“Hit on the Head with a Rake Summary”
A high school student age 17 was referred by her father’s neuropsychiatric evaluation due to the changes in her personality in the last 2 years. She was a typical student who participated in extracurricular activities during her first two years of high school. As she approached her senior year, her grades begin to fall, she begins hanging around the wrong crowd, smoking weed, and drinking alcohol. Two years prior, she was struck in the forehead with a rake by her older brother. She did not lose consciousness but was in a state of shock. She reported after the accident, she suffered a headache, and no further testing was done.

During the time of the evaluation, it was displayed that she had a decrease in …show more content…
Due to the fact that the student is having trouble paying attention, and concentrating one would think this is due an attention disorder. This could be the cause of her academics failing tremendously. More research needs to be done to conclude if this is a possibility of why she is experiencing changes in her social behavior.

Diagnosis
Research states that “Major NCD due to traumatic brain injury (TBI) is caused by an impact to the head, or other mechanisms of rapid movement or displacement of the brain within the skull, as can happen with blast injuries” (APA, 2013, p. 625). Due to the fact that this injury caused trauma to the patients head, it has caused a behavior disturbance with her previous normal behavior. The patient is suffering from 294.11 Major Neurocognitive Disorder due to Traumatic Brain Injury with a Behavioral Disturbance (APA, 2013):

Criteria A
1. The patient met the criteria for a major neurocognitive disorder
Criteria B
1. There is evidence that the patient suffered from a traumatic brain injury that impacted the head. (Patient was hit in the head with a rake)
2. Posttraumatic Amnesia
3. Disorientation and confusion
4. Neurological signs (e.g., neuroimaging demonstrating her