticity, and professionalism. If you’re applying, interviewing, or supervising trainees this season, this episode is packed with practical takeaways. Main Topics Covered: Why training and mentorship matter in neuropsychology (00:01:27) What makes an application stand out immediately (organization, CV clarity) (04:36) How training directors actually read CVs for internship vs. postdoc (06:51) Common CV mistakes and how to structure practicum descriptions effectively (12:06) The real role of cover letters, and when they actually help (20:06) How letters of recommendation are evaluated and what strong letters include (28:50) What differentiates strong interviews from average ones (36:29) How to prepare for interview questions, vignettes, and case presentations (48:32) Navigating personal disclosure, professionalism, and “fit” in interviews (43:05) Where the selection process is heading, including virtual interviews and AI (57:35) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: AI-powered report-writing software Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Andrea Zartman Dr. Andrea is a board certified neuropsychologist. She has been heavily involved in multiple aspects of training at the practicum, internship and postdoctoral level, including serving as a postdoctoral training director at Dallas VA. At a national level, she has served on several training based committees and is a past-chair for APA Council of Chairs of Training Councils (CCTC) . Get in Touch & Resources: Email: [email protected] About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I take a deep dive into how natural language processing (NLP) and machine learning are beginning to reshape neuropsychological assessment. Beyond the surface-level hype around AI, I explore what’s actually happening under the hood: how speech, language, and narrative data can function as digital biomarkers for conditions like ADHD, Alzheimer’s disease, and psychosis. Drawing primarily from a 2025 review in The Clinical Neuropsychologist, I walk through emerging research, practical implications for clinicians, and the ethical and methodological challenges we’ll need to confront as these tools move closer to real-world clinical use. Main Topics Covered 00:00: Why NLP and machine learning matter for neuropsychology right now 02:15: Defining NLP, digital biomarkers, and what clinicians usually discard 04:40: How linguistic, acoustic, and semantic features are analyzed 06:30: ADHD applications: narrative coherence and executive functioning 08:55: Alzheimer’s and MCI: voice biomarkers vs. traditional measures 11:30: Task design and why speech prompts matter 12:45: Psychosis and schizophrenia: quantifying disorganized speech 15:30: Clinical tools, ambient AI, and the “human-in-the-loop” model 17:45: Bias, privacy, test security, and ethical risks 19:55: The future of neuropsych assessment and hybrid AI models Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Brittany Wolff’s source article: https://doi.org/10.1080/13854046.2025.2547934 Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I break down the rapid rise of consumers treating AI systems as medical advisors and what this means for us as psychologists and assessment clinicians. I walk through the drivers of this shift, the risks, the impact on client expectations, and the practical steps practices must take now. I also dig into how AI can support our workflows, why our uniquely human skills are more valuable than ever, and how to position your practice for a future in which AI shapes, but does not replace, clinical assessment. Main Topics What’s actually happening in AI-driven medical and mental health advice (00:01) Why patients are turning to AI: speed, confidence, cost, UX (01:00) The false sense of safety and credibility consumers place on AI (02:25) Accuracy problems: structured vs. real-world data in diagnosis (03:30) Why mental health advice from AI can be inconsistent and risky (05:00) Implications for assessment clinicians: confidence, expectations, and misinformation (06:00) What AI cannot do: nuance, context, nonverbal cues, effort, standardized testing (08:00) Rising clinical risk and downstream consequences for practitioners (09:12) Business implications: redefining value, communication, and pricing (10:00) How AI can streamline intake, records review, background gathering, and admin tasks (12:30) Rethinking pricing to reflect high-value human judgment (13:21) Risk management: informed consent, PHI handling, AI disclosure (14:30) Ethical limits, liability, and the clinician’s responsibility (16:00) Concrete steps: updating intake, integrating AI intentionally, staff training (17:29) Client-facing education on safe AI use (19:49) Re-centering values and reinforcing human expertise (21:00) Preparing