Xiano
Redshirt
- Local time
- Today 5:13 PM
- Joined
- Sep 12, 2014
- Messages
- 15
EDIT: I didn't realize how long this post was going to be until submitting it. So if your not in for some boring reading then just back out now.
I started typing this thread with a #include then realized stupid your not programming. Hopefully I have arrived at the right place. Brief history on me:
Age 16 - dropped out of high school and got my GED
Age 17 - started attending a community college and had my first seizure
Age 18 - had my second seizure well technically three over the span of an hour
Age 19 - Went to a different college to get a bachelors in Computer Science
Age 21 - Dropped out of college and moved back home due to Major Depression
A few months after moving back home I went to my neurologist for a follow up and told him about it. He referred me to a Neuropsychologist due to my feeling of impairment to my memory. I was stupid enough to go into the office and not realize until I got the report that I was basically taking an IQ test. I was currently suffering from major depression at the time and suffered through it for about 2 years. I didn't know anything about depression and I actually refused to see a therapist for it. After a while though I got desperate because I wasn't getting better but worse. There was a point of this can't get any worse to hitting rock bottom. But who cares. This test was obviously taken during the depression period about a year and half ago.
Well I just want to share with you the parts that I think that are relevant that she wrote in her report.
Behavioral Observation:
The patient was noted to be pleasant and cooperative throughout the evaluation and appeared to put forth his best effort. Language and comprehension were sufficient to sustain testing although word finding difficulties were evident. The patient is generally noted to have rather halting speech. He also displayed psychomotor slowing and increased response latency. Otherwise, motor functioning and gait were within normal limits. Attentional abilities were fair. The patient was generally aware of poor performances and appeared to have adequate insight. His mood was reported as euthymic although his affect was somewhat restricted. Overall, the results of this evaluation do appear to represent an accurate indictation of the patient's current level of cognitive functioning.
Cognitive and Intellectual Functioning:
Several subtests of the WAIS-IV Tests of Intelligence were administered as a means of evaluating intellect and neuropsychological functioning. The patient's attentional abilities were noted to be Average (Standard Score of 90). Verbal abstract reasoning was Low Average (Standard Score of 85). On two nonverbal tasks assessing visual perceptual skills and nonverbal reasoning his performances ranged from Mildly Impaired to Very Superior(Standard Scores of 65 and 130, respectively). Psychomotor speed was noted to be Low Average (Standard Score of 80).
Reading recognition was Average (Standard Score of 97). The patients ability to reproduce a copy of a complex visual design was Severely Impaired (Standard Score of 55). In regard to language skills, verbal fluency was Borderline (Standard Score of 79). Confrontational naming abilities were noted to be Severely Impaired with a Raw Score of 33.
Nonverbal executive functioning was formally assessed using the Trail Making Test. On Part A, which requires the sequencing of numerals, his performance was Borderline (Standard Score of 71). On the more complex part B, which requires a rapid alternation between numbers and letters, his performance was Significantly Impaired.
Quick Note: I like how it went from Severely Impaired to Significantly Impaired with the last one without a score. It was so bad it was not even measurable I'd presume lol.
Learning and Memory:
Two subtests of the Wechsler Memory Scale IV involving verbal and visual learning and memory were administered. The patient's initial recall of two logical stories after hearing them was Severely Impaired (Standard Score of 55). Short term recall for the stories 30 minutes later was also Significantly Impaired (Standard Score of 55).
On a second task involving the visual reproduction of designs from memory immediately after studying them his performance was Borderline (Standard Score 70). Short term recall for the designs thirty minutes later was Low Average (Standard Score of 85).
On the CVLT-II which assessed his ability to learn a list of words across several learning trials his performance was Low Average (Standard Score of 85). Short term recall for the words thirty minutes later was Average (Standard Score of 95).
The Connors Continuous Performance Test II which assessed attentional ability his performance indicated a 42.1 percent chance of a Clinically Significant attentional deficit does exist. These findings are somewhat equivocal.
Findings:
Neuropsychological testing together with education, employment, and life history indicates an individual of overall premorbid mental abilities in the Average Range with an IQ equivalent of 100 or so. The patient does perform within the Superior range with regard to nonverbal reasoning. Attentional abilities and reading recognition are both Average. Verbal abstract reasoning and psychomotor speed are both Low Average. However, verbal fluency is Borderline and below premorbid estimate. Furthermore, visual perceptual skills, visual constructional skills, naming and nonverbal executive functioning are all Impaired and below premordbid estimate.
