I would seek out some follow-up on the lower scores - it might be nothing more than perfectionism or anxiety, but it also could be an indication of an issue that is impacting his ability to perform tasks requiring fine motor coordination or it could be related to an issue with visual processing. A complete neuropsych eval would typically include some type of visual-motor integration test to help determine what was the root cause behind the relatively low coding score, as well as other tests that would help tease out issues with fine motor coordination, executive functioning, etc. Were there any other tests included with your ds' psych eval?
There are two reasons I recommend further testing - first is to understand what caused the lower scores in PSI and WM, and also as important - it's possible that the anxiety your ds is experiencing might be *caused* by whatever is driving those low scores. My ds has a similar discrepancy in PSI (coding specifically). When he was in 2nd grade we had *no* idea it was due to developmental coordination disorder and dysgraphia - we were referred for a neuropsych eval by our pediatrician because our ds had really really *really* severe anxiety and because his teacher at school was convinced he had ADHD because he stared off in space during class and wasn't producing any work. His DCD and dysgraphia diagnoses were a complete surprise to us - but once we'd set up accommodations and were able to help him understand his challenges, his anxiety essentially disappeared. He's still a kid who is prone to worrying as a first reaction to stress, but what we were seeing and thinking was anxiety as a primary issue in 2nd grade was in fact anxiety that was secondary to an undiagnosed LD.
polarbear
ps - if he has a challenge with either fine motor or vision, it can also impact one of the subtests under PRI (I can't remember which - sorry!)
Last edited by polarbear; 06/21/14 12:52 PM.
