Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders
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TRAININGTITLETRANSCRIPTSFOR4850NeurocognitiveandNeurodevelopmentalDisorders.docxNeurocognitive and Neurodevelopmental Disorders
Training Title 48
Name: Sarah Higgins
Gender: female
Age: 9 years old
T- 97.4 P- 62 R 14 95/60 Ht. 4’5 Wt. 63lbs
Background: no history of treatment, developmental milestones met on time, vaccinations up
to date. Sleeps 9hrs/night, meals are difficult as she has hard time sitting for meals, she does
get proper nutrition per PCP.
Symptom Media. (Producer). (2017). Training title 48 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-48
BEGIN TRANSCRIPT: TRAINING TITLE 48
OFF CAMERA Well, thank you for bringing in these completed questionnaires on attention deficit hyperactivity disorder.
MRS. HIGGINS Yeah, you asked me to have some of her teachers fill out the forms, and so, I had two, and I filled out one.
OFF CAMERA Great, great, that's wonderful, and these look very, yep, very completely filled out. How are you today, Sarah?
SARAH Fine, thank you.
OFF CAMERA Is it okay if I ask you some of the questions about how well you pay attention in school?
SARAH Uh-huh.
MRS. HIGGINS Sarah, use full words.
00:00:55 SARAH Yes, sir.
OFF CAMERA You are very polite. Thank you. Some people your age have difficulty being polite. You are very polite. When teachers tell you assignments in school, how well do you remember what they said your assignments are?
SARAH Not very well.
OFF CAMERA Mm-hmm.
SARAH, they have to write her down a list.
OFF CAMERA Okay. Does that list help?
SARAH Sometimes I lose the list.
OFF CAMERA Oh, do you forget where you put the list of assignments?
SARAH Uh-huh. I mean, yes, I forget.
OFF CAMERA Does that happen every time or sometimes or not very much?
SARAH, it happens sometimes.
MRS. HIGGINS Actually, every day.
OFF CAMERA Okay. Do you think maybe your mom is right about that, that you forget your assignment list almost every day?
SARAH Yes.
MRS. HIGGINS Yeah, they have to leave me a list on my cell phone.
OFF CAMERA Oh, okay. How long has this been a problem?
MRS. HIGGINS Pretty much since she started school, kindergarten.
OFF CAMERA Uh-huh, let's see what else is on this list. How well do you sit still in your chair at school?
SARAH Not very well.
OFF CAMERA Uh-huh, do you fidget?
SARAH (chuckles) Yes.
OFF CAMERA Do you get in trouble for fidgeting or getting out of your chair?
ARAH Sometimes.
OFF CAMERA Okay, and if you're reading from a book or a paper, can you sit still then and read?
SARAH Sometimes.
OFF CAMERA Mm-hmm.
MRS. HIGGINS If she really, really likes it, she'll last about five minutes or so.
OFF CAMERA Do you remember what you read? Sarah, do you remember what you read?
MRS. HIGGINS Sarah, he's talking to you.
SARAH Uh.
MRS. HIGGINS Answer him. I think this is the longest she's ever sat still.
OFF CAMERA Oh, when you read a book, that's where I was asking, when you read a book, do you remember what you read?
SARAH Not much.
OFF CAMERA Mm-hmm. What if the teacher reads the book to you, do you remember what the teacher read?
SARAH No, sir.
OFF CAMERA Mm-hmm, you are very polite, and thank you for answering my questions. I have a few more. Is that okay if I ask you some more?
MRS. HIGGINS Sarah, he's asking you a question, not me.
OFF CAMERA Is that okay if I ask you some more questions?
SARAH Yes.
OFF CAMERA Do you lose things at home like keys or books or pencils? Just anything. Do you lose or misplace things you need?
SARAH, I lost my geography book yesterday.
OFF CAMERA Mm-hmm, did you find it?
MRS. HIGGINS, I think she left it on the bus. The bus driver is very nice, and we put her name in the book, so we think we'll get it back.
OFF CAMERA Well, that's good.
SARAH, I lost my bracelet, too.
OFF CAMERA Was that a bracelet you like?
SARAH Mimi gave it to me.
MRS. HIGGINS My mother.
SARAH My grandmother.
OFF CAMERA Where do you think you lost it?
SARAH On a trip, maybe in the bathroom at the restaurant.
MRS. HIGGINS Yeah, we think she took it off to wash her hands.
OFF CAMERA Sarah, do you love that bracelet?
SARAH Lots.
OFF CAMERA Mm-hmm, so then that was sad for you?
SARAH Uh-huh, I mean, yes, it was sad.
OFF CAMERA Do you ever have problems losing your temper?
SARAH Sometimes.
OFF CAMERA Mm-hmm, what is something at school that makes you angry?
SARAH When the teachers say they asked me to do something, and I didn't hear them.