Results from the Continuous Performance Test II were rather equivocal indicating a 42 percent chance that a Clinically Significant Attention-Deficit does exist.
In regard to memory skills, new learning and short term memory of verbal material within a logical context are both Impaired. Visual learning is Borderline and visual short term memory is Low Average. Verbal learning with repetition and rehearsal is Low Average and short term recall is Average. The etiology is certainly difficult to determine. This may be related to his seizure disorder but it does appear that the patient was experiencing some degree of deficit primarily noticed in the school setting prior to the onset of his seizures. There is certainly evidence of mild attentional difficulty which would naturally accompany frontal lobe dysfunction. There is no overwhelming evidence of significant ADHD.
Impressions::
Overall, the patients neuropsychological profile only provides evidence of a moderate degree of cognitive deficit. He does display memory impairment primarily with regard to one trial learning of verbal information. He clearly has deficits in that area, however, his verbal memory significantly benefits from repetition and rehearsal suggesting an encoding based deficit. In addition, his visual memory is essentially intact. He does however, demonstrate notable deficits with regard to visual perceptual skills, expressive language, and nonverbal executive functioning. Essentially, he is primarily presenting with frontal lobe dysfunction. The etiology is certainly difficult to determine. This may be related to his seizure disorder but it does appear that the patient was experiencing some degree of deficit primarily noticed in the school setting prior to the onset of his seizures. There is certainly evidence of mild attentional difficulty which would naturally accompany frontal lobe dysfunction. There is no overwhelming evidence of significant ADHD.
Recommendations:
At this point, the patient clearly has to continue with medication management of his seizure disorder. I do believe that he may benefit from psychostimulant medication, or at least a trial of medication, to see if his processing abilities can improved somewhat. He is capable of learning and retaining information but does require repetition and rehearsal. This will be important for him to remember when it to learning strategies in an academic setting. Should he decide to return to college I would recommend a complete psychoeducational evaluation so that he could qualify for special provisions in school. Furthermore, obviously his depression should continue to be monitored although there apparently has been an improvement. It may be of benefit to consider a medication other than Klonopin as this may further contribute to some of his cognitive difficulties. Thank you very much for asking me to assist in the evaluation of this patient.
MY TAKE:
Well being an INTP that certainly is something depressing to read. Considering an INTP prizes the mind and intelligence. Not even speaking for INTPS before I even knew the MBTI existed it was something I had always prized. I'm not entirely sure how I'm able to function with significant impairments in most areas. The rest being Borderline, Low Average, and Average. I must be clinically the most dumb INTP to exist. Even she noted it would take 5x as much repetition and rehearsal to be even average intelligence.
Which may explain why I am 23 years old still depending on my parents. Never had a job. To be fair I am quite good with computers. However apparently not intelligent enough to even get a basic technician job at best buy. I do notice that with reading a lot of the times. I'll forget everything I just read and have to reread multiple times. Just so I can remember it and not much longer until I understand it. Which may have caused the major depression in the first place. I was getting A's in classes at college but that quickly died off probably because I was burnt out. I mean if I have to spend 5x as much time on something to get it. Then I have to work twice as hard or more. Which again probably burnt me out.
Especially when six months into the program my teacher called me a cheater which pissed me off so badly. Because I had failed the class which was the first class I failed. Then the week we had inbetween retaking the class I had programmed my own software to generate me practice questions based off the practice test. Then I would enter the answer and it would check if it was the correct answer. Did that over and over until it bored me to death. Then to talk into class and after the first week turn in 3 assignments and be called a cheater and given a 0 on all of them wasn't really devastating if I wasn't so determined to really learn the material and to have put so much effort into it more than likely than any one else. Needless to say I was pissed and didn't return to class. Which was only a downward spiral until 9 months later I just left. I quit. Which after dropping out of high school promising I would never give up no matter what. Unfortunately I took it a bit too far until I was so depressed and didn't even realize it until it was too late to do anything about it.
This is a really long post. Their's really not a question in it. A little bit much of mushy stuff. But I guess it would be interesting to those who would never believe how an INTP can be have a severe clinical deficit in so many areas of intelligence. That's not to say that INTP's are more intelligent than other types or that other types are less intelligent. It's just with an INTP that relies so heavily upon intelligence is simply not capable of much in that respect.
