The question is whether to accept or reject neuropsychological services in the analysis of a case.
Beginning January 2015, a pharmaceutical representive slipped and fell on black ice striking her head. There was brief loss of consciousness (LOC), nausea, blurred vision and dizziness. She was brought to CentraState Medical Center ER, treated and released. CAT scan of the head was negative. She was seen by Meridian Occupational Health (MOH) and cleared neurologically. She was referred to Neuropsychology with the neuropsychological examination placed on hold due to the recency of the injury. A Montreal Cognitive Assessment was given demonstrating cognitive problems (22/30). Psychological screening measures reflected general autonomic arousal. Medical adjustment counseling (MAC) was recommended two times a week with biofeedback due to anxiety and restoration of control.
The public understanding of TBI is so poor that it is officially referred to by the US National Center for Injury Prevention and Control as "the silent epidemic." In the acute phase, the usual radiological examinations are not sensitive to TBI and diffuse axonal injury (DAI). There is a significant amount of false negatives with CT scans administered in the ER.
The author recently had a chapter accepted for publication on Methodology for Conducting Bonding Studies in Child Custody Evaluations (CCE). This chapter was written in response to the requests of many psychologists over the years who wanted guidance in procedures for conducting bonding studies. Many psychologists conduct bonding studies with cursory observations of parent and child. There is no application of an objective scoring system or any methods that can be replicated by other CCE Evaluators. This is essential in science.
This week marked the enshrinement of Junior Seau in the NFL Hall of Fame. Junior was an outstanding linebacker for USC who went onto great accomplishments in the NFL. However, all was not well. The effects of domestic violence, substance abuse and gambling difficulties; as reported on ESPN's Outside the Lines, took the toll on Junior. He repeatedly complained to a friend who was a fellow player and suffered from headaches, how he too, suffered for years from headaches. ESPN noted that he was reported to have been diagnosed with chronic traumatic encephalopathy, a neuro-degenerative disease that can lead to dementia, memory loss and depression. Gina Seau reported that Junior's disease was associated with head-to-head collisions caused from 20 years of playing in the NFL. This scenario affected his ability to think logically.
The United States is seeing more and more young men returning from Afghanistan and Iraq with horrendous results in terms of family integration, societal integration, and domestic violence. Some of these individuals, according to Cernak, are found on the battlefield dead with no marks whatsoever on them.