Psychology 101
Dr. Goldberg
Table of contents
General Patient Information……………………………….................. Purple
Education/ Occupation………………………………............................Green
Medical History/ Institutional Record………………………………......Blue
Interviews………………………………...............................................Yellow
Diagnosis/ Analysis/ Recommendations………………………………...Red
General Information
Case Number: 47928
Patient Name: Gump, Forrest
Date of Birth: 03/14/1948
Place of Birth: Mobile, Alabama
Height: 6’6”
Weight: 242 lbs.
Race: Caucasian
Nationality: German, Irish
Religion: Raised Catholic (Not practicing)
Martial Status: Single
MOTHER
Name: Gump, Joann
Date of Birth: 04/12/1920
Place of Birth: Greenbow, Alabama
Race: Caucasian
Nationality: German
Religion: Catholic
Education: High School Diploma
Marital Status: Widowed
FATHER
Name: Gump, John
Date of Birth: 07/20/1918
Place of Birth: Greenbow, Alabama
Race: Caucasian
Nationality: Irish
Religion: Not Available
Education: High School Diploma
Marital Status: Not Available
Siblings: None
(1)
Education
Forrest began the 1st grade at a public elementary school. Throughout the year his
teachers noticed he was unable to focus and was distracted very easily. Forrest was often
day dreaming and experienced episodes of shouting for no accountable reason. He also
had trouble socializing with his peers. Concerns of teachers and school administration
lead to testing Forrest with the Wechsler Intelligence Scale for Children to measure his
IQ. His score was determined to be 70, categorizing him with below average intelligence
and possibly mentally retarded.
After completing the 1st grade, Forrest was placed in a near by special school with
other children who ranged in severity of learning disabilities. He remained in Miss
Margaret’s class for 6 years. At the age of 16 coaches from the local high school noticed
him to be an excellent asset to the football team due to his size and swiftness. Forrest
accepted the offer to play high school football. While he was there he took one on one
classes with Miss Henderson who taught him how to read.
When graduation came, Forrest received a “special” diploma. Due to being one of the
best football players around Forrest attended the University of Alabama. While at the
university Forrest received an A in his Intermediate Light class. Though after a short time
of being there he flunked out and was forced to leave. Forrest never received a college
diploma.
(2)
Intelligence Interval
Cognitive Designation
40 - 54
Severely challenged
55 - 69
Challenged
70 - 84
Below average
85 - 114
Average
115 - 129
Above average
130 - 144
Gifted
145 - 159
Genius
160 - 175
Extraordinary genius

The chart above displays the range of Wechsler IQ test scores. Forrest scored 70. His
intelligence interval is highlighted in red and categorized as below average.

