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Neuropsychological testing to address ADHD, Autism, Learning Disabilities, Memory Concerns, and Brain Injuries. Now Scheduling for August 2026. Neuropsychological Testing Consultation Not sure of your testing needs? Schedule to meet in person to learn more. Children's Testing We offer comprehensive testing for children ages 7+. Adult Testing We offer testing and briefer screening assessments depending on your needs ABOUT NEUROPSYCHOLOGICAL TESTING Neuropsychologists are specially trained clinical psychologists with expertise in the relationship between brain functioning and behavior. Essentially, they understand how your brain works and how it interacts with several other factors (emotional, behavioral, social) to influence your day-to-day experiences. Neuropsychological testing is a tool you can use to better understand your strengths and weaknesses across multiple domains. For example, neuropsychological assessments evaluate your ability to remember, concentrate and pay attention when needed, communicate effectively, read, write, solve problems, plan, organize, and make decisions. Assessments of mood, behavior, and practical daily living skills also provide important information and offer greater detail to inform the broader picture and help us place your strengths and weaknesses in your unique context. Results can inform treatment and provide valuable insights to help you, your family, and your treatment providers decide what’s needed to support you in your environment. For example, results often inform decisions about medications, types of therapies that might be needed, and other strategies that will best support you in your routine daily activities. Assessment results can also help to determine whether there is a pattern that points to a specific diagnosis or might be consistent with a diagnosis you already have. They may also help to establish a cognitive baseline and monitor for changes over time that might affect your daily functioning. Additionally, testing is a key step for developing plans to improve or maintain brain health and daily functioning. Attention and Executive Functioning Concerns Testing may be helpful for individuals struggling with focus, organization, impulsivity, time management, or follow-through. Diagnostic Clarification Neuropsychological evaluation can be useful when there is uncertainty about the cause of your symptoms and a clearer picture is needed to guide treatment, school support, or other services. Learning and Academic Difficulties Assessment can help clarify whether challenges with reading, writing, math, retention, or academic performance may reflect a learning disorder or related cognitive concern. Autism or Developmental Questions For some individuals, testing can help clarify developmental, social, communication, or behavioral patterns that warrant further understanding. Memory and Cognitive Changes Testing can help evaluate concerns related to memory, concentration, word finding, processing speed, or changes in daily functioning. Emotional or Behavioral Impact Mood, anxiety, trauma, and stress can affect functioning. Testing can help distinguish emotional factors from underlying cognitive issues. Who Might Benefit From Testing? Pricing and Fees Consultation $200 Unsure of your testing needs? Schedule a consultation appointment to meet one on one with the neuropsychologist to assess your next best step. *This fee is deducted from your testing package. Memory Screening $800 - 1000 Do you have concerns about dementia or other age-related changes in your thinking? This is the starting place to get answers. Typically 4-5 hours of clinical time including face to face testing, test scoring and interpretation, feedback session, and clinical report. Children's Comprehensive Testing $2500 - 3000 Rate includes records review, consultation with other providers as needed, face to face testing time, test scoring and interpretation, feedback session, and clinical report. Approximately 15 hours of service. Adult Comprehensive Testing $1800 - 2200 Rate includes records review, consultation with other providers as needed, face to face testing, test scoring and interpretation, feedback session, and clinical report. Typically 9 to 11 hours of clinical time. We believe in upfront pricing. No surprises. We do not accept insurance for testing services. We accept payment via cash, check, or credit card; we accept all major credit cards including Visa, MasterCard, AmEx, and Discover. We also accept health savings account (HSA) and flex savings account (FSA) cards with a Visa, Discover, MasterCard, or AmEx logo on the card. What to Expect During a Neuropsychological Assessment Prior to your first appointment, it would be very helpful to have any records relevant to the current situation (e.g., medical records, scans, laboratory results, academic records). Clinical Intake Session (typically around 1-1.5 hrs). During this appointment, the provider will talk with you to gather information about your history, current concerns, and goals for evaluation. You and/or your family may also be asked to complete questionnaires pertaining to mood, thinking abilities, and the performance of