Executives
C-suite cognitive decline, decision-making capacity, board-mandated evaluation
Neuropsychiatric Fitness-for-Duty Assessment
Direct Answer
A fitness-for-duty evaluation determines whether an individual's mental health and cognitive functioning allow them to safely and effectively perform the essential functions of their job. Dr. Lodhi's neuropsychiatric FFD evaluations go beyond standard psychiatric assessment by specifically evaluating executive function, cognitive processing speed, judgment, and decision-making capacity: the neurocognitive domains most relevant to high-stakes professional roles. His dual fellowship training at Stanford (forensic psychiatry + BNNP) provides the specialized cognitive assessment framework that standard psychiatric FFDs lack.
Who Needs a Neuropsychiatric FFD
Standard psychiatric FFD evaluations are appropriate when the concern is primarily emotional or behavioral, depression affecting performance, substance abuse, interpersonal conflict. A neuropsychiatric FFD is indicated when cognitive concerns are central: suspected cognitive decline in a senior executive, a physician making judgment errors that may reflect neurocognitive impairment, a law enforcement officer with post-TBI performance changes, or any professional where the question is whether brain function supports the cognitive demands of the role.
Dr. Lodhi's FFD Evaluation Process
Evaluations include comprehensive clinical interview, review of employment and medical records, cognitive screening, behavioral observation, and (when indicated) referral for formal neuropsychological testing. Dr. Lodhi provides clear, actionable findings: fit for duty, fit with accommodations/restrictions, or not fit for duty, along with specific recommendations for treatment, monitoring, or accommodation.
Physicians
Physician impairment, cognitive concerns, medical board referrals
Law Enforcement
Post-TBI return to duty, critical incident response, behavioral concerns
Other Professionals
Pilots, attorneys, financial professionals, safety-sensitive roles
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Request a Fitness-for-Duty Evaluation
Confidential consultation for employers, attorneys, and organizations.