I conduct psychological evaluations of individuals with physical and emotional work-related injury claims. My examination and psychological testing will assist with the determination of the individual’s current condition, and the extent to which it is considered impairing to the individual’s occupation and daily functioning.
The following may be found in my reports
- A statement that the enclosed medical records have been reviewed and an outline of any collateral data utilized in formulating my opinion.
- A complete history of the present illness/condition, including any precipitating factors and all past treatment (including hospitalizations), medical history, family history, and social history.
- An analysis of academic and occupational histories/occupational duties.
- A list of all measures and procedures administered as part of the assessment.
- A comprehensive description of behavior during the assessment.
- A DSM-IV-TR diagnosis on all five Axes (as appropriate).
Selection of Psychological Tests
Appropriate test selection will be tailored to each individual, but a typical evaluation will include a mental status exam with psychometric validity, an MMPI-II and an MCMI-III.
Based upon the results of my evaluation, I will address the following 8 areas:
- Does the individual experience valid and current psychological/psychiatric impairment that would prevent performance of the material and substantial duties of his/her occupation?
- If the psychological impairments are such that the individual is not able to perform the substantial duties of his/her occupation, is there evidence to suggest that the insured can perform some occupational duties with appropriate accommodations (e.g. part-time work, elimination of particular tasks, change in pace of work flow, etc.)?
- Whether the individual suffered from psychological/psychiatric impairments prior to ceasing or decreasing work. If impairments existed prior to decreasing work, I will address any functional status changes or changes in impairment that caused the insured to decrease or cease work.
- How likely is it that optimal treatment will result in a return to a pre-disability level of functioning. If optimal treatment will not likely result in a return to a pre-disability level of functioning, how likely is it that such treatment will result in an ability to complete at least partial occupation-related duties? I will provide an estimate for a reasonable amount of time before the insured could return to such work.
- I will address the adequacy and appropriateness for the condition being claimed, the accuracy of the diagnosis or diagnoses provided, and any recommendations for additional or future treatment.
- I will determine whether or not non-clinical factors may be influencing the insured’s continuing claim for disability.
- I will determine if there are Axis II factors responsible for and/or contributing to the individual’s current dysfunction?
- I will document whether or not there is evidence to suggest that psychological/psychiatric symptom exaggeration impacted the individual’s presentation and whether or not there is any indication of malingering?