Yup that time again. psychiatric assessment time for kt & wm. Receive scores on their GAF. wm is scoring at 41. kt is doing better but still scoring in at 46. I know the tweedles have impaired/skewed thought processes. I know their diagnosis's make a prognosis iffy at best. Oh yes I know all their issues. However, I would have thought after all these years of medications, interventions, Integrated Listening Systems (ILS) workers, PCAs, respite, IEPs, a mental health care team that tops out at 29, the tweedles would have improved more than their original scores of 30 & 35 respectively. Done - thanks for listening.