I recently delivered neuropsych feedback to a Veteran very invested in his mTBI diagnosis (more accurately, characterization of his cognitive problems as chronic sequelae of remote mTBIs), reinforced by many healthcare providers. I know this is not an uncommon situation. However, at the outset of the session, he informed me that he knew what I was about to tell him and that "no offense, but.." I was assuming he is of average intellect when he is not. He also rattled off some percentile in which he had performed on a test, and dictated the first sentence of my Impressions to me. Curious to know how he got this information before my feedback, I asked. He shared that his SLP told him she used my report for treatment planning purposes, and that she had pulled up the report on the EMR and they had read through it together. He was not provided a copy of the report. He is undergoing a manualized cognitive training intervention with this SLP.
The case has been supervised and wrapped up, and we're not approaching the SLP or any other providers. Overall, we managed feedback OK. But I am wondering what others would do, if anything, in this situation.
The case has been supervised and wrapped up, and we're not approaching the SLP or any other providers. Overall, we managed feedback OK. But I am wondering what others would do, if anything, in this situation.