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hedgey

Dh To Have Neuropsych Test For Tbi

Question

My DH finally got seen by a VA psychiatrist who seems to really give a bean about what happens and is happening to him. He had his first consult with her a couple of weeks ago now, and she spent over 2 hours talking to him. She told him he had PTSD, no doubt in her mind, and she also thought he might have TBI because his trauma involved a head injury in addition to severe burns. She said she would refer him for a neuropsych evaluation.

Last week, DH asked his VA therapist and was told that the new psychiatrist had dx'd him with PTSD with Social Anxiety Disorder, Major Depressive Disorder & OCD. (whew, my poor baby). He was relieved, because he was worried that she was just being sympathetic while he was in her office, etc. You know what I mean.

Yesterday in the mail there was the notice for an appointment for a Neuropsych Test next month with a different VA doctor, a psychologist. DH is happy that the Psychiatrist followed through, makes him feel heard, you know? But he's also nervous about the test. What can he expect, do you think? Does anyone know? He has a lot of trouble with recognizing faces and thinking of the word he wants to use in a sentence, and he gets so embarrassed about it. It's not just age, he's been like this for 20 years.. and more.

He's not thinking about filing a claim for TBI or anything... he still hasn't made the decision to file for PTSD. The small bright possibility is that if he does have TBI, he can stop feeling like a ninny because he can't recognize his own family at the market, or what the word for mattress is. Or how to get to the post office from our house.... where we've lived for 12 years. And it's on our road, just turn right....

So if anyone can tell me what a neuropsych test might entail, he'll feel better if I can tell him what might happen. He's my super hero, but this whole wild business of shrinks and treatment has him rattled.... shaken AND stirred!

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I've had NP testing after a TBI, and it wasn't that bad. It was a series of numbers to be added to one another at a specific rate (tests cognitive ability), picture/word or phrase matching, memory tests - passages read to you, you get to repeat details, etc. Best is to relax and if he can't continue he needs to say so. Don't push or punish for not making it through. This was through the AF though, not the VA. I had the same symptoms as well. Ended up at the supermarket and couldn't remember how I got there or why I was there. Felt like I'd been plopped down in the middle of the building in my pajamas...no fun at all. I feel for him. I make lists for all I do, and keep them in my pocket with times to do them and the order in which to do them.

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"So if anyone can tell me what a neuropsych test might entail, he'll feel better if I can tell him what might happen."

It could be like what they gave my husband. They had to assess his PTSD and separate that from a Major CVA's residuals.

They gave him Wechsler test,(Ink blot images) the Hand test (that takes only a few minutes), MMPI Combat related, and some other tests I forget what they were called- about 6 or 7 -one was put the square in the cube , put the round thing in the round thing, etc. It took a 2 day period for these tests to be done.I think they took so long because there was someone outside of the VA who actually administered most of them.

My husband was finally rated 100% SC PTSD and 80% under 1151 for the CVA which is wrong (I have Cue pending on that) and I expect the Nehmer people to award direct SC and SMC for the CVA at 100% because the BVA did SC the CVA but the RO ignored their findings and I got no rating sheet at all with my VARO my award last year.The RO didnt even rate his DMII.

I have the full write up and if I can find it I will post what the other tests were.

They gave Rod a dietitics lunch chit for both days so he was happy to eat in the same dietetics /chow hall that he had worked in and saw many former co workers there.The food at out local VAMC was delicious.I was a PT there myself and got a fabulous breakfast,and 3 large snacks and hoped they wouldn't discharge me until after lunch but at 11:45 the doc said I could go home.

I had bandaids on both hands from IVs (hematomas) and could hardly walk a straight line due to the meds , and I left the VAMC and went into the local Chinese restaurant since I was starving and people looked at me like I had just been in a major auto accident.

I hope that maybe the tests for your DH wont take so long as they did for my husband but it was all actually a relaxing situation for him. Then again maybe they have changed their whole MOS for these tests.Rod already had an MRI of his brain and those results were already in his med recs.

Have they done an MRI yet?

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Thanks, folks, for the replies. Berta, no, there's been no MRI scheduled. Funny you mention that because that was something his therapist wondered about, too. They may send him for one while we're down there for the neuro-testing, but our VAMC has moved it's MH department to the other side of town in it's own facility. It's better, in a way, because it's a much quieter neighborhood than the VAMC which is co-located with at least 3 other hospitals and you are white knuckled just from trying to make it into the parking garage. On the downside, I don't think the MH facility has any kind of heavy equipment like an MRI machine. So it would mean a trek cross-town.

Also, whoever designed the MH building seems to have been thinking of a theater when he did it. You can hear all conversations in the large reception/waiting area... maybe they wanted to keep an ear on the patients, but it also means that we have to listen to the reception staff grumble about things and gossip. They reeeeaally don't get much training in dealing with PTSD patients. "NEXT!!" bellowed out, or "BOB SMITH JUST CANCELED HIS 3:00 with DR. JONES! AGAIN!!!! Why the heck do these people make appointments they don't plan to keep???"

Sorry, kinda went off on a tangent there. I'm getting anxious about going down there, and it's not even my appointment! :unsure:

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but it also means that we have to listen to the reception staff grumble about things and gossip. They reeeeaally don't get much training in dealing with PTSD patients. "NEXT!!" bellowed out, or "BOB SMITH JUST CANCELED HIS 3:00 with DR. JONES! AGAIN!!!! Why the heck do these people make appointments they don't plan to keep???"

I can be a jerk and I would probably go up to their desk and say something like -

Well Bob's my uncle and chances are he canceled the appointment rather than

come in here and throwing up all over you - while he was checking in !

Uncle Bob's a real considerate guy !

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