Julie,

Your report is interesting in both what is says about you but also, what is says about the NeuroPsychologist.

It appears to expose some biases of the NeuroPsychologist.

Before i go on, I suggest you edit out your last name and substitute Julie.

The MMPI-II may be showing elevated scales that are interpreted as depression/suicidality but would indicate organic brain injury if evaluated with the Cripe Neurological Symptoms criteria. This can be a common overlap diagnosis of the MMPI-II.

No. 5 indicates elevated scales in 2-3 with a lack of clarity as to the cause or diagnosis. This elevated pair needs to be evaluated using the Cripe Neurological Symptoms to focus on whether there is a statistical indication of organic injury. CNS shows how scales 1, 2, 3, and 8 can double indicate both organic and psychological deficits. Further analysis would be worthwhile.

No. 8 appears to be based on a common bias of considering the time since injury and projecting a level of neurological injury based on undocumented impact intensity or lack thereof. Research shows that it is impossible to impute neurological deficits based on an assumed impact intensity.

He states <9)Regarding prognosis, the probability of additional spontaneous recovery is relatively unlikely given the amount of time since the 7-21-10 incident. > This appears to be in conflict with No 8. Was the injury of a severity to cause permanent deficits or are the deficits of a non-organic basis? No. 9 appears to properly put a organic causation on the deficits. i.e. Non-pathological causes would suggest room for treatment and improvement with psychological and other treatments. Pathological/organic causes would suggest limited opportunity for spontaneous or other recovery or improvement.

The comments recommending use of memory compensation strategies and tools sounds appropriate but re-entry into the work-force prior to mastery of these strategies sounds premature. More pinpoint analysis of memory functions to allow a focus on compensation strategies could be warranted.

The deficits listed appear to cluster in a organic causation. Accepting the current level of deficits would allow the effort to develop compensation and work-around skills to be successful with proper support. A bit more specificity regarding individual deficits would have been helpful to allow focus on those defined deficits.

Julie, i hope I have not added more confusion and anxiety to this situation. As humbling as an NPA can be, it also allows an acceptance of deficits as organic rather than psychological/psychosomatic. The ability to confidently acknowledge that the symptoms are real and not imagined allows for a solid starting point to move forward.

My best to you.