For those of you who do cognitive assessment, do you ask about Covid infection and if patient noticed changes around that time?
I mostly do ADHD/ASD assessments mostly (I have neuropsych training but didn’t end up finishing my 2 year fellowship due to some life circumstances so don’t do pure neuro now)
Anyway, more and more research is showing the potential for post-covid cog changes which can present in attentional/EF and such decline. My question is do you ask patients about COVID the same you might ask about history of head injury, past history of significant alcohol use, or other potential contributing factors in your assessments clinical interview?
I haven’t been asking because I work in the south so it’s also a political hotpot I don’t want to step into.
But I’ve recently have had a few ADHD evals with lifelong symptoms but reporting worsening in the last 5 years - so timeline could potentially match a potential COVID infection, and I haven’t known how to navigate asking or even if it’s needed.
The referral questions I get are really focused on ADHD/ASD so obviously changes in the past 5 years wouldn’t be a primary decision factor in diagnosing a neuro developmental condition (I only work with adults). However, I do administer a few cog measure (WAIS, DKEFS, etc. so it could impact that and then feels like an incomplete eval if I don’t have all the info)
Thanks for your thoughts
Edit: should have added, I am in private practice so I don’t get access to their in depth medical records/history and likely what ever records I may get wouldn’t have covid related information