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Old 12-03-2010, 02:40 PM
Mark in Idaho Mark in Idaho is offline
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Join Date: Feb 2009
Location: Somewhere near here
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15 yr Member
Mark in Idaho Mark in Idaho is offline
Legendary
 
Join Date: Feb 2009
Location: Somewhere near here
Posts: 11,427
15 yr Member
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I agree with you about the reason for psychotherapy.

These recommendations seem quite broad and boilerplate. What I think is more valuable about a NP assessment is the validation and defining of your symptoms.

Processing speed (WAIS-II), verbal memory, and visual memory are the most indicative in my experience. Comparing them to WAIS-II intelligence scales can also be illuminating. Higher intelligence score with low processing and memory scores is a true indicator of organic brain injury. Validity scales also help one understand their consistency of performance.

When a PCS subject has a high intelligence vs low memory and processing, it provides hope for overcoming many symptoms with compensatory systems, i.e. workarounds and other tricks.

The recommendation to use electronic devices etc. can be a problem if one struggles to remember to use them. I struggle to use anything that is out of sight. The white dry-erase board on the refrigerator works good. The dictation recorder was a waste of money. I forget to use it. A daytimer can be very helpful, especially if you already had any level of habitual use of one.

The biggest challenge I have had is learning to use these systems. I had a very good memory so I never developed any habits of using time management systems.

I do use post-it notes in some cases. My most important skill was learning to stop what I am doing to set up a reminder immediately. If I put off filling out the reminder, I will consistently forget to use it. I know that if I think about a task for tomorrow and don't write it down or set up a cue, I will most likely forget it completely by tomorrow. I have even gotten out of bed to set the cue. Sometimes, I even set the cue so that I will have to step over it so then I will notice it.

If you feel safe sharing any of the scales/scores, I have studied many of the different tests to understand my own NP reports (3)

At least you have information to move forward with.

My best to you.
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Mark in Idaho

"Be still and know that I am God" Psalm 46:10
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