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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...
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...
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...
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...
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...
Sarah H. Gulick, PsyD, Steven Mandel, MD, Edward A. Maitz, PhD, ABN, Christopher R. Brigham, MD, Lorne K. Direnfeld, MD
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...
Guides Newsletter (2017) 22 (2): 6–12.
Published: 01 March 2017
... provided six empirically derived impairment levels, 1 the AMA Guides, Sixth Edition, methodology only allows for consideration of five “classes” of impairment ( Table 13-8 , Criteria for Rating Neurologic Impairment due to Alteration in Mental Status, Cognition, and Highest Integrative Function...
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...
James B. Talmage, MD, Mark H. Hyman, MD, Christopher R. Brigham, MD, Sarah H. Gulick, PsyD, Leslie Burton, PT
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...
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...
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...
Stephen L. Demeter, MD, MPH, Lorne Direnfeld, MD, Richard Katz, MD, James B. Talmage, MD, Christopher R. Brigham, MD
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...
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...
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...
Guides Newsletter (2019) 24 (3): 3–9.
Published: 01 May 2019
... and apportionment, if evaluators accept some psychological factors, MUPS, and central sensitization, they must explain to what extent these are compensable. Part two of this article will discuss theoretical and practical approaches, including specific evaluation and treatment methods. ❏ The cognitive...
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...
Guides Newsletter (1998) 3 (5): 7.
Published: 01 September 1998
..., such as reflex sympathetic dystrophy (RSD), because it tends to focus only on the affected extremity. The AMA Guides also identifies five factors can affect disability in individuals with RSD: First, RSD spreads in an unpredictable temporal manner. Second, RSD is associated with global effects on cognitive...
Guides Newsletter (2018) 23 (1): 10–13.
Published: 01 January 2018
..., Criteria for Rating Neurological Impairment due to Alteration in Mental Status, Cognition, and Highest Integrative Function (6th ed, 331), is used for rating impairment due to alteration in mental status cognition and highest integrative function (MSCHIF). This category of cerebral impairment includes...
Guides Newsletter (2003) 8 (4): 1–11.
Published: 01 July 2003
... Relationship to the interviewer Affect and mood Cognition and memory Language Disorders of thoughts (process and content) Physiologic functions Insight and judgment With regard to determining mental or behavioral impairments, the mental status exam is useful in identifying those...
Guides Newsletter (2015) 20 (1): 9–11.
Published: 01 January 2015
... Tamura et al. 6 studied central mechanisms for 2PD in humans. Factors that could potentially affect 2PD include the receptive field of the skin receptor; inhibitory mechanisms at the spinal cord, subcortical, and cortical levels; and cognitive and psychological factors. Indeed, central cortical...