jeffrey m. merin, ph.d., p.a.
professional association
clinical psychology neuro psychology
3703 swann ave tampa fl 33609
813-871-5220 fax 813-877-1795
adult-child family
received apr 23 2015
psychological report
alan chandler
sex male
age 46
date of birth 11 16 1968
referred by ms. patricia drayer - division of vocational rehab
date of eval 3 30 15
reason for referral
this forty-six-year-old man was referred for a learning disability evaluation,
abbreviated neuropsychological evaluation, and general personality assessment.
mr. chandler was evaluated in order to help determine the absence or presence
of a specific developmental disorder and to what degree neuropsychological as
well as psychological factors are relevant to vocational rehabilitation
history and observations
historical information was obtained from ms. drayer, records provided to this
examiner via voc rehab, and mr. chandler. ms. drayer revealed
her client presents with multible infirmities that have significantly compromised
daily activities and gainful employment. of particular concern is the subject's
psychiatric history including a general anxiety disorder and depression. medical
history is remarkable for obesity and hernia. his work history reflects the the degree
to which the above infirmities have significantly compromised his capacity to
maintain pace and persistence. ms. drayer noted, "many of his jobs lasted
between one week to a couple of months" including primarily physically
demanding jobs and driving a taxi. mr. chandler, though, noted blaming others
including his employers for his lack of employment. of particular concern to mr.
chandler was the degree to which employers mistreated him. in addition,
pg2
neuropsychological factors are of concern, with particular emphasis given to long
and short-term memory.
a review of records included a rather lengthy list of jobs ranging from computer
tech to cashier to driving cab. a review of records made by this examiner
revealed mr. chandler has had myriad jobs. count was approximately 20 to 30
different jobs.
consultation with mr. chandler was consistant with the above information related
to his history of anxiety and depression for which he is now prescribed and taking
lexapro. his medical history is remarkable for back pain, limited strength, and
stamina. he complained of "swelling under my ribs" and a "bad spot in my back."
he has difficulty lifting heavy objects, squatting, and bending. inquiry, however,
did not reveal any specific injury, accident, or illness related to his presenting
status. he did, though, have his gallbladder taken out six to seven years ago.
recovery was unremarkable.
drug and alcohol histroies are unremarkable. he denied any evidences of drug
abuse, alcohol abuse, or tobacco use. medications are limited to lexapro.
developmental history revealed mr. chandler is originally from new jersey and
reared by both parents till age of three. at that time, he recalled his mother
"ran away with us" to avoid the father who was reportedly opposed to the
mother's religious preference of being a jehovahs witness. he does not have
contact with his father, who worked as a electrican and for an air filter factory.
mr. chandler is currently living with his mother, who was described as "getting
old" and "very egocentric." despite their differences, mr. chandler gets along
adequately with his mother.
educational history reveals mr. chandler was held back in 9th grade. he did,
though, graduate with standard diploma. he denied any evidences of
premorbid learning disabilities, add, and/or other learning impairment.
marital history reveals mr. chandler has never been married, nor has any
children. he attributed his single status to a lack of financial resource.
occupational history, as noted above, is remarkable for myriad positions that
included labor-intensive jobs as well as driving a taxicab for several companies.
he is currently applying for social security benefits in relation to the above
infirmities. he stated that availble jobs are "physically too difficult." "i can't do
the kind of work that's out there."
legal history is unremarkable. as noted above, though, mr. chandler is currently
applying for ssdi.
pg3
mental status evaluation:
mr. chandler was brought to this evaluation by his mother. she was not,
however, present during the clinical interview or examination.
results of the mental status evaluation revealed mr. chandler to be oriented in
all spheres with no evidences of a formal thought disorder or manic condition. his
responses, though, were often disinhibited and impulsive. mr. chandler
presented as a poorly dressed, marginally groomed, white male. he was
unshaven, appeared younger than his stated age, and chewed gum throughout
this evaluation. he remained cooperative and compliant throughout the
evaluation, while putting forth good levels of effort and motivation on
examination. as noted above, however, many of mr. chandler's responses were
often impulsive and disinhibited. communication skills were simplistic and
concrete, while information was candid and non-defensive. affect was within
normal limits with no evidences of emotional distress. he noted his mood was
"flat" and dependent on his mother's mood. he denied any evidences of suicidal
ideations, behaviors, or homicidal thoughts.
procedures administered:
clinical interview
history and observations
mental status evaluation
reviewof preliminary assessment
review of resume
consent form, release form, notice form
wechsler adult adult intelligence scale-fourth edition
wechsler memory scale-third edition [selected subtests]
wide range achievement test-4th edition
controlled oral word fluency exam
rey osterrieth complex figure drawing
bender gestalt visual motor test
trail-making exam
boston clock drawing test
beck depression inventory-ii
minnesota multiphasic personality inventory-2
intellectual factors:
on the wechsler adult intelligence scale-fourth edition, mr. chandler obtained
the following scores.
subtest scaled score
block design 16
pg4
subtest scaled score
similaries 6
digit span 9
matrix reasoning 7
vocabulary 11
arithmetic 5
symbol search 12
visual puzzles 11
information 10
coding 6
scale composite score percentile rank
verbal comprehension 95 37
perceptual reasoning 107 68
working memory 83 13
processing speed 94 34
full scale 95 37
the above scores placed mr. chandler within the average range for verbal
comprehension, perceptual reasoning, and full scale iq. composite
scores revealed relative weaknesses with regard to verbal processing, scaled
scores noted above revealed significant weaknesses across all domains
including verbal conceptualization, nonverbal reasoning, processing speed, and
complex attention/concentration. in contrast, the subject's long-term verbal
development with regard to vocabulary and information was within the average
range. similarly, attention to visual information was within normal limits.
strengths were above average with regard to eye-hand coordination.
constructional skills were above average. this appears consistent with the
subject's work-related history in which he preferred jobs that required physically
engaging tasks.
academic factors:
on the wide range achievement test-4th edition, mr. chandler obtained the
following scores.
subtest standard score %ile grade equivalent
word reading 112 79 >12.9
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