Online neuropsychological testing refers to the use of digital platforms and technology to conduct assessments that evaluate cognitive functions and behaviors. We offer online neuropsychological testing for adults, teens, and older children to assess a variety of cognitive abilities. This includes memory, attention, language, problem-solving, and executive functioning. Our practice can provide a neuropsychological evaluation online to understand impairments resulting from certain injuries, general executive functioning concerns, neurodevelopmental disorders such as Attention Deficit Hyperactivity Disorder, and some learning differences.
We’d be happy to talk to you about how a neuropsychological test online may help you or your child. First, we wanted to present this overview.
Online Neuropsychological Testing Procedure
The measures we choose aim to measure various aspects of cognition, including memory, attention, executive function, and processing speed. Our online neuropsychological testing for adults and children is administered remotely using specialized software or platforms that simulate traditional in-person procedures. Clients typically interact with the materials through a computer or tablet. Your online neuropsychological evaluation may include tasks such as puzzles, memory exercises, response-time assessments, and more.
In some cases, we may suggest that you see someone local for some of the assessment, particularly if any motor component is best assessed in person.
Neuropsychological Evaluation Online: Step One
The first step in any online neuropsych evaluation is a comprehensive interview, during which we learn about what you are looking for in your evaluation, the questions you want answered, and whatever you’ve done to date to get those questions answered. We may give you questionnaires and structured interviews to ensure we get all the necessary information. For online neuropsychological testing for adults or children to be effective and worth your efforts, we must first ensure we can help.
Neuropsychological Evaluation Online: Step Two
Next, we will conduct the first round, designed to provide us with preliminary information on what may be causing the barriers and challenges you face. Online neuropsychological testing for adults and children can go in many directions, so measures are often given in rounds—as we learn more, we want to know more. The first assessments in your evaluation point us in the right direction, and we’ll give you a chance to be part of the decision-making process.
Neuropsychological Evaluation Online: Step Three
Once we have completed several rounds, the next step in any online neuropsych testing is reviewing the results to ensure you got what you needed from the evaluation. We explain what we found, the limitations to any conclusions, and your next steps for self-help or formal treatment.
Online Neuropsychological Testing Domains
Online neuropsychological testing can encompass a wide range of uses and may include tasks such as:
1. Memory Assessments: These involve recalling words, images, or sequences. In most cases, we can administer this type of neuropsychological evaluation online. 
2. Attention and Concentration: Tasks assessing sustained attention or the ability to focus on specific stimuli. Again, we can usually administer this type of neuropsychological evaluation online.
3. Executive Functioning Tasks: Assessments measuring problem-solving skills, cognitive flexibility, and planning abilities. In some cases, you may be able to do these independently. However, you need to follow all instructions carefully.
4. Processing Speed Tasks: Determine how quickly individuals can process and respond to information. Sometimes, a neuropsychological test online can be done independently, though you may prefer to have us there virtually.
Online Neuropsychological Test Measures Used
Online neuropsychological test measures are part of an emerging field, so the availability of specific virtual measures for your neuropsychological evaluation online may vary, and new measures may be developed over time. Here are some neurocognitive tests we currently use, but feel free to contact us for the latest information that might fit your needs.
- Cognitive Screening: The Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are standardized questionnaires we use to begin many online neuropsychological assessments.
- Virtual Neuropsychological Memory: The California Verbal Learning Test (CVLT) and the Rey-Osterrieth Complex Figure are two measures that give data about various aspects of memory and related functions and can be administered online. While there is little data on the validity of this method of administration, we are confident that the results are accurate. Online neuropsychological testing for adults and children often includes a test in this category.
- Attention and Concentration: Test of Variables of Attention (TOVA test online) and the Conners Continuous Performance (CPT) are two measures in this area that can be given virtually. The only caveat is that some people do better or worse when presented with information this way, which must be factored in.
- Executive Function: The Wisconsin Card Sort (WCST) and the Stroop can be given online, with the same caveat as the above item. These measures are commonly used to assess cognitive functioning and attention.
- Language: The Boston Naming Test (BNT) can be administered virtually to measure word retrieval.
- Visuospatial: The Benton Visual Retention Test (BVRT) can be given virtually, though most others in this category cannot.
- Emotional and Behavioral Assessments: While not core components of a typical battery, it is important to assess for psychological factors contributing to some of the reported symptoms. Thus, we often give the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI).
As noted in several instances above, we often have to mention issues related to adapting these measures for virtual use. While some have been specifically studied regarding a virtual neuropsychological evaluation, some have not, even though we are confident that they still measure what they should.
When More is Needed
While neuropsychological test online measures offer convenience and broader accessibility, they may serve as initial screening tools or adjuncts to in-person evaluations rather than complete replacements. They can be beneficial when in-person assessments are not feasible, for example, during remote healthcare delivery or for individuals with difficulty accessing traditional healthcare services.
