HomeAnswersPsychologist/ CounselordementiaI am experiencing memory issues and vivid dreams. Need help.

I need a psychologist to interpret the results of my memory test. Can you help?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At November 11, 2017
Reviewed AtFebruary 11, 2024

Patient's Query

Hello doctor,

I have memory problems, severe acting out during sleep, and vivid dreams with shouting and screaming. I need a psychologist to interpret a memory test and discuss the results.

Answered by Mehwish Mursaleen

Hello,

Welcome to icliniq.com.

I am here to guide you about the interpretations of IQ (intelligence quotient) or psychoneurological tests. Tell me the scores first and then which test do you want to be interpreted? Do you have the manual and score tables for the test you administered? Secondly, information regarding the patient would be required to understand the results. A brief history of the problem and observed behaviors will serve as key factors. Take a follow-up if you feel the need.

Thank you.

Patient's Query

Hello doctor,

I have attached the results of the memory test herewith.

Answered by Mehwish Mursaleen

Hello,

Welcome back to icliniq.com.

There are various tests in the report you have attached (the attachment was removed to protect the patient's identity). The test battery includes a variety of tests including IQ (intelligence quotient) tests, psychoneurological tests, and a variety of patient's raw scores, standard scores, T-scores, Z-scores, and percentiles. For instance, I am referring to particular memory indices of a test. Matrix reasoning, recall recency and delayed recall intrusions fall in the average range. This means there are no problematic concerns in these areas.

Logical memory 1

Logical memory 2

Short free recall

Short-cued recall

Long-cued recall

Free recall intrusions

Delayed recall

Immediate recall discrimination

Delayed recall discrimination

Free recall discrimination

Cued Free recall discrimination.

The patient's score on these tests falls in the "low average range" which means there is a below-average functioning in these areas.

Recall Primacy

Recall Middle

Total recall discrimination

Immediate recall.

These scores fall in the "borderline range" which means there could be a possibility of a disturbance in these areas. Further, the scores I have mentioned here are examples of some of the tests mentioned in the document. The overall picture of the patient's functioning can be derived through a similar process. If you are a professional doctor like a neurologist, psychophysiologist, psychologist, or professional researcher then I can assist you with the particular test you want to get an interpretation. Because there would be many technical terms only a professional or a doctor can understand. In another case, if you are a patient or attendant of a patient then it will be difficult for you to tell me exactly which test is required to be interpreted. You would need to consult a similar doctor who referred you for the tests or who conducted your tests. I hope this info is helpful to you.

Thank you.

Patient's Query

Hello doctor,

I am a patient suffering from memory loss that comes and goes. I also suffer from severe acting out during sleep and vivid dreams with screaming and yelling. I also wake up not knowing where I am and also have bouts of sleepless legs syndrome and vasovagal during bowel moves. One of the doctors commented on my reports that regarding the available report of memory test, you have average to low performance on most domains but have very poor performance in recalling the information which seems to be of quite an importance provided there are memory gaps indicative of Alzheimer's disease. I am being evaluated for Lewy body dementia. Do you agree with this doctor's comment that this is dementia?

Answered by Mehwish Mursaleen

Hello,

Welcome back to icliniq.com.

As you have mentioned, there is a possibility of dementia. According to the symptom history, behavioral indications, and clinical judgment, your doctor's suggestion is quite right. For investigations, the etiology of the disorder must be considered in treatment. Differential diagnosis must be considered to rule out the possibility of comorbid delirium because the reported memory loss is not persistent and loss of consciousness seems to be related to sleep behaviors and timings. According to DSM-IV-TR, it is dementia of the Alzheimer's Type, with early onset, with behavioral disturbance. According to DSM-5, it is a major or mild neurocognitive disorder with Lewy bodies. Further, I recommend you consult with the same doctor who has conducted your assessment and issued your diagnostic report. Moreover, the doctor who is evaluating you for neurocognitive disorder would also be a better option to get help. Preventive measures include focusing on your treatment and recovery as your doctor has suggested because early prevention and treatment have been shown to produce the best results. Whereas, delay in treatment may worsen your condition.

I hope this is helpful to you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Mehwish Mursaleen
Mehwish Mursaleen

Psychologist/ Counselor

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