Psychological Evaluation-Addendum

Confidential

Name: Ricardo Carlos Manoso

Birthdate: August 12, 1980

Age: 37 years

Gender: Male

Report Writer: Dr. Phillip Drewe

Date of report: September 10, 2018

Instruments Administered:

Clinical interview

Reason For Referral

Mr. Ricardo Manoso is a 38 year-old, heterosexual, Latino male who has presented for assessment as part of his business requirements.

Personal and Family History

Since his assessment in 2017, Mr. Manoso reported several life changes. At the last assessment, Mr. Manoso reported having feelings for a female friend, but that he had not pursued a more meaningful relationship because of his own uncertainties regarding his ability to have a healthy relationship and her involvement with another man. He reported that he and this woman finally began a committed relationship in the summer of 2014 and became engaged in March 2015 after buying a house together. She also began working for his company in 2014. They were married in September of 2015. He reported that they were expecting their first child—a girl—together in December. He reported feeling some anxiety over being a hands-on father, as he had not been such when his older daughter was young. Mr. Manoso reported that in 2014, the youngest of his older sisters—who had Down Syndrome—moved into an apartment in his building after he encouraged his family to allow her to live semi-independently. He reported that his sister did very well living on her own. She worked for his company by helping the property managers with their various jobs. She also began a relationship with a man who also had Down Syndrome. She became engaged to the man during the summer of 2015 and had planned her wedding for New Year's Eve of that year. Mr. Manoso reported that three days before her wedding, his sister died in her sleep from a massive heart attack. Mr. Mansoso reported another significant loss —his grandmother. She died in February 2017 from a stroke. He reported that he had been close to her because he had lived with her during high school and she had understood him better than anyone else in his family. He said that he and his wife planned to name their child after her.

Educational and Occupational History

Mr. Manoso reported that his business has continued to be successful and has grown to include offices in Indianapolis and Chicago. He also reported that he was now the sole owner of his entire company. Mr. Manoso reported that he had been reducing his workload since getting married and was further adjusting his work schedule—more importantly the number of hours he spent at the office—in preparation for the birth of his daughter.

Health History

Mr. Manoso reports a few minor injuries in the past five years, but that the most significant one occurred when in 2014 when his then-girlfriend (now-wife) had been kidnapped. He had an altercation with the abductor, which led to a knife being driven through his right hand. He reportedly underwent microsurgeries and therapy for the injury. He reported having about 95% of his former usage back, though there was occasional numbness and dull pain.

Substance Abuse History

Mr. Manoso reported no changes to his substance usage in 2012, though he had not consumed as much wine or beer in the few months since his wife became pregnant.

Legal History

Mr. Manoso reported no arrests since the previous report.

Mental Status Examination

Mr. Manoso's physical appearance presented similarly to past assessments. He was aware of time, place and person. No neurological issues noted. No reports to delusions, hallucinations or other mental health disturbances since the previous assessment.

Behavior Observations

Mr. Manoso approached the testing session in a more open manner than past assessments. He demonstrated a larger emotional range and was more forthcoming with personal information than during past assessments. He demonstrated slightly less hypervigilance than previously.

Summary

Mr. Manoso is a 37 year-old man who is currently married and expecting his second child within the year. Despite two personal losses, Mr. Manoso's emotional state appears to be better than it has been in the past decade.

Diagnostic Impressions - DSM-IV

Axis I: 309.81 Posttraumatic Stress Disorder (by history).

Axis II: None

Axis III: Minor issues with functioning of his right hand.

Axis IV: None

Axis V: 95

Recommendations

1. Mr. Manoso may benefit from parenting classes to help him understand necessary basics for child care, particularly with infants. He may also benefit from being more open about his anxiety regarding fatherhood.

Respectfully submitted,

Dr. Phillip Drewe