PSYCHOLOGICAL EVALUATION CONFIDENTIAL Please note: The information in this report has been disclosed to you from records which are privileged Confidentiality is protected by Georgia State Law. No further disclosure of this information should be made without the written permission of the person or parents/guardian of the person to whom it pertains. Identifying Data:  SS: xxx-xx-xxxx Date of Birth: 08/12/1986 Age: 23 Sex: Female Race; Caucasian Marital Status: Single Education: Twelfth grade in regular classes  Date of Evaluation: 02/13/09 Assessment Techniques: Mental Status, WAIS-3, WRAT-3, MCMI-3. Information Reviewed: File from previous evaluation on 12/11/07. Issue: Diagnostic update and approval to work. Transportation: Brought to the evaluation by her great aunt but was unaccompanied. Medications: Lola did not bring her medications but said that she is prescribed medication to regulate her menstrual cycle. Psychologist: James Taylor, Ph.D. Psychometrist: Kate Markowitz, LMSW Vocational Rehabilitation Counselor:  Jack Johnson    BACKGROUNDINFORMATION:  Lola was seen in this office on 12/11/07 for a psychological evaluation. She had a history of having been a slow learner in school. Testing with the WAIS-3 suggested low average intelligence with stronger word recognition skills than computational skills. She also was noted to be a rather anxious individual who sometimes had difficulty getting along with others.  As was previously noted, Lola was born in Huntsville, AL to Cindy and John Copacabana. She has a brother. Her father did roofing work and her mother was a daycare worker. She said that her father was often away and her mother worked. Her parents were separated and Lola mostly stayed with her grandparents. Lola has not married nor does she report children. Psychiatric hospitalization is denied. Lola said that she went to mental health on one occasion but has never been treated on a regular basis. She has never abused alcohol or drugs. She has never been in trouble with the law. She said that she was injured while riding a four-wheeler but she feels as though she has recovered. She reports that she has no medical concerns.  In regards to employment history, Lola last worked at Second Baptist church taking care of children. She was employed for a couple of months but lost her job in January. She said that she was told that she was no longer needed. Prior to that, she had worked for a couple weeks at two different daycare centers. At one of them she was told that she needed more experience with children to be effective in their program. Kroger's Grocery Store employed her for about four months in 2007. She was a C.N.A. for four or five months at a nursing home around 2005. Lola depends on her mother for support.  Lola lives with her mother and 12-year-old brother in a two-bedroom apartment. She usually gets up by around 10:00. She makes her bed and does a few chores around the house. She may wash dishes or take ...

1. PSYCHOLOGICAL EVALUATION
CONFIDENTIAL
Please note: The information in this report has been disclosed to
you from records which are privileged Confidentiality is
protected by Georgia State Law. No further disclosure of this
information should be made without the written permission of
the person or parents/guardian of the person to whom it
pertains.
Identifying Data:
SS: xxx-xx-xxxx
Date of Birth: 08/12/1986
Age: 23
Sex: Female
Race; Caucasian
Marital Status: Single
Education: Twelfth grade in regular classes
Date of Evaluation: 02/13/09
Assessment Techniques: Mental Status, WAIS-3, WRAT-3,
MCMI-3.
Information Reviewed: File from previous evaluation on
12/11/07.
Issue: Diagnostic update and approval to work.

2. Transportation: Brought to the evaluation by her great aunt but
was
unaccompanied.
Medications: Lola did not bring her medications but said that
she is
prescribed medication to regulate her menstrual cycle.
Psychologist: James Taylor, Ph.D.
Psychometrist: Kate Markowitz, LMSW
Vocational Rehabilitation Counselor: Jack Johnson
BACKGROUNDINFORMATION:
Lola was seen in this office on 12/11/07 for a psychological
evaluation. She had a history of having been a slow learner in
school. Testing with the WAIS-3 suggested low average
intelligence with stronger word recognition skills than
computational skills. She also was noted to be a rather anxious
individual who sometimes had difficulty getting along with
others.
As was previously noted, Lola was born in Huntsville, AL to
Cindy and John Copacabana. She has a brother. Her father did
roofing work and her mother was a daycare worker. She said
that her father was often away and her mother worked. Her
parents were separated and Lola mostly stayed with her
grandparents. Lola has not married nor does she report children.
Psychiatric hospitalization is denied. Lola said that she went to
mental health on one occasion but has never been treated on a
regular basis. She has never abused alcohol or drugs. She has

