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  • 551. The Gatekeepers: Unpacking InterQual and the Battle for Medical Necessity

    551. The Gatekeepers: Unpacking InterQual and the Battle for Medical Necessity
    Feb 19 2026
    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 consultingReverb: 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
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    49 Min.
  • 550. Neurodiversity-Affirming Autism Assessment Across the Lifespan- Strengths & Differential Diagnosis w: Dr. Sara Woods

    550. Neurodiversity-Affirming Autism Assessment Across the Lifespan- Strengths & Differential Diagnosis w: Dr. Sara Woods
    Feb 16 2026
    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 textbook01:39-05:00 Defining the neurodiversity paradigm and patient-led care05:01-07:43 How differential diagnosis can be empowering rather than pathologizing07:44-10:43 Reframing repetitive play as a foundation for cognitive development10:44-12:52 Reconsidering eye contact through the lens of cultural difference12:53-16:15 Integrity versus reputation management in autistic individuals16:16-19:00 The functional purpose of stimming and sensory regulation19:01-21:37 Navigating societal expectations and the choice to disclose21:38-26:15 The double empathy problem and communication in mixed groups26:16-31:06 Balancing the “superpower” narrative with authentic support31:07-34:00 Frameworks for accommodations: Strengths, difficulties, and neutral differences34:01-38:58 Introduction to the Survey of Autistic Strengths, Skills, and Interests (SASSI)38:59-42:15 Specific interviewing strategies for eliciting joy and strengths42:16-46:30 Adapting the assessment battery and the role of the ADOS46:31-52:00 Writing affirming reports and the use of first-person language52:01-56:30 Leveraging special interests in recommendations and school settings56:31-01:01:20 Validating distress while maintaining a strengths-based perspective Cool Things Mentioned The Testing Psychologist mastermind groups and business consultingReverb AI-powered report-writing softwareSara’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 FormAutistic Strengths DiagramSurvey of Autistic Strengths Skills and InterestsSuggested Autism Batteries across the lifespanHelpful 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 interestsNeurodiversity 2.0 Article by Hari Srinivasan: Neurodiversity 2.0 – Harnessing cross-disciplinary disability insights – ScienceDirectThe Neurodiversity Paradigm According to Nick Walker: NEURODIVERSITY: SOME BASIC TERMS & DEFINITIONS • NEUROQUEERIdeas 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-BEGirard 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, 2023Granieri 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, 2020Crompton 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, 2020Hu 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_4Kapp 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, 2019Woods, 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...
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    49 Min.
  • 549. TTP Updates: Craft Membership, Crafted Practice, and Reverb 2.0

    549. TTP Updates: Craft Membership, Crafted Practice, and Reverb 2.0
    Feb 12 2026

    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
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    49 Min.
  • 548. Warm Leads Win: Email, Follow-Up, and Relationship Marketing w/ Nicole McCance

    548. Warm Leads Win: Email, Follow-Up, and Relationship Marketing w/ Nicole McCance
    Jan 5 2026
    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 consultingReverb: the premier AI-powered report-writing platform for testing psychologistsNicole’s website: www.mccancemethod.comThe Business Savvy Therapist podcast: www.mccancemethod.com/podcastNicole on Instagram: www.instagram.com/nicole.mccancemethodFree masterclass (How to Build a 7-Figure Group Practice): www.mccancemethod.com/webinar-free-masterclass-from-solo-to-superteamGoogle Business Profile: www.google.com/businessGoogle Business Profile Help: support.google.com/businessPsychology Today therapist directory: www.psychologytoday.com/us/therapistsIndeed employer hiring platform: www.indeed.com/hireSimplePractice: www.simplepractice.comTherapyNotes: www.therapynotes.comJane App (practice management): www.jane.appCanada’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 ...
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    49 Min.
  • 547. The Best Episodes of 2025

    547. The Best Episodes of 2025
    Jan 1 2026
    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 consultingReverb: the premier AI-powered report-writing platform for testing psychologistsCraft interest list sign-up: www.thetestingpsychologist.com/craft515: AI, Admin, and the Future of Private Practice w/ Uriah Guilford521: Pathological Demand Avoidance w/ Dr. Donna Henderson512: Better Feedback for Parents w/ Dr. Liz Angoff509: “That” NYT Article on ADHD: Challenging Our Beliefs497: 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...
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    49 Min.
  • 546.Business Trends in Assessment for 2026

    546.Business Trends in Assessment for 2026
    Dec 30 2025
    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 consultingReverb: the premier AI-powered report-writing platform for testing psychologistsCMS Prior Authorization and Interoperability Rule overview: https://www.cms.gov/priorities/key-initiatives/burden-reduction/prior-authorizationAPA guidance on medical necessity and documentation: https://www.apaservices.org/practice/reimbursement/health-plans/medical-necessityAPA resources on AI and ethics in practice: https://www.apa.org/monitor/2023/07/ai-psychologyEpisode 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
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    49 Min.
  • 545. Interview Season Survival Guide for Interns and Postdocs w/ Dr. Andrea Zartman

    545. Interview Season Survival Guide for Interns and Postdocs w/ Dr. Andrea Zartman
    Dec 22 2025
    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 consultingReverb: 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: andrea.zartman@va.gov 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
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    49 Min.
  • 543. Research Review: Natural Language Processing (NLP) in Neuropsychology

    543. Research Review: Natural Language Processing (NLP) in Neuropsychology
    Dec 8 2025
    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 now02:15: Defining NLP, digital biomarkers, and what clinicians usually discard04:40: How linguistic, acoustic, and semantic features are analyzed06:30: ADHD applications: narrative coherence and executive functioning08:55: Alzheimer’s and MCI: voice biomarkers vs. traditional measures11:30: Task design and why speech prompts matter12:45: Psychosis and schizophrenia: quantifying disorganized speech15:30: Clinical tools, ambient AI, and the “human-in-the-loop” model17:45: Bias, privacy, test security, and ethical risks19:55: The future of neuropsych assessment and hybrid AI models Cool Things Mentioned The Testing Psychologist mastermind groups and business consultingReverb: the premier AI-powered report-writing platform for testing psychologistsBrittany 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
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    49 Min.