I got the same diagnosis of 'depression' as the main cause of my cognitive difficulties, even though some scales showed no depression at all. The MMPI-II showed depression but those same elevated scales can be better interpreted as evidence of organic brain injury.

There are many symptoms of PCS that mimic depression. And some symptoms of depression that are simply the PCS person being protective of themselves by limiting their environmental stimulation. It is very logical but the PhD's struggle to understand.

A divergence of functions (some high and some low) is highly indicative of organic injury. Depression usually causes a global decrease in function.

I feel like I should give your fiancee' a kick in the groin and say "wake up" and Pay attention. I would slap him on the head except I know the damage a simple head impact can cause.

Has he done any reading about mTBI or PCS? Does not sound like he has.

I hope you comment about meds was being sarcastic <It will help with the fatigue, mood swings, anger outburts, vision, ringing in my ears, balance etc. etc.> Meds may lessen the volatility of mood swings but do nothing for the rest. Anger outbursts is a behavioral management issue. Avoiding the stressors, identifying the indicators that you are building to an outburst, establishing a support structure for times when you will be in outburst prone environments ( airport security check point is my worst environment).

At least he was good at identifying your symptoms as disabling. Not good for you but good for your WC claim.

It will be interesting to hear further details of the report. I am surprised that he did not give you a copy at your meeting. Maybe you need to receive it through your attorney.

If it is more written diagnosis and evaluation without many of the metrics (scales, usually a raw score and a percentile score), it would be good to request an in-depth report.

They tried to withhold the in-depth report from me in fear that I would see through their diagnosis and become upset. When I finally got the in-depth report with scales, They were right. They defied the meaning of the scales and tried to say I was depressed and faking poor performance. I scored almost perfect (48 and 49 out of 50 ) in the validity scales showing no malingering/faking evidence at all.

It sounds like you got a more reasonable diagnosis. Reducing the impact of the depression diagnosis will be a task your attorney needs to tackle. Attorney Gordon Johnson at www.tbilaw.com has some good information about that task.

My best to you.