Neuro Psych Injury

Specializing in the diagnosis and treatment of Traumatic Brain injuries (TBI) by Accident, Fall, Sports Injuries, dog bites, war injuries, fights , ADHD, and students who are in need of special accommodations for various tests

Traumatic Brain Injury Treatment

Traumatic brain injury may lead to"mass lesions," w /area of localized harm like hematomas and contusions that increase pressure inside the brain.

Brain Damage from Trauma

A traumatic brain damage from trauma may raise the chance of developingNeuro psych injuries or some other kind of dementia after the damage occurs.

Reviews

I was in an automobile accident with Neurological problems & I dint know what to do? I was unable to work, I was depressed and very anxious. So I engaged an attorney who showed me a list of facilities so I chose this clinic for treatment. There I was treated very courteously, pleasantly and respectfully and saw the Neuropsychologist Dr Francisco who treated me with kindness and effectively. I felt much better afterwards and felt that I am handling my situation much better. I recommend this doctor to any one with psychological problems.

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Beck Anxiety Inventory

The Beck Anxiety Inventory (BAI), created by Dr. Aaron T. Beck and other colleagues, is a 21-question multiple-choice self-report inventory that is used for measuring the severity of an individual's anxiety.

Patient Name:

BAI

Questions	Score:0	Score:1	Score:2	Score:3
Numbness or tingling.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Feeling hot.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Wobb iness in legs.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Unable to relax	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Fear of the worst happening.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Dizzy or lightheaded.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Heart pounding or racing.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Unsteady.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Terrified	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Nervous	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Feelings of choking.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Hands trembling.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Shaky.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Fear of losing control.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Difficulty breathing.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Fear of dying.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Scared.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
indigestion or discomfort in abdomen.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Faint.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Face flushed.	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)
Sweating (not due to heat).	Not at all (Score:0)	Mildly (Score:1)	Moderately (Score:2)	Severely (Score:3)

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Beck Depression Inventory

The Beck Depression Inventory is a 21- items test designed to assess the severity of depression in adolescent and adults. The test was introduced and first used at the University of Pennsylvania Medical School in 1971. Since its introduction, the BDI has become one of the most widely accepted instruments for measuring the intensity and severity of depression. It evaluates twenty-one symptoms and attitude including: Mood, Pessimism, Sense of Failure, Self-dissatisfaction, Guilt, Punishment, Self-dislike, Self-accusations, Suicidal Ideas, Crying, Irritability, Social Withdrawal, Indecisiveness, Body Image, Work Difficulty, Insomnia, Fatigability, Loss of Appetite, Weight Loss, Somatic Preoccupation, and Loss of Libido.

Patient Name:

