On examination, Ms Meyers presented with long blond hair held back in a pony tail. She had evident scars on her upper back and arms with vivid tattoos on her right forearm and right lower leg. There were remnants of nail polish evident. She looked older than her stated age.
She complained of discomfort in her lower back. She was an animated historian who gave a detailed and expansive history of her perspective on her current difficulties. There was no evidence of psychomotor retardation. She was not agitated. She did complain of lower back pain but was able to sit throughout a length interview. Her affect was reactive. She evidenced no emotional distress. Her affect was incongruent to hr mood which she described as depressed and anxious.
I note that her attention and concentration was satisfactory at the course of a lengthy interview but I do note that Ms Meyers struggled with specificity of dates.
Her executive cognitive functions were intact.
She impressed as a woman of low to average intelligence. She did not impress as a particularly psychologically …show more content…
Ms Meyers was unhappy with a suggestion that she retrain, felt that she was disrespected and treated poorly by colleagues when she went into alternative duties, alleges that one of her supervisors was intimidating in a way he treated her when discussing the need for retraining, believes that she was misdiagnosed by the initial independent medical examiner and believes that as a consequence of that alleged misdiagnosis that her orthopaedic condition has worsened. There is then material that suggests that her relationship with her partner began to deteriorate very rapidly and Dr Wittington notes the upset and hurt that Ms Meyers felt when her partner did not consider that she was well enough to work and would not put her name forward for various