Wais-Iii Psychological Assessment Report

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PSY 566 Individual Intellectual Assessments

California State University

Carolyn Longhorn, A.S., B.S.

October 13, 2010

Name:John Doe

Address:Currently residing in Los Angeles, California


Birth Date:August 12, 1976



Marital Status:Married

Right/Left Handed:Right

Date of Evaluation:October 13, 2010


Reason for Referral:

John is a thirty-four year old, Caucasian male attending University of California, Los Angeles School of Law. John is self-referred for an assessment of his intellectual abilities as he has been experiencing a declining grade point average since his admission into the program. His declining grade point average has caused him to feel much less intelligent, great stress, and led him to question his future career prospects. He complains of a lack in memory ability which he describes as “scattered” in which he consistently forgets important details such as his class schedule.

Current Life Stressors:

John is experiencing multiple life stressors for which he expresses concern. As a current student at University of California, Los Angeles School of Law, John complains of stress attributed to fear of academic probation due to his current grades. Finances are a major source of stress as well as his student loan debt continues to accrue with no other form of income. He is unsure of his career choice, future prospects, and past decisions in choosing to attend Law School. A primary source of stress for John is in regards to his current marriage. He and his wife have been informally separated for almost three years due to circumstances with led her to move to Seattle, Washington for two years while he resided in Los Angeles, and finally to her relocation to Afghanistan for the last eight months. His wife has expressed a desire to stay in Afghanistan permanently.


Family History:

John was born and raised in Southern California. He is the eldest of four children and has two brothers and one sister. His parents divorced at the age of 17, though his father is now remarried. John’s mother is a fifty-seven year old realtor in Santa Barbara, California. Her highest level of education is her high school degree. John states that she has no learning problems and is highly intelligent. John’s father is a sixty year old contractor in Irvine, California with a Law degree from University of California, Los Angeles. John describes his father as intelligent, though not as intelligent as his mother despite differences in educational status. John’s father was remarried approximately ten years ago and continues in his marriage to date. John’s sister was happily married six years ago and is now a stay-at-home mother of two. He is close with his sister and reports speaking with her regularly. John describes his second youngest brother as highly intelligent, although disorganized describing an incident in which he made a small fortune off of a business he sold shortly before squandering away all of his money. He describes his youngest brother as lacking in motivation with little concern for the future. John states that he never took issue with the divorce of his parents as he had always felt that a divorce could be beneficial to everyone in the family due to the constant fighting.

Educational History:

In 2005 John received his Bachelor of Arts in Psychology and graduated with a 4.0 grade point average. He then attended the University of Washington where he received his Master of Science in Psychology and graduated with a grade point average of 3.67. Currently, John is a second year law student at the University of California, Los Angeles School of Law in which he holds a grade point average of 2.9.

Occupational History:

John reports his student status as being the primary occupation he has held in the last eight to nine years with the exception...
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