Psychological Assessment Report

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Confidential Material The names used in this Psychological Assessment Report are fictitious. This is absolutely necessary to protect the privacy of the children being observed. NAME: Ryan Smith DATE OF BIRTH: 5/8/1998 CHRONOLOGICAL AGE: 16 years PARENTS: Mary Smith & Ryan Smith GRADE: completed ninth grade DATES OF ASSESSMENT: 7/17; 7/27/2014 DATE OF REPORT: 8/3/ 2014 INDENTIFYING DATA AND REASON FOR REFERRAL: Ryan is a 16 years 3 months old Caucasian adolescent, who was referred for a psychological evaluation to determine his current cognitive and emotional status. Ryan has a long history of poor school performance due to numerous. Despite extensive private tutoring and accommodations from his school he has failed to succeed academically. The contributing factors include poor school attendance, possible attending and learning problems, and complex family dynamics. SOURCES OF INFORMATION: Background information was obtained from his mother, his previous social worker, former psychologist, and numerous psychological, educational and medical reports. This information was obtained from interview, developmental history and rating scales as well as medical records. This information appears to be from reliable sources and valid. Current status of his learning and behavior was obtained from observation during testing and from standardized psychological, neuropsychological and achievement tests. The validity of his performance on most tests was deemed to be accurate due to his cooperation and motivation to perform the tests. BACKGROUND INFORMATION: Current Concert: Ryan has long struggled with his academic performance and proper social behavior. His relationship with both parents is complex and he often is torn between both. His ability to maintain motivation in his schoolwork is of concern and recommendations will be made with these factors in mind. The most pressing concern at this time is his use of illegal substances (marijuana). Medical and Development History: Pregnancy and birth history: Ryan’s mother reported that she was 29 and his father was 31 at the time of his birth. There were no complications of pregnancy or delivery reported and he was born by Caesarean section. His birth weight was normal; but he experienced some jaundice following birth. Developmental history: Ryan experienced sleep difficulties as an infant, rarely sleeping for more than 2 to 3 hours at a time. His appetite was also reported as poor. Developmental milestones were reported as within normal range for language and gross motor development. However, he has poor fine motor coordination, especially for writing. Development of bladder and bowel control at night was also somewhat

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