Struggling with Memory Concerns? 5 Signs It's Time for a Neuropsychological Evaluation
- Dr. Steve Sternlof
- Jun 14
- 5 min read

Memory concerns can be one of the most frightening things we experience as we get older. Whether you're occasionally forgetting where you put your keys or struggling to remember names of people you just met at a local event, these moments can leave you wondering: "Is this normal aging, or something more serious?"
At Psychology Specialists of Oklahoma, we’re committed to giving patients the best care and experience we can. That starts with helping you understand when memory concerns warrant professional evaluation. We know how stressful it is to feel like your mind isn't working the way it used to, and we want you to know there's no such thing as a bad question when it comes to your cognitive health. We are here to provide clarity, not just clinical data.
A neuropsychological evaluation is a comprehensive assessment that examines various aspects of cognitive functioning, including memory, attention, problem-solving, and language. Unlike a simple cognitive screening you might get at a general practitioner’s office, these detailed evaluations help us distinguish between normal aging, temporary conditions like stress or depression, and genuine cognitive impairment.
All the Answers You Seek, In One Place
When you or a loved one begins to notice changes in thinking or behavior, the uncertainty is often the hardest part. Our goal is to consolidate the answers you need. By looking at the brain-behavior relationship, we can identify exactly which areas of the brain are functioning well and which ones might need support.

Sign #1: Daily Life Disruptions from Forgetfulness
The first major sign is when memory lapses begin significantly impacting your daily routine. We all forget a grocery item now and then, but consistently struggling to remember important information that affects your everyday life represents a shift that deserves professional attention.
For example, if you find yourself getting lost while driving home from the grocery store or forgetting how to use a household appliance you’ve owned for years, these are functional disruptions. It’s not just about "forgetting"; it’s about the inability to complete tasks that were once second nature. If these lapses are causing you to miss appointments or forget to pay bills, we recommend reaching out to our team to discuss our services.
Sign #2: Difficulty with Specific Cognitive Tasks
Another indicator is struggling with mental activities that once came naturally, such as following complex conversations or tasks requiring organization and planning. This often involves "executive function", the brain's ability to manage time, pay attention, and switch focus.
Language changes are also a significant part of this sign. We often hear patients say they have a word "on the tip of their tongue" more frequently than before. While this happens to everyone occasionally, if you find yourself substituting odd words (like calling a "watch" a "hand-clock") or losing the thread of a conversation in the middle of a sentence, a neuropsychological evaluation can help determine the root cause.
Sign #3: Multiple Cognitive Concerns Appearing Together
When memory problems occur alongside problems concentrating or challenges with decision-making, it indicates a need for a comprehensive cognitive assessment. Rarely does cognitive decline happen in a vacuum.
We often see that memory concerns are actually symptoms of an underlying attention issue or even an undiagnosed mood disorder like anxiety or depression. Because these symptoms overlap, a detailed evaluation is the only way to tease them apart. At Psychology Specialists of Oklahoma, we look at the whole picture to ensure you get an accurate diagnosis rather than a "one-size-fits-all" label.

Sign #4: Changes Noticed by Family and Friends
If family members or friends have expressed concerns, take them seriously. Often, the person experiencing cognitive changes is the last one to notice them because the brain uses "compensation strategies" to hide the gaps.
Loved ones provide a unique perspective on changes that develop gradually. If your spouse mentions you’re repeating the same stories or your children notice you’ve become more irritable or withdrawn, these are valid data points. We welcome family input during our evaluations because it helps us understand the real-world impact of the symptoms you're facing.
Sign #5: Family History of Cognitive Decline
If you have a family history of neurological conditions, such as Alzheimer's or other forms of dementia, experiencing memory concerns takes on additional significance. While genetics aren't destiny, they do provide a roadmap for what we should be monitoring.
In these cases, we often recommend "baseline testing." This means we perform an evaluation while your symptoms are mild so we have a point of comparison for the future. This proactive approach allows us to track changes over time with high precision, giving you and your family more control over your long-term health plan.

Have a Question You'd Like to Ask? (FAQs)
We believe that providing information helps our visitors get the help they need quickly and easily. Here are some of the most common questions we hear at our Oklahoma City offices.
What exactly happens during a neuropsychological evaluation? It's much like a "physical" for the brain. We use a series of standardized tests, some on paper, some on a computer, and some through conversation, to measure things like memory, processing speed, and problem-solving. There are no needles or painful procedures involved.
How long does the evaluation take? Because we are thorough, an evaluation typically takes several hours. We want to ensure we catch the nuances that a 15-minute screening would miss. We make sure our environment is comfortable and supportive throughout the process.
Do I need a referral to see your team? While many of our patients are referred by neurologists or primary care physicians, we also accept self-referrals. If you are worried, don't hesitate to contact us directly.
Can stress cause memory loss? Absolutely. Chronic stress, lack of sleep, and nutritional deficiencies can all mimic the early signs of dementia. Part of our job is to rule these out so you don't worry unnecessarily about a condition you might not have.
Why Choose Psychology Specialists of Oklahoma?
At Psychology Specialists of Oklahoma, we understand how concerning memory changes can be. We don't just hand you a report with numbers and send you on your way. Our team, led by experienced providers, takes the time to sit down with you and explain the results in plain English.
We offer thorough neuropsychological assessments in a comfortable, supportive environment. We believe in a collaborative approach; we work with your existing doctors to ensure your care plan is seamless and effective. You can learn more about our dedicated professionals on our staff page.

Ready to Get Answers?
If you're experiencing memory concerns that are worrying you, please don't wait. Early intervention is the most powerful tool we have in managing cognitive health. Whether the results show normal age-related changes or something that requires a specific treatment plan, having the facts will provide you with the peace of mind you deserve.
We're committed to providing you with the answers and support you need right here in Oklahoma. If you have questions about our process or want to schedule an appointment, don't hesitate to get in touch with us today.
Dr. Steve Sternlof | Psychology Specialists of Oklahoma



