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When No One Believed Him: A 4-Day Functional Evaluation That Changed Everything

  • clarityfce
  • Jul 30
  • 2 min read

Posted by Jasmine Ali | Director, Clarity FCE & Therapies Inc.


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After 7 years of debilitating dizziness, falls, fatigue, and a diagnosis that didn’t seem to fit, a client was referred for what was intended to be a two-day Functional Capacity Screen Work Evaluation (FCSWE).


What unfolded turned into a 4-day evaluation, due to the complexity of his case:


  • Persistent dizziness

  • Undiagnosed cognitive dysfunction

  • Visual blurriness and field neglect

  • PTSD and severe anxiety

  • A long-standing misdiagnosis of psychiatric origin


Despite appearing socially appropriate, our Functional Capacity Screen Work

Evaluation (FCSWE) revealed the depth and extent of his impairments. Prior

assessments had missed the underlying causes and his symptoms were often

misunderstood or dismissed as psychological overlay.


Key Findings from the FCSWE:


  • Severe vestibular dysfunction with high risk for falls

  • Significant cognitive dysfunction affecting planning, memory, and daily functioning

  • Visual field neglect and blurred vision, impacting daily function and safety

  • High levels of fatigue and post-concussion symptoms exacerbated by reading and screen use (television, phone).


These findings resulted in immediate recommendations for:


  • 24/7 attendant care support

  • Discontinuation of driving

  • Vision therapy and neuro-optometry referral

  • Ongoing emotional and psychological support

  • Therapies to maintain his physical functioning


The client’s wife, who had been his sole caregiver for seven years—and had suffered a

heart attack early on in his recovery—shared her response:


After all this time, Jasmine, you finally saw what we’ve been living with. There’s hope

now my husband might finally get the right treatment.


This is the power of the FCSWE. It’s more than just a screen work evaluation. It’s a

chance to capture what standard evaluations miss—and to pave the way for appropriate

care, legal clarity, and restored dignity. This case underscores the critical gaps in

standard evaluations—and the life-altering impact of the FCSWE in uncovering what’s

been missed.


Are you working with a client who just isn’t improving—but no one knows why?


Contact us for a 15 minute consultation to determine the best fit for your clients needs





 
 
 

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