Phone 613-549-2775  |  Email admin@daypsych.ca

A Headline
About Wellness

Welcome to
Dr. Duncan Day and Dr. Reagan Gale
& Associates
Practice in Neuropsychology

It is important to us that we practice in a culturally safe way. We are committed to using a "two-eyed seeing" approach in psychological assessment. We value the wisdom of First Nations, Metis, and Inuit communities and integrate them into our assessments.

Are you interested in learning about diagnoses? Are you interested in learning about the strengths and weaknesses in a person's thinking skills? Are you interested in learning what types of interventions and supports would be helpful, given someone's experiences and current felt sense? We can help answer questions about what type of assessment might be best for you, and what types of issues are really at the heart of the assessment question you seek.

A neuropsychologist is a psychologist who specializes in studying brain-behaviour relationships. Neuropsychologists have training in the anatomy, physiology, and pathology of the nervous system and specialize in evaluating (and treating) people . They focus on cognition (the ability to think, remember, learn, etc.) in relation to the effects of brain injury, organic brain disease, or any condition that impacts on cognitive functions.

Full Range of Clinical Psychology Services
to Individuals and Couples

Based in Kingston, Ontario, but boasting a clinic in Trenton as well, we specialize in providing a full range of clinical psychology services to individuals and couples in the South Eastern Ontario region, and also offer comprehensive services to attorneys, insurance companies, rehabilitation services, the Canadian Forces, and others who may be looking for an independent expert opinion with regard to psychological and neuropsychological functioning of their clients and members.

A typical neuropsychological assessment takes a full day with the individual, sometimes more, measuring a number of different aspects of cognitive functioning and coping. This process includes:

Detailed Clinical Interview
(this usually lasts 1 – 3 hours)

Detailed File Review
(approximately 100 pages reviewed per hour; up to 500 pages included in the flare rate fee)

Administering standardized tests and procedures that measure functioning in a number of domains, including:

  • Intelligence
  • Academic and achievement abilities
  • Attention (processing speed, sustained and divided attention, complex)
  • Memory and learning (auditory vs. visual, incidental memory, complex)
  • Visuospatial and construction abilities
  • Executive functions (planning, organization, problem solving, etc.)
  • Language (receptive and expressive)
  • Perceptual and sensory motor abilities
  • Psychological status (coping, emotional problems, behaviour and personality issues)
  • Pain Assessment
  • Performance Validity, Symptom Validity and Effort Testing (malingering, symptom exaggeration)
  • (this can take from 4 – 10 hours)

Psychological assessments are similar to neuropsychological assessments but they do not measure cognitive domains as extensively. They may include some basic academic or achievement level information but they are primarily focused on mood, coping styles and personality structures. A typical psychological assessment takes about 3 hours with the examinee, sometimes more. This process includes:

Detailed Clinical Interview
(this usually lasts 1 – 2 hours)

Detailed File Review
(approximately 100 pages per hour; 500 pages are included in the flat fee)

Administering standardized self-report measures that provide information about symptoms, mood, psychopathology, coping problems and personality issues:

  • Psychological status (coping, emotional problems, behaviour and personality issues)
  • Pain Assessment
  • Symptom Validity (symptom exaggeration)
  • (this can take from 1-2 hours to complete)

Incapacity assessments are specialized investigations into an individual’s ability to function independently, reason and make sound decisions, understand and appreciate the circumstances around important decisions and grasp the consequences of making (or failing to make) decisions that impact their health, finances, activities of daily living, or respond to legal concerns. Incapacity assessments are also requested to comment on an individual’s ability to grant or revoke power of attorney, make an advance directive, instruct counsel to create a will (testamentary capacity), instruct counsel as part of a civil proceeding (need for a litigation guardian), or retrospectively in the context of estate disputes.

Dr. Day and Dr. Gale offer incapacity assessments under the Adult Protection and Decision Making Act in Yukon. Dr. Gale is also a designated capacity assessor in Ontario, where she offers assessments of capacity to manage property and personal care under the Substitute Decisions Act (1992). If you are interested in referring for an assessment under the Substitute Decisions Act, please contact us to arrange a pre-assessment screening phone call with Dr. Gale.

