Smithson Case Summary
Smithson’s work ethic declined rapidly. He was unorganized, inattentive, and he lacked concentration. His performance on the WAIS-IV suggested similar cognitive difficulties as evidenced by his low average scores in PRI and WMI. The patient’s overall mood shifted. His appeared mood is melancholic, he had a decreased concentration level, and his social interactions were negatively impacted. While Mr. Smithson was taking the test, he was distracted but continued to try his best, despite the difficulty of maintaining focus. There were consistent deficits throughout the full assessment, indicating that the MVA mildly to moderately impaired Mr. Smithson’s social, occupational, emotional, and cognitive functioning.
Differential Diagnosis
Mr. Smithson reported various symptoms associated with Adjustment Disorder, Generalized Anxiety Disorder (GAD), Major Depressive Disorder (MDD), Specific learning disorder and other neurodevelopmental disorders, and Mild Neurocognitive Disorder due to Traumatic brain injury, Without behavioral disturbance.
Adjustment Disorder: Mr. Smithson exhibited emotional and behavioral symptoms within 3 months in
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Smithson experienced cognitive decline post MVA. A cognitive decline was displayed through poor social, cognitive, and occupational functioning. Upon his results on the WAIS-IV, the patient’s FSIQ and GAI were average, but his PRI and WMI were low averages. The full assessment proved that Mr. Smithson was of average intellect before the MVA, but a traumatic brain injury altered his functioning. The cognitive deficits do not interfere with the patient’s capacity for independence in everyday life; however, there was a decline in sufficiency. Mr. Smithson did not display past or current delirium. The cognitive deficits were not caused from another mental disorder. Mr. Smithson did not exhibit significant behavioral
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