ABSTRACT

Clinical neuropsychologists who work in community settings are often able to follow up their patients for the long term. The chapter reports on a patient, Huw, who sustained a moderate traumatic brain injury after falling, while out climbing in the mountains. He presented with very few complaints himself, but his wife had noticed many examples of memory failures. On assessment, language and general intellectual functions were all within the expected premorbid range. He had low, but not terribly poor, processing speed and memory abilities. Over several years, Huw attended annual reviews, and appeared to be stable. However, one year, Huw requested a very early clinic review. This identified issues that had not surfaced earlier, and reframed the treatment plan.