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Newsletter Articles
Guides Newsletter (2017) 22 (2): 5.
Published: 01 March 2017
... A method for determining the severity of a presentation of cognitive impairment has been developed and scientifically validated specifically for use with cases in which the causative diagnosis is traumatic brain injury. The method determines if the impairment, as demonstrated on neuropsychology...
Newsletter Articles
Guides Newsletter (2019) 24 (4): 3–14.
Published: 01 July 2019
... of jurisdiction and responsibility for management (eg, does management of DFRUD fall to insurers or clinicians); who will pay; what are the maladaptive health cognitions and/or psychiatric comorbidities; and how can clinician behavior be altered to implement evidence-based practice? © 2019 American Medical...
Newsletter Articles
Guides Newsletter (1999) 4 (6): 5–6.
Published: 01 November 1999
... Personality disorders are enduring patterns of inner experience and behavior that deviate markedly from those expected by the individual's culture; these inflexible and pervasive patterns reflect issues with cognition, affectivity, interpersonal functioning and impulse control, and lead...
Newsletter Articles
Guides Newsletter (2019) 24 (1): 3–14.
Published: 01 January 2019
... discussions address disorders of consciousness and awareness; sleep and arousal disorders; alterations in metal status, cognition, and highest integrative function; aphasia or dysphagia; emotional or behavioral disorders resulting from CNS causation (fifth edition only); chronic pain; and others. One...
Newsletter Articles
Guides Newsletter (2017) 22 (1): 3–10.
Published: 01 January 2017
...Robert J. Barth, PhD The assessment of impairment due to alteration in mental status, cognition, and highest integrative function may be challenging. A review of impairment assessments performed by others can provide valuable insights, including an appreciation of how evaluators may misapply...
Newsletter Articles
Guides Newsletter (2021) 26 (3): 3–7.
Published: 01 May 2021
...Sarah H. Gulick, PsyD; Steven Mandel, MD; Edward A. Maitz, PhD, ABN; Christopher R. Brigham, MD; Lorne K. Direnfeld, MD Physicians performing impairment evaluations on patients with cognitive complaints and possible central nervous system disorders should perform a clinical mental status assessment...
Newsletter Articles
Guides Newsletter (2017) 22 (2): 6–12.
Published: 01 March 2017
.... All Rights Reserved. 2017 American Medical Association A method for determining whether the severity of a presentation of cognitive impairment (as demonstrated on neuropsychology testing) is consistent with the severity of the claimed causative diagnosis has been developed and scientifically...
Newsletter Articles
Guides Newsletter (2021) 26 (5): 13–16.
Published: 01 September 2021
... various forms of psychotherapy, such as dialectical behavioral therapy, mindfulness-based cognitive therapy, and cognitive behavioral therapy. More research should be done regarding other additional treatment recommendations that may facilitate psychological healing in COVID-19 patients. © 2021 American...
Newsletter Articles
Guides Newsletter (2023) 28 (2): 1–38.
Published: 01 March 2023
... the role of the neurotransmitter dopamine, the ventral tegmental area, and the nucleus accumbens, is critically considered. In addition, more expansive neurobiological models that include a host of other neurotransmitters, brain regions, and cognitive processes, as well as classical and operant...
Newsletter Articles
Guides Newsletter (2022) 27 (3): 1–27.
Published: 01 May 2022
... include difficulty thinking or concentrating, fatigue, depression, anxiety, and other complaints. The results of studies are clouded by self-reports, lack of objective cognitive data, misattribution, and ill-defined psychological issues. Prospective cohort studies with objective assessment are needed...
Newsletter Articles
Guides Newsletter (2021) 26 (2): 3–12.
Published: 01 March 2021
..., and therefore, we have more limited experience in understanding all of its outcomes. Thus, clinical, functional, and permanent impairment assessment is challenging. Symptoms including fatigue, dyspnea, and cognitive difficulties have been referred to as “post-acute COVID,” “long COVID,” or “long haulers...
Newsletter Articles
Guides Newsletter (2016) 21 (5): 3–8.
Published: 01 September 2016
..., rehabilitation, and future needs to estimate what services and costs are likely to be needed in the future. The physician determines the extent and sequelae of the patient's physical and cognitive impairments; estimates a prognosis; estimates the need for and benefit of further medical and rehabilitative...
Newsletter Articles
Guides Newsletter (2023) 28 (1): 1–15.
Published: 01 January 2023
... 20 25 35 45 50 60 65 Table 13-5A, Disorders of Consciousness 80 90 100 A B C * MSCHIF-E = Mental Status, Cognition, Highest Integrative Function, and Emotion A = Minimally conscious state B = Persistent vegetative state C = Permanent...
Newsletter Articles
Guides Newsletter (2015) 20 (6): 6–12.
Published: 01 November 2015
... or activity; disability management using cognitive–behavioral approaches; psychopharmacologic management that focuses on improving analgesia, sleep, and affective distress; and, in appropriate cases, detoxification. FR is a patient-centered, whole-person, team approach that focuses on helping patients achieve...
Newsletter Articles
Guides Newsletter (2011) 16 (2): 1–7.
Published: 01 March 2011
... to be permanent, but evidence indicates that prescription narcotics cause significant problems in addition to worsening pain: endocrine disruption, sleep abnormalities, immune system compromise, cognitive impairment, substance abuse, and generalized ill health and disability, among others. Evaluators may worry...
Newsletter Articles
Guides Newsletter (2020) 25 (5): 3–11.
Published: 01 September 2020
.... In brief, this revealed mild to moderate cognitive deficits. However, the physician evaluating impairment did not have access to the neurophysiological testing, only to this summary conclusion. A psychiatric IME was also performed. Her global assessment of functioning (GAF) score was 55. Multiple...
Newsletter Articles
Guides Newsletter (2022) 27 (4): 18–59.
Published: 01 July 2022
... it invalid. Further limitations commonly observed in M&BD IME reports are the absence of applying a formal protocol to rule out malingering, the lack of adequate cognitive and personality testing, and the erroneous assumption that the presence of a mental disorder is predictive of, or tantamount...
Newsletter Articles
Guides Newsletter (2021) 26 (6): 3–14.
Published: 01 November 2021
...% of affected individuals. The most frequent ongoing complaints are arthralgia, chest pain, cough, dyspnea, fatigue, and persistent alteration in smell and taste; other reported symptoms include cognitive impairment, depression, fever, headache, myalgia, and palpitations. Huang et al 20 reported that 76...
Newsletter Articles
Guides Newsletter (2002) 7 (1): 6–9.
Published: 01 January 2002
... treatment has been recommended for CFS treatment, but cognitive and behavioral interventions may be useful to address psychological symptoms; medication is reserved for specific symptoms indicative of depression or anxiety. © 2002 American Medical Association. All Rights Reserved. 2002 American Medical...
Newsletter Articles
Guides Newsletter (1998) 3 (6): 1–5.
Published: 01 December 1998
... that potentially are related to the brain; and development of posttraumatic cognitive deficits not accounted for by emotional factors. When a patient presents with multisystem trauma, impairments may involve several parts of the body, including the nervous system. Individual impairments of other systems should...