This case involves a 32-year-old male architect that developed a number of permanent medical problems following an ATV accident. The architect developed chronic neck, shoulder, back and hip pain. Due to the unrelenting pain, he suffered from severe sleep disturbance, suicidal ideation, and ongoing thoughts of self-harm. As a result of his impairments, the architect was unable to return to work. An expert psychiatrist was sought to perform an independent medical examination to fully assess the architect’s damages.