Davids Examination

Tests of cognitive function showed that David was having mild difficulty with tasks calling for sustained attention and concentration. Although this difficulty limited how much information he was able to take in at one time, his ability to remember information that he had effectively learned was normal. In fact, his performance on many of the cognitive tests was in the superior range.

My impression was that David's problem with everyday memory was being driven by a number of factors and that they could be addressed and reversed. When we met for a follow-up consultation, I reassured him that I did not believe he was following in his grandmother's footsteps. He responded with the same visible relief that all patients convey when their worst fears are disproved. His response opened the door for the ensuing discussion of the changes he needed to make in order to reclaim the edge he felt he had begun to lose.

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