Cornerstone Behavioral Health (CBH) offers the following services:

Counseling and Therapy Services
Cognitive Behavioral Treatment (CBT) is often the most effective psychotherapy treatment today for behavioral and mental health disorders. Each disorder is approached and treated differently as a function of research findings.Cornerstone Behavioral Health typically receives referrals for Anxiety (eg. Panic Disorder), Mood Disorders (eg. Depression), Adjustment Disorders, Behavioral Problems (eg. acting-out, impulse control issues) and OCD Spectrum Disorders (OCD, Trichotillomania).  Each patient will be assessed to determine what treatment modality is best (individual, family, parental, spousal).


Psychiatry
CBH is pleased to offer psychiatric services for children, adolescents and adults. Our psychiatrists are all highly skilled experts who understand what types of medications can help address various psychiatric symptoms and concerns. As part of the multi-disciplinary team including therapists and diagnosticians the psychiatrists have a rich understanding of the treatment needs of the individual who often has had a full evaluation and intake with another provider before they meet with a psychiatrist. 


Neuropsychological and Psychological Assessments
Adult Neuropsychological Evaluations:
Neuropsychological evaluations are requested specifically to help your doctors and other professionals understand how the different areas and systems of the brain are working. Testing is usually recommended when there are symptoms or complaints involving memory or thinking. This may be signaled by a change in concentration, organization, reasoning, memory, language, perception, coordination, or personality. The change may be due to any of a number of medical, neurological, psychological, or genetic causes. Testing will be helpful in understanding your specific situation.

A typical neuropsychological evaluation will involve assessment of the following:
  •  General intellect
  •  Higher level executive skills (e.g., sequencing, reasoning, problem solving)
  •  Attention and concentration
  •  Learning and memory
  •  Language
  •  Visual–spatial skills (e.g., perception)
  •  Motor and sensory skills
  •  Mood and personality
Testing can identify weaknesses in specific areas. It is very sensitive to mild memory and thinking problems that might not be
obvious in other ways. When problems are very mild, testing may be the only way to detect them. For example, testing can help determine whether memory changes are normal age-related changes or if they reflect a neurological disorder. Testing might also be used to identify problems related to medical conditions that can affect memory and thinking, such as diabetes, metabolic or infectious diseases, or alcoholism.

Test results can also be used to help differentiate among illnesses, which is important because appropriate treatment depends on accurate diagnosis. Different illnesses result in different patterns of strengths and weaknesses on testing. Therefore, the results can be helpful in determining which areas of the brain might be involved and what illness might be operating. For instance, testing can help to differentiate among Alzheimer’s disease, stroke, and depression. Your physician
will use this information along with the results of other tests, such as brain imaging and blood tests, to come to the most informed diagnosis possible.


Child Neuropsychological Evaluations
While similar areas are assessed during a neuropsychological evaluation of a child as with an adult there are some important differences. Pediatric neuropsychology is concerned with learning and behavior in relationship to a child’s brain. A neuropsychologist working with a child must have expertise in how learning and behavior are associated with the development of brain structures and systems. The evaluation differs from a school assessments which are usually performed to determine whether a child qualifies for special education programs or therapies to enhance school performance.
They focus on achievement and skills needed for academic success. Generally, they do not diagnose learning or behavior disorders caused by altered brain function or development.


Children are typically referred by a doctor, teacher, school psychologist, or other professional because of one or more problems, such as:
  • Difficulty in learning, attention, behavior, socialization, or emotional control;
  • A disease or inborn developmental problem that affects the brain in some way; or
  • A brain injury from an accident, birth trauma, or other physical stress.
A neuropsychological evaluation assists in better understanding your child’s functioning in areas such as memory, attention, perception, coordination, language, and personality. This information will help you and your child’s teacher, therapists, and physician provide treatments and interventions for your child that will meet his or her unique needs.

Insurance Authorizations for Neuropsychological Evaluations: Due to its comprehensive nature, the testing is lengthy (typically from 3 to 8 hours of testing time in addition to scoring, interpretation and report writing) and insurance companies often only cover it for neurological conditions. We will help you determine whether neuropsychological testing is a covered benefit under your plan and whether a neuropsychological evaluation will be authorized by your insurance provider.

Psychological Assessments
A more targeted evaluation including a thorough diagnostic interview and symptom checklists, personality assessment and sometimes an intellectual evaluation. The personality testing involved can help to understandhow an individual’s symptoms, ways of thinking and viewing the world, and interacting with others are affecting their life. At CBH psychological assessments are utilized to diagnose and provide treatment recommendations for ADHD, Intellectual Disabilities, Oppositional Defiant Disorder and Mood and Anxiety Disorders in children, adolescents and adults. 

Psychoeducational Evaluations/Learning Disability Evaluation:
This type of evaluation assesses an individual’s skill level in different academic areas such as word reading, reading comprehension, reading speed, math, writing and spelling. An assessment of intelligence is also a typical part of this type of evaluation. The testing determines whether an individual is on target in these areas. It can also determine whether a specific learning disability is present. This type of testing is not typically covered by medical insurance. 

Independent Medical Evaluations
Dr. Cirillo has a wide range of experience conducting Independent Medical Evaluations (IME’s). Neuropsychological IME’s provide a comprehensive assessment of cognitive and psychological factors impacting the ability function at work. This type of evaluation can prove quite informative when there has been a neurological insult such as a traumatic brain injury and an objective assessment of the cognitive and functional effects is needed. A neuropsychological evaluation in this context provides an objective method for identifying areas of deficits that can impact vocational functioning in addition to providing critical information about the credibility of the clinical presentation and testing results.

Forensic Neuropsychological Evaluations and Forensic Consultations
Often in the legal system there is the need to determine the presence and impact of central nervous system impairment and associated neurocognitive impairment, and also to determine credibility of self-reported cognitive symptoms. Dr. Cirillo provides neuropsychological evaluations to address these issues. He also provides consultation to determine whether cognitive factors may be relevant in legal cases and can review neuropsychological evaluations to assess the credibility of the conclusions. Dr. Moran provides consultations in cases involving mental health concerns, to determine whether treatment has been appropriate.