Jaystar,

Contrary to rmshaver, I don't think you need to rest up for your NeuroPsych Assessment. If your brain is a bit tired, you will demonstrate your cognitive condition as it is. This is not an assessment you are trying to pass or fail. You want the results to accurately show your condition.

As you likely know, with PCS, we tend to roller coaster between good and bad days. You want a moderate to bad day for your assessment.

4 hours sounds like a decent battery of NPA tests. A pre-assessment would only take an hour or so.

I am curious. What concussion clinic are you being seen at? What kind of treatments/therapies have they provided? Some concussion clinics appear to be about profits while a few appear to be truly interested in providing good information and treatment. The requirement by many schools of needing a doctor's clearance before allowing return to play has created a niche market for doctors to form concussion clinics.

Don't worry about your NPA. Going to bed late and getting up early will enhance your brain's symptoms. There are tests within the tests that will validate the results. Being a bit tired should allow your brain to show consistent symptoms. Some of us need a few hours of effort before we start to crash and show symptoms.

btw, I have had 2 NPA's 5 years apart. The results were almost exactly the same.

My best to you.