Case exercises are an effective way to increase your understanding of the appropriate application of the AMA Guides. The following is one of over seventy cases that are included in the new edition of the Guides Casebook. This case illustrates the process of assessing impairment for a mental and behavioral disorder by the Fourth, Fifth, and Sixth Editions.

Subject: Mr Krupp, a 50-year-old man.

History: Mr Krupp worked as a salesperson for a high-end stationery and writing supply company for 20 years. He was very successful in this position and won several performance awards before he experienced major depression. Mr Krupp was diagnosed with depression at 50 years of age. His depression began after a severe on-the-job back strain injury. The back strain kept him out of work for 6 months and resulted in financial...

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