Dr. Ashley Miles

London Health Sciences Centre - University Hospital

Clinical Neuropsychologist

339 Windermere Road, P.O. Box 5339
London, ON  N6A 5A5
Telephone: (519) 685-8500, ext. 35017
Email: ashley.miles@lhsc.on.ca

Clinical interests: Involve neuropsychological differential diagnosis in complex clinical presentations as well as the use of clinical neuropsychological assessments to aid in pre-surgical planning for complex neurological conditions. I most typically work with adults and seniors for pre-surgical candidacy, post-surgical follow-up, differential diagnosis, baseline and follow-up assessments to track disease progression, return to work/school/driving, etc. The presenting conditions with which I most frequently work include: epilepsy, movement disorders, acquired and traumatic brain injuries, hydrocephalus, tumours, multiple sclerosis, etc.

All assessments are based on a biopsychosocial model. That is, upon receipt of referral, the patient's presenting condition is considered based on current research, which helps to inform the clinical interview and test list selection. Test selection is further guided by the psychometric properties of the measure, particularly reliability and validity within the patient population being seen. Diagnostic impressions are made based on the available objective data (e.g., neurological exam, neuroimaging and other investigations, objective neuropsychological test data) combined with clinical interview information (from the individual and their collateral), consideration of the system within which the individual is functioning, and qualitative analysis of the individual's approach to neuropsychological testing. This rich aggregate of information is then utilized to determine the likely etiology of the patient's clinical presentation and to generate clinical recommendations, which are tailored to the individual.

Topics for workshops, seminars: Evaluating change in serial neuropsychological assessments

Type of clinical practica: Initial Assessment; Advanced Assessment

Types of clients: Adult

Modality:

Theoretical orientation:

Types of client problems: Neurocognitive Disorder; Client problems are diverse and include any disease of the central nervous system affecting neuropsychological functioning

Type of supervision you can provide: Student describes case to you; Co-therapy/Co-interview; You observe student live

Recent students: L. Szota (2017); M. Ritchie (2018)

Current students: L. Gabel (2019)

Clinical contact: Available

Research interests: Primarily focused on the use of neuropsychological assessment data to predict good outcome following neurosurgical interventions for medically intractable neurological conditions (i.e., epilepsy, and Parkinson's disease).

Available to supervise: No

Constraints:

Last updated: May 21, 2019