your team and staying future-focused (22:15) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Testing Psychologist AI Competencies episode Source article from the NYT: https://www.nytimes.com/2025/11/16/well/ai-chatbot-doctors-health-care-advice.html Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I break down how AI search is rapidly reshaping the way clients discover psychologists and neuropsychologists online. I explain why traditional SEO is no longer enough, what AI models prioritize when generating answers, and the practical steps you can take to make your website more conversational, trustworthy, and “quotable” by tools like Google’s AI Overviews, ChatGPT, and Perplexity. You’ll walk away with concrete tactics to improve clarity, structure, E-E-A-T signals, and local relevance, plus advanced optimization strategies like schema markup and transcript integration. Main Topics Covered 00:01 What AI search optimization is and why it matters 01:30 The rise of zero-click AI results and their impact on private practices 02:23 Why conversational question-answering is replacing keyword-based SEO 03:55 How AI search engines “read” your site: structure, clarity, E-E-A-T 06:40 Practical AIO steps: conversational language, FAQs, clear service structure 09:17 Strengthening credibility signals using credentials and verifiable links 10:55 Location clarity and why hyperlocal cues matter 11:39 Advanced AIO: schema markup, transcripts, freshness updates 12:58 Mindset shift: from keywords to solving user problems 14:30 What to avoid: keyword stuffing, generic bios, AI-generated filler 15:17 Quick 10-minute AIO website audit checklist 16:40 What’s coming: 70% of web traffic flowing through AI intermediaries 18:57 Before/after examples of an AI-optimized professional bio Cool Things Mentioned Reverb: the premier AI-powered report-writing platform for testing psychologists Google E-E-A-T quality framework: https://developers.google.com/search/docs/fundamentals/creating-helpful-content Schema.org markup documentation: https://schema.org Local Business Schema guide (Google): https://developers.google.com/search/docs/appearance/structured-data/local-business FAQPage Schema reference: https://developers.google.com/search/docs/appearance/structured-data/faqpage Google Search Central blog on AI Overviews and SEO implications: https://developers.google.com/search/blog Perplexity (AI search engine): https://www.perplexity.ai ChatGPT search capabilities: https://chat.openai.com The Testing Psychologist Craft Membership (referenced in episode): https://www.testingpsychologist.com/craft Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!or CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I talk with Dr. Stephanie Ruth Young from Northwestern University about the NIH Toolbox family of assessments: powerful, research-backed instruments that many clinicians still overlook. We explore how these tablet-based and mobile tools can bridge the gap between research and clinical practice, reduce examiner error, and simplify workflow without sacrificing rigor. Stephanie also walks us through the new Baby Toolbox for infants and toddlers and the Mobile Toolbox for remote data collection, sharing how these innovations may shape the future of neuropsychological and developmental testing. Main Topics Covered 00:01 – Introduction: Stephanie’s background and motivation for bridging research and practice. 02:38 – Overview of the NIH Toolbox: Purpose, development, and structure. 05:06 – The Suite of Tools: NIH Toolbox, Baby Toolbox, and Mobile Toolbox. 06:35 – Barriers to Adoption: Why clinicians haven’t heard more about these tools. 09:47 – Misconceptions: Addressing misconceptions about “brief” measures and the value of integrated domain coverage. 13:34 – Computer Adaptive Testing (CAT): How it works and why it matters. 17:52 – Deep Dive into the Baby Toolbox: Tasks, materials, and examiner advantages. 24:46 – Clinical Utility: Validation, norming, and clinical utility across the NIH Toolbox family. 31:46 – Mobile Toolbox Use Cases: Research and clinical potential for the Mobile Toolbox. 33:36 – Validation vs. Norming: What clinicians need to know. 39:15 – Assessment Advantages: Common examiner errors and benefits of computerized assessment. 45:11 – Future of Testing Technology: AI, automation, and cognitive load reduction. 51:09 – The Human Role: The irreplaceable human role in psychological interpretation. 53:03 – Getting Started: How to access, pilot, and collaborate on Toolbox projects. Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists NIH Toolbox official site: www.nihtoolbox.com Contact for access/support: [email protected] REDCap research data-capture platform: www.project-redcap.org Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Stephanie Ruth Young Stephanie Ruth Young is a licensed psychologist and Assistant Professor of Medical Social Sciences at Northwestern University’s Feinberg School of Medicine. Clinically trained as a bilingual pediatric neuropsychologist (Spanish-English), Dr. Young earned her Ph.D. from the University of Texas at Austin, completed her clinical internship at Dell Children’s Medical Center, and her clinical fellowship at Children’s Hospital Colorado. Since joining Northwestern in 2021, her research has focused on advancing the accuracy and efficiency of psychological assessments for clinical workflows. To this end, her team has created and validated dozens of assessments of various domains of functioning, designed for the youngest infants to the oldest adults. Dr. Young serves as Multiple Principal Investigator or Co-Investigator on several large NIH-funded projects, primarily focused on tracking cognitive trajectories and early detection of cognitive impairment. Get in Touch & Resources: For questions about the NIHTB products email: [email protected] For questions about mobile toolbox email: [email protected] To speak with Stephanie directly email: [email protected] Connect with Stephanie on LinkedIn: https://www.linkedin.com/in/stephanieruthyoung/ About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I tackle one of the most time-consuming challenges in assessment psychology: report writing. I explore why many psychologists spend 5–30+ hours per report creating comprehensive documents that research suggests referral sources aren’t fully reading, and offer a data-driven roadmap for reclaiming that time without sacrificing clinical integrity. Drawing on stakeholder surveys and readability research, I challenge the field’s ingrained belief that quantity equals quality, and make the case that conciseness is actually a mark of clinical expertise. I share practical tactics, from modular templates and voice dictation to AI tools like Reverb (which I co-founded), while addressing the mindset shifts, ethical considerations, and philosophical questions that make this transition so difficult for many practitioners. Main Topics Covered 00:00 Introduction to Report Writing Challenges 02:53 Understanding the Time Investment in Report Writing 05:46 Core Principles for Efficient Report Writing 09:12 Tactics to Cut Writing Time 12:00 Mindset Shift in Report Writing 14:47 Ethics and Liability in Report Writing 18:08 Tools and Technology for Report Writing 21:07 Philosophical Reflections on Time Management 24:13 Conclusion and Call to Action Cool Things Mentioned CRAFT: The Membership Community for Testing Psychologists Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health!fer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I sit down with Dr. Albert “Skip” Rizzo, one of the world’s leading innovators in using virtual reality (VR) and artificial intelligence (AI) to enhance psychological assessment, rehabilitation, and clinical training. We trace the history of VR in mental health from a 1990s Game Boy inspiration to today’s immersive, data-rich tools, and explore how conversational AI and virtual humans are changing the way clinicians evaluate, treat, and connect with clients. Skip shares insights from decades of groundbreaking work with veterans, autistic adolescents, and clinical trainees, while addressing ethical guardrails, practical adoption strategies, and why he remains a cautious optimist about AI’s role in our field. Main Topics Covered Why Skip chose VR: the excitement of endless innovation Early history of VR in mental health: from Game Boy/SimCity to immersive rehab Early mental-health use cases: exposure therapy, spatial reasoning, and neurorehab The 1998 Virtual Classroom—first immersive CPT for attention assessment The new frontier: merging VR with conversational AI VA “Battle Buddy”: AI-driven mobile support for veterans (design, naming, de-stigmatization) AI safety and empathy research—why people sometimes prefer virtual agents Paul Meehl’s quote and VR as the “ultimate Skinner box” for systematic experiences What’s commercially viable today (exposure, pain, mindfulness, cognitive rehab) + the “Amazon of Clinical VR” idea Affordable standalone headsets (e.g., Meta Quest 3) as a tipping point for clinical practice Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting: www.thetestingpsychologist.com Reverb: the premier AI-powered report-writing platform for testing psychologists: www.reverbreports.com Meta Quest 3 headset: www.meta.com/quest Virtually Better (exposure-therapy applications): www.virtuallybetter.com CogniClear cognitive assessment system: www.cogniclear.com U.S. Department of Veterans Affairs – Immersive Healthcare Initiative: www.va.gov/innovationecosystem RAND Corporation study on AI safety and suicide prevention: www.rand.org JAMA article – VR-based Motivational Interview Training (Rizzo et al., VA Puget Sound): www.jamanetwork.com Dan Marino Foundation Job-Interview VR Trainer: www.danmarinofoundation.org. Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Skip Rizzo Skip Rizzo is a Clinical Psychologist, and directs of the University of Southern California Institute for Creative Technologies (ICT) Medical VR Lab. He is a research professor in both the USC Dept. of Psychiatry and the School of Gerontology. Over the last 30 years, he has conducted research on the design, development and evaluation of VR systems across the domains of psychological, cognitive and motor functioning in healthy and clinical populations. This work has focused on PTSD, TBI, Autism, ADHD, Alzheimer’s disease, stroke, psychedelic therapy, and Suicide Prevention, and other clinical conditions. Get in Touch & Resources: Email: [email protected] Youtube Channel: https://www.youtube.com/user/AlbertSkipRizzo/videos About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I’m breaking down one of the most tempting moves for private practice owners: diversification. We’ve all felt the pull to add new services like coaching, therapy, or wellness programs, especially when the market slows down. But diversification isn’t always the answer, and it can easily backfire if done reactively or without alignment. I’ll walk you through the data, real-world examples, and a concrete framework to decide whether expanding your services will strengthen or dilute your practice. Main Topics Covered 00:00 Why diversification feels so tempting, and the post-COVID mindset behind it 02:12 The hidden costs: brand dilution, operational complexity, and financial lag 04:36 Real-world example: what happened when I added a medication prescriber 07:01 Culture confusion and team impact during expansion 08:24 When diversification does work: shared client journey, high-margin additions, and partnerships 11:37 The three-part evaluation lens: alignment, margin, and capacity 14:05 Common pitfalls: adding therapy or medical services without infrastructure 16:29 Modeling ROI and minimum margin targets for new services 18:31 Balancing profitability with personal energy and joy 20:45 How to pilot new services, track data, and set a “kill date” 22:30 Final takeaway: clarity beats complexity: double down on your niche Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. Today, I walk through four compensation models that work for testing and therapy practices –  percentage split (fee-for-service), salary + production bonus, salary + profit share, and flat hourly – plus when each model makes sense. I break down the math behind forecasting (capacity, reimbursement, payroll taxes, PTO, benefits), show where owners get into trouble (overpaying early, ignoring utilization, fuzzy admin time), and share a step-by-step rollout plan with transparency practices that improve retention and engagement. You’ll leave with clear guardrails to pay people well without sinking the ship. Main Topics Why compensation causes the most stress for owners and how it became confusing (00:00) Percentage split (fee-for-service): ranges, pros/cons, when it fits (02:23) Salary + production bonus: structure, turnover impact, transparency keys (04:24) Salary + profit share: culture/retention upside and owner transparency (06:51) Flat hourly per billed hour: predictability vs. reimbursement risk (09:18) Forecasting the math: eval capacity → revenue → sustainable pay (11:40) Aligning pay with values: quality, timeliness, client satisfaction (16:30) Pitfalls and guardrails: utilization, admin caps, COL raises, communication cadence (18:55) Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists APA Work in America Report (context on workplace stress): www.apa.org/pubs/reports/work-in-america/2024/2024-work-in-america-report.pdf [American Psychological Association] BLS Occupational Outlook—Psychologists (national wage benchmarks): www.bls.gov/ooh/life-physical-and-social-science/psychologists.htm [Bureau of Labor Statistics] BLS Occupational Employment & Wages—May 2024 (wage tables): www.bls.gov/news.release/pdf/ocwage.pdf [Bureau of Labor Statistics] Pay transparency and business outcomes (SHRM research summary): www.shrm.org/topics-tools/news/inclusion-diversity/shrm-research-pay-transparency-improves-business-outcomes-close-wage-gap [SHRM] Profit sharing & retention (PayScale brief): www.payscale.com/compensation-trends/new-research-finds-profit-sharing-increases-employee-retention-and-engagement [Payscale] WorldatWork Pay Transparency Study (policy approaches): worldatwork.org/research/pay-transparency-study [WorldatWork] Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this