Managed care: economics is perhaps the greatest challenge faced by psychologists -> pressure to reduce time and money spent on neuropsychological assessment. Goals of neuropsychological assessment: diagnosing a disorder for the purpose of changing behavior, aims to determine a person"s general level of cerebral functioning and to identify cerebral dysfunction and localized it, facilitates patient care and rehabilitation. Identifies mild disturbances when other diagnostic studies have produced equivocal results. Intelligence testing in neuropsychological assessment: most assessments begin with a measure of general intelligence, most often one of the wechsler scales, which have proved invaluable in determining a base level of cognitive functioning. Categories of neuropsychological assessment: abstract reasoning and conceptualization, attention, daily activities, emotional/psychological distress, language, memory, motor, orientation, sensation and perception, visuospatial. Integral to all assessments is an evaluation of the patient"s needs and circumstances from a psychological perspective that considers quality of life, emotional status and potential for social integration.