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Evaluation Case Study

Decent Essays

TV arrived 25 minutes early for her evaluation and was accompanied by her life coach. She presented as very friendly, engaged the examiner in conversation, and readily responded to the examiner’s questions, which allowed for some rapport building. Throughout the examination, she exhibited good work habits and appeared interested in the testing process, as she was attentive and followed directions. However, prior to her lunch break, TV became irritable and stated “I feel brain dead”. More specifically, she became irritable towards the examiner, as she stated “you must be enjoying this”. In addition, she was especially irritable with tasks involving math, numbers, or repetition (i.e., Digit Span and Arithmetic). In addition, during …show more content…

Her WRAT-4 scores were indicative of grade placement abilities in spelling, approximately a grade lower in word reading, and two or three grades lower in sentence comprehension. During the Vocabulary test on the WAIS-IV, she exhibited difficulty with explaining verbal concepts. However, her verbal comprehension index score fell within the average range compared to same-age peers. On the aphasia screening, TV’s responses suggested difficulty with reading and dyslexia. Physical Appearance: TV presented with average height and above average weight for her age. She had adequate hygiene, was well groomed, and dressed casually in a t-shirt, jacket, denim jeans, and sandals. There were no oddities or eccentricities to the client’s appearance. Affect: In general, TV presented with a euthymic mood and congruent affect, as she was mostly pleasant and friendly for the duration of the evaluation. However, her mood occasionally fluctuated, as she became noticeably irritated, sarcastic, and pessimistic towards the examiner before lunch and when confronted with difficult tasks. Unusual Thoughts/Behaviors: Throughout the evaluation, TV occasionally acted younger than her stated age. For example, at various times during the evaluation, she made juvenile comments (i.e., “super speedy powers”), and communicated with the examiner in a more immature expressive

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