REPORT OF PSYCHOLOGICAL ASSESSMENT
REPORT OF PSYCHOLOGICAL ASSESSMENT
Confidential Material
NAME: Sebastian Smith
DATE OF BIRTH: 5/8/1985
CHRONOLOGICAL AGE: 16 years 3 months
PARENTS: Mary Smith & Sebastian Smith
GRADE: completed ninth grade
DATES OF ASSESSMENT: 7/17; 7/27/01
DATE OF REPORT: 8/3/01
INDENTIFYING DATA AND REASON FOR REFERRAL:
Sebastian is a 16 years 3 months old Caucasian adolescent, who was referred for a psychological evaluation to determine his current cognitive and emotional status.
Sebastian has a long history of poor school performance due to numerous. Despite extensive private tutoring and accommodations from his school he has failed to succeed academically. The contributing factors include poor school attendance, possible attending and learning problems, and complex family dynamics.
SOURCES OF INFORMATION:
Background information was obtained from his mother, his previous social worker, former psychologist, and numerous psychological, educational and medical reports. This information was obtained from interview, developmental history and rating scales as well as medical records. This information appears to be from reliable sources and valid.
Current status of his learning and behavior was obtained from observation during testing and from standardized psychological, neuropsychological and achievement tests. The validity of his performance on most tests was deemed to be accurate due to his cooperation and motivation to perform the tests.
BACKGROUND INFORMATION:
Current Concert:
Sebastian has long struggled with his academic performance and proper social behavior. His relationship with both parents is complex and he often is torn between both. His ability to maintain motivation in his schoolwork is of concern and recommendations will be made with these factors in mind. The most pressing concern at this time is his use of illegal substances (marijuana).
Medical and Development History:
Pregnancy and birth history: Sebastian’s mother reported that
Confidential Material
NAME: Sebastian Smith
DATE OF BIRTH: 5/8/1985
CHRONOLOGICAL AGE: 16 years 3 months
PARENTS: Mary Smith & Sebastian Smith
GRADE: completed ninth grade
DATES OF ASSESSMENT: 7/17; 7/27/01
DATE OF REPORT: 8/3/01
INDENTIFYING DATA AND REASON FOR REFERRAL:
Sebastian is a 16 years 3 months old Caucasian adolescent, who was referred for a psychological evaluation to determine his current cognitive and emotional status.
Sebastian has a long history of poor school performance due to numerous. Despite extensive private tutoring and accommodations from his school he has failed to succeed academically. The contributing factors include poor school attendance, possible attending and learning problems, and complex family dynamics.
SOURCES OF INFORMATION:
Background information was obtained from his mother, his previous social worker, former psychologist, and numerous psychological, educational and medical reports. This information was obtained from interview, developmental history and rating scales as well as medical records. This information appears to be from reliable sources and valid.
Current status of his learning and behavior was obtained from observation during testing and from standardized psychological, neuropsychological and achievement tests. The validity of his performance on most tests was deemed to be accurate due to his cooperation and motivation to perform the tests.
BACKGROUND INFORMATION:
Current Concert:
Sebastian has long struggled with his academic performance and proper social behavior. His relationship with both parents is complex and he often is torn between both. His ability to maintain motivation in his schoolwork is of concern and recommendations will be made with these factors in mind. The most pressing concern at this time is his use of illegal substances (marijuana).
Medical and Development History:
Pregnancy and birth history: Sebastian’s mother reported that