OFF CAMERA Mm-hmm, do you daydream in school sometimes?
SARAH Yes.
OFF CAMERA What do you daydream about?
SARAH Going home and playing with Conley.
MRS. HIGGINS That's her dog.
OFF CAMERA Oh, so you think about good times?
SARAH Yes.
OFF CAMERA Do you ever think about bad times, too, when you daydream?
SARAH Sometimes.
OFF CAMERA Mm-hmm, what sorts of bad times?
SARAH Missing Mom.
MRS. HIGGINS Yeah, we're separated right now, and we're split up, but Mom's working on us being back together real soon.
OFF CAMERA Good, any time, Sarah, thinking about anyone, way anyone has hurt you or someone did something bad to you that they wish they didn't do?
SARAH No, May Ann hit me one time at school, though.
OFF CAMERA Mm-hmm, do you daydream about her hitting you?
SARAH No.
OFF CAMERA Oh, when you do your homework or classwork, do you make mistakes?
SARAH Lots.
OFF CAMERA Mm-hmm, is that pretty frustrating?
SARAH Yes, 'cause I try to do it right.
OFF CAMERA Mm-hmm, that must not feel good.
SARAH, it doesn't feel good.
OFF CAMERA What are some of the questions I asked you today?
SARAH Uh, about my dog?
OFF CAMERA Yeah, okay. Anything else I asked you today?
SARAH Uh, I don't know.
OFF CAMERA Mm-hmm, were you just thinking about something else?
SARAH, I guess so.
OFF CAMERA What were you thinking about just then?
SARAH Your picture on the wall.
OFF CAMERA Ah, do you like that picture?
MRS. HIGGINS Sarah loves art, and she loves museums.
OFF CAMERA Uh-huh, do you stand and look at the paintings for a long time?
MRS. HIGGINS No, she runs from painting to painting, three or four times.
OFF CAMERA Oh, let's see. I see in this form from your teachers that sometimes you have trouble waiting your turn, and yet, you are very polite today.
MRS. HIGGINS Yeah, she's very polite, but in groups, she has a little bit more difficulty.
OFF CAMERA Uh-huh, is it difficult to sit still?
MRS. HIGGINS Answer his question.
OFF CAMERA Mm-hmm, we've been sitting still a pretty long time.
MRS. HIGGINS Yeah, this is the longest that I've seen her sit still.
OFF CAMERA Uh-huh, do you play video games?
MRS. HIGGINS Yeah, she likes her video games. She can stay on those for long periods.
OFF CAMERA Uh-huh, is that right, Sarah? Is that right, Sarah?
SARAH Is what right?
OFF CAMERA That you can play a video game for a long time. Do you get injured much?
ARAH Sometimes.
OFF CAMERA Mm-hmm.
MRS. HIGGINS Not so much now. When she was younger. We couldn't even take her to the zoo. She used to stick her hand inside of the bars where the animals could bite her.
OFF CAMERA Oh.
MRS. HIGGINS And she was this little thing, and she would jump up on the walls, and she even jumped in a pool before she learned how to swim, and that, that really scared us.
OFF CAMERA Is that something that doesn't happen so much now?
MRS. HIGGINS No, thank God.
OFF CAMERA So, Sarah, from what your mom told me, and what these teachers listed on these forms, it sounds like everyone is in agreement that you have some kind of trouble paying attention and with remembering things and about losing things and some other problems. Do you think you'd like help with all of that?
SARAH, I guess so.
MRS. HIGGINS Yes, we would.
END TRANSCRIPT
Training Title 50
Name: Harold Griffin
Gender: male
Age: 58 years old
Vital signs: T- 98.8, P- 86, R 18, 134/88, Ht. 5’11, Wt. 180lbs
Background:
Has bachelor’s degree in engineering. He is homosexual and dates casually, never married, no
children. Has one younger sister. Sleeps 4-6 hours, appetite good. Denied legal issues; MOCA
27/30 difficulty with attention and delayed recall; ASRS-5 20/24; denied hx of drug use; enjoys
one scotch drink on the weekends with a cigar. Allergies Morphine; history HTN blood pressure
controlled with losartan 100mg daily, angina prescribed ASA 81mg po daily, metoprolol 25mg
twice daily. Hypertriglyceridemia prescribed fenofibrate 160mg daily, has BPH prescribed
tamsulosin 0.4mg po bedtime.
Symptom Media. (Producer). (2017). Training title 50 [Video]. https://video-alexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-5
BEGIN TRANSCRIPT: TRAINING TITLE 50
OFF CAMERA So, you told your supervisor you were having difficulty with concentration, and then it was your supervisor who set up this appointment, right, is it?
HAROLD Yeah, I, I work at this large architectural engineering firm and it's all great. Except, they've accelerated the deadlines now and it just puts a lot of pressure on. And I, I just can't concentrate. I mean, everyone else is, doesn't have a problem with it. But, but I just, I just can't seem to be able to do the same job they're doing.