routine daily activities during this session. Testing Sessions (typically 2 sessions, ranging from 2-4 hours). During this session(s), you will complete a variety of assessments and measures designed to examine your thinking abilities, academic skills, emotional functioning, and functioning in your day-to-day environment. Results and Feedback Session (typically 1-1.5 hrs). During the feedback session, we will review your test results and the provider will help you better understand what they mean. You will learn more about how your strengths and weaknesses show up in your day-to-day life. Findings will be explained in depth and you will receive personalized recommendations to address potential weaknesses. Depending on the nature of the evaluation, you can expect to receive a detailed report approximately 4 weeks after completion of the evaluation. This will be provided during the feedback session. Frequently Asked Questions What does a neuropsychological assessment measure? Attention and concentration Information processing speed Memory and learning Language skills Visuospatial skills Executive functioning Reasoning and problem solving General intellectual ability Motor speed and coordination Mood and personality Who might benefit from a neuropsychological evaluation? Children and adults who are experiencing problems with learning, attention, behavior, emotions, and functioning at school, work, or in performing other routine daily activities Who might not be appropriate for outpatient neuropsychological testing? Anyone who has medical, psychiatric, or behavioral conditions that are currently in an acute or severe phase. When you are experiencing acute or severe effects of an illness, you aren’t able to perform your best and you might be very far away from your baseline. This may confound the test results and limit the interpretation and conclusions that can be made with confidence. These conditions should be addressed and stabilized by appropriate providers prior to testing. If substance use is current, it is difficult to confidently establish your baseline cognitive abilities, and this will confound the results as well. It is very important that you are substance-free for at least 48-72 hours. Anyone with a severe intellectual or neurocognitive disorder that limits the ability to communicate or engage in testing. Court-ordered evaluations and legal involvement. Participation in any legal proceeding and evaluations for any legal purpose will not be conducted. What happens during the testing session? During the testing session, you will work one-on-one with the provider. You will be asked to answer questions and complete a number of tasks related to a variety of cognitive processes. Neuropsychological assessments use a variety of formats including question-and- answer, paper-and-pencil, and computer-based methods. All tasks are designed to assess important areas of functioning in cognition, emotion, and adaptive behavior/routine daily functioning. If you have a family member or friend accompany you to the appointment, they will be asked to wait in the waiting room during the testing sessions. This helps reduce the likelihood that your test results are affected by distraction. For minors, a parent or legal guardian must remain on the premises during the appointment. Should I do anything to get ready for the appointments? Dress comfortably Take the medications you normally take, and bring any you may need during testing (such as midday doses). Get a good night’s sleep Bring glasses or hearing aids if you typically use them The testing sessions can be lengthy, so please feel free to bring snacks and drinks If the patient may have trouble providing information about their history, it is helpful for a family member, friend, or caregiver who knows the patient well to accompany them Is there anything I should study before the testing? No. The tests are designed to better understand various aspects of cognitive functions. There is nothing to learn or practice beforehand. Ready to Reach Out? If you would like to get scheduled or learn more, please fill out our interest form and we will contact you to get started! Testing Interest Form Dr. Melissa Mathews Neuropsychologist EDUCATION AND EXPERIENCE I am a licensed clinical neuropsychologist specializing in comprehensive neuropsychological evaluations for individuals across the lifespan. With over 15 years of experience, I have worked with children and adults to assess a broad spectrum of conditions including dementia, mild cognitive impairment, ADHD, traumatic brain injury, and complex medical or neurological disorders. I am committed to providing thorough, evidence-based evaluations that translate complex brain-behavior findings into clear, practical recommendations for patients, families, and referring providers. My approach is collaborative, compassionate, and always patient-centered. I earned a Ph.D. in clinical psychology from the University of Massachusetts-Amherst and completed specialized training in neuropsychology, including an internship at the University of Alabama-Birmingham and a two-year postdoctoral residency at the University of Kentucky in the Department of Neurology/Sanders-Brown Center on Aging.

