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-   -   Has anyone had a neuropsychiatric evaluation? (https://www.neurotalk.org/traumatic-brain-injury-and-post-concussion-syndrome/183939-neuropsychiatric-evaluation.html)

MsRriO 02-15-2013 05:35 PM

Neuro psych
 
Just wanted to answer the original question. Yes I've had one done, just yesterday. My brain is very tired but wanted to say there's no way to prepare for it, it's just lots of brain work. Nothing bad will come of it besides being tired.

Knowledge of your deficits is power.

Brain patch 02-15-2013 05:56 PM

Amantadine
 
Mark,

The amantadine is supposed to help maybe get some cognitive functioning back after traumatic brain injury. I looked it up and the thing that scares me is the side effects are nausea, passing out, dizziness, seizures etc. exactly the things I am trying to avoid and this is a high dose he is suggesting. I have an MRI tomorrow. I hope it helps. Yeah, the alj says that I could be an electrode cleaner or a dowell inspector, final assembler or a waxer. When the guy mentioned these jobs at my alj hearing my lawyer said what if she was only able to do this at random times or if she had to miss three or more days a month. Then the guy said in that case there would be no job she could do.
It's not that I don't want to work. I honestly have too much disability to work. I don't even drive anymore. I have been so depressed since the denial I can barely make it through the day. Please if you have any advise on what to say, I have a new application appointment at the local social security office on march 4. I am trying to get as much new evidence before then. Thanks for talking with me. Your replys have been helpful to me. I appreciate you.
Brain

Lhanlin 02-13-2015 11:41 AM

I've had 3
 
Quote:

Originally Posted by Brain patch (Post 956906)
I was just wondering what to expect from this. I have an appointment on feb 25th. I don't know how I will even make it through six hours of questioning/ testing. My attention span is negative 100,000.:) any advise comments would be helpful. I need this to prove disability so I can get on Ssdi and ssi. Please keep me in your prayers as I do all of you guys everyday. Thanks for all your support. Brain patch.

Good luck and don't stress. I had a tough time making it through but they need to see if you're having trouble. Unfortunately, as inhumane and cruel as it seems, be honest with them. Ask for a break whenever you need one. I needed a couple! The insurance doctors ran mine, and 18 months after the accident, when I was having my 3rd one, I made it all the way through. I was a mess, but I made it. I came to find out that the doctors are paid to give the test, and your performance tells them a lot. Do be honest, but don't try to impress anyone.

It made me feel exhausted and emotional, but only because I knew I wasn't doing as good as before the car accident, and I felt dumb. We need to lighten up on ourselves. Easier to say that now that I'm 4 yrs down the road.

Hang in there and don't give up.

msnyder 02-17-2015 10:07 AM

My daughter is having her neuro psych eval today 4 months after her brain injury. Dr mentioned that her brain should be healed by now and this is probably more psychological now? What do you think?

She still has trouble with her vision being doubled. She may need nerve surgery in her eye muscles. Seems strange she would think she is using this to get out of sports when softball has been her life!

Lightrail11 02-17-2015 04:50 PM

Quote:

Originally Posted by msnyder (Post 1124538)
My daughter is having her neuro psych eval today 4 months after her brain injury. Dr mentioned that her brain should be healed by now and this is probably more psychological now? What do you think?

She still has trouble with her vision being doubled. She may need nerve surgery in her eye muscles. Seems strange she would think she is using this to get out of sports when softball has been her life!


For what cognitive issues is she having the NPA? Neuropsychological assessments normally test things like memory, executive functioning, mental flexibility, abstract reasoning and problem solving, that sort of thing. Brain injury can cause all kinds of "psychological" changes including mood disorders like depression, disinhibition and other changes.

Whether she "should" be healed after 4 months merely means she had an "average" injury, for which there is really no such thing. As you will hear on this forum, if you have seen one brain injury you have seen ONE brain injury. "Average" time to heal is irrelevant.

Additional comment, double vision in particular doesn't sound "psychological" to me.

Best to you both.

Mark in Idaho 02-17-2015 06:43 PM

"Dr mentioned that her brain should be healed by now and this is probably more psychological now? What do you think?" I think you need a second opinion by a different neuro. This neuro is using long outdated understanding of mTBI. The NPA is a start toward a second opinion. I agree with lightrail that vision issues are neurological. A Neuro-Ophthalmologist exam may be in order.

Has anybody suggested Botox into an eye muscle ? It may be worth an inquiry.

Pidge 02-18-2015 01:18 AM

When I took it wanted to do as well as possible and scored higher in verbal score than performance score (by 30 pts or more) and neurologist said may have prior brain injury. Not sure if was just born like this and seems to be the case and only possible TBI includes falling onto sidewalk at 11 or 12 yrs old and bumping front part of my head, well my forehead. Have made great grades except needed tutoring in algebra in middle school (learn it differently).

WEbCTDDbeB 04-10-2015 04:17 AM

Quote:

Originally Posted by msnyder (Post 1124538)
My daughter is having her neuro psych eval today 4 months after her brain injury. Dr mentioned that her brain should be healed by now and this is probably more psychological now? What do you think?

She still has trouble with her vision being doubled. She may need nerve surgery in her eye muscles. Seems strange she would think she is using this to get out of sports when softball has been her life!

Hi my user name is WEbCTDDbEb (my name is Jeanne).
I had a head injury October 15, 2013. Yes I was tested.
I have done extensive research and from what I have read
These types of examiners tend to believe that concussions/mTBI
go away/heal in 3 months or less. THIS IS NOT TRUE IN MANY CASES.
you are all your daughter has, believe in her, validate how she feels,
and let her know that in time she WILL HEAL. I would like to talk if you want to.
I have no one helping me when I go into the doctors and it is so difficult
for me to express and explain my symptoms. Give your daughter lots of time and
lots of rest. The exhaustion is rough. I am so sorry your daughter has to go through this.
There are so many ever changing symptoms, which change over time, find a support group for your daughter, she can get well if people and doctors understand her and help her.
Let me know if you want to talk it's very hard for me to write it all down. Jeanne

WEbCTDDbeB 04-10-2015 04:23 AM

Quote:

Originally Posted by Lightrail11 (Post 1124607)
For what cognitive issues is she having the NPA? Neuropsychological assessments normally test things like memory, executive functioning, mental flexibility, abstract reasoning and problem solving, that sort of thing. Brain injury can cause all kinds of "psychological" changes including mood disorders like depression, disinhibition and other changes.

Whether she "should" be healed after 4 months merely means she had an "average" injury, for which there is really no such thing. As you will hear on this forum, if you have seen one brain injury you have seen ONE brain injury. "Average" time to heal is irrelevant.

Additional comment, double vision in particular doesn't sound "psychological" to me.

Best to you both.

The brain injury is real. The brain is sensitive and has much healing to do.
Your daughter needs help to heal. It is not psychological, there diff innately will be psychological symptoms, including depression, anxiety, confusion, many more however,
these stem from an injury to the brain and are real and need treatment. Be very careful as to which meds to allow. Many meds are not good for mTBI, because the med itself causes
memory problems, etc. I forgot to address your question that's why I wrote again.
Jeanne

Mark in Idaho 04-10-2015 09:39 AM

Jeanne,

Welcome to NeuroTalk. You have found a good place with lots of knowledgeable people.

How are you doing ? What can we do to help and support you ?


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