Please note: We now have the capability of doing assessments via videoconference, instead of in-person, if you prefer this method of being assessed.
Eneida M. Silva, PHD
Licensed Clinical Psychologist
Certified School Psychologist
Advanced Psychological Services LLC
Centro de Servicios Psicológicos Avanzados
Fluent in Spanish and Portuguese
To initiate a referral: Please click here
Phone: (860)- 926-4544
Fax: (866) 607-3956
112 Spencer Street 24 Goose Lane
Manchester, CT 06040 Tolland, CT 06084
Anthem Blue Cross/Blue Shield - children and adults
HUSKY/Medicaid - only for children/adolescents ages 3 to 20
To initiate a referral at our practice: click here:
Our Practice in Manchester and Tolland, CT
Established in 1991, Dr. Silva's practice utilizes a functional medicine approach to conduct autism and neuropsychological assessments of children, adolescents, and adults. A functional medicine approach aims to discover root causes of issues. Dr. Silva's compassionate approach combined with the most advanced neuropsychological and psychological assessment techniques are unique elements of her practice.
Dr. Silva has specialized training in conducting Autism / Autism Spectrum Disorder assessments, neuropsychological evaluations, child and adult trauma, ADHD, Post Traumatic Stress Disorder (PTSD), dyslexia, learning disabilities, and reactive attachment disorder. Dr. Silva is fluent in both Spanish and Portuguese. Dr. Silva also has extensive experience conducting school based evaluations -- psychological, psycho-educational, and neuropsychological assessments.
What types of evaluations does Dr. Silva conduct?
- Neuropsychological assessments - children, adolescents, and adults: memory issues, mood instability, learning disabilities/dyslexia, ADHD, executive functioning issues, traumatic brain injury, and Post Traumatic Stress Disorder
- Autism evaluations
- Dyslexia / Reading evaluations
- School evaluations - psychological and psycho-educational
- School evaluations - Spanish: cognitive, achievement and social-emotional testing
- Trauma based assessments and Post Traumatic Stress Disorder (PTSD)
- Reactive Attachment Disorder (RAD)
- Autism Spectrum Disorder assessments
- Bipolar Disorder (child)
- Learning Disabilities Assessment
- ADHD, ADD
- Intellectual Disability
Autism and Autism Spectrum Disorder Evaluations
Autism Spectrum Disorder (ASD) is characterized by difficulties in social interaction, verbal and nonverbal communication and repetitive behaviors. ASD may be associated with problems with motor coordination, attention, and physical health issues, such as sleep and gastrointestinal difficulties. Autism seems to originate during the very early stages of brain development, with the most apparent signs of autism tending to appear between 2 and 3 years of age. One of these signs is the child having acquired language, only to lose it several months later. Dr. Silva’s practice assesses Autism and Autism Spectrum Disorder using the most advanced evaluation measures to accurately assess this increasingly prevalent syndrome. This allows children to enter into treatment as early as possible since early intervention is crucial. Dr. Silva utilizes a functional medicine approach in the comprehensive assessment of Autism and Autism Spectrum Disorder in order to get at the root causes, in order to provide the very best chances for improvement, delineating highly specific strategies and recommendations.
Neuropsychological assessments aim to discover how different areas of the brain work together. Difficulties with concentration, memory, verbal expression and comprehension, organizational skills, planning, visual perception, and personality or mood changes may all be a result of neuropsychological issues. Based on extensive new research, the brain is believed to be highly malleable and receptive to new learning and information. This is an exciting and hopeful time for neuropsychological issues and traumatic brain injury, making real improvement now possible.
For individuals with difficulties with memory, concentration, or in completing daily tasks, a neuropsychological evaluation can be helpful to delineate areas of difficulty and to establish a diagnosis. For individuals who have an established diagnosis, such as MS, Parkinson’s, brain injury, or Alzheimer’s Disease, a neuropsychological evaluation can help determine the severity of specific problem areas and ways to help improve functioning.
A neuropsychological assessment provides insight into whether a person's issues are a result of brain based deficits and provides specific strategies for improvement. Specific areas assessed include:
- Memory - visual, auditory, immediate, and long term
- Information processing style
- Attention and concentration
- Organizational and planning ability
- Visual motor functioning
- Processing speed
- Emotional intelligence
- Personality functioning
- Academic skills
Dyslexia / Reading Evaluation
Dyslexia / Reading Evaluations: Our neuropsychologically
based evaluations for dyslexia and reading issues are comprised of comprehensive assessments encompassing specific areas, such as: phonemic awareness, processing speed, spelling,
processing of sounds, vocabulary knowledge, word sound discrimination, reading
comprehension, word retrieval, and visual spatial ability. These evaluations are conducted by Dr. Silva and Judith Weiner, MS, a specialist in reading evaluations and dyslexia (more about Judith Weiner in the About Us and Directions tab). Children
and adults who have dyslexia or a significant reading disability often exhibit
- Difficulty with
letter sound discrimination (for example: ban, bin)
- Weakness in
- Difficulty sounding
out new or unfamiliar words
- Issues with
understanding isolated words when they are not in context
- Weakness in
distinguishing similarities and difference in words (for example: pal vs. lap)
- Low reading
- Inability to enjoy reading
- Poor spelling
- Early issues with
- Commonly substituting similar words for each other (for example kitty for cat)
- Disliking and avoidance of reading aloud
- Confusing left from right while reading and writing
summarizing and recalling details from a story
Along with the
core tests to assess dyslexia, our reading evaluations include
neuropsychological testing (executive functioning, processing speed, attention
and concentration, visual tracking, etc.) to provide a greater understanding of one's individual learning challenges and learning styles.