OFF CAMERA Okay, tell me about your problem with concentration.
HAROLD Well, um, you know it's just... Perfect example is, is they wanted me to design um, air ducts.
OFF CAMERA Right.
HAROLD Air ducts, simple. But I designed them through solid wall, a fire wall, and a supporting wall and I didn't even realize what I was doing.
OFF CAMERA Uh-huh.
HAROLD, you know, I mean, um, I'm making silly mistakes like that because, another time we had these windows, we already bought them, design, beautiful, they're going to be in this entire building.
OFF CAMERA Right.
HAROLD Every floor. Well, I drew the window opening way too small. Now, I mean, if that would have gone ahead, it would have cost millions. I just, it's, it's just silly things like that.
OFF CAMERA Uh-huh, is this a new kind of problem for you?
HAROLD Well, I mean, I didn't seem to have a problem when everything was relaxed, and the deadlines were normal.
OFF CAMERA Right.
HAROLD I could do the job. Everything was fine. But now we're on these, these ridiculously tight deadlines and, and I just, can't seem to do it. Everyone else can. It's, there's not a problem for them. And I end up like I'm not pulling my weight.
OFF CAMERA Uh-huh.
HAROLD And they think that and it's true, I'm not.
OFF CAMERA Now did you have these, uh, similar kind of problems back in school?
HAROLD Well, yeah, I mean, in school everyone would go to the library to cram for big exams, so, I mean.
OFF CAMERA Right.
HAROLD That was a normal thing. And, yeah, I'd go but I'd end up looking out the window. Look it's snowing, oh, it's spring time. I'll go for a walk. And, and if someone is whispering in a library well, I have to go to the other side. All my friends could study anywhere.
OFF CAMERA Uh-huh, but, what other kind of difficulties do you seem to have?
HAROLD Well, at the job we have, these uh, lectures, you know.
OFF CAMERA Right.
HAROLD We'd get together, it's groups. This is the lectures by the chief of the department gets together with all the architects and engineers and he talks about the mission of the day. What we're trying to work for, our goals.
OFF CAMERA Right.
HAROLD, Do I listen? I'm thinking, maybe, my dog needs a bath. Or what am I going to have for lunch? Or, you know, anything other than what he's saying.
OFF CAMERA Mm-hmm.
HAROLD And because of that, you know, it's not a good idea.
OFF CAMERA So, so, is it difficult to sit and listen?
HAROLD Yeah, I mean, okay, we were suppose to be designing this other, on top of this penthouse, this, kind of, a patio, party area.
OFF CAMERA Right.
HAROLD And the gutters around it just to make sure everything was very comfortable for everyone. Well, I got up there and I'm designing and the gutters are here, and no, wait a minute, there's Italian, tile floor. Doesn't look like it's tilted the correct way. So, I started studying that and there were already two people assigned to study that. To fix that problem, not me.
OFF CAMERA Mm-hmm.
HAROLD, I got in a lot of trouble for that one.
OFF CAMERA Do you have any problems organizing?
HAROLD At home or the office?
OFF CAMERA Uh, either.
HAROLD I'm a bit of a mess. I mean, and I'm messy. I will forget my shoes, my socks, my phone, my jacket, I, I can't find them. I'm not that organized. And I have a calendar. One of my coworkers, actually bought me a calendar to motivate me.
OFF CAMERA Yeah.
HAROLD To get more organized. So, I started writing down all the important dates and events, but then do I ever look at that calendar? No, I don't. So, it's a complete waste of time.
OFF CAMERA What about problems paying bills?
HAROLD Bills, I mean, yeah, they get paid. After two or three times of the threatening calls or letters. And then I have to pay the penalties.
OFF CAMERA Hmm, what about hyperactivity?
HAROLD, you know, I mean, I'm, sometimes I'm a little more uncomfortable in a chair or you know. But I don't think that's that big a deal. I mean, I used to be a lot worse. I mean, uh, there was a time when I was in school, I would get marked down for citizenship because I never raised my hand and I talked out of class and, and I just, couldn't seem to stay focused. But I'm a lot better now.
OFF CAMERA Mm-hmm, were you ever um, treated with medications or behavioral therapies for ADHD?
HAROLD No, no. My mother threatened that one time, but I was never evaluated. Never went, uh, I'm kind of amazed she never just dragged me into a doctor's office, but she never did.
OFF CAMERA Do you drink any caffeinated drinks?
HAROLD Coffee, soda, you know, once in a while. But when I was a kid, my mother said no caffeine, no sugar, because you'll climb the walls. I was already doing it anyway and so she, I uh, once and a while I'll have a little caffeine now and it kind of helps me focus a little but, sugar, I stay away from that. It's just not a good idea.
END TRANSCRIPT