BDI

Questions	Score:0	Score:1	Score:2	Score:3
Sadness	I do not feel sad. (Score:0)	I feel sad much of the time. (Score:1)	I am sad all the time. (Score:2)	I am so sad or unhappy that I can't stand it. (Score:3)
Pessimism	I am not discouraged about my future. (Score:0)	I feel more discouraged about my future than I used to be. (Score:1)	I do not expect things to work out for me. (Score:2)	I feel my future is hopeless and will only get worse. (Score:3)
Past Failure	I do not feel like a failure. (Score:0)	I have failed more than I should have. (Score:1)	As I look back, I see a lot of failures. (Score:2)	I feel I am a total failure as a person. (Score:3)
Loss of Pleasure	I get as much pleasure as I ever did from the things I enjoy. (Score:0)	I don't enjoy things as much as I used to. (Score:1)	I get very little pleasure from the things I used to enjoy. (Score:2)	I can't get any pleasure from the things I used to enjoy. (Score:3)
Guilty Feelings	I don't feel particularly guilty. (Score:0)	I feel guilty over many things I have done or should have done. (Score:1)	I feel quite guilty most of the time. (Score:2)	I feel guilty all of the time. (Score:3)
Punishment Feelings	I don't feel I am being punished. (Score:0)	I feel I may be punished. (Score:1)	I expect to be punished. (Score:2)	I feel I am being punished. (Score:3)
Self-Dislike	I feel the same about myself as ever. (Score:0)	I have lost confidence in myself. (Score:1)	I am disappointed in myself. (Score:2)	I dislike myself. (Score:3)
Self-Criticalness	I don't criticize or blame myself more than usual. (Score:0)	I am more critical of myself than I used to be. (Score:1)	I criticize myself for all of my faults. (Score:2)	I blame myself for everything bad that happens. (Score:3)
Suicidal Thoughts or Wishes	I don't have any thoughts of killing myself. (Score:0)	I have thoughts of killing myself, but I would not carry them out. (Score:1)	I would like to kill myself. (Score:2)	I would kill myself if I had the chance. (Score:3)
Crying	I don't cry anymore than I used to. (Score:0)	I cry more than I used to. (Score:1)	I cry over every little thing. (Score:2)	I feel like crying, but I can't. (Score:3)
Agitation	I am no more restless or wo nd up than usual. (Score:0)	I feel more restless or wound up than usual. (Score:1)	I am so restless or agitated that it's hard to stay still. (Score:2)	I am so restless or agitated that I have to keep moving or doing something (Score:3)
Loss of Interest	I have not lost interest in other people or activities. (Score:0)	I am less interested in other people or things than before. (Score:1)	I have lost most of my interest in other people or things. (Score:2)	It's hard to get interested in anything. (Score:3)
Indecisiveness	I make decisions about as well as ever. (Score:0)	I find it more difficult to make decisions than usual. (Score:1)	I have much greater difficulty in making decisions than I used to. (Score:2)	I have trouble making any decisions. (Score:3)
Worthlessness	I do not feel I am worthless. (Score:0)	I don't consider myself as worthwhile and useful as I used to. (Score:1)	I feel more worthless as compared to other people. (Score:2)	I feel utterly worthless. (Score:3)
Loss of Energy	I have as much energy as ever. (Score:0)	I have less energy than I used to have. (Score:1)	I don't have enough energy to do very much. (Score:2)	I don't have enough energy to do anything. (Score:3)
Changes in Sleeping Pattern	I have not experienced any change in my sleeping pattern. (Score:0)	I sleep somewhat more than usual. (Score:1) I sleep somewhat less than usual. (Score:1)	I sleep a lot more than usual. (Score:2) I sleep a lot less than usual. (Score:2)	I sleep most of the day. (Score:3) I wake up 1-2 hours early and can't get back to sleep. (Score:3)
Irritability	I am no more irritable than usual. (Score:0)	I am more irritable than usual. (Score:1)	I am much more irritable than usual. (Score:2)	I am irritable all the time. (Score:3)
Changes in Appetite	I have not experienced any change in my appetite. (Score:0)	My appetite is somewhat less than usual. (Score:1) My appetite is somewhat greater than usual. (Score:1)	My appetite is much less than before. (Score:2) My appetite is much greater than before. (Score:2)	I have no appetite at all. (Score:3) I crave food all the time. (Score:3)
Concentration Difficulty	I can concentrate as well as ever. (Score:0)	I can't concentrate as well as usual. (Score:1)	It's hard to keep my mind on anything for very long. (Score:2)	I find I can't concentrate on anything. (Score:3)
Tiredness or Fatigue	I am no more tired or fatigued than usual. (Score:0)	I get more tired or fatigued more easily than usual. (Score:1)	I am too tired or fatigued to do a lot of the things I used to do. (Score:2)	I am too tired or fatigued to do most of the things I used to do. (Score:3)
Loss of Interest in Sex	I have not noticed any recent change in my interest in sex. (Score:0)	I am less interested in sex that I used to be. (Score:1)	I am much less interested in sex now. (Score:2)	I have lost interest in sex completely. (Score:3)

2 / 4

BECK’S HOPELESSNESS SCALE SCORING

The Beck Hopelessness Scale (BHS) is a 20-item report developed by Dr. Aaron T Beck that was designed to measure three major aspects of hopelessness: feelings about the future, loss of motivation, and expectations. The test is designed for adults, I worry about all the projects until they are all finished.