Rachel treats trauma, substance abuse, and depression. Rachel Smith, LPCC I specialize in: Trauma Substance Abuse Depression About Me I am a Licensed Professional Clinical Counselor (LPCC) practicing since 2023. I’ve worked primarily with adults with a wide variety of needs and specialize working with depression, anxiety, substance use, and life transitions. I take on an eclectic approach primarily work from cognitive behavioral therapy (CBT), motivational interviewing (MI), and solution focused brief therapy (SBFT). I understand that it’s not always easy to ask for help and that initial therapy appointment can be intimidating. I am happy to provide an open, non-judgemental space to process the things life throws at you at your own pace. My goal in therapy is to collaborate together in facilitating growth, healing, and meaningful change. Contact I have new client availability! rachel@cognitiverefinery.com 270-266-1188

Couple's Counseling Ninoska Everett, LPCC I specialize in: Couples Counseling Affairs and Betrayals Trauma Boundary Work About Me I specialize in helping couples strengthen communication, rebuild trust, and reconnect emotionally during some of the most difficult seasons of their relationship. Many couples come to therapy feeling stuck in repetitive conflict, emotional distance, defensiveness, resentment, or feeling misunderstood by the person they love most. Using evidence-based Gottman Method Couples Therapy, I help partners communicate more effectively, manage conflict in healthier ways, deepen emotional intimacy, and create a stronger foundation of trust and connection. I have completed Gottman Level 2 Training as well as advanced training in Treating Traumas and Affairs, with a special focus on helping couples recover after infidelity, betrayal, and broken trust. I am especially passionate about helping individuals and couples heal from trauma and emotional wounds that continue impacting their relationships, self-esteem, and daily lives. I am trained in Brainspotting Phase 1 and incorporate trauma-informed approaches to help clients process unresolved experiences, anxiety, relationship trauma, panic responses, and deeply rooted emotional pain. I also work frequently with clients struggling with people pleasing, perfectionism, difficulty setting boundaries, fear of conflict, and challenges advocating for their own emotional needs. My style is warm, collaborative, compassionate, and direct, balancing emotional processing with practical tools that clients can apply outside of therapy. As a therapist of color, I understand the importance of feeling emotionally safe, understood, and culturally seen within the therapy process. I strive to create a nonjudgmental and supportive environment where clients can show up authentically and begin creating meaningful, lasting change. Whether you are hoping to improve communication in your marriage, recover from an affair, process trauma through Brainspotting, strengthen your boundaries, or reconnect with yourself and your partner, I would be honored to support you in that journey. Contact If you are looking for couples counseling then I'm the therapist you are looking for! ninoska@cognitiverefinery.com 270-266-1188

Select a Therapist Finding a therapist is a lot like trying on shoes - you have to find a good fit, but you are much more likely to find a good fit if you select a therapist who is skilled in treating the concerns that lead you to seek therapy. CLICK ON PHOTO TO LEARN MORE Megan Harden, LCSW Obsessive Compulsive Disorder Phobias Body Focused Repetitive Behaviors Jim Croxton Clinical Consultation Normanda Lawless, LPCC Trauma Post Traumatic Stress Disorder Life Transitions Donald Evans, LCSW LGBTQIA+ Obsessive Compulsive Disorder Trauma Kayla Ashby, LPCC Narcissistic Partner Abuse Trauma Adjustment Issues Cejay Moore, LPCC Religious Trauma Obsessive Compulsive Disorder Life Transitions Chris Chandler, PsyD Children's Behavioral Issues Adjustment Issues Anxiety Disorders Peyton Collins, LCSW Autism Spectrum Disorder OCD- All ages Anxiety Ninoska Moratin, LPCC Couples Counseling Affairs and Betrayals Trauma Austin Weiler, LCSW Obsessive Compulsive Disorder ADHD Trauma Dori Ryherd, LCSW Life Transitions Trauma Insomnia Bella McCall, LPCC Obsessive Compulsive Behaviors Phobias Anxiety Disorders Olivia Ellis, LPCA Eating Disorders Anxiety Disorders Adjustment Issues Jessica Bird, MSCFT Open Relationships Non-Monogamy Sexual Concerns Couples Counseling Jamee Coombes, LCSW Depression Anxiety Stress and Burnout Kate Barnes, LCSW, PHM-C Perinatal Mental Health Chronic Illness Grief Briana Rushing, LPA Bordeline Personality Disorder Autism ADHD Emma Graviss, CSW Children's Behavioral Concerns Trauma Anxiety Dr. Evelyn Peck Couples Counseling Trauma Mood Disorders Brittany Jinkins, LCSW Obsessive Compulsive Disorder ADHD Autism Julia McKinney, LPCC Post Traumatic Stress Disorder Anxiety Life Transitions Karol Owen, LPCC-S Substance Abuse Depression Life Transitions Alexandra do Couto, LPCA Sports Performance Chronic Illness Depression Dr. Melissa Mathews Neuropsychological Testing Adam Wink, LPCA Grief and Loss Relational and Life Transitions Anxiety Disorders Rachel Smith, LPCC Trauma Relational and Life Transitions Anxiety Disorders Kenzie Skaggs Clinical Intern Kale Iwanski Clinical Intern The Administrative Team Brianne Simpson Office Manager Hanna Forrest Client Care Coordinator Emma Thomas Client Care Coordinator Alicia Matthews Client Care Coordinator Theodore Harden Administrative Assistant

