It is easy to diagnose someone based upon observed symptoms. The problem is reliance upon the skills of the professional interviewing the patient. Are they having a good day? Are they alert? Are they thinking on multiple levels? If distracted they may miss some of the symptoms the patient is presenting. Symptoms are misleading. One symptom can be symptomatic of several different disorders. It takes effort to do testing. The professional has to be trained in neuropsychological evaluation, an art form that takes knowledge of the brain and additional knowledge of this special form of testing. If done correctly, neuropsychological testing is invaluable in preventing illness, diagnosing accurately and ensuring that treatment is just as accurate. How often do parents go from one professional to another looking for the reason for their child's difficulty in school, either learning or behavioral? How often do the professionals agree with one another? And how often does the profesional take the time to go the extra mile to figure out the problem by completing sufficient neuropsychological evaluation to provide the answer they need? Then you have the problem of parents coming to you after having spent thousands of dollars with either poor or no results and while interested in services, doubt that anyone can actually help them. It takes effort to get testing approved by managed care companies, filling out the necessary forms to convince someone to grant you testing dates that are limited in time and number. Any professional completing testing needs to be trained in evaluation, the art form of watching someone take the test, the method of response is equal in importance to the score obtained. They need a wealth of experience to know what is normal and what signals a problem. They need to understand the brain, how it works and why. They need to know the impact of sleep. As the arm of the neurologist, neuropsychologists need to know brain anatomy, the pathways, how the brain works on a neuronal and cellular level. We are in the age of neuroscience where testing becomes paramount in separating disorders that require different types of intervention and treatment. So do professionals still care enough to take the road less traveled and to put forth the extra time and energy to look beneath the symptom for the problem? Do people still care enough to spend the time and money to help their child or themselves to have a better quality of life? Or are we content with status quo and no longer live in the hope of things being different?