ABSTRACT
Neuropsychologists involved in settings in which the presence or absence of cognitive impairment is assessed can easily get lost in the forced dichotomy of “is this individual malingering or brain injured?” However, as trained clinical psychologists and neuropsychologists, we must also consider other potential etiologies in the differential. This includes whether a primary psychiatric condition might be present, or whether there might be some combination of neurologic, psychiatric, and/or motivational issues simultaneously at play.
