Final Report Inter
Final Report Inter
Athulya c
M.Sc. Psychology
Introduction
Internship Overview
Acknowledgement……………………………………………………………..
Internship Overview…………………………………………………………….
Services Offered…………………………………………………………………..
Major Observations………………………………………………………………..
Training Module………………………………………………………………………
Photographs……………………………………………………………………………
Introduction
This report is submitted in partial fulfillment of the requirements for the course
practical paper in the final semester of the M.Sc. Psychology program. The course is
activities, and institutional visits. These components have collectively contributed to the
and a deepened understanding of the real-world challenges faced in mental health service
delivery.
INTERNSHIP REPORT
Introduction
time. It is a professional learning experience that offers meaningful, practical work related to a
student’s field of study or career interest. An internship gives a student the opportunity for career
exploration and development, and to learn new skills. It offers them an opportunity to bring new
ideas and energy into the workplace, develop talent and potentially build a pipeline for future.
Internships are supervised, structured learning experiences in a professional setting that allow you
to gain valuable work experience in a student’s chosen field of study. Clinical psychology is the
branch of psychology concerned with the assessment and treatment of mental illness, abnormal
college of advanced studies, Thiruvanthapuram consists of four semesters. During the fourth
semester, it is obligatory for a student to undertaken a training and practicum in clinical settings.
Practicum in clinical settings for a period of one semester under the direct supervision of a
qualified certified clinical psychologist in a clinical setting is required for a student undergoing
post graduate course in psychology taking clinical psychology as optional subject to further the
knowledge in clinical psychology, and to sharpen his/her skills in psycho diagnostics and
psychotherapy. The present candidate carried out his clinical practicum at west fort mental
hospital. The clinical practicum is carried out with the following specific objectives.
assessments.
• To enhance understanding of current practices in clinical psychology.
The internship programmed in west fort Mental health care center Thrissur was a
good exposure to the students. We got good opportunities to interact with the patients and
know their problems, to take awareness classes for both psychiatric patients. We are
assigned to take different cases except from the private rooms. It was a nice experience
for us to learn many new insights and got chances to visit and observe in detail functions,
documentary presentations etc. The psychiatrist and counsellors who are working there
Organizational Profile
Thrissur. GMHC Thrissur is located in West Fort, at Kanjani Road, which is easily
Thrissur, is one among three major mental care providing centres in Kerala state that
works under the Health Ministry. It was established in the year 1889 by His Highness
Maharaja of Cochin as a single block with 15 cells for males and females. Then
additional blocks were built gradually and female section was separated from the single
unit. The management of this hospital was taken over by the Government of Kerala in
1956. Afterwards the pavilion wards for males and females were constructed in 1969. In
the year 1984 the hospital was renamed as Govt. Mental Health Centre Trichur as
recommended in the Estimate committee report. Six psychiatric units (4 under Kerala
Health Services and 2 for Medical College Thrissur) were created in 1984. Permission to
visit the inmates was granted to their relatives and friends from 1984 onwards. Better
implemented the year 1984. Family ward for females (where the relatives stay with the
The hospital premises have an area of about 14 acres and at present. There are 16
wards including a KHRWS pay wards, present sanctioned bed strength is 361. Initially
the sanctioned bed strength was 240 and the present sanctioned bed strength is 361. The
daily census on an average is above 396. The GMHC also has Criminal Dispute ward and
a Forensic ward for legal patients which is guarded by the Kerala Police.
outreach clinics services. These services are provided through different departments like
rehabilitation. The hospital delivers care to all kinds of mental health problems. A group
care professionals, nurses, occupational, vocational therapists and volunteers are working
as a team for providing mental health care for all people. Several rehabilitation units are
functioning at the institution. Patients whose illness have been improved also work in
these units. Units include: Bread making, soap and sanitizer making, gardening, book
binding, cover making, weaving, sewing, and so on are trained. The patients are given
Mission
Vision
"Exceptional quality and compassionate care for every person, every family, every day."