Patient Name:

Questions	Not Typical for me	--	--	--	Very Typical
If I don't have enough time to do everything,I don't worry about it.	1	2	3	4	5
My worries scare me	1	2	3	4	5
I don't have a tendency to worry about things.	1	2	3	4	5
Many situations worry me.	1	2	3	4	5
I know I shouldn't worry about things But I can't help it.	1	2	3	4	5
When I'm under pressure I worry a lot.	1	2	3	4	5
I am always worrying about something.	1	2	3	4	5
It's easy for me to get rid of worrying thoughts.	1	2	3	4	5
As soon as I finish a task, I start to worry about everything else I have to do.	1	2	3	4	5
I never worry about anything.	1	2	3	4	5
When there is nothing else I can do about something that bothers me, I no longer worry.	1	2	3	4	5
I have been a concerned person all my life.	1	2	3	4	5
I have noticed that I have been worrying about things.	1	2	3	4	5
Once I start to worry, I can't stop.	1	2	3	4	5
I worry all the time.	1	2	3	4	5
I worry about all the projects until they are all finished.	1	2	3	4	5

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Wahler Physical Symptoms Inventory

Patient Name:

Scores:
0: ALMOST NEVER
1: ABOUT ONCE A YEAR
2: ABOUT ONCE A MONTH
3: ABOUT ONCE A WEEK
4: ABOUT TWICE A WEEK
5: NEARLY EVERY DAY

Questions	ONCE A YEAR	ONCE A MONTH	ONCE A WEEK	TWICE A WEEK	EVERY DAY
Nausea (Feeling like throwing up.)	1	2	3	4	5
Headaches.	1	2	3	4	5
Trouble with ears or hearing.	1	2	3	4	5
Neck Aches or pains.	1	2	3	4	5
Feeling hot or cold regardless of the weather.	1	2	3	4	5
Arm or leg aches or pains.	1	2	3	4	5
Shakiness.	1	2	3	4	5
Swelling of arms, hands, legs, or feet.	1	2	3	4	5
Stuttering or stammering.	1	2	3	4	5
Difficulty Sleeping.	1	2	3	4	5
Losing weight.	1	2	3	4	5
Backaches.	1	2	3	4	5
Intestinal or stomach trouble.	1	2	3	4	5
Difficulty with urination (Passing water).	1	2	3	4	5
Heart trouble.	1	2	3	4	5
Trouble with teeth.	1	2	3	4	5
Numbness, or lack of feeling in any part of body.	1	2	3	4	5
Aches or pains in hands or feet.	1	2	3	4	5
Fainting spells.	1	2	3	4	5
Excessive perspiration.	1	2	3	4	5
Abnormal blood pressure.	1	2	3	4	5
Paralysis (Unable to move parts of the body).	1	2	3	4	5
Trouble with eyes or vision.	1	2	3	4	5
Burning, tingling or crawling feelings in the skin.	1	2	3	4	5
Skin trouble (Rashes, boils or itching).	1	2	3	4	5
Feeling tired.	1	2	3	4	5
Muscular weakness.	1	2	3	4	5
Dizzy spells.	1	2	3	4	5
Muscular tensions.	1	2	3	4	5
Any trouble with the sense of taste or smell.	1	2	3	4	5
Difficulty breathing (Short of breath, asthma, etc).	1	2	3	4	5
Twitching muscles.	1	2	3	4	5
Poor health in general.	1	2	3	4	5
Excessive gas.	1	2	3	4	5
Difficulty swallowing.	1	2	3	4	5
Seizures (Convulsions fits).	1	2	3	4	5
Gaining weight.	1	2	3	4	5
Difficulty with appetite.	1	2	3	4	5
Bowel trouble (Constipation or loose bowels).	1	2	3	4	5
Vomiting.	1	2	3	4	5
Chest pains.	1	2	3	4	5
Hay fever or other allergies.	1	2	3	4	5

4 / 4

Pain Assessment:

Patient Name:

