Neuropsych testing
 

My daughter had her tbi from a volleyball serve to the head in Oct. 2 2014. We just had testing done. Strangely enough they have found her to be having depression and adjustment disorder they think is causing her to have memory issues on visual and verbal memory tests. They claim it wouldn't be from the concussion.

Wth? That other things are interfering with her ability to attend to material before she stores it for long term. Her eyes aren't even healed from cranial nerve palsy yet!

There are some results to the MMPI-II that double indicate. They can indicate depression and the same results can indicate organic brain injury. Unfortunately, very few know how to analyze the MMPI-II results to exclude depression but show brain injury. The following article by Lloyd Cripe explains this on page 105.
http://aapmr.eventmediaonline.com/me...er_handout.pdf

It does not mean she is not suffering from depression. I can not find the better articles by Dr Cripe than explain this.

msnyder,

I have nothing to add here except that your daughter and my concussions occurred on the same day! October 2, 2014 will forever be the day that changed my life.

I wish your daughter and you the best. I know how rough it can be, especially after 5+ months of injury and little improvement.

Danny why do they tell me she should be better with the brain injury? How is yours now?

I haven't had time to try to find the full text elsewhere, but found these

PubMed
Assessment. 2003 Sep;10(3):299-309.
Sensitivity and specificity of MMPI-2 neurologic correction factors: receiver operating characteristic analysis.
Glassmire DM1, Kinney DI, Greene RL, Stolberg RA, Berry DT, Cripe L.

PubMed
Appl Neuropsychol. 1996 Aug-Nov;3(3-4):97-103.
The MMPI in neuropsychological assessment: a murky measure.
Cripe LI.

Lara,

Good find. Unfortunately, only the abstracts are available, at least to those of us without professional access.

There is another by Lloyd Cripe that goes into more detail. I have it in print packed up somewhere.

Mine is still a problem. I pushed through my classes last semester (college) and was able to finish, somehow. This semester I was forced to withdraw due to bad concussion symptoms. I am currently on a medical leave of absence.

My symptoms have intensified in the past two weeks. It is really frustrating and concerning. The doctors don't know about concussions and they can't say for sure when the symptoms will get better or if they ever will. If your daughter is still experiencing problems then that just means she is still is in the process of recovering and should be treated as such. You need to plan for the long haul as I am at this point. It's a tough realization but this recovery can take years.

The article I am looking for is called, "Use of the MMPI with Mild Traumatic Brain Injury" by Lloyd L Cripe. It is included with this book: http://www.amazon.com/Evaluation-Tre...c+brain+injury
The Amazon listing allows a sneak peak into the book such that a few pages of the article are readable.

I did find a very interesting article regarding testing, depression and TBI. It makes sense to me the way it is worded. As Mark said, it doesn't mean your daughter may not have depression but there is more to testing than that.

Putting all the symptoms down to depression and adjustment disorder though seems way off track to me. You know your daughter best. What a pain these tests can be. You hope for answers that will lead to positive steps for recovery, but it just gets all confused.

Anyway, here's the article. Same author has been quoted in the text as Mark posted about above. I just liked the way the article has been explained so thought I would post.

It's written by an attorney and there are 2 pages.

DEPRESSION MAKES OTHER TBI PROBLEMS WORSE
The Defense Abuses Depression
The Defense will argue that Organic Brain Injury Doesn’t Get Worse, it Gets Better. We sill argue that Depression makes other TBI problems worse.

Any Decline is Related to Depression
MMPI Abuse
- See more at: http://subtlebraininjury.com/depress....xcsxsVNB.dpuf

DEPRESSION WORSENS CONCUSSION
The Defense Abuses Depression
- See more at: http://subtlebraininjury.com/depress....07eMSUX9.dpuf

Great links. Attorney Gordon Johnson is the best. He has great web sites.