The diagram below is a representation of person with a normal brain on the left and
the right side represents Forrest’s brain. It is clear that Forrest lacks activity of the
brain during perception of faces which is a classification of autism.
(3)
When I began Forrest’s report, he was required to answer this questionnaire truthfully
in order for more information to be collected on Forrest’s possible Attention Deficit
Disorder diagnosis. Below are Forrest’s recorded answers and score.
ADULT ADD QUESTIONNAIRE
The questions are scored from 1 to 5. The maximum possible score is 120. Guide
follows: 0-50 probably not ADD, 50-75 maybe, 75 -100 probably and above 100, it’s for
sure. The questions below refer to how you have behaved and felt DURING THE PAST
WEEK. Rate each question on a scale of 0 to five, using the following scale:
0 = not at all
1 = just a little
2 = somewhat
3 = moderately
4 = quite a lot
5 = very much
1. At home, work, or school, I find my mind wandering from tasks
that are uninteresting or difficult.
0 1 2 3 (4) 5
2. I find it difficult to read written material unless it is very interesting
or very easy.
0 1 2 3 4 (5)
3. Especially in groups, I find I hard to say focused on what is being
said in conversations.
0 1 2 3 (4) 5
4. I have a quick temper…a short fuse.
0 1 2 (3) 4 5
5. I am irritable, and get upset by minor annoyances.
0 1 2 (3) 4 5
6. I say things without thinking, and later regret having said them.
0 1 2 3 4 (5)
7. I make quick decisions without thinking enough about their
possible bad results.
0 1 2 3 4 (5)
8. My relationships with people are made difficult by my tendency to
talk first and think later.
0 1 2 3 4 (5)
9. My moods have highs and lows.
0 1 2 3 (4) 5
10. I have trouble planning in what order to do a series of tasks or
activities.
0 1 2 3 4 (5)
11. I easily become upset.
0 1 2 3 (4) 5
12. I seem to be “thin skinned” and many things upset me.
0 1 2 (3) 4 5
13. I am almost always “on the go.”
0 1 2 3 4 (5)
(4)
14. I am more comfortable when moving than when sitting still.
0 1 2 3 (4) 5
15. In conversations, I start to answer questions before the questions
have been fully asked.
0 1 2 (3) 4 5
16. I usually work on more than one project at a time, and fail to
finish many of them.
0 1 2 3 (4) 5
17. There is a lot of “static” or “chatter” in my head.
0 1 2 3 4 (5)
18. Even when sitting quietly, I am usually moving my hands or feet.
0 1 2 3 4 (5)
19. In group activities it is hard for me to wait my turn.
0 1 2 (3) 4 5
20. My mind gets so cluttered that it is hard for it to function.
0 1 2 3 4 (5)
21. My thoughts bounce around as if my mind were a pinball
machine.
0 1 2 3 4 (5)
22. My brain feels as if it were a television set with all the channels
going at once.
0 1 2 3 (4) 5
23. I am unable to stop daydreaming.
0 1 2 3 4 (5)
24. I am distressed by the disorganized way my brain works.
0 1 2 3 4 (5)
RESULTS:
Forrest answered with mostly 4 and 5 and had a resulting score of 104. According to this
questionnaire a score above 100 is an indicator of Attention Deficit Disorder.
(5)
Occupation
Forrest’s was unemployed up until his first job serving in the Vietnam war. He spent a
year training and then was deployed to Vietnam. While overseas his main objective was
carrying firearms along with other equipment as his division traveled through the jungle.
Forrest and his best friend Bubba passed back and forth the idea of beginning a shrimp
business when they return home from the war. Forrest was a great soldier because he
always wanted to do the right thing so he followed orders without questions. He also
committed an act of heroism by running back into enemy fire to rescue his fellow
comrades.
After serving in the war, he went on to join his old time friend Jenny Curran’s band,
“The Cracked Eggs.” He played the harmonica exceptionally well and helped the band to
gain popularity with all the attention he brought to them. While Forrest was in the band
he picked up the habit of smoking marijuana regularly.
Forrest was once again noticed for his physical ability and offered an opportunity to
become a professional wrestler. He was nicknamed “The Dunce” and wrestled for a short
time.
Forrest is now a business owner after putting the old idea Bubba and him had to work
in opening a shrimp company. He is now a multimillionaire of Bubba Grump Shrimp.
(6)
Medical History
During Mrs. Gump’s pregnancy, she did not seek proper prenatal care. Forrest was
born a month premature and had a low birth weight of 5 pounds 2 ounces. With
premature births, there is a that the brain has not fully developed. This can be linked to
Forrest’s autistic characteristics and attention deficit disorder. Throughout Forrest’s
childhood there was no apparent serious illness and he was over all a healthy boy.
Later in life while serving in the Vietnam War, Forrest was shot in his buttocks. There
were no complications and he spent a few months in the hospital where he successfully
recovered a few months after.
Mental Institution
Forrest spent 30 days at St. Elizabeth’s Mental Institution where he went under
psychiatric evaluation. Forrest was unable to see any images in the “ink blot” test. He
performs remarkably on math testing. The doctors observing him at the hospital go as far
to say: “You is got a brain that is just like a computer.” To avoid jail time Forrest accepts
an offer to travel to Houston, Texas where he will be trained as a “back up” computer on
a space mission for NASA.
(7)
Institutional Record
Forrest was arrested for his first time in 1968 at the movie theater of his home town in
Alabama. While on a date with his crush Jenny Curran, he accidentally ripped her dress
by pulling her up from her slummed position. He spends the night in jail.
He was arrested for throwing away his Medal of Honor at a peace rally. In doing so,