Dr. Peck has extensive experience working with couples and is a Gottman level 3 clinician. Dr. Evelyn Peck I specialize in: Couples Counseling Mood Disorders Trauma Life Transitions About Me With more than 25 years of clinical experience, I am a licensed psychologist dedicated to helping individuals and couples create meaningful, lasting change. I bring an evidence-based, compassionate approach to therapy, blending clinical expertise with genuine human connection. I specialize in couples therapy and blended families drawing on research-supported methods to help partners deepen understanding, strengthen communication, and rebuild trust. I also work extensively with mood disorders, using Cognitive Behavioral Therapy (CBT) to help individuals manage depression, anxiety, and related challenges. For those navigating life transitions, healing from trauma, or looking for deeper personal growth, I integrate EMDR and a variety of therapeutic approaches to create a plan that fits who you are—not a one-size-fits-all model. I am licensed in Kentucky, Tennessee, California, and New York, and I approach every client with the same respect and care I would want for myself or someone I love. My goal is to create a safe, encouraging space where you feel understood, supported, and empowered to grow. If you’re ready to take the next step or just want to see whether we’re a good fit, I’d be honored to connect. Contact Are you looking for a therapist to help you navigate relationship challenges? I have the experience and training that you are looking for! dr.evelyn@cognitiverefinery.com 270-266-1188

Learn more about substance abuse treatment atThe Cognitive Refinery. Substance Abuse We provide outpatient therapy for individuals seeking support with substance use and recovery from alcohol and drug addiction. Our clinicians work with motivated individuals who are pursuing meaningful change, whether they are working toward sobriety, maintaining recovery, reducing harmful patterns, or rebuilding their lives after the impact of addiction. Treatment focuses on understanding the factors that contribute to substance use, developing healthier coping strategies, preventing relapse, and strengthening long-term recovery. While we do not provide court-ordered treatment, evaluations, or programs designed to meet legal requirements, we are committed to supporting individuals who are personally motivated to address substance use concerns and work toward lasting change. Karol Owen, LPCC-S Karol has spent her career supporting individuals managing sobriety and recovery from various addictions.

Kale is a clinical intern at TCR working under the supervision of Megan Harden, LCSW. Kale Iwanski Clinical Intern - Accepting Clients *There is no cost for services provided by TCR's clinical interns About Me Hi, I’m Kale. I am currently completing my internship as part of the Clinical Mental Health Counseling Master’s program at Western Kentucky University. I am passionate about helping people bridge the gap between their current and ideal selves so they can live more fulfilling lives. My clinical interests include life transitions, couples counseling, and a wide range of mental health conditions, including OCD, depression, and eating disorders. I am particularly interested in working with motivated clients, regardless of their condition or prior therapeutic experience. In my work, I strive to take a tailored, integrative approach with each client. I am currently developing my skills in Motivational Interviewing, Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Supportive Therapy. As an intern, I bring a fresh perspective and a committed presence, collaborating with my clients under the clinical supervision of Megan Harden, LCSW. Contact I have new client availability! kale@cognitiverefinery.com 270-266-1188

Learn more about sports performance treatment at The Cognitive Refinery. Sports Performance We provide specialized support for athletes, performers, and high-achieving individuals seeking to improve performance and manage the mental demands of competition. Our clinicians work with concerns such as performance anxiety, confidence and self-doubt, perfectionism, fear of failure, injury recovery, burnout, and difficulties maintaining focus under pressure. Using evidence-based approaches tailored to the individual's goals, we help clients develop mental skills that enhance resilience, improve performance consistency, and support overall well-being both on and off the field, court, stage, or workplace. Alex do Couto, LPCA Alex specializes in treating sports performance issues.