episode, I sit down with Dr. Carrie Singer, founder of www.sellyourpractice.com and the Facebook group Mergers and Acquisitions for Mental Health Professionals, to explore one of the least-discussed but most critical topics for group practice owners: selling your practice. We walk through the full process—from how to know when you’re ready, to identifying who might buy your practice, to understanding valuations, brokers, taxes, and what life looks like post-sale. Carrie brings exceptional clarity to a confusing and often secretive topic, offering practical, compassionate, and financially informed guidance for anyone who might one day consider selling their mental health business. Main Topics Covered Why practice sales are an overlooked topic in mental health Different ways to sell: to employees, peers, or private equity What makes a practice “sellable” and how testing practices fit in Market trends and why 2021–2023 were peak acquisition years How to determine the right time to sell (and why burnout isn’t it) How valuations, multiples, and EBITDA actually work Who’s on your “sale team”: brokers, attorneys, CPAs, and financial planners How rolled equity and earn-outs work—and why cash up front matters The real costs of selling and what you actually take home Managing the emotional and cultural impact of a sale Best practices for communicating with staff and buyers Carrie’s personal lessons learned and advice for future sellers Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting: www.thetestingpsychologist.com/consulting Reverb: the premier AI-powered report-writing platform for testing psychologists: www.reverbreports.com Mergers and Acquisitions for Mental Health Professionals Facebook Group: facebook.com/groups/mergersandacquisitionsformentalhealth Sell Your Practice (Carrie’s consulting site): www.sellyourpractice.com Project Equity (employee ownership models): www.project-equity.org BizBuySell (list or browse small businesses for sale): www.bizbuysell.com Merger & Acquisition firm mentioned (Mertz Taggart): www.mertztaggart.com U.S. Small Business Administration (SBA loans): sba.gov University of Pennsylvania Private Equity Online Course: online.wharton.upenn.edu Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Carrie Singer Dr. Carrie Singer is a Clinical Psychologist and owner of Orchard Mental Health Group, which has 165 clinicians in 10 locations throughout Maryland. Carrie has a particular interest in the intersection of business, technology, and mental health. She regularly mentors and speaks about parity and regulatory challenges in the industry, AI threats and opportunities, financial literacy for practice owners, and exit planning strategies. Get in Touch & Resources: Email: [email protected] LinkedIn: https://www.linkedin.com/in/dr-carrie-singer-a4461617/ Facebook: https://www.facebook.com/groups/sellingyourmentalhealthpractice About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this solo episode, I dive into what I’ve started calling the “referral recession” – the noticeable dip in testing referrals many practices have seen since 2024. I unpack national data from the APA and NASP, explain why these shifts are happening, and share both short- and long-term strategies for navigating slower seasons. From economic trends and insurance challenges to AI-driven search changes, I walk through what’s really going on beneath the surface – and how to respond without panic. Main Topics 00:00–02:20 Overview of the referral slowdown and APA data showing a 14% average decline in inquiries 02:21–04:48 National data on testing-specific declines (18–20%) and Google search trends 04:49–07:10 Five contributing factors: economic compression, school stabilization, market saturation, referral fatigue, and AI-driven search changes 07:11–09:38 What not to do: panic discounting, bad ads, or over-diversifying services 09:39–14:28 Short-term tactics: re-engage referral sources, simplify intake, optimize Google profile, use downtime strategically 14:29–19:00 Long-term strategies: relationship marketing, content creation, list-building, leveraging past clients, and SEO foundations 19:01–21:24 Building a sustainable marketing engine through consistent visibility and credibility 21:25–23:23 Mindset shift: using slower seasons to strengthen systems, automate workflows, and prepare for future growth 23:24–End Referrals are cyclical—consistency, connection, and clarity will outlast the slowdown Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists APA Practice Organization (2024 Survey): www.apa.org/practice Federal Reserve Report on Household Spending (2024): www.federalreserve.gov/publications National Association of School Psychologists (NASP) 2024 Data: www.nasponline.org HubSpot Conversion Research (2024): www.hubspot.com Therapy for Your Money Podcast w/ Julie Herres: www.greenoakaccounting.com/podcast Google Business Profile Optimization Guide: www.support.google.com/business ConvertKit Email Marketing Platform: www.convertkit.com MailChimp Email Marketing Platform: www.mailchimp.com Kajabi All-in-One Platform: www.kajabi.com Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In the second episode of my Scaling Smart mini-series, I dig into the tactical question every practice owner faces once they decide to grow: should you hire, or should you optimize the team and systems you already have? Drawing on my own experience—from my very first psychometrist hire 15+ years ago to the painful lessons of building a 45-person team—I break down the conditions that make hiring smart, the efficiencies that can buy you time without adding staff, and the middle path of cross-training and flexible roles. If you’ve ever felt stuck between “we need more people” and “we should be running leaner,” this episode will help you clarify your next move. Main topics covered When hiring truly makes sense (capacity, stepping back, profitability) Why busy staff don’t always equal profitable staff Lessons learned from hiring too quickly and without financial modeling Practical examples of optimization: AI tools, automation, time blocking, and systems fixes The “middle path”: using contractors and cross-training staff How to run a simple capacity audit before making your next hire Why right-sizing is personal and must align with your goals and lifestyle Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s!I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call

Would you rather read the transcript? Click here. In this first part of my Scaling Smart mini-series, I dive into one of the hardest decisions we face in private practice: should you grow your practice, or should you hold steady? I share candidly about my own journey—including the “live” challenge I’m facing right now with long waitlists and clients declining to book—and unpack both the green lights for growth and the red flags that signal it’s better to pause. You’ll also hear about times I expanded too quickly and how ego, scarcity, and shaky systems created more problems than solutions. If you’re trying to decide whether expansion is right for you, this episode will help you evaluate your own practice with clarity and intention. Main topics covered Why “right-sizing” is such a tough business decision Signs that it might be time to grow (capacity, waitlists, financial cushion) Signs to hold steady instead (burnout, shaky systems, ego-driven growth) The role of mindset: abundance vs. scarcity decisions Practical reflections and exercises to guide your next step Cool Things Mentioned The Testing Psychologist mastermind groups and business consulting Reverb: the premier AI-powered report-writing platform for testing psychologists Testing Psychologist episode on capacity and hiring Featured Resources I am honored to partner with two AMAZING companies to help improve your testing practice! PAR is a long time supporter of the Testing Psychologist podcast, and I will continue to bring you featured items from their catalog! Listen to each episode for specific product recommendations and links. Learn more at www.parinc.com. TherapyNotes is the leading EHR system for mental health practitioners. I’ve used TherapyNotes for over 10 years, and it just keeps getting better. Use this link and the promo code “testing” to get two free months and try it for yourself! www.therapynotes.com/testing The Testing Psychologist podcast is approved for CEU’s! I’ve partnered with At Health to offer CE credits for podcast episodes! Visit this link to access current and past episodes available for CE credit. You can use code “TTP10” for a discount on ALL the course credits you purchase from At Health! About Dr. Jeremy Sharp I’m a licensed psychologist and Clinical Director at the Colorado Center for Assessment & Counseling, a private practice that I founded in 2009 and have grown to over 20 clinicians. I earned my undergraduate degree in Experimental Psychology from the University of South Carolina before getting my Master’s and PhD in Counseling Psychology from Colorado State University. These days, I specialize in psychological and neuropsychological evaluation with kids and adolescents. As the host of the Testing Psychologist Podcast, I provide private practice consulting for psychologists and other mental health professionals who want to start or grow psychological testing services in their practices. I live in Fort Collins, Colorado with my wife (also a therapist) and two young kids. Ready to grow your testing services? Click below to schedule a complimentary 30-minute pre-consulting call! Schedule Your Call