His quantitative reasoning skills (QRI=77) were within the upper bounds of the very low or borderline range and were deemed his weakest area. He demonstrated no relative strengths but a relative weakness when looking at his quantitative and analogical reasoning. Results indicate his medication appears to be effective by assisting him to focus on auditory tasks; however, he presents more struggles with processing visual based information (pencil and paper tasks) as evident by the statically discrepant 20 point difference between his AWMI and PSI. Joseph’s WRAT-4 standardized achievement scores with reading, reading comprehension, spelling, and math ranged within the below average to average range with word reading being the lowest. His ability to sustain attention to tasks on pencil and paper items impacted his scores. He lost his place and focus when there were a large number of items on the page and when the sentences became longer and more challenging. Overall, Joseph’s academic achievement skills appear higher than his current cognitive functioning at this