Weekend Marriage Intensives Need to prioritize your marriage but don’t have time for months of weekly sessions? Weekend marriage intensives provide a powerful alternative. Whether you are rebuilding after infidelity, feeling stuck in conflict, or wanting to strengthen your connection, this focused format allows you to make significant progress in just one weekend. Click Here Weekend Marriage Intensives provide couples with the opportunity to step away from the distractions of daily life and focus intentionally on their relationship in a structured, supportive environment. These extended sessions are ideal for couples experiencing high levels of distress, navigating betrayal or infidelity, feeling stuck in recurring conflict, or wanting to make meaningful progress more quickly than traditional weekly therapy allows. Our intensives are led by a doctoral-level psychologist with Gottman Level 3 training, representing advanced certification in one of the most research-supported approaches to couples therapy. The Gottman Method is grounded in decades of research on what helps relationships succeed and focuses on improving communication, rebuilding trust, reducing conflict patterns, and strengthening emotional connection. During a marriage intensive, couples can expect a comprehensive assessment of relationship strengths and areas of growth, structured therapeutic interventions tailored to your specific concerns, and practical tools to help you navigate difficult conversations more effectively. This format allows for deeper work, real-time coaching, and the opportunity to interrupt negative cycles that can be difficult to address in shorter sessions. Weekend intensives typically include multiple extended sessions across one or two days and may incorporate assessment feedback, communication skill building, conflict management strategies, and personalized recommendations to support continued progress after the intensive. This service is ideal for couples who are highly motivated for change, those with demanding schedules, or those who prefer a more concentrated and private approach to relationship work. Dr. Evelyn Peck Clinical Psychologist Briefly introduce yourself and share something interesting with website visitors. Double click to edit the text. About Me Pricing We believe in upfront pricing. No surprises. We do not accept insurance for any couples counseling services. We accept payment via cash, check, or credit card; we accept all major credit cards including Visa, MasterCard, AmEx, and Discover. We also accept health savings account (HSA) and flex savings account (FSA) cards with a Visa, Discover, MasterCard, or AmEx logo on the card. Consultation $170 Schedule a one on one consultation with Dr. Peck if you would like to discuss whether a couples weekend intensive is right for you. Weekend Intensive $3500 Ready to commit to a weekend of relationship repair? This fee covers all clinical services provided from Friday evening until Sunday. If you are traveling to the area we are happy to provide you a list of close by accommodations and restaurants. What to Expect During a Weekend Intensive Prior to scheduling your weekend intensive you and your partner will be asked to complete assessments for Dr. Peck to review. Clinical Intake Session (typically around 1-1.5 hrs). During this appointment, the provider will talk with you to gather information about your history, current concerns, and goals for evaluation. You and/or your family may also be asked to complete questionnaires pertaining to mood, thinking abilities, and the performance of routine daily activities during this session. Testing Sessions (typically 2 sessions, ranging from 2-4 hours). During this session(s), you will complete a variety of assessments and measures designed to examine your thinking abilities, academic skills, emotional functioning, and functioning in your day-to-day environment. Results and Feedback Session (typically 1-1.5 hrs). During the feedback session, we will review your test results and the provider will help you better understand what they mean. You will learn more about how your strengths and weaknesses show up in your day-to-day life. Findings will be explained in depth and you will receive personalized recommendations to address potential weaknesses. Depending on the nature of the evaluation, you can expect to receive a detailed report approximately 4 weeks after completion of the evaluation. This will be provided during the feedback session.

