CONFIDENTIAL PSYCHOLOGICAL ASSESSMENT REPORT Identifying Information Name: Ryan Breaux Date of Birth: 11/6/89 Age: 23 Date(s) of Evaluation: 10/18/13 Date of Report: 10/27/13 Examiner’s Name: Blaire Howard Reason for Referral Ryan has been diagnosed with mild dyslexia and ADD. He wanted to know his individual strengths as well as his FSIQ. Tests Administered - Clinical Interview with Blaire Howard Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) Background Information Ryan is a Caucasian male originally from Arlington, Texas, currently residing in Nacogdoches, Texas since 2010. Ryan lives with two roommates who are close friends and his dog, Abby. He is a student in the Masters of Accounting program at Stephen F. Austin State University. He describes his school performance as average. Developmental History According to Ryan, there were no known complications during his mother’s pregnancy or at the birth. He was diagnosed at a younger age with ADD and mild Dyslexia. He developed at the average pace for a child. He had no delays in walking or talking but was treated for a speech impediment as a child. In Kindergarten he worked individually with a speech therapist to help him in overcoming his speech impediment. He has not struggled with this issue in his adult life. Family History Ryan was raised by his parents Mitch and Karen in Arlington, TX. He is an only child. His relationship with his parents is good. Although he no longer lives at home he has maintained a relationship with his parents. Educational History Ryan attended Pantego Christian Academy (a private school) from Kindergarten through 12th grade. He is currently a Masters student at Stephen F. Austin State University working towards a Masters in Accounting. He is taking Internal Control, Ethics & Obligations in Accounting, and Intermediate Cost Accounting this semester. Growing up he says that his favorite subjects were anything involving math. His least favorite subject was writing, although he feels it is a strength of his. He understands math well when he concentrates and finds it comes easy to him when he is focusing. He is strong in oral reading and weak in science. He feels he is also strong in the History field because he is interested in it. His learning problems that have been identified are ADD and mild dyslexia. He entered school at age 4. In elementary school he enjoyed school. He was mildly mischievous but made good grades and maintained multiple sets of friends from school, soccer, baseball, karate, guitar lessons and basketball. In middle school he felt his grades were lower than elementary school. He participated in football, baseball and guitar lessons. In High School he enjoyed history, economics, and his dual credit classes. He competed in the TAPPS academic meet for History and Prose. In College he has found his strongest suit is math, which led him to pursue a degree in Finance and Accounting. Medical History Ryan is currently medicated for his ADD. He takes Adderall for his ADD. Social History Ryan describes himself as an introvert. He has always had multiple groups of friends however, because he feels he is outgoing when comfortable. Ryan feels his individual strengths are that he is analytical, economically responsible, a good communicator, and rational in heated situations. He has always enjoyed school and learning new things. Mental Status Exam Ryan approached the testing environment with a positive attitude. He was cooperative. His appearance was general as he looks of average weight for his height. His hygiene was well kept and he was well groomed. During testing he remained calm and attentive to the tasks at hand. There were no issues with speech or conversation. His answers were thoughtful. Test Results WAIS-IV Behavioral Observations (testing date: October 18, 2013) Ryan was on time for testing. Lighting and set-up for the test were adequate. He attended well to the testing processes and appeared motivated. He did not take any breaks, though he was offered them. He attended well to the testing processes and appeared motivated. During the testing he was calm and took his time. When faced with a difficult task, he responded well. He approached each task with attentiveness. There were no signs of any unusual behaviors or verbalizations. Based on Ryan’s above behaviors, the results of this assessment are considered a valid indication of his current level of cognitive ability. WAIS-IV Scores The Wechsler Adult Intelligence Scale, 4th edition (WAIS –IV) is an individually administered clinical instrument designed to assess the cognitive ability of adolescents and adults ages 16 years 0 months through 90 years 11 months. Index Scores Index Score Verbal Comprehension (VCI) Perceptual Reasoning (PRI) Working Memory (WMI) Processing Speed (PSI) Full Scale IQ (FSIQ) percentile 112 79 95% confidence interval 126-117 104 128 117 117 61 97 87 87 98-110 120-133 107-124 107-124 Qualitative Description High Average Average Superior High Average High Average Subscale Scores VCI Similarities Vocabulary Information score 11 14 12 PRI Block Design Matrix Reasoning Visual Puzzles score 8 14 10 WMI Digit Span Arithmetic score 17 13 PSI Symbol Search Coding score 13 13 WAIS-IV Interpretation The Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) is an individually administered, comprehensive clinical instrument for assessing the intelligence of examinees ages 16 years 0 months through 90 years 11 months. The WAIS-IV provides composite scores that represent intellectual functioning in specified cognitive areas (Verbal Comprehension, Perceptual Reasoning, Working Memory and Processing Speed) and a composite score that represents general intellectual ability (Full Scale IQ). The WAIS-IV includes 10 core subtests and 5 supplemental subtests. Core subtests are administered when composite scores are desired. Supplemental subtests extend the range of cognitive skills sampled, providing additional clinical information. When necessary, supplemental subtests can also be used as substitutes for core subtests when deriving composite scores. Full Scale IQ (FSIQ) The Full Scale IQ (FSIQ) measures an individual’s general intellectual