his medal hit the Clerk of the U.S. Senate on the head. Judge hearing his case orders a 30
psychiatric evaluation to see why Forrest did what he did.
Later in his life he was arrested for stealing an expensive dress with Raquel Welch.
When she is confirmed to be the actress herself, Forrest is released.
(8)
Interviews
Note: Answers highlighted in red.
#1: Interview with Forrest
Q: Hello Forrest I am Dr.S. I’d like to ask you a few questions. How are you today?
A: Ok I s’pose.
Q: Great. How does it feel to be the owner of a successful business?
A: Ya know sometimes I cant believe it. Feels like it was only yesterday me and Bubba
was killin’ gooks and thought up the idea together.
Q: Is Bubba a helpful co-owner of the business?
A: Ah shit. Well ya see Bubba is dead. Makes me tear up thinking’ of loosin’ him back in
the war. He was my best friend.
Q: That is truly unfortunate Forrest. What did you think of the war?
A: A bunch of shit.
Q: Forrest what is something that makes you happy?
A: Playin’ my harmonica I s’pose. I’m good at it. Reminds me an awful lot of Jenny
though.
Q: Who is Jenny?
A: Jenny is everything to me…
*After asking about Jenny, Forrest became emotional and started crying. He was unable
to continue with the interview.*
(9)
#2: Interview with Forrest’s Mother (Joann Gump)
Q: Mrs. Gump I am Dr.S and I would like to ask you a few questions regarding your son.
Will you answer to the best of your knowledge?
A: Okay, sure.
Q: As a child how did Forrest get along with other children of his own age?
A: The other kids were horrible to my poor Forrest, callin’ him names and chasin’ him
around. That’s why I’d keep him inside most the time so them boys wouldn’t bother him
no more.
Q: At that time did you think that Forrest might be different from the other children?
A: Now listen here Forrest ain’t no different from anyone else he’s just a little slow is all.
Q: Do you feel that your son is happy?
A: Forrest was always happy go lucky and didn’t let much get to him. But lately he’s
been missin’ his old girlfriend Jenny and his dead friend Bubba an awful lot. I feel like
he’s thinkin’ about them two nearly all the time.
Q: I see. What do you think of Forrest’s accomplishments throughout his life?
A: My Forrest makes me so proud with e’rything he’s done. He might be slow but he’s
smart as hell. He flunked out of college but he got a damn A in his Intermediate Light
class! Forrest made it out of the war alive that says something’ don’t it? And look at him
now, my boy opened up his own company all by himself. My son is a gifted boy.
Closing interview statement: Those are all wonderful achievements of your son Mrs.
Gump. Thank you for your participation.
(10)
Diagnosis/ Analysis
Based off of the evidence collected from testing, interviews, and medical records,
Forrest has been diagnosed with Autism and Attention Deficit Disorder (ADD).
Autism is a brain disorder that makes it hard to communicate with and relate to others.
The different areas of an autistic brain fail to work together. In Forrest’s case, he has
trouble forming relationships and socializing with others. Forrest is also limited in his
communication abilities. Individuals with autism, are likely to suffer from below average
intelligence which also links Forrest to this diagnosis. Though it is common that a person
with autism also has a savant gift, which is a unique skill. Forrest has two specialized
skills, one is his remarkable math calculation abilities, and his other ability is to play the
harmonica without ever being taught.
Attention deficit disorder is usually noticed in early childhood by symptoms which
include difficulty staying focused and paying attention, difficulty controlling behavior,
and hyperactivity (over-activity). As a child it was noticed by Forrest’s teachers that he
became distracted easily, had difficulty focusing, was often daydreaming and moved
slowly. The uncontrollable behavioral aspect was noticed when Forrest would shout for
no reason. Forrest’s adulthood also shows symptoms of ADD, which include his poor self
control, and reckless behavior without thinking of consequences, such as when he began
smoking marijuana regularly, or throwing away his Medal of Honor because Jenny told
him to.
(11)
Recommendations
Due to Forrest being at a high functioning level of autism which allows him to be able
to perform basic daily tasks such as feeding and bathing himself, I feel that he is capable
to live on his own without a live-in assistant. To improve his quality of life I hope to see
Forrest agree to perform these following recommendations:

Attend a therapy session twice a week to talk about and help understand his emotions.

Attend a group therapy session with other people of a similar diagnosis once a week,
so he can relate with others and have support, while also improving his social skills.

Meet with a behaviorist bi-weekly to create and follow plans to modify his behavior.

Exercise 3 to 4 days a week to work off excess energy in a positive way.

Maintain a healthy low sugar diet in order to prevent potential mood swings.
MEDICATIONS:

Adderall 5 mg daily. First dose of 2.5 mg upon awakening, and a second dose 6 hours
later of 2.5 mg for the next 4 weeks. Therapist will monitor signs of improvement. At
the end of the 4 weeks an evaluation will be done if this prescription is effective.
Other Recommendations: I would like Forrest to do something once a day that he
enjoys, whether it be making music with his harmonica, playing football, ping pong, or
chess. I believe doing so will bring out positive emotions and boost his self esteem.
Furthermore, Forrest is to return after the first 4 weeks this plan as been issued to him
as so an evaluation can be made on his progress. Upon the evaluation changes to his plan
may be made, and a routine check up once a month will be in his benefit.
(12)