Online Neuropsychological Testing Pros and Cons
Advancements in technology have allowed for the development of virtual assessment platforms. These platforms aim to replicate the standardized, validated assessments of traditional face-to-face neuropsychological evaluations. Online neuropsychological testing has become increasingly relevant, especially when in-person evaluations are not feasible or accessible, such as when people live far from available providers, all local providers have long wait lists, or when a provider with a specific specialty is unavailable.
Online neuropsychological testing is usually cheaper than in-person because you complete some tasks independently, reducing the professional time required.
Despite these positives, challenges still exist in ensuring the validity and reliability of these virtual measures compared to in-person assessments. This is especially true of factors such as environmental distractions, technical issues, and the absence of direct supervision. While a virtual evaluation offers convenience and accessibility, it may not fully replace in-person assessments, especially when physical interactions and observations are crucial for a comprehensive review.
Here are some factors to consider:
Online Neuropsychological Testing Validity and Reliability
We must ensure the measures are scientifically validated and reliable in measuring their intended neuropsychological evaluation online. We do this before every online neuropsychological test we give, for adults and children, but it is an important question to ask if you choose to go elsewhere. In some cases, we have to list caveats in our conclusions, such as potential effects of not being in a controlled office setting or the lack of specific standardization the measure has undergone for online neuropsych testing in adults and children. While this may not alter the results, they are still important.
User Accessibility
The ease of use and accessibility of the assessment for a wide range of individuals, including those with varying levels of technological proficiency, are important to consider. We will ask questions to ensure we are comfortable with your ability to manage any self-administered neuropsychological test online. We’ll talk about any distractions that might interfere with your ability to maintain concentration and focus, for example. We’ll also talk to you about your ability and comfort with technology, as well as the level of technology you have.
Standardization of Online Neuropsychological Testing
This refers to the need for scientifically standardized procedures and norms to interpret results accurately. Some newer tests have been specifically standardized for virtual delivery, but older measures must be interpreted cautiously. We try our best to use only measures that have been standardized for online delivery, but sometimes the best test to answer your questions has not been. This does not mean we cannot use it, but we must mention the lack of standardization in our report.
Limitations of Online Neuropsychological Testing
Challenges arising from the absence of face-to-face interaction may affect observations and nuanced behavioral assessments. This can be important for some situations, so we will explain any limitations of online neuropsychological testing beforehand.
Case Examples
Here are three examples of online neuropsych testing
Case 1: Neuropsych Testing Online with a Teenager with Suspected ADHD
“Ethan,” age 16, was referred for online neuropsych testing due to chronic disorganization, poor sustained attention, and declining school performance. He often left assignments incomplete and appeared easily distracted even during preferred tasks.
Online Neuropsych Testing Process and Tools:
Online neuropsych testing was completed via a secure, HIPAA-compliant tele-neuropsychology platform (using controlled screen-sharing and stimulus presentation). The following measures were administered:
- Wechsler Intelligence Scale for Children–Fifth Edition (WISC-V), digital format
- Conners Continuous Performance (CPT-3)
- Behavior Rating Inventory of Executive Function–2 (BRIEF-2) (Parent, Teacher, and Self forms)
- Rey Auditory Verbal Learning (RAVLT)
- Digit Span and Coding subtests (attention and processing speed)
- Clinical Interview and behavioral observations
Online Neuropsych Testing Results:
- Cognitive Ability (WISC-V): Full Scale IQ = 109 (Average); Verbal Comprehension = 118 (High Average); Processing Speed = 84 (Low Average)
- Attention (CPT-3): High omission and commission error rates consistent with reduced sustained attention and impulsivity
- Working Memory (Digit Span): Scaled score = 7 (Below Average)
- BRIEF-2: Clinically elevated Global Executive Composite (T = 74), with major concerns in initiation, organization, and working memory
Interpretation and Outcome:
- Online neuropsych testing findings were consistent with ADHD, Predominantly Inattentive Presentation, with secondary executive function weaknesses affecting schoolwork completion. Ethan was relieved to understand that his inconsistent performance reflected neurological variability rather than laziness.
- Recommendations included ADHD coaching, digital planners with reminders, extended test time, and targeted school accommodations.
- Ethan and his family reported that online neuropsych testing was convenient and less anxiety-provoking. We confirmed reliable performance through camera monitoring and standardized administration protocols.
Case 2: Neuropsychological Testing Online with a Young Adult Wondering About Autism
“Kayla,” a 24-year-old graduate student in biomedical research, sought neuropsychological testing online due to lifelong social difficulties, sensory sensitivity, and a preference for structure. She wondered whether she might be on the autism spectrum.
