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An insurer has requested that you conduct an independent medical evaluation for a 45-year-old woman, focusing on her ability to engage in rehabilitation efforts with the goal of returning to work. Her medical file mentions a predisability history of anxiety, as well as eight years of alcohol and oxycodone abuse. The patient was abstinent from alcohol for six years until one year ago, when she began drinking again. She left work three months later because of anxiety and alcohol abuse. Rehabilitation began six months ago, but her adherence has been limited. Her physician has advised that she is unable to engage in rehabilitation and that setting return-to-work timelines would cause deleterious stress.

A 45-year-old woman referred for an independent medical evaluation by her insurer