SUMMER INTERNSHIP PROJECT REPORT

AMITY UNIVERSITY (LUCKNOW, UTTAR PRADESH)

AMITY INSTITUTE OF
BEHAVIORAL AND ALLIED SCIENCES (AIBAS)

SUBMITTED BY:- ANUSHKA MISHRA

COURSE:- M.A. COUNSELING PSYCHOLOGY
SEMESTER 3rd
ENROLLMENT NO.:- A7403323012

UNDER GUIDANCE OF:-

DR. SONI KEWALRAMANI (ASSISTANT PROFESSOR)

CERTIFICATE
This is to certify that the report entitled “Summer Internship Project Title” by Anushka
Mishra of M.A. in Counselling Psychology, Semester 3, of batch 2023-2025, has been
successfully completed under my supervision.

Dr. Soni Kewalramani

ACKNOWLEDGEMENT
I take immense pleasure in presenting this Summer Internship Project based on the
suggestions and guidance of the learned faculty of Nur Manzil Psychiatric Centre. Firstly, I
would like to thank Dr Anjali Gupta, Clinical Psychologist, Nur Manzil Psychiatric Centre
for giving me this opportunity to work as an intern under her guidance.
I am grateful to Dr Zaidi, Director of Amity Institute of Behavioural and Allied Sciences
(AIBAS) and Dr Soni Kewalramani, Program leader of M.A. Counselling Psychology at
AIBAS.
Without their effort, my observational study at this prestigious institute would not have been
possible.

DECLARATION BY STUDENT
I hereby declare that the mentioned information in the report is correct up to my knowledge
and I bear the responsibility for any errors or omissions, if any.

Anushka Mishra

S. no. Topic
1. About the Organization

2. Introduction

3. Routine at organization

4. Observation

5. Case Study

6. Key learnings

7 Conclusion

ABOUT THE ORGANIZATION

Nur Manzil Psychiatric Centre in Lucknow, India, is a prominent mental health facility
dedicated to providing comprehensive psychiatric care and treatment. Nur Manzil Psychiatric
Centre has a longstanding history in the region, known for its commitment to mental health
care.
The centre provides a wide range of psychiatric services, including outpatient and inpatient
care, therapy, and specialized treatment programs for various mental health conditions such
as depression, anxiety, schizophrenia, bipolar disorder, and substance abuse.
Nur Manzil is equipped with modern facilities, including well-maintained wards, therapy
rooms, and recreational areas to support the therapeutic process. They also offer diagnostic
services like psychological testing and assessments. The centre boasts a team of experienced
psychiatrists, psychologists, social workers, and nursing staff who work collaboratively to
provide personalized care to each patient.

INTRODUCTION
The Summer Internship Project by Amity University is an internship project that is to be
completed over the summer break. This internship programme is designed to give a practical
and hands on experience to the students so they can learn and experience to apply their
knowledge in a practical setting.
This summer internship program at Nur Manzil Psychiatric Centre over the summer break
has fostered a practical learning and skill development required in the field of psychology,
giving a hands on experience in a hospital setting with patients with different mental
disorders. The psychiatrists, clinical psychologist guide the student interns to complete their
internship at the centre.

ROUTINE AT ORGANIZATION
Date Topic Application
Week 1 An Overview of the working of the Got introduced to the work patterns
Psychiatric Hospital. and the working along with the
different services provided for the
patients.
Week 2 Shadowing clinicians for the Assisted the clinicians and
psychiatric ward rounds psychiatrists along the rounds of the
psychiatric wards as they interacted
with them for periodic assessment of
mental condition.

Week 3 Direct interaction with patients Directly communicated and interacted

with patients in the psychiatric ward
and also talked to their attendants and
family about their condition to gain
more insight.

Week 4 Assist Psychiatrists in the Sat under the guidance of the trained
outpatient department psychiatrists in the OPD and closely
observed the cases of the patients who
visited the psychiatric centre.

