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Case Lab · Type A · Foundation

F07

Not who she used to be

A 38-year-old woman sustained a significant frontal lobe injury in a road traffic accident eight months ago. Her family describes her as previously reserved, conscientious, and cautious with money; since the injury, she has become impulsive, makes inappropriate jokes in formal settings, spends money without planning, and shows little concern about the effect of her behaviour on others. Formal cognitive testing shows only mild difficulty with planning tasks, with memory, language, and other domains intact.

What is the best-supported classification?