Meet the therapists at TCR who specialize in treating trauma and PTSD. Trauma and Recovery Team We provide specialized treatment for trauma and PTSD using evidence-based approaches tailored to each client’s needs, including Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), Trauma-Focused CBT (TF-CBT), Written Exposure Therapy (WET), CBT for Trauma, and Accelerated Resolution Therapy (ART). Our clinicians are trained to apply these models with fidelity, allowing for structured, effective treatment rather than a one-size-fits-all approach. This emphasis on evidence-based practice and targeted intervention allows us to provide more focused care and meaningful progress compared to more general or supportive approaches alone. Normanda Lawless, LPCC Normanda has many years experience with treating PTSD and is trained in IFS, WET, CPT, and TF-CBT giving her several treatment approaches to draw on to customize trauma treatment. Donald Evans, LCSW Donald's work focuses on the impact of various mental health conditions on LGBT+ individuals. He is trained in TF-CBT and CPT and skilled with addressing trauma in adults and teens. Austin Weiler, LCSW Austin is trained in EMDR and CPT and treats trauma and PTSD in teens and adults. He enjoys working with individuals in the LGBT+ community who are impacted by trauma. Dori Ryherd, LCSW Dori worked at the VA for several years treating veterans with trauma and complex issues. She is trained in CPT and WET. She also treats sleep issues related to trauma. Peyton Collins, LCSW Peyton treats OCD and anxiety in all ages. He also specializes in ASD and works well with individuals who are Autistic and also dealing with anxiety or OCD symptoms. Julia McKinney, LPCC Julia has spent her career treating sexual trauma in men and women. She is trained in EMDR through EMDRIA and is skilled in treating PTSD and all forms of trauma. Cejay Moore, LPCC Cejay specializes in treating religious trauma. She is trained in CPT and WET and is comfortable addressing PTSD and trauma of all types in teens and adults. Dr. Evelyn Peck Evelyn is a doctoral psychologist who is trained in EMDR. She is skilled with trauma related to relationships and comfortable with addressing mood disorders as a comorbid concern. Emma Graviss, CSW Emma treats children and teens. She is trained in ART, TF-CBT, and TARGET. She can asses the most appropriate treatment approach for a child based on age and developmental level.

Therapist treating depression, anxiety, and burnout. Jamee Coombes, LCSW I specialize in: Depression Anxiety Stress and Burnout About Me Hello! I am a LCSW (Licensed Clinical Social Worker) who graduated from Washington University in St. Louis with my master’s in social work. I began my journey as a mental health therapist working in the community and providing individual therapy in people’s homes. I moved on to work with Veterans for several years. My experience has allowed me to hold space and give hope to people from all walks of life. I bring my strengths (kindness, fairness, social intelligence, curiosity, and hope) to the table along with my training (CBT, ACT, Social Skills Training). I focus on utilizing your strengths to improve your mental health and have experience creating plans for maintaining mental health recovery. I offer an open space without judgement to explore needs, goals, strengths, and challenges. I am only available for tele-mental health sessions. Tele-mental health works very well as long as you are able to find a private and confidential spot for each session. One of the key components in therapy is simply having 45-60mins to focus on you. Considering seeking a therapist is a big and scary step, but you are halfway there and just a few more steps and you can begin your journey to improve your mental health. When I am not providing therapy, I am working on creating a happy sustainable homestead with my husband and my son. Contact Looking for help with depressive symptoms? Let's see if we are a good fit to work together! jamee@cognitiverefinery.com 270-266-1188

Learn more about grief and chronic illness treatment at The Cognitive Refinery. Grief and Chronic Illness We provide support for individuals coping with grief, loss, chronic illness, and major health-related life changes. Grief can arise from the death of a loved one, changes in relationships, loss of independence, infertility, or other significant life transitions. Similarly, chronic medical conditions can affect emotional well-being, identity, relationships, and daily functioning. Our clinicians help clients navigate the complex emotions that often accompany these experiences, including sadness, anxiety, anger, uncertainty, and adjustment difficulties. Treatment is tailored to each individual's needs and focuses on building resilience, processing loss, developing effective coping strategies, and creating a meaningful life alongside ongoing challenges. Kate Barnes, LCSW, PMH-C Kate treats individuals navigating chronic illness or grief including grief related to infant deaths. Kayla Ashby, LPCC Kayla works with grief and loss issues and can compassionately support you through grieving.