In many ways, psychological testing and assessment are similar to medical tests. If a patient has physical symptoms, a primary care provider may order X-rays or blood tests to understand what's causing those symptoms. A psychological assessment evaluates thinking, learning and behavior. The assessment may include interviews, observation, testing and consultation with other professionals involved in the child or individual’s care. Testing includes pencil and paper tasks, puzzles, drawing, and games. The assessment covers many skill areas, such as general intellectual level, language, memory and learning, problem solving, planning and organization, fine motor skills, visual spatial skills, and academic skills (reading, math, spelling and writing). It also includes an examination of behavior and emotions.