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Assessment of the ADHD PilotDan DaSilva, Ph.D.Morris Psychological GroupRutgers University, Graduate School of EducationAtlantic Neuroscience Institute
Demographics• 35 year-old, left handed, male• Boarding/prep school graduate with no history of special
services.• College educated Big Ten university located up north (2.9
GPA)• Private pilot since 2016• Failed to report ADHD Dx and medication • Dx and medication revealed to another physician and
those records were sent to FAA.
Demographics• Dx in 2004 after graduation.• C/O regarding his work load and late nights at new
job.• Physician prescribed Adderall which he took only on
work days.• Gave him “laser point focus”• Asserts that he never used medication when flying.
Never saw the point.
– No learning disability– No difficulties paying attention in school– No teacher complaints or concerns– Some “acting up” in elementary school but no
behavioral issues from middle school through high school.
– Color Blin
• Negative neurological and psychiatric histories• Drinks “rarely” only occasional glass of wine with
dinner.• Denies any illicit drug use.
CogScreen-AE (visit 1)
Regional Carrier Norms
LRPV: 0.9973
CogScreen-AE
Taylor Aviation Factors
CogScreen-AE (Visit 2)
LRPV: 0.4164
Taylor Factors
CogScreen Scores (age adjusted GA norms)
• Speed Scores– Manikin T = 35– Previous Number Dual T = 37– SAT Discovery T = 28
CogScreen Scores (age adjusted GA norms)
• Accuracy– Backward Digit Span T = 33
• Process– Failure to Maintain Set T = 23
Test Raw Age T GA Pilot T
TMT A 15 65 63
TMT B 41 58 56
CPT Omission
2 51
CPT Commission
3 63
CPT RT 22
PASAT 1 48 50
PASAT 2 35 47
Test Raw Age T GA Pilot T
Tower of London Moves
34 SS = 94
Category Test 51 35
COWA 39 44
Animals 27 54
Test SS %ile
VCI 91 27
PCI 77 6
WMI 105 63
PSI 105 63
FSIQ 91 27
GAI 81 10
Test ss %ile
Similarities 8 25
Vocabulary 8 25
Information 9 37
Block Design 6 9
Matrix Reasoning 7 16
Visual Puzzles 5 5
Test ss %ile
Digit Span 11 63
Arithmetic 11 63
Symbol Search 11 63
Coding 11 63
CVLT-II
CVLT-II
Rey FigureTest Raw Age T
Copy 35 >16th %ile
Imm. Recall 16 36
Delayed Recall 15.5 34
Recognition 15 <20
Academic and Behavioral/Psychological
WRAT 4 Reading SS = 94
Connors’ Adult ADH Rating Scales (Long)No Elevations
MMPI-2Mildly defensive, no Clinical or Content Elevations
Conclusion• Clear Evidence of disqualifying cognitive deficiency • Pilot aware of difficulties• Discussed with pilot the status to that point• HOWEVER...pilot has already purchased used Piper• Therefore VERY motivated• AME notified of current status• Pilot considering aggressive cognitive exercises
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