Psychological Assessment report

Name: Mr EM Age: 70 years

Gender: Male Education: 10th standard
Date of testing: 30/06/2022

Case summary:

Reasons for testing: To assess current level of cognitive and memory functions

Tests administered:

● Wechsler memory scale III (WMS)

Behavioural observation:

The patient was curious and co-operative during the testing. He was motivated to answer all
questions but felt disappointed when he couldn’t recall items.

Test Findings

● Wechsler memory scale III (WMS)

Index score summary as follows:

Scale Index score Range

Auditory immediate 74 Borderline
Visual immediate 78 Borderline
Immediate memory 71 Borderline
Auditory delayed 77 Borderline
Visual delayed 78 Borderline
Auditory recognition delayed 80 Low average
General memory 74 Borderline
Working memory 88 Low average
Immediate (or short-term) memory involves remembering information for only a few seconds; general (or
delayed or long-term) memory requires retaining information for 20 minutes or longer. This will
determine if these two aspects of memory are at equivalent or dissimilar skill levels.

Auditory immediate memory index score falls in the borderline range. He scored higher than
approximately 4% individuals in his age group on tasks requiring him to learn information after
single presentation of the auditory material. His visual immediate memory index score falls in
the borderline range as well. He scored higher than approximately 7% individuals in his age
group on tasks requiring him to learn information after single presentation of the visual material.
Overall, his immediate memory index score falls in the borderline category, wherein he is better
then 3% individuals in his age group on immediate memory tasks.

His auditory delayed memory index score also falls in the borderline range. He scored higher
than approximately 6% individuals in his age group on auditory tasks requiring him to retrieve
recently learned information after a 25- to 35-minute delay. On visual delayed memory, again his index
score lies in the borderline range. He scores higher than approximately 7% individuals in his age group
on visual tasks requiring him to retrieve recently learned information after a 25- to 35-minute delay.
His auditory recognition delayed index score falls in the low average range. He scores higher than
approximately 9% individuals in his age group on auditory tasks requiring him to recognize recently
learned information after a 25- to 35-minute delay.

On general memory, his index score falls in the borderline range. He scores higher than approximately
4% individuals of his age group on a measure of diverse auditory and visual memory abilities. On
working memory, his score falls in the low average range. He scores higher than approximately 21%
individuals in his age group on visual tasks requiring him to manage multitask demands.

His visual immediate is 4 points more than auditory immediate, and his visual delayed is 1 point more
than auditory delayed. This indicates that he is able to store and retrieve visual information better than
auditory information, in both short- and long-term memory. The clinical relevance of this score
difference should be addressed in terms of his premorbid abilities, demands in his current environment,
and other co-occurring physical factors (e.g., recent onset of visual or auditory acuity difficulties or
physical impairments) or emotional status (e.g., depression, anxiety).
Though his visual immediate and visual delayed index scores are the same, his auditory delayed index
score is 3 points more than auditory immediate index score, implying better long-term retention of
auditory information, as compared with short term memory. His auditory recognition delayed is 3
points more than auditory delayed, implying that he is better at recognizing auditory information in
long term memory as compared with recalling that information.

His working memory is 17 points more than immediate memory and 14 points more than general
memory, which implies that his ability to manage multitask demands is significantly better than his ability
to learn information after single presentation of the material; his working memory is
significantly better than immediate memory and general memory.

Impression:

On WMS III, most of patient’s index scores lie in the borderline range and he has scored better
than approximately 3-21% individuals in his age group on WMS tasks. His visual immediate and
delayed memory scores are better than auditory immediate and delayed scores. His auditory
delayed scores are better than auditory immediate scores. His auditory recognition delayed is
better than auditory recall delayed. Lastly, his working memory is significantly better than his
immediate and general memory.

Provisional diagnosis: Borderline deficits in memory

Recommendations:

 Pharmacotherapy
 Psychoeducation
 Introducing ADL
 Cognitive stimulation
 Family counselling
 Regular follow-up