Education: 7th standard Handedness: Right DOB: 29/05/2004
Informants: Father and Self
Information: Reliable and adequate
Referred by: Self-Referral
Reason for Referral: Assessment of current level of intellectual functioning and learning disability
Duration: Since 4 years of age
Chief Complaints:• Difficulty in mathematics
• Difficulty in learning concepts quickly
• Difficulty in sustaining attention
History of Present Illness:
Mother also reported that client is a slow learner and needs to be taught a concept multiple times to be able to remember it. This difficulty is mostly seen in mathematics and limited to studies. She does not have any issues in understanding what is being taught, she just usually forgets the material if not revised very often. If any study material that has been taught in previous classes and not revised a year later, she
There is no history of any psychiatric or serious medical treatment.
The client lives in a nuclear family
The client is attached to both the
Birth and Early Development
According to the mother, the client is very social and talkative at home. She is very jovial and friendly with all the relatives and extended family members. She helps her mother in household work.
The client started formal schooling at the age of 4 years in
The client was well
Mental Status Examination:
Tested On: 06/04/2017
Tested in: Hindi and English
Test duration: 1 session–4 hours
• NIMHANS Battery for Learning Disability
Malin’s Intelligence Scale for Indian children
On MISIC, the Full Scale I.Q was found to be 90 which indicate Average level of intellectual functioning.
The verbal scales reflect the child’s ability to work with abstract symbols, the amount and degree of benefit she has received from her educational background, verbal memory abilities and verbal fluency.
The verbal I.Q was found to be 99 indicating
Information (19, 104) indicates
Comprehension (13, 85) indicating a dull normal level of intellectual functioning in social judgment, reality awareness and understanding. She can grasp the social rules and regulations very well and has knowledge about moral codes.
Arithmetic (9, 82) indicating a dull normal level of intellectual functioning in numerical reasoning and speed of numerical manipulation.
Similarities and Analogies (16, 111) indicating an above average level of intellectual functioning in abstract intelligence and verbal reasoning and in categorizing meaningful relationships.
Vocabulary (47, 112)
The performance scales reflect the child’s degree and quality of nonverbal contact with the environment, the ability to integrate perceptual stimuli with relevant motor responses, the ability to work quickly and the capacity to work in concrete situations.
The performance I.Q was found to be 80, which indicates a dull normal level of functioning
Picture completion (8, 85) indicates
Block design (6, 72) indicating borderline functioning in nonverbal concept formation, capacity for sustained effort, visual-motor- spatial coordination and manipulative and perceptual speed and abstract visual problem solving.
Object assembly (7, 63) indicating a mild
Coding (45, 105) indicates an average level of intelligence in visual-motor coordination, attention, short term memory, visual scanning and tracking.
Mazes (12, 78) indicating
NIMHANS assessment battery for Specific Learning Disability
On NIMHANS Assessment Battery for Specific Learning Disability, she had been tested for Attention, Reading, Comprehension, Writing, Mathematics, Spellings.
Attention and Concentration
The number cancellation task was given to the client to assess his attention and concentration. She completed the task in 5.42 minutes. Her attention was aroused and
Reading and Comprehension
Writing and Spellings
Writing skills include expressive writing and an evaluation of handwriting. Her handwriting was neat and legible. When asked to write 10 lines
ArithmeticMathematical ability was assessed by asking the client to solve the given sums and show appropriate calculations. In Arithmetic, she has a well formed concept of graded addition, subtraction, multiplication and
Summary of Findings:The client’s IQ on Malin’s Intelligence Scale for Indian
On NIMHANS Index for Specific Learning Disability, client was found to have difficulty in • Assisted learning with the help of teachers/parents
area of comprehension and Mathematics, grade 6.
• Use of reminders and cues for easy remembrance of academic work.
• Proper revision and rehearsal of the study material needs to be practiced routinely to ensure maximum retention and recall.
• Remedial teaching in Mathematics.