3. never been in trouble with the law. She said that she was injured
while riding a four-wheeler but she feels as though she has
recovered. She reports that she has no medical concerns.
In regards to employment history, Lola last worked at Second
Baptist church taking care of children. She was employed for a
couple of months but lost her job in January. She said that she
was told that she was no longer needed. Prior to that, she had
worked for a couple weeks at two different daycare centers. At
one of them she was told that she needed more experience with
children to be effective in their program. Kroger's Grocery
Store employed her for about four months in 2007. She was a
C.N.A. for four or five months at a nursing home around 2005.
Lola depends on her mother for support.
Lola lives with her mother and 12-year-old brother in a two-
bedroom apartment. She usually gets up by around 10:00. She
makes her bed and does a few chores around the house. She may
wash dishes or take out the garbage. She may vacuum clean. By
noon she has lunch and then she takes a shower. By 3:30 her
brother usually returns home from school. She stays with him
until her mother gets off work around 6 p.m. Lola said that she
takes a bath or shower every day and tends to her own grooming
and hygiene. She enjoys listening to music and she reads her
Bible. She has a couple of friends that she talks to on her cell
phone. Lola's mother takes care of buying groceries and
sometimes she goes shopping with her mother or her aunt. Lola
has a license and is able to drive a car. She depends on her
mother to take care of paying the bills. She added that she has
no bills except for taxes on property. She said that she has a
house that her grandfather left to her which she rents out. Her
great aunt has power of attorney to manage her property. Lola
enjoys time with family and talking on the phone with her
couple of friends. She goes to church on Sunday. She said that
she likes to take walks daily. She usually has Sunday dinner

4. with her aunt. On a typical day she eats no
Lola Copacabana
Consultative Report
Page 2 of 5
breakfast but may have a sandwich or leftovers at lunchtime.
She or her mother cooks
supper in the evening.
MENTALSTATUS:
Lola arrived on time for her appointment. She was casually
dressed in khaki slacks and red knit pullover top. Her brown
hair was long and straight. Her face was broken out. She used
makeup. She was very deferential and responded to most
questions with “yes sir” or “yes ma’am.” Rapport remained
shallow. There were no obvious abnormalities of speech or
behavior. She appeared to be of low average intelligence and
able to express herself adequately.
On mental status, speech was normal in rate and tone. Affect
was constricted and mood was anxious. She denied symptoms of
depression. She said that sometimes she feels down. She
admitted that in the past she had been depressed but except for
being discouraged from time to time, she said she is doing fairly
well. She misses her father and hopes to reconnect with him in
the future. She denied any symptoms of anxiety but upon
questioning admitted that she still washes her hands quite
frequently. She attributed that to her training as a C.N.A. She
said that she does not feel as though her behavior is all that
unusual. She noted that she had gained a good bit of weight
since she was last in the office. She said that she had been very

5. depressed and quit eating but now she is feeling better. She said
she does not worry as much as she used to. She denied
perceptual abnormalities and there was nothing to indicate any
distraction by internal stimuli. Her thinking was goal directed
but fairly concrete. Judgment was intact. Abstracting ability is
limited. Memory functions were grossly intact. Lola said that
she is sometimes forgetful. She said she sleeps well and has a
healthy appetite.
TESTING:
Cognitive Functioning
The WAIS-3 and WRAT-3 were administered. Previous testing
with the WAIS-3 (12/11/07)
provided a VIQ = 88, PIQ = 92, and FSIQ = 89. Today's results
are similar with a VIQ = 85,
PIQ = 94, and FSIQ = 88. Results are considered valid and
consistent with previous testing.
WAIS-3:
VERBAL SS PERFORMANCE
Vocabulary 10 Picture Completion 9
Similarities 7 Digit Symbol 12
Arithmetic 6 Block Design 6
Digit Span 8 Matrix Reasoning 10
Information 9 Picture Arrangement 9
Comprehension 5