ability and is comprised from the sum of the 10 subtests that compose the four scales/indexes: 3 subtests from the Verbal Comprehension Index, 3 from the Perceptual Reasoning Index, 2 from the Working Memory Index and 2 from the Processing Speed Index. Ryan obtained a composite score of 117, which is in the 87th percentile rank. The chances that his true IQ is between 107-124 are about 95 out of 100. His overall performance is in the High Average range and her IQ is equal to or higher than 87% of same-aged individuals. These results appear to be reliable and valid. Verbal Comprehension Index The Verbal Comprehension Index (VCI) measures verbal concept formation, verbal reasoning, and knowledge acquired from one’s environment. This index is of composed of three subtests: Similarities, Vocabulary and Information. Ryan obtained a VCI composite score of 112, which is in the 79th percentile rank. His overall performance was in the High Average range. For the Similarities subtest, the examinee is presented with two words that represent common objects or concepts and describes how they are similar. In the Vocabulary subtest, when presented with verbal items, the examinee defines words that are presented visually and orally. For the Information subtest, the examinee answers questions that address a broad range of general knowledge topics. Perceptual Reasoning Index The Perceptual Reasoning Index (PRI) measures perceptual and fluid reasoning, spatial processing, and visual-motor integration. Ryan obtained a PRI composite score of 104, which is in the 61st percentile rank. His overall performance was in the Average range. This index is composed of three subtests: Block Design, Matrix Reasoning and Visual Puzzles. In Block Design, the examinee works within a specified time limit, viewing a model and a picture or a picture only and uses red-and-white blocks to recreate the design. He obtained a scaled score of 8, which is in the 25th percentile rank and performed within the Average range. For Matrix Reasoning, the examinee views an incomplete matrix or series and selects the response option that completes the matrix or series. He obtained a scaled score of 14, which is in the 91st percentile rank and this shows to be a normative/personal strength. In the Visual Puzzles Index, the examinee works within a specified time limit viewing a completed puzzle and selects three response options that, when combined, reconstructs the puzzle. Working Memory Index The Working Memory Index (WMI) measures the ability to temporarily retain information in memory, perform some mental operation on, or manipulation of, it and produce a result. This index also measures attention, concentration, mental control, and reasoning. Ryan obtained a WMI composite score of 128, which is in the 97th percentile rank. His overall performance was in the Superior range. This index includes the subtests of Digit Span and Arithmetic. The subtest Digit Span has three parts, forward, backward and sequencing. For Digit Span Forward, the examinee is read a sequence of numbers, and recalls the numbers in the same order. For Digit Span Backward, the examinee is read a sequence of numbers and recalls that numbers in reverse order. Processing Speed Index The Processing Speed Index (PCI) measures the ability to quickly and correctly scan, sequence, or discriminate simple visual information. This index also measures short-term memory, attention, and visual-motor coordination. Ryan obtained a PCI composite score of 117, which is in the 87th percentile rank. His overall performance was in the High Average range. This index includes the subtests of Symbol Search and Coding. For Symbol Search, the examinee works within a specified time limit scanning a search group and indicates whether one of the symbols in the target group matches. In Coding, the examinee uses a key to copy symbols that are paired with numbers within a specified time limit. Diagnosis At this time, there is no known diagnosis based on test results. Summary Ryan, who is 23 years old, referred himself because of curiosity of his personal strengths and weaknesses. His medical history showed developmental delays in speech and his only learning obstacles are ADD and mild dyslexia. His speech and language were adequate for his age. He was cooperative and attentive during test administration. Ryan obtained a WAIS-IV Full Scale IQ of 117, which is in the 87th percentile ranking in the High Average range. The indexes of perceptual reasoning indicated average ability. The indexes of verbal comprehension and processing speed indicated high average ability. The index of working memory indicated superior ability. He displayed personal strengths on the Digit Span, Matrix Reasoning and Vocabulary subtests. Ryan may have difficulties with visual puzzles and perceptual reasoning, as these subtests seemed to be a personal weakness for Ryan. The time limit may have been the main challenge for him in the case of these two particular subtests. He demonstrates average range functioning in the areas of verbal fluid reasoning, lexical knowledge and general information. He is strong in long-term and short-term memory. The test results appear to be valid and reliable. Ryan reported that he feels that he is strong in analyzing things and this was evident in his subtests that required that particular skill. He feels that he has found something he is good at in his studies of finance and accounting, which is supported by his strong ability in digit-span and arithmetic. He feels he has a good solid group of friends and has no problem getting along with people. He is an introvert but extroverted when he feels it is necessary. Ryan is enjoying school and pursuing his Masters in Accounting. Recommendations It is recommended that Ryan pursue a career that capitalizes on his strengths in memory and arithmetic. It is also recommended that Ryan take a self-assessment to identify the areas in which he excels. Ryan should pursue a career in analysis. He should also work in a career that works with numbers. __________________________________ Examiner ___________ Date __________________________________ Supervisor ___________ Date