I started typing this thread with a #include then realized stupid your not programming. Hopefully I have arrived at the right place. Brief history on me:
Age 16 - dropped out of high school and got my GED
Age 17 - started attending a community college and had my first seizure
Age 18 - had my second seizure well technically three over the span of an hour
Age 19 - Went to a different college to get a bachelors in Computer Science
Age 21 - Dropped out of college and moved back home due to Major Depression
A few months after moving back home I went to my neurologist for a follow up and told him about it. He referred me to a Neuropsychologist due to my feeling of impairment to my memory. I was stupid enough to go into the office and not realize until I got the report that I was basically taking an IQ test. I was currently suffering from major depression at the time and suffered through it for about 2 years. I didn't know anything about depression and I actually refused to see a therapist for it. After a while though I got desperate because I wasn't getting better but worse. There was a point of this can't get any worse to hitting rock bottom. But who cares. This test was obviously taken during the depression period about a year and half ago.
Well I just want to share with you the parts that I think that are relevant that she wrote in her report.
Behavioral Observation:
The patient was noted to be pleasant and cooperative throughout the evaluation and appeared to put forth his best effort. Language and comprehension were sufficient to sustain testing although word finding difficulties were evident. The patient is generally noted to have rather halting speech. He also displayed psychomotor slowing and increased response latency. Otherwise, motor functioning and gait were within normal limits. Attentional abilities were fair. The patient was generally aware of poor performances and appeared to have adequate insight. His mood was reported as euthymic although his affect was somewhat restricted. Overall, the results of this evaluation do appear to represent an accurate indictation of the patient's current level of cognitive functioning.
Cognitive and Intellectual Functioning:
Several subtests of the WAIS-IV Tests of Intelligence were administered as a means of evaluating intellect and neuropsychological functioning. The patient's attentional abilities were noted to be Average (Standard Score of 90). Verbal abstract reasoning was Low Average (Standard Score of 85). On two nonverbal tasks assessing visual perceptual skills and nonverbal reasoning his performances ranged from Mildly Impaired to Very Superior(Standard Scores of 65 and 130, respectively). Psychomotor speed was noted to be Low Average (Standard Score of 80).
Reading recognition was Average (Standard Score of 97). The patients ability to reproduce a copy of a complex visual design was Severely Impaired (Standard Score of 55). In regard to language skills, verbal fluency was Borderline (Standard Score of 79). Confrontational naming abilities were noted to be Severely Impaired with a Raw Score of 33.
Nonverbal executive functioning was formally assessed using the Trail Making Test. On Part A, which requires the sequencing of numerals, his performance was Borderline (Standard Score of 71). On the more complex part B, which requires a rapid alternation between numbers and letters, his performance was Significantly Impaired.
Quick Note: I like how it went from Severely Impaired to Significantly Impaired with the last one without a score. It was so bad it was not even measurable I'd presume lol.
Learning and Memory:
Two subtests of the Wechsler Memory Scale IV involving verbal and visual learning and memory were administered. The patient's initial recall of two logical stories after hearing them was Severely Impaired (Standard Score of 55). Short term recall for the stories 30 minutes later was also Significantly Impaired (Standard Score of 55).
On a second task involving the visual reproduction of designs from memory immediately after studying them his performance was Borderline (Standard Score 70). Short term recall for the designs thirty minutes later was Low Average (Standard Score of 85).
On the CVLT-II which assessed his ability to learn a list of words across several learning trials his performance was Low Average (Standard Score of 85). Short term recall for the words thirty minutes later was Average (Standard Score of 95).
The Connors Continuous Performance Test II which assessed attentional ability his performance indicated a 42.1 percent chance of a Clinically Significant attentional deficit does exist. These findings are somewhat equivocal.
Findings:
Neuropsychological testing together with education, employment, and life history indicates an individual of overall premorbid mental abilities in the Average Range with an IQ equivalent of 100 or so. The patient does perform within the Superior range with regard to nonverbal reasoning. Attentional abilities and reading recognition are both Average. Verbal abstract reasoning and psychomotor speed are both Low Average. However, verbal fluency is Borderline and below premorbid estimate. Furthermore, visual perceptual skills, visual constructional skills, naming and nonverbal executive functioning are all Impaired and below premordbid estimate.
