Abstract

Mr. Wellington, a 61-year-old veteran, was referred for a neuropsychological assessment and mental health treatment by his attending physician and psychologist following a spinal cord injury (SCI) and alcohol withdrawal. According to the referral, Mr. Wellington had been experiencing anxiety and depressive symptoms, as well as diminished cognitive functioning. These symptoms were considered to be interfering with his participation in SCI rehabilitation. Prior to the assessment, Mr. Wellington had sustained a tetraplegic injury due to a syrinx and partial L5 injury caused by an uncontrolled chronic bone infection and was receiving treatment at a Veteran’s Administration medical center. Results of the assessment, the related challenges in identifying the etiology of the patient’s diminished neurocognitive functioning, and mental health treatment are discussed.

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