Parts:	Right	Left	Front	Back
Head:	Right	Left	Front	Back
forehead:	Right	Left	Front	Back
backofhead:	Right	Left	Front	Back
sideofhead:	Right	Left	Front	Back
topofhead:	Right	Left	Front	Back
face:	Right	Left	Front	Back
jaw/teeth:	Right	Left	Front	Back
neck:	Right	Left	Front	Back
shoulder:	Right	Left	Front	Back
upperarm:	Right	Left	Front	Back
elbow:	Right	Left	Front	Back
forearm:	Right	Left	Front	Back
wrist:	Right	Left	Front	Back
hand:	Right	Left	Front	Back
fingers:	Right	Left	Front	Back
chest:	Right	Left	Front	Back
ribs:	Right	Left	Front	Back
abdomen:	Right	Left	Front	Back
internalinnerorgans:	Right	Left	Front	Back
superficialskinmusc:	Right	Left	Front	Back
groin:	Right	Left	Front	Back
hips:	Right	Left	Front	Back
upperleg:	Right	Left	Front	Back
knee:	Right	Left	Front	Back
lowerleg:	Right	Left	Front	Back
ankles:	Right	Left	Front	Back
foot:	Right	Left	Front	Back
upperback:	Right	Left	Front	Back
midback:	Right	Left	Front	Back
lowback:	Right	Left	Front	Back
buttocks:	Right	Left	Front	Back
side:	Right	Left	Front	Back

My pain is:

Choose all that apply to you:

Constant

Periodic

Intermittent

Brief

My pain is accompanied by:

Choose all that apply to you:

Headache

Dizziness

Diarrhea

Nausea

Drowsiness

Constipation

❮ ❯

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Hamilton Anxiety Rating Scale (HAM-A)

Below is a list of phrases that describe certain feeling that people have. Rate the patients by finding the answer which best describes the extent to which he/she has these conditions. Select one of the five responses for each of the fourteen questions.

Questions	Not Present	Mild	Moderate	Severe	Very Severe
1. Anxious Mood Worries, anticipation of the worst, fearful anticipation, irritability.	1	2	3	4	5
2. Tension Feelings of tension, fatigability, startle response, moved to tears easily, trembling, feelings of restlessness, inability to relax.	1	2	3	4	5
3. Fears Of dark, of strangers, of being left alone, of animals, of traffic, of crowds.	1	2	3	4	5
4. Insomnia Difficulty in falling asleep, broken sleep, unsatisfying sleep and fatigue on waking, dreams, nightmares, night terrors.	1	2	3	4	5
5. Intellectual Difficulty in concentration, poor memory.	1	2	3	4	5
6. Depressed Mood Loss of interest, lack of pleasure in hobbies, depression, early waking, diurnal swing.	1	2	3	4	5
7. Somatic (muscular) Pains and aches, twitching, stiffness, myoclonic jerks, grinding of teeth, unsteady voice, increased muscular tone.	1	2	3	4	5
8. Somatic (sensory) Tinnitus, blurring of vision, hot and cold flushes, feelings of weakness, pricking sensation.	1	2	3	4	5
9. Cardiovascular Symptoms Tachycardia, palpitations, pain in chest, throbbing of vessels, fainting feelings, missing beat.	1	2	3	4	5
10. Respiratory Symptoms Pressure or constriction in chest, choking feelings, sighing, dyspnea.	1	2	3	4	5
11. Gastrointestinal Symptoms Difficulty in swallowing, wind abdominal pain, burning sensations, abdominal fullness, nausea, vomiting, borborygmi, looseness of bowels, loss of weight, constipation.	1	2	3	4	5
12. Genitourinary Symptoms Frequency of micturition, urgency of micturition, amenorrhea, menorrhagia, development of rigidity, premature ejaculation, loss of libido, impotence.	1	2	3	4	5
13. Autonomic Symptoms Dry mouth, flushing, pallor, tendency to sweat, giddiness, tension headache, raising of hair.	1	2	3	4	5
14. Behavior at Interview Fidgeting, restlessness or pacing, tremor of hands, furrowed brow, strained face, sighing or rapid respiration, facial pallor, swallowing, etc.	1	2	3	4	5

