The full report of the Neuropsychological evaluation

Neuropsychological evaluation, if don't know what this is here is a link to help you understand. http://emedicine.medscape.com/article/317596-overview


A lot of it I don't understand, so I'll pick out what I can.  I'll break it up how they do and summerize what they said.   (Pretty much leave out my information and full name)  They talk about composite scores, but I have no idea what that means.


TESTING RESULTS
Neurocognative Testing

WTAR to estimate Pre-morbid intellectual ability.  Average range.  Her predicted sore of 105 is also in avg range.  It can be estimated with 95% confidence that her pre-morbid intellectual abilities would be int he avg to superior range.  Also given a WAIS-IV TO assess cognitive functioning.  

She obtained a Full Scale and Verbal Comprehension score is in the low avg range.  Her somewhat Perceptual Reasoning score is somewhat higher in the avg range.  Her borderline Working Memory score suggests she will have moderate to severe difficulty with manipulating information.  Her low avg Processing Speed Score suggests she will have mild to moderate difficulty processing new information quickly.  She demonstrated a weakness in numeral reasoning and speed of numeral manipulation.

Also administered the WMS-IV to estimate her current general memory abilities.

Her Immediate Memory score is somewhat lower than avg Delayed Memory score suggests she is better at retrieving learned information after short periods of time has lapsed than with greater a greater delay.  Will demonstrate some difficulty retrieving learned information presented both verbally and visually as these scores are in the low avg range.  She should have less difficulty with temp storing and manipulation visually presented information as this score is in the avg range. 


The R-BANS was administered to measure basic neuropsyhological functions of attention, language, visual-spatial and constructional abilities and Immediate and delayed memory.

Her low avg Immediate Memory and avg Delayed Memory scores are fairly consistent with her WMS-IV scores.  She will have moderate to severe difficulty with attending to tasks for long periods of time and will likely need to have information broken down to her in short segments in order for her to be able to focus and remember the information over a longer period of time.  Her somatic ability is in the borderline range.  As her Visual-Spatial/Constructive score is in the low avg range, she was better at completing non-verbal spatial relational tasks then verbal retrieved learned information.

Was administered the D-KEFS to examine her executive functioning.  Executive functions refer to higher-order cognitive skills that direct or organize thinking.

Trail Making Test

The trail Making test, scored in the impaired to avg ranger.  She demonstrated the most difficulty with visually scanning information quickly.  Her ability to sequence numbers and letters independently are avg.  Her motor speed was also avg.  As the task became more difficult, her scores declined as she was unable to process complex information quickly.

Verbal Fluency Test

Verbal Fluency test, scores are i the low avg to avg range.  Demonstrates most difficulty naming words that began with the same letter.  Her scores improved as the tasks became more difficult.  She was able to name words within the same category and switch between categories accurately.  Overall, she exhibited more cognitive flexibility in a language task.  In spite of this, she still preformed slowly making sure she did not make any repetition or loss of set errors.

Color Word Interference Test

Scores are in the significantly impaired range. <-----Can't be the best at everything.  She worked slowly throughout this task.  She demonstrated slow processing speed and difficulty with inhibition.  She appeared to be focused on avoiding errors despite her instruction to work quickly on the task.

Administered the RCFT to further evaluate her visual-spatial/Constructional abilities and visual memory.  She obtained a normal copy score with some minor difficulty with attention to fine detail.  After a short delay, she was asked to draw the figure from memory. Her score significantly declined, reflecting moderate impairment.  Her impaired scores suggest difficulty retaining spatial information over long periods of time.

Was administered the WRAT-IV to assess her achievement skills.

This portion of this assessment tends to be more resistant to the effects of head injury.  She demonstrated the greatest difficulty with Math Computation.  Her Math Computation score is consistent with her WIAS-IV Arithmetic score suggesting weakness in the arithmetic area.

Social-Emotional Testing

Administered the MMIPI-2 to assess her emotional functioning.  Her validity scales reflect an invalid profile due to over reporting of negative symptoms.  It is likely she is over reporting, not as motivation of secondary gain, or attention, but likely as a "plea for help." <---Sad, but true.

DIAGNOSTIC IMPRESSIONS


Meet the following DSM-IV-TR classification:

Axis 1: Major Depression Disorder. Recurrent, Severe without Psychotic features.  <----See not crazy
            Posttramatic Stress Disorder
            Cognitive Disorder NOS
            Mathematics Disorder

Axis 2: Borderline Intellectual Functioning
            Borderline Features

Axis 3: Social, Educational, and Occupational

Axis 4: GAF=53  (Global Assessment of Functioning.  The GAF is a scale from 0 to 100 where higher scores indicate greater levels of functioning. Optimal mental health and coping capabilities are represented by scores in the 91 - 100 range.
Persons with mild psychological problems fall in the 71 - 90 range. <---I seem to be the moderate if there is one, in between two---> Severe problems fall in the 21 - 30 range and 1 - 10 is reserved for persistently suicidal persons or persons incapable of meeting even minimal personal hygiene standards.

Cognitively, she is exhibiting deficits (falls short) associated with the frontal lobe region, short term memory, language , mental flexibility.  She can only concentrate for short periods of time.  Her current level appears to be lower that her pre-morbid intellectual abilities.  While she is capable of learning information, it will take her longer than the avg person.

She has difficulty storing information but once she is able to learn information she is more likely than not capable of retrieving that information more easily.  She appears to be easily overwhelmed and tends to process information very slowly.  Tasks that require complex thinking or shifting between cognitive sets will be extremely difficult for her to do easily.  Attendance to detail should not be done quickly as she will likely become emotionally reactive.

I looked up emotionally reactive because I didn't get it.  Here is what I found:

In personality psychology, one dimension typically measured is called neuroticism emotional stability or emotional reactivity/emotional stability.  People high on neuroticism tend to be more likely to develop many kinds of psychiatric disorders including: anxiety disorders, panic disorders, phobias, obsessive-compulsive disorder, depressive disorders, body image and personal identity disorders, and several different personality disorders (particularly borderline personality disorder and avoidant personality disorder).  Essentially, people high on neuroticism have predisposition to have strong reactions to stress.

Here is my mind, emotions, and everything all out there.  Hopefully some will understand me more.  Some won't....Who cares.  I want to talk more about this in another Post.  Thank you for everyone who is reading.  Thanks for the support.