In my opinion that is the best and most reliable way to be confident in a

In my opinion that is the best and most reliable way

This preview shows page 90 - 93 out of 148 pages.

neurological and medical assessments before coming to a conclusion. In my opinion, that is the best and most reliable way to be confident in a diagnosis, which is absolutely necessary before a psychiatrist can design and implement a treatment plan, if necessary. The patients who come to me are generally cooperative and willing to participate and provide as much information as possible. 9. The DHA-5 is also used when psychiatric conditions are relevant to legal proceedings. This is referred to as “forensic” psychiatry, and there is a separate (optional) board certification for that specialty. Quite frequently a forensic psychiatrist is called upon to make a diagnosis
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85 11/19/14 when s/he has had little or no opportunity to interview or evaluate an individual in other words, based solely on whatever information the psychiatrist can obtain from the record and the facts provided by the attorneys, or what limited information the attorneys will allow the defendant to provide. That is the type of evaluation I conducted in this case. 10. During discovery, I obtained many records and reviewed statements from other witnesses. I was permitted to meet Casey Cheatham with defense counsel. In my opinion, that meeting was not fruitful as Casey was not forthcoming with his answers to my questions. In short, he denied any involvement. 11. My diagnosis is based on the records, statements, and interviews with a particular emphasis on the following factors: a) Casey admits s/he has or had a gambling problem; b) Casey’s own family widely acknowledges that s/he is a problem gambler; c) there was a lot of money missing from the gaming tables at the fund raiser; d) Casey had a lot of cash in his/her home without a decent explanation of where it came from; e) Casey is engaged in a high risk/high reward career which financially benefits his/her boss, leading both Casey and the boss to be in denial about Casey’s problem. 12. The DHA-5 cautions that there are risks and limitations in using the DHA-5 criteria in forensic cases, especially without a productive interview with the subject. Nonetheless, I am reasonably confident in my diagnosis and assessment of Casey Cheatham as suffering from a gambling disorder. In my opinion, Casey’s addiction caused him to steal the funds at issue as part of his gambling disorder. 13. According to the DHA-5, there are a number of signs and symptoms of compulsive (pathologic) gambling. They include gaining a thrill from taking bigger and bigger gambling risks, preoccupation with gambling, including planning new and different ways to obtain money to gamble with, being restless or irritable when attempting to cut down or stop gambling, using gambling as a way to escape problems or feelings of helplessness, guilt or depression, “chasing” the losses by continuing to try to win back money, taking time from work or family life to gamble, concealing or lying about gambling, feeling guilt or remorse after gambling, borrowing money or stealing to gamble, and failed efforts to cut back on gambling.
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86 11/19/14 14. Being highly competitive, a workaholic, restless or easily bored increases the risk of becoming a compulsive gambler. This is particularly applicable to Casey, who has a hard-
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  • Spring '17
  • mrs callman
  • attorney, new york state

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