Results from the Continuous Performance Test II were rather equivocal indicating a 42 percent chance that a Clinically Significant Attention-Deficit does exist.
In regard to memory skills, new learning and short term memory of verbal material within a logical context are both Impaired. Visual learning is Borderline and visual short term memory is Low Average. Verbal learning with repetition and rehearsal is Low Average and short term recall is Average. The etiology is certainly difficult to determine. This may be related to his seizure disorder but it does appear that the patient was experiencing some degree of deficit primarily noticed in the school setting prior to the onset of his seizures. There is certainly evidence of mild attentional difficulty which would naturally accompany frontal lobe dysfunction. There is no overwhelming evidence of significant ADHD.
Impressions::
Overall, the patients neuropsychological profile only provides evidence of a moderate degree of cognitive deficit. He does display memory impairment primarily with regard to one trial learning of verbal information. He clearly has deficits in that area, however, his verbal memory significantly benefits from repetition and rehearsal suggesting an encoding based deficit. In addition, his visual memory is essentially intact. He does however, demonstrate notable deficits with regard to visual perceptual skills, expressive language, and nonverbal executive functioning. Essentially, he is primarily presenting with frontal lobe dysfunction. The etiology is certainly difficult to determine. This may be related to his seizure disorder but it does appear that the patient was experiencing some degree of deficit primarily noticed in the school setting prior to the onset of his seizures. There is certainly evidence of mild attentional difficulty which would naturally accompany frontal lobe dysfunction. There is no overwhelming evidence of significant ADHD.
Recommendations:
At this point, the patient clearly has to continue with medication management of his seizure disorder. I do believe that he may benefit from psychostimulant medication, or at least a trial of medication, to see if his processing abilities can improved somewhat. He is capable of learning and retaining information but does require repetition and rehearsal. This will be important for him to remember when it to learning strategies in an academic setting. Should he decide to return to college I would recommend a complete psychoeducational evaluation so that he could qualify for special provisions in school. Furthermore, obviously his depression should continue to be monitored although there apparently has been an improvement. It may be of benefit to consider a medication other than Klonopin as this may further contribute to some of his cognitive difficulties. Thank you very much for asking me to assist in the evaluation of this patient.
MY TAKE:
Well being an INTP that certainly is something depressing to read. Considering an INTP prizes the mind and intelligence. Not even speaking for INTPS before I even knew the MBTI existed it was something I had always prized. I'm not entirely sure how I'm able to function with significant impairments in most areas. The rest being Borderline, Low Average, and Average. I must be clinically the most dumb INTP to exist. Even she noted it would take 5x as much repetition and rehearsal to be even average intelligence.
Which may explain why I am 23 years old still depending on my parents. Never had a job. To be fair I am quite good with computers. However apparently not intelligent enough to even get a basic technician job at best buy. I do notice that with reading a lot of the times. I'll forget everything I just read and have to reread multiple times. Just so I can remember it and not much longer until I understand it. Which may have caused the major depression in the first place. I was getting A's in classes at college but that quickly died off probably because I was burnt out. I mean if I have to spend 5x as much time on something to get it. Then I have to work twice as hard or more. Which again probably burnt me out.
Especially when six months into the program my teacher called me a cheater which pissed me off so badly. Because I had failed the class which was the first class I failed. Then the week we had inbetween retaking the class I had programmed my own software to generate me practice questions based off the practice test. Then I would enter the answer and it would check if it was the correct answer. Did that over and over until it bored me to death. Then to talk into class and after the first week turn in 3 assignments and be called a cheater and given a 0 on all of them wasn't really devastating if I wasn't so determined to really learn the material and to have put so much effort into it more than likely than any one else. Needless to say I was pissed and didn't return to class. Which was only a downward spiral until 9 months later I just left. I quit. Which after dropping out of high school promising I would never give up no matter what. Unfortunately I took it a bit too far until I was so depressed and didn't even realize it until it was too late to do anything about it.
This is a really long post. Their's really not a question in it. A little bit much of mushy stuff. But I guess it would be interesting to those who would never believe how an INTP can be have a severe clinical deficit in so many areas of intelligence. That's not to say that INTP's are more intelligent than other types or that other types are less intelligent. It's just with an INTP that relies so heavily upon intelligence is simply not capable of much in that respect.