Week 5 Engage in Recreational Activities Successfully engaged in recreational

activities with patients. Participated in
a Yoga workshop, dance and art
workshop.

OBSERVATION
Week 1:-
During the first week of my internship, I acquainted with other interns who were there at the
psychiatric centre and we were introduced to the working of the hospital. We were assigned
under the clinical psychologist, Dr Anjali who guided us through the internship. I explored
the hospital, there are different general and private wards for patients to provide an inpatient
care for them. The psychiatrists took the rounds of the wards for a routine mental check up of
the patients who stayed there. There was also the outpatient department where doctors sat
during the day to provide check-up, diagnosis and medical approval to the patients who
visited the hospital. Dr Anjali provides counselling to the patients who need it and also imply
different types of therapy to appropriate client. Thus, the first week I learned the working of
the hospital.

Week 2:-
During the second week, I joined the other interns as we shadowed the clinicians while their
rounds at the hospital. We went to each ward and the doctors asked them questions about how
they were doing. We also learned how to interact with the patients and what are the type of
questions we need to ask for a mental status examination of the patient.
Some patients had been admitted to the hospital for a long time, about a couple years while
others were admitted for particular duration of time. The periodic assessment was done by the
clinicians once or twice every week to know about the mental health of the patients and if any
patient needs to be discharged, or a new course of treatment needs to be provided to the
patient.

Week 3:-
I began to directly interact with the patients during the third week of my internship. I
interacted with different patients with mental disorders like schizophrenia, OCD, substance
use and abuse, depression, psychosis etc. This also helped me prepare the case study for my
project.
We formed a group of four to ask the assessment question to the patients to know about their
case and history. We had to be very careful while asking questions to the patients. We asked
them their name, age, qualifications and general information about them then we asked them
if they had their food, how’s their mood etc. If the patient seemed comfortable we asked more
about them and their case to gain deeper knowledge of their condition.

Week 4:-
Further during the fourth my internship, I sat in the outpatient department under the trained
clinician and psychiatrists as they checked the patients who visited the hospital. The doctors
provided a diagnosis by delving deeper into the symptoms of the patients with disorders like
depression, mania, schizophrenia etc. Some patients were the old patients who had been
diagnosed years back and came for periodic check up and medical approval from the doctor.
The doctor taught us how to prepare a differential diagnosis and then how to assess the
patient and their symptoms to provide a clear diagnosis and factors to consider.

Week 5:-
During the last week of my internship, I participated in the workshops done under the doctors
for the patients. We did a Yoga day workshop on the yoga day and displayed different
meditation and yoga practices and told about the benefits of yoga. We also engaged in several
recreation activities like music and dance with the patients and learned how it played a role in
their mental health.

