Is there any clinical benefit in referring patients with SLE or Sjogren's with cognitive impairment for neuropsychological testing?

I have been grappling with this issue more often in fibromyalgia and chronic fatigue syndrome and more recently in patients with Post-acute COVID Syndrome. In FM and CFS I have not found neuropsychological testing helpful to distinguish true cognitive impairment from the confounding effects of sever...

Very thoughtful recommendation by Dr. @Dr. First Last on a difficult and rapidly evolving area. In current practice, there is little value of neuropsychological testing, whether it be in classic autoimmune diseases or centralized pain disorders. However, for research, it is important to perform such...