6. VIQ= 85 PIQ= 94 FSIQ= 88
WRAT-3:
Raw ScoreStandard ScorePercentileConfidence Interval
Reading 56 94 34 88-100
Arithmetic 38 91 27 80-104
Personality Testing:
Testing with the MCMI-3 suggests that Lola has a very high
need to present herself in a very positive light. Even when
adjustments are made for under endorsement, virtually none of
the scales for personality patterns or clinical symptoms suggest
a pathological level of functioning. The testing suggests that
she has compulsive and histrionic traits. As such, she has a need
for attention and appreciation. She tends to make an effort to be
socially engaged but theory would suggest that she is always
covering over her fundamental fear of being abandoned. When
individuals sometimes act in a subservient and overly compliant
manner it is so as to maintain some connection with others thus
some sense of security. She will avoid conflicts in favor of
relational harmony even at the expense of things that matter to
her.
Lola tends to be rather compulsive. That tendency was noted in
her previous evaluation with her emphasis on repetitive
behavior and unusual focus on hand washing. By personality,
she is inclined to be conscientious, polite, behaviorally rigid
and constricted. She is perfectionistic and over conforming. She
is typically compliant and cooperative. She is serious and tends
to be moralistic and self-righteous. She places high demands on
herself. Repetitive lifestyle is one that is most comfortable for

7. her. She fears rejection and disapproval so she will typically do
whatever she understands to be the right thing in an
Lola Copacabana
Consultative Report
Page 4 of 5
effort to be accepted. Unfortunately, her efforts tend to be
excessive resulting in an inability to foster the kind of
relationship for which she longs. Her fear of making mistakes is
rooted in her expectation of being rejected or being disapproved
of. Fundamental to her personality style is her excessive
compliance, obedience, conformity, and desire to please
authority figures. Her efforts are rooted in her fear of making
mistakes and receiving disapproval. There is a deep feeling of
inadequacy and she fears failure.
SUMMARY:
Lola Copacabana is a 23-year-old female who reports a twelfth
grade education. She was previously seen in this office and
described herself as anxious and very concerned about
cleanliness and germs. She also reported that she tends to work
slowly. Since that time she has again attempted employment but
with only limited success. She believes that if she could build
up her confidence she “could know I was doing it right.” She
appears to have very poor self-esteem and despite her denial of
depression or anxiety, she does not present herself as happy or
as a contented individual. She has lost her previous jobs for
various reasons but perhaps the most telling was her statement
that preceded her having been fired from one job. She was told
that she asked too many questions. Also, she appeared overly

8. concerned about her performance on the job. Lola said that she
would like to go to school and again go through training
possibly to become a certified nursing assistant or receive
training in early childhood development. She said that she likes
working with people, especially children. She added that she is
very good on computers.
Miss Copacabana returned on 02/16/09 to complete the Millon
Clinical Multiaxial Inventory. Her great aunt was also briefly
interviewed. Although IQ testing consistently places her
functioning in the low average range, and even though she
spoke about traits suggestive of compulsivity and anxiety, her
diagnostic picture remained cloudy. Even though Lola suggested
that she has a couple of friends with whom she stays in contact,
according to her great aunt, Lola has never been able to foster
meaningful relationships. Despite Lola's desire to interact with
others and foster friendships, she has never been very
successful. She appears to have difficulty connecting with
others. She does not seem to read facial expressions or body
language very well. She pursues behaviors that are repetitive in
nature but excessive. Although she is of low average
intelligence and may have a learning disorder, the most
significant problems she appears to face,
Lola Copacabana
Consultative Report
Page 5 of 5
and the one that appears to interfere most with her effort to
secure employment, is her difficulty in connecting with other
people. That difficulty has hindered her effort to sustain
employment, complete tasks in a timely fashion, and develop

9. long-term, meaningful relationships.
Miss Copacabana is able to understand simple instructions. She
tends to think rather concretely and without much facility at
abstraction. She is able to carry out instructions as she
understands them but with her tendency to be anxious and
concerned over her performance, she would have difficulty
getting along with others in the workplace. She works very
slowly and is very concerned about making mistakes so her
ability to complete tasks quickly and in a timely fashion is
compromised. She tends to become anxious under stress. Lola
would benefit from counseling. Lola is in need of a setting in
which she can gain some confidence. A low stress environment
would be very important. If she could acquire some success, it
is likely that she could develop some skills upon which she
could build a career. Testing suggests that she has the necessary
cognitive ability and academic skills to function in the
workplace. It appears that it is her psychological issues that
interfere most with employment. If indeed, the central fact is
that she has trouble connecting with others, working in
childcare or as a CNA may doom her to failure. Perhaps
computers may offer her a future.
DIAGNOSTICIMPRESSION:
AXIS I: RIO Obsessive Compulsive Disorder with Poor Insight.
R/O Learning Disorder NOS.
R/O Asperger Disorder.
AXIS II: 301.9 Personality Disorder NOS with Narcissistic and
Compulsive Traits.
Dr. James Taylor