He can be left alone, can use public transportation and can take care of himself in everyday activities, so he is not in the SEVERELY DISABLED category. He has not resumed his pre-injury occupational status and cannot work. Therefore: MODERATE DISABILITY.

C. Upper Moderate:

Work capacity: Reduced

Social activities: Resumed less than half as often as pre-injury

Disruption or Strain: Frequent (once a week or more but tolerable)

Case Study 4: Lower Moderate Disability

D. Lower Moderate:

Work capacity: Unable to work or only able to work in sheltered workshop

Social activities: Unable or rarely to participate

Disruption or Strain: Constant (daily and intolerable)

He rarely has social interactions. His girlfriend mentions that symptoms are disrupting his daily activities and affect him a lot.

The rating should be a Lower Moderate for the GOS-E.

Case Study 4: Lower Moderate Disability