Mentally ill patients from all over the country are getting admitted there and receives excellent
About 25 doctors working in two shifts, 85 staff nurses, 30 nursing assistants and 200 attenders
Departments
Psychiatric Department
Nursing Department
BICU
Psychological Tests
In the hospital, there are various psychometric testing and diagnosis, which are:
o Intelligence Tests
o Rehabilitation Assessment
• Therapy planning and treatment strategies were learned through case discussions
and real-time interventions.
Case Study 1
SOCIO-DEMOGRAPHIC DETAILS
Name – K
Age – 28
Sex – Female
Religion – Hindu
Education – ITI
Occupation – Clerk
Domicile – Rural
Informant – Patient
CHIEF COMPLAINTS
Sadness
Hopeless
Lack of appetite
Suicidal ideation
Suicidal attempts
Duration 3 months
Onset – sudden
Course – Episodic
Patient was well before 3 months back . She was working and leading a happy life
with her family. She got to know her mother passed away and this made her upset .
She had a very strong attachment with her mother. Her father died at her childhood
and mother was only her attachment figure. She talked to her neighbors about her sadness
to get a relief. They also provided her mental support. She felt loneliness as her mother
and father died and she is alone. Gradually suicidal ideation was shown. She lost her
interest in life and decided to end her life. She cutter her hand using knife. Her husband
got her to Government Mental health center at Thrissur on 2023.
Negative History
disinherited act.
FAMILY HISTORY
Family genogram
The patient was a single child. Her father died on 2002 and her mother died on
2023. Her father was an alcoholic. Both of them died due to heart attack. She was
attached to her mother. She is married and have two children. Elder one is a boy
and younger one is a girl. According to the patient her mother’s death was the
PERSONAL HISTORY
Educational history: The patient have passed her plus two and then completed
course on ITI. She was extrovert and had a good relationship with peers and
teachers.
shop as clerk. She was satisfied with her job. As she became pregnant she
Patient was married at the age of 20. It was a love marriage. She is satisfied with
her marriage life. Her husband is a priest at temple. Currently they have two
children, a son and daughter of age 7 and 2 years. She mentioned that her sexual
PREMORBID PERSONALITY
The patient was extrovert and calm in nature. She enjoyed listening to music in
free time. She maintained a good relationship with neighbors and friends. She
was married to the person whom she loved. They led a good family life with her
She was well dressed and sat comfortably on the chair. She was conscious and had
touch with reality and surroundings. Rapport was established and was cooperative
Tone – Normal
Volume – Normal
Objective – Normal
Stable/labile – Stable
Range – Normal
Form – coherent
Content – Optimistic
Date – Intact
Place- Intact
Person – Intact
Recent – Intact
Remote – Intact
Social – Present
Personal – Present
Insight: Present
DIAGNOSTIC FORMULATION
The patient, Mrs. K, 28 years old Hindu female, married, studied up to plus two
and completed ITI course, currently unemployed, belonging to lower middle class,
nuclear family rural background, with the chief complaints includes Sadness
Hopeless, lack of appetite suicidal ideation and Suicidal attempts with sudden
episode 3 months. MSE findings reveal that the patient was oriented about herself
PROVISIONAL DIAGNOSIS
Depression
Case Study 2
SOCIO-DEMOGRAPHIC DETAILS
Name – K
Age – 63
Sex – Female
Religion – Hindu
Education – illiterate
Occupation – housewife
Domicile – Rural
S E S – Middle class
Information – Reliable
CHIEF COMPLAINTS
Violent behaviors
Duration 10 years
Onset – Gradual
Course – Episodic
The patient was an avid believer of religion and stereotypes. The patient had a
good relationship with her husband and children before 10 years. She used to visit
time, the patient believed that ‘Maariyamma’ has occupied her body and now she
is Maariyamma. She has delusion of grandiosity. In some days she would wake
up early and do the household chores claiming she is Maariyamma. She believes a
harmless spirit resides in her head. She also believes her neighbors did
Blackmagic on her for her destruction. She says that one day her neighbor throw
some powder towards her when she was wasting her clothes. Within the 10 years
she was consulted in Jubilee Mission Hospital 3 times. She skipped her medicines
in between. Due to some family issues about his son’s marriage life, it became
adultery. She mentions that her 4 neighbor ladies have given her husband some
kind of medicine and keep him under control. She was emotionally down due the
her husbands these behaviors