Attention Deficit Disorders - ADD and ADHD:
A person with an attentional disorder is frequently described as having a short attention span and as being distractible. However, in fact, distractibility and inattentiveness are not synonymous. Distractibility refers to how quickly one can be pulled off-task. Attention, on the other hand, consists of several different processes. Some of the most important ones are: selecting that to which to pay attention at a specific moment in time, sustaining or paying attention for an extended period of time, resisting or avoiding things that remove one's attention from where it needs to be, and shifting attention to something else when needed. Children and adults with ADD or ADHD can have difficulty with just one or more attentional processes.
Our attentional disorder evaluations utilize the most advanced measures, questionnaires, and computer based assessments to evaluate all the different processes that encompass attention and provide very specific recommendations to improve each area.
More on these processes is described below.
Sustained attention: Although It’s relatively easy to catch anyone’s attention, it is more challenging to sustain or keep it for a considerable amount of time. Sustained attention is the ability to keep that focus or concentration for long periods of time even if one is exposed to the repetitive action or activity. This is the kind of attention that is usually needed for the majority of learning and work activities like listening to a lecture for an entire hour, reading books and studying for several hours for a test, for completing a long project, or for working on a repetitive activity.
Selective attention: Selective attention is the ability to select from many factors or stimuli and pay attention to only one that you or your brain chooses. Almost everyone uses this cognitive ability most of the time. Every day, people are exposed to a number of environmental factors at home, at work, or at school, for example, but their brains respond by focusing only on specific factors that matter most or those that people choose to focus on.
Alternating attention: The next type of attention is alternating attention. This is the ability to shift or quickly transfer your focus or concentration from one thing to another. A healthy brain can adapt even if the succeeding activity requires a different level or type of knowledge. Similar to selective attention, alternating attention is an ability that is used quite frequently. Sudden changes in activity or action can require attention to shift.
Divided attention: The last kind of attention is divided attention, which is the ability of an individual to focus or concentrate on two or more environmental factors, stimuli, or activities simultaneously, also commonly known as the ability to multi-task.
Trauma based and Post Traumatic Stress (PTSD) evaluations:
Dr. Silva conducts trauma based and PTSD evaluations resulting from sexual abuse, physical abuse, neglect, loss, and other trauma. The most advanced and culturally sensitive tests and interview techniques are used, combined with a caring and compassionate approach, to evaluate children and families who are referred for trauma-based assessments.
Intellectual, achievement, learning disabilities, and career/aptitude
Intellectual, achievement, learning disabilities, and career/aptitude testing is another area of specialty of our practice. We assess whether children and adolescents experiencing learning challenges have an intellectual disability, learning disability, attentional disorder, or other factor that is interfering with their ability to perform their best in school. Dr. Silva has a strong educational background of over 18 years assessing children with learning disabilities. Additionally, evaluating a person's strongest work-related interests and aptitudes can help someone decide what kinds of careers to explore and at what type of job or career he or she would likely be most successful. Dr. Silva can also perform these assessments in Spanish or Portuguese.
Reactive Attachment Disorder Evaluations
Reactive attachment disorder is a rare but serious condition in which a young child cannot engage
in healthy attachments with a caregiver or parent. Reactive attachment disorder
may develop if the child's basic needs for nurturing and affection are not met
and thus a stable and caring attachment with others is not established. Treatments
for reactive attachment disorder include providing the opportunity for
interactions between the child and caregiver, a nurturing and stable environment,
and psychological counseling. Providing caregivers with education about
Reactive Attachment Disorder has also been found to be quite beneficial. Dr. Silva conducts assessments to differentially diagnose between Reactive Attachment Disorder and Post Traumatic Disorder.
How much experience does Dr. Silva have?
Dr. Silva has over 25 years of experience assessing children and adults in multiple settings -- schools, medical centers, hospital and university based clinics, and private practice. Comprehensive assessment of a child's neuropsychological, cognitive, academic, psychological, or life situation difficulties has far-reaching implications for the type of treatment and support the child or family will subsequently need. Accurate assessment of issues, whether they are related to life/environmental circumstances, emotional adjustment, intellectual difficulties, or neuropsychological issues, provides a strong foundation from which to work toward the formulation of a solid treatment and follow-up plan.
Why are cultural factors important?
Cultural factors and background are important considerations for both psychological assessment and neuropsychological assessment. A person's issues are most accurately assessed when the approach takes into account one's culture. A true understanding of a person’s psychological world is optimally achieved when cultural context is an integral part of the evaluation. Dr. Silva's familiarity with Latino and Portuguese cultures allows for accurate assessment of important issues in these cases.
What geographical areas does our practice serve?
Dr. Silva's practice provides services to the Manchester, Glastonbury, Hebron, Hartford, Wethersfield, East Windsor, Willimantic, New Britain, Tolland, Vernon, Mansfield, Norwich, and central-northeastern and southeastern parts of Connecticut.