CASE STUDY
 1. Case Study: Meena
Background Information
Name: Meena Age: 41 years
Education: Bachelor of Commerce (BCom) degree
Employment: Recently worked as a delivery person for Swiggy
Marital Status: Never married
Family: Three siblings, lives with her mother
Psychiatric History
Primary Diagnosis: Paranoid Schizophrenia
Symptoms:
Aggressiveness
Emotional sensitivity to hurtful topics
Suspiciousness towards family
Delusions of family abandoning her and taking her money
History of violence towards her mother
Frequent running away from home and hospital
Disorganized speech
Abnormal walk and body language
Talkative about life events, family, suspicions, and impactful events
Cognitive Functioning: Awareness of time and dates of significant events despite psychotic
symptoms
Current Hospitalization
Reason for Admission: Increased aggression and suspicion, violent behavior, and running
away
Hospitalization History: This is her 10th hospitalization as per her sister's account
Behavior in Hospital: Aggressive, disorganized speech, talks extensively about personal
experiences and suspicions
Family and Social Dynamics- Family Relationships:
Suspicious of her family, believes they will abandon her and take her money without
evidence
Violent towards her mother
Sister acts as her attendant and reports that some of Meena's beliefs and statements are not
true
Social Behavior: Recently worked in a delivery job, indicating some level of functional
ability despite her symptoms
Clinical Observations
Mental State Examination:
Appearance: Disheveled, abnormal walk and body language
Behavior: Aggressive, talks a lot about personal and family matters, and suspicions
Speech: Disorganized
Mood: Labile, particularly emotional when discussing hurtful topics
Thought Process: Marked by paranoid delusions and suspiciousness
Cognition: Despite psychotic symptoms, retains awareness of time and significant personal
events
Insight: Limited; lacks insight into the irrational nature of her suspicions and delusions
Treatment Plan
Medication:
Antipsychotics to manage symptoms of paranoia and aggression
Mood stabilizers
Therapy:
Cognitive Behavioral Therapy (CBT) to address delusional thoughts and improve insight
Safety Measures:
Close monitoring to prevent her from running away
Follow-Up
Regular follow-ups with a psychiatrist to monitor medication efficacy and side effects
Continued involvement in therapy sessions
Family education and support to help them understand and cope with Meena’s condition
Prognosis
Prognosis is guarded due to the chronic nature of her condition and the number of
hospitalizations
With appropriate treatment and support, improvement in her symptoms and quality of life is
possible
 2. Case Study- Fatma
Background Information
 Name: Fatma
 Diagnosis: Obsessive-Compulsive Disorder (OCD)
 Previous Hospitalizations: Admitted to the hospital before for OCD-related issues
Current Hospitalization
 Duration of Stay: 1 month
 Reason for Admission: Severe obsessive-compulsive behaviors related to cleanliness
Symptomatology
 Obsessions:
o Intense preoccupation with cleanliness
o Persistent thoughts about contamination and the need for cleanliness
 Compulsions:
o Bathing several times a day
o Excessive hand washing
o Frequently requesting new soap, buckets, and other cleaning supplies due to
quickly finishing them
o Insisting on having clean bedsheets regularly
Behavioral Observations
 Participation in Activities:
o Engages in Yoga and other therapeutic practices
 Cognitive Functioning:
o Awareness of time and routine activities
o Some disorientation in thoughts and ideas, indicating a struggle with
differentiating reality from obsessive thoughts
 Interpersonal Behavior:
o Communicates the need for cleanliness to others, which might cause
inconvenience or conflict
Clinical Observations
 Mental State Examination:
o Appearance: Well-groomed, often seen engaging in cleaning rituals
o Behavior: Obsessive cleaning and hygiene-related behaviors
o Speech: Clear but often fixated on topics related to cleanliness and
contamination
o Mood: Anxious, particularly when unable to perform cleaning rituals
o Thought Process: Obsessive and compulsive thoughts dominate
o Cognition: Retains awareness of time but shows disorientation in separating
obsessive thoughts from reality
 Insight: Partial; recognizes the distress caused by her behaviors but struggles to
control them
Treatment Plan
1. Medication:
o Selective Serotonin Reuptake Inhibitors (SSRIs) to help manage OCD
symptoms
o Anxiolytics if required to manage anxiety related to obsessive thoughts
2. Therapy:
 o Cognitive Behavioral Therapy (CBT) to help reduce compulsive behaviors
o Mindfulness-based practices integrated with her interest in Yoga to help
manage anxiety and obsessive thoughts
3. Behavioral Interventions:
o Setting limits on the number of times she can engage in cleaning rituals
o Gradual exposure to situations that trigger obsessions with the aim of reducing
anxiety over time
Progress and Follow-Up
 Current Progress:
o Showing improvement with the help of medication and therapy
o Reduction in the frequency of compulsive behaviors
o Better engagement in therapeutic activities and routines
 Follow-Up Care:
o Continued regular therapy sessions to reinforce coping strategies
o Monitoring and adjusting medication as needed
o Support from family and healthcare providers to maintain progress
Prognosis
 Short-term: Improvement in managing obsessive-compulsive behaviors with
ongoing treatment
 Long-term: With consistent therapy and support, the potential for significant
reduction in OCD symptoms and improved quality of life.

KEY LEARNINGS