The assessment process differs depending on the nature of the incapacity assessment being requested.
The process may include elements of the following:
 

Detailed Clinical Interview
(this usually lasts 1 – 3 hours)

Detailed Document Review
(approximately 100 pages per hour)

Administering standardized tests and procedures that measure functioning in the important relevant domains of cognitive ability, decision-making, and general aspects of judgement, insight, and risk-evaluation ability. These tests include:

  • Intelligence
  • Cognitive screens
  • Functional Adaptation
  • Attention (processing speed, sustained and divided attention, complex)
  • Memory and learning (auditory vs. visual, incidental memory, complex)
  • Executive functions (planning, organization, problem solving, etc.)
  • Language (receptive and expressive)
  • (this can take from 2 – 5 hours)

Most of the individuals we assess have experienced changes in their abilities or in their functioning as a result of injury, neurological insult or some disease process. However, not everyone has to wait until something bad happens to get a clear understanding of their strengths and weaknesses. We offer BASELINE ASSESSMENTS for any individuals who may be concerned about changes yet to come (e.g. family history of dementia or stroke), or to have comprehensive baseline data about their abilities to compare later, knowing that they are about to face expected or known risks (e.g., individuals scheduled for neurosurgery, or professionals athletes engaged in high level competitive sports where head injuries sometimes happen, such as MMA, hockey, football, soccer, or other contact sports). These baseline assessments are also recommended for anyone who just wants a clear picture of their current cognitive strengths and weaknesses, to help them focus their current training, educational, or vocational pursuits more efficiently. Since these assessments are not “pathology” focused, they take less time (from 2 – 3 hours), and are less costly. This process includes:

Detailed Clinical Interview
(this usually lasts 1 hour)

Administering standardized tests that measure:

  • Intelligence
  • Academic and achievement abilities
  • Attention (processing speed, sustained and divided attention, complex)
  • Memory and learning (auditory vs. visual, incidental memory, complex)
  • Visuospatial and construction abilities
  • Executive functions (planning, organization, problem solving, etc.)
  • Language (receptive and expressive)
  • Perceptual and sensory motor abilities

Dr. Duncan Day & Associates also offers comprehensive services to attorneys, insurance companies and others who may be looking for an independent expert opinion with regard to psychological and neuropsychological functioning of their clients.

Both Dr. Day and Dr. Gale are able to meet with Yukoners for psychological assessment. Dr. Gale is also licensed to offer assessments for individuals living in NU and the NWT.
 
Assessments across northern and remote areas of Ontario and the Territories are generally offered using secure videoconferencing. This reduces barriers to access and limits the costs associated with our travel. In specific circumstances, Dr. Gale or Dr. Day may be able to travel to meet with you in your home community. Please contact our office if you wish to discuss options for psychological, neuropsychological, or capacity assessment in Northern Ontario, Nunavut, the Northwest Territories, or in the Yukon. 
Dr. Gale is pleased to meet with children aged 8 and older, and their families, for comprehensive neuropsychoeducational assessment. This evaluation begins with an interview. Dr. Gale will meet with the client (or their parent[s]), to discuss why they are asking for an assessment. She will also review a variety of background factors such as childhood development, school experiences and academic achievement, and medical history. Dr. Gale typically requests that clients bring with them relevant medical and school records that are available.  
 
After the interview is completed, Dr. Gale will meet with the client for several hours of testing. When children are being assessed, parents are encouraged to be with their child at the beginning of the testing appointment, and are asked to leave the room when the child becomes comfortable. There is a waiting room for parents in our Kingston office. Children are encouraged to keep in touch with their parents throughout the day. Testing may be in the form of pencil and paper tasks, simple verbal responses to questions, solving puzzles, or computerized tasks.  Depending on the age of the child, testing is either booked for two half days or one full day session. 
 
A neuropsychoeducational assessment may help answer these types of questions:
 
  • Does my child have a learning disability
  • Does my child have ADHD?
  • Should I be worried about my child’s school performance? Is there anything that can done to help if my child has a learning disability?
  • Why is school/work so hard for my child?
  • Why does my child seem to forget what they are told?
  • Does my child’s anxiety or mood have an impact on their success at school/home?
  • Is my child depressed, anxious, or not trying at school? What can I do to help my child succeed and feel good about themselves?
  • Why does my child put off doing things, or have poor time management skills?
  • Why does my child struggle to finish paperwork/homework?
  • What strategies might be helpful for my child at school/work/home?
  • What types of interventions will be best able to support my child and our family? 

Rates & Fees

We have been using inclusive flat-rate fee structures since 2019 but can offer hourly or per-service fee information as well.

The fees we charge are competitive, consistent with industry standards, and reflect the standards of the assessment fees typically found in our area.

The flat-rate approach reflects requests from clients over the years for a simpler, more inclusive system.

Things like multiple testing sessions, documentation review or travel can drive up the costs of an assessment, but this is best discussed with our office in advance to get more information.

Our flat-rate assessment fees typically include a review of up to 500 pages of medical documents.

Any additional documentation reviewed over the amount included in the flat fee should be negotiated in advance. We do charge late cancellation fees and “No Show” fees.

Please contact our office directly for a complete breakdown of our fee structure.