Have there been any changes in your sleep patterns in the last year?	No	Yes
Have you gained or lost weight diet?	No	Yes
Have you had headaches?	No	Yes
At what time of Day
Right Side Left Side Both
Starting In Back Front
What Makes them better?
What Makes them worse?
Alcohol consumption per day	No	Yes
Tobacco consumtion per day	No	Yes
Have you had dizzy spells laterly?	No	Yes
Have you passed out?	No	Yes
Have you had changes in the way you walk?	No	Yes
Have you had any changes in your vision?	No	Yes
Lately, have things dropped out of your hands?	No	Yes
Do you sometimes not understand the things you read?	No	Yes
Do your hands tremble sometimes?	No	Yes
All the time?	No	Yes
Has your sense of direction changed?	No	Yes
Have you hit your head lately?	No	Yes
Has your memory changed?	No	Yes
Sometimes, when people talk to you, do they seem to mumble?	No	Yes
Do your slur words sometimes?	No	Yes
Sometimes, have you started to say something and then forgotten what it was?	No	Yes
Do you sometimes find it difficult to remember the names of common things (car, watch)?	No	Yes
Has anyone in your family had epilepsy?	No	Yes
Is there any spot on your head that hurts when touched?	No	Yes
Sometimes, does a muscle start jumping or twitching?	No	Yes
Have you ever experienced temporary blindness in one or both eyes?	No	Yes
Sometimes do you see or hear things that others don?t?	No	Yes
Have you recently lost control of bowels or bladder?	No	Yes
Are you right handed?	No	Yes
Do you often feel worried or anxious?	No	Yes
Lately, have you had feeling that you have been in a place before, even though you know you haven't?	No	Yes
Has your handwritting changed recenlty?	No	Yes
Sometimes, do you experience strong smells when nobody else does?	No	Yes
Has you sense of smell changed recently?	No	Yes
Have you lately started drinking more water than you usually do?	No	Yes
Has the way you talk changed?	No	Yes
Do you lose your balance easily?	No	Yes
Does any part of your body frequently hurt?	No	Yes
Have you been in an accident?	No	Yes
Who is your Phsyician?	No	Yes
When did you last have a complete phsyical?	No	Yes
Do you come in contact with any chemicals in your work?	No	Yes
List them	No	Yes
What medications do you take?	No	Yes
Have there been any changes in your sexual responsiveness?	No	Yes
Does any part of your body feel numb?	No	Yes
What animals do you come in contact with?	No	Yes
Have you ever had syphilis?	No	Yes
Does either of your eyelids seem to droop a little more than before?	No	Yes
Recently, have you had a thought that went on and on in your mind, and you couldn?t stop it?	No	Yes
Has anyone in your family had a neurological disease?	No	Yes
Recently, have you reached for something and your hand missed it?	No	Yes
Have people's attitudes towards you seem to have changed?	No	Yes
Can you move your head as well as usual?	No	Yes
Your illness	No	Yes
Is there often a ringing in your ears?	No	Yes
Addition Information:

Neuro Psych Injury

Traumatic Brain Injury Treatment

Brain Damage from Trauma

Reviews

Beck Anxiety Inventory

BAI

Questions

Score:0

Score:1

Score:2

Score:3

Numbness or tingling.

Feeling hot.

Wobb iness in legs.

Unable to relax

Fear of the worst happening.

Dizzy or lightheaded.

Heart pounding or racing.

Unsteady.

Terrified

Nervous

Feelings of choking.

Hands trembling.

Shaky.

Fear of losing control.

Difficulty breathing.

Fear of dying.

Scared.

indigestion or discomfort in abdomen.

Faint.

Face flushed.

Sweating (not due to heat).

Beck Depression Inventory

BDI

Questions

Score:0

Score:1

Score:2

Score:3

Sadness

Pessimism

Past Failure

Loss of Pleasure

Guilty Feelings

Punishment Feelings

Self-Dislike

Self-Criticalness

Suicidal Thoughts or Wishes

Crying

Agitation

Loss of Interest

Indecisiveness

Worthlessness

Loss of Energy

Changes in Sleeping Pattern

Irritability

Changes in Appetite

Concentration Difficulty

Tiredness or Fatigue

Loss of Interest in Sex

BECK’S HOPELESSNESS SCALE SCORING

Questions

Not Typical for me

--

--

--

Very Typical

If I don't have enough time to do everything,I don't worry about it.

My worries scare me

I don't have a tendency to worry about things.

Many situations worry me.

I know I shouldn't worry about things But I can't help it.

When I'm under pressure I worry a lot.

I am always worrying about something.

It's easy for me to get rid of worrying thoughts.

As soon as I finish a task, I start to worry about everything else I have to do.

I never worry about anything.

When there is nothing else I can do about something that bothers me, I no longer worry.

I have been a concerned person all my life.

I have noticed that I have been worrying about things.