ptsd Got back my NEUROPSYCHOLOGY REPORT.... what does it mean?

[ozboi]

Short history on me.... 50% SC PTSD, 10% Tinutis.... 3x OIF Veteran, IED blast exposure on 3rd tour......

 

I took an a test that lasted about all damn day last month..... finally checked myhealthevet and got the results back from the Blue Button from the VA PHD NEUROPSYCHOLOGIST.... can someone please tell me what all this crap means? It sounds BAD to me!!!!!

 

 

VALIDITY:

Test results were below cutoff scores on measures of effort and motivation.  He 
had 1 score less than 5% for validity battery, and the TBI group had 9% with 
this pattern. An additional measure of validity was below 15% cut off again 
consistent with 9% of the TBI group.  Embedded scores of validity on 2 cognitive 

functioning tests indicated likely invalid scores.  The pattern of scores on 
memory and attention tests were not associated with mild TBI or PTSD. 
Therefore, the scores from the battery of tests was considered to have below 
standard validity and reliability, and they will not be reported.

EMOTIONAL FUNCTIONING:

Patient was administered two tests of psychological functioning with results of 
clinical symptoms of depression and anxiety.  These can be followed up by his 
menta
l health providers.

FUNCTIONAL MEASURES:

Regarding behaviors associated with executive functioning, the patient reported 
problems with organization and problem-solving and self-regulation of emotions. 
Time management, self-restraint, and motivation scales were within the normal 
range.  Regarding functional skills, the patient reported impairment within the 
clinical range regarding functioning at home with family, work, interactions 
with strangers and friends, driving, daily responsibilities, and health 
maintenance.  He reported normal functioning with regard to completing chores at 

home, his marital relationship, money management, sexual relations, self-care 
routines, and childrearing.

DIAGNOSTIC IMPRESSIONS:

No diagnosis: results inconclusive
PTSD symptoms by history and reported psychological distress

SUMMARY & CONCLUSIONS:

Performance was notable for evidence of psychological distress in context of 
complaints of severe cognitive problems and psychological problems, and 
inconsistent report of daily living functional skills.

Given medical record and current complaints, it is likely the patient continues 
to experience symptoms of depression and anxiety that may interfere with 
cognitive functioning, especially attention and concentration processes which 
then reduce functional memory skills.  Self-report of depression and anxiety 
symptoms were associated with clinical mood disorders.  Due to the below 
standard validity of test performances and the concern about inconsistencies in 
observed and reported functioning on the mental status exam versus the patient's 

complaints, no diagnosis can be confirmed in these results.

RECOMMENDATIONS:

1.      Continue mental health treatment with regular follow-up concerning 
multiple reported symptoms of depression, anxiety, and PTSD and behavior 
evidencing poor coping skills.  It is recommended the patient enroll in the 
evidence based treatment program for PTSD.
2.      Medication management should consider limited response to current 
regimen for all symptoms including PTSD, depression, and headache pain.
3.      Sleep disorder exam to determine if additional treatment is needed for 
insomnia and reported restless sleep with nightmares.
4.      TBI team follow-up to monitor treatment progress and coordinate care. 
5.      Speech therapy treatment to address the patient's cognitive complaints 
directly and provide techniques to improve his attention and short-term memory 
functioning.

 

What is the NEUROPSYCHOLOGIST saying here?

Is the PHD NEUROPSYCHOLOGIST trying to blaime all on my PTSD???!!!!! 

 

[Andyman73]

My job is okay, it's a low level Fed Gov't civilian job, pays the bills and such.  The benefits are better than average, tho, and that carries a lot of weight.  But I can not give it up, no how no way.  If I traded my job for a 100% rating and comp pay, with dependnts added in, my take home would increase by over 50%, but....that does not take into account for retirement or health insurance.  If I had to pay that out of my VA, then it would equal less than my take home pay, now.  And with wife and kids and a mortgage, I can't afford that.  Which is why so many Vets that are at 80% and higher keep working, they would go broke/bankrupt otherwise. I'm sure most of us don't have a spouse making same or better pay, or same benefits.  So we can't quit the jobs we have, because it would be financially irresponsible to ourselves and our families.

I guess hitting my head, when I fell, and had my momentary loss of conscious, could have been a minor tbi.  Don't know.

You didn't bring me down, I just felt maybe you wanted to hear a little of what is trapped inside me.

[jfrei]

Your results are alittle confusing to me did you ever get knocked out or had a bump on the head.