Neuropsychological Testing Online Process and Tools:
Online neuropsych testing was conducted via telehealth across two sessions. The following measures were administered or adapted for virtual delivery:
- Wechsler Adult Intelligence Scale–Fourth Edition (WAIS-IV) (select subtests via secure digital platform)
- Autism Diagnostic Observation Schedule–Second Edition (ADOS-2), Telehealth Adapted Module 4
- Autism Spectrum Quotient (AQ) and Social Responsiveness Scale–Second Edition (SRS-2, Adult Self-Report)
- Behavior Assessment System for Adults (BASC-3, Self-Report)
- Adaptive Behavior Assessment System–Third Edition (ABAS-3) (Parent-report)
- Clinical Interview and structured developmental history
Neuropsychological Testing Online Results:
- Intellectual Functioning (WAIS-IV): Full Scale IQ = 121 (Superior), with a significant split between Verbal Comprehension (130) and Perceptual Reasoning (107)
- ADOS-2 (Telehealth Adaptation): Subthreshold for overt social reciprocity difficulties but demonstrated subtle pragmatic language differences, flat affect, and limited gesture use
- SRS-2: T = 75 (Severe range) for restricted interests and sensory sensitivity
- ABAS-3: Below average adaptive socialization skills (Standard score = 78)
Neuropsychological Testing Online Interpretation and Outcome:
- Results supported a diagnosis of Autism Spectrum Disorder, Level 1 (without language or intellectual impairment). Kayla’s cognitive strengths masked underlying social-pragmatic challenges, a pattern often seen in high-functioning autistic women. The remote setting reduced sensory strain and social anxiety, allowing her authentic communication style to emerge.
- Recommendations included neurodiversity-affirming counseling, self-advocacy training, and workplace supports such as flexible lighting and scheduled downtime.
- Kayla expressed that the virtual format helped her “be more natural” and reduced her fear of being judged in a clinical setting.
Case 3: A Neuropsychological Test Online with an Adult Experiencing Stress and Forgetfulness
“James,” age 48, a project manager, reported increasing forgetfulness and word-finding issues over the past year. He was under significant occupational stress and sleeping 4–5 hours per night. He feared the onset of dementia.
Neuropsychological Test Online Process and Tools:
The Neuropsychological test online was conducted in two half-day sessions using a controlled tele-neuropsychology platform. The following measures were administered:
- Wechsler Adult Intelligence Scale–Fourth Edition (WAIS-IV)
- Wechsler Memory Scale–Fourth Edition (WMS-IV)
- Trail Making (TMT A & B)
- Controlled Oral Word Association (COWAT) and Boston Naming (BNT)
- Beck Depression Inventory–II (BDI-II) and Beck Anxiety Inventory (BAI)
- Paced Auditory Serial Addition (PASAT) (for divided attention)
- Sleep and Stress Inventory (self-report)
Neuropsychological Test Online Results:
- Intellectual Ability (WAIS-IV): Full Scale IQ = 113 (High Average)
- Memory (WMS-IV): Logical Memory I = 11, Logical Memory II = 10 (Average); Visual Reproduction II = 8 (Low Average)
- Processing Speed and Flexibility (TMT): Trails A = 38 sec (Average); Trails B = 92 sec (Below Average)
- Verbal Fluency (COWAT): FAS = 35 words (Low Average)
- Mood: BDI-II = 22 (Moderate Depression); BAI = 17 (Moderate Anxiety)
Neuropsychological Test Online Interpretation and Outcome:
- Findings revealed no evidence of neurodegenerative decline. Instead, mild attentional inefficiencies and slowed retrieval were attributed to stress, poor sleep, and emotional distress.
- Diagnosis: Cognitive inefficiency secondary to stress-related anxiety and sleep deprivation.
- Recommendations included mindfulness-based stress reduction, improved sleep hygiene, therapy to address anxiety, and follow-up testing in one year.
- James found the virtual format practical and comfortable, noting that it “fit into real life” and made him more open during interviews. Three months later, he reported sharper focus and improved recall after addressing stress and sleep issues.
Conclusion
These three case examples demonstrate the flexibility and clinical accuracy of online neuropsych testing when administered with standardized protocols, examiner oversight, and validated digital tools. Whether assessing attention in adolescents, exploring neurodiversity in young adults, or differentiating stress-related changes from cognitive decline in older adults, remote testing provides accessible, effective, and patient-centered evaluation options.
Online Neuropsych Testing in Our Practice
We provide online neuropsychological testing for a wide variety of clients in our practice. Our primary competencies relate to online neuropsychological testing for certain issues, such as ADHD and Learning Differences, as well as Executive Functioning and Memory issues in general. Sometimes, an assessment is needed for more severe medical conditions, and we do not specialize in this area. You can search our psychological testing blog for more information about specific measures and how they might be given virtually.
Get Started
Please feel free to contact us or sign up for a free consultation if you’d like to discuss how online neuropsychological testing might benefit you or your child. We can help you understand the measures we might choose, what to expect from the psych report, and how it all will be used to answer any questions you have and provide specific guidance and feedback. We will also provide a cost estimate, which is usually lower, sometimes significantly, for online neuropsych testing compared to in-person administration.
