wais sample report patient with dual diagnosis

What is the VWMI score?

On the Visual Working Memory Index (VWMI), a measure of his ability to temporarily hold and manipulate spatial locations and visual details, Sample performed in the Average range (VWMI = 94 , 95% Confidence Interval = 87-102). Sample’s visual working memory ability exceeds that of approximately 34 percent of individuals in his age group. However, it is important to note that the attention difficulties that Sample appeared to experience during the assessment are suspected of having had a minimal effect on his ability to fully express his visual working memory capacity. In spite of these observed difficulties, Sample performed in the High Average range, and his scores in this area may have been even higher in the absence of these difficulties.

What is Sample's intellectual ability?

Sample’s unique set of thinking and reasoning abilities make his overall intellectual functioning difficult to summarize by a single score on the Wechsler Adult Intelligence Scale–Fourth Edition (WAIS–IV). His nonverbal reasoning abilities are much better developed than his verbal reasoning abilities. Processing complex visual information by forming spatial images of part-whole relationships and/or by manipulating the parts to solve novel problems without using words is a strength. Making sense of complex verbal information and using verbal abilities to solve novel problems are less developed abilities for Sample.

What is the auditory memory index?

The Auditory Memory Index (AMI) is a measure of Sample’s ability to listen to oral information, repeat it immediately, and then recall the information after a 20 to 30 minute delay. Compared to other individuals his age, Sample's auditory memory capacity is in the High Average range (AMI = 115, 95% Confidence Interval = 108-120) and exceeds that of approximately 84 percent of individuals in his age group. However, it is important to note that the severe attention difficulties that Sample appeared to experience during the assessment are suspected of having had a minimal effect on his ability to fully express his auditory memory capacity. In spite of these observed difficulties, Sample performed in the High Average range, and his scores in this area may have been even higher in the absence of these difficulties.

What is the VMI of a sample?

On the Visual Memory Index (VMI), a measure of memory for visual details and spatial location, Sample performed in the Average range (VMI = 95, 95% Confidence Interval = 90-101). Sample's visual memory capacity exceeds that of approximately 37 percent of individuals in his age group. However, it is important to note that the attention difficulties that Sample appeared to experience during the assessment are suspected of having had a minimal effect on his ability to fully express his visual memory capacity. In spite of these observed difficulties, Sample performed in the Average range, and his scores in this area may have been even higher in the absence of these difficulties.

How old is John from WAIS?

John is a 54-year-old male who completed the WAIS–IV. His general cognitive ability, as estimated by the WAIS–IV, is in the extremely low range (FSIQ = 56). John’s verbal comprehension and perceptual reasoning abilities were both in the extremely low range (VCI = 66, PRI = 69). John’s ability to sustain attention, concentrate, and exert mental control is in the extremely low range (WMI = 58). John’s ability in processing simple or routine visual material without making errors is in the extremely low range when compared to his peers (PSI = 53).

What is John's WMI?

He performed better than approximately 0.3% of his peers in this area (Working Memory Index (WMI) = 58; 95% confidence interval 54-67).

Why did the Garda bring Ab to the psychiatry unit?

AB was brought into the psychiatry unit by the Garda when he allegedly rang his sister to say he wished to end his life by jumping in front of the train. He was then located at his friend’s house. He was disheveled and strong smell of alcohol is evident. AB was happy to be kept involuntarily. He refused to be reviewed medically in A&E and threatened to leave.

What is the most likely diagnosis for AB?

Severe depressive episode without psychotic symptoms (ICD F32.2) is the most likely diagnosis. AB has all the somatic features of depression upon admission and he has suicidal ideation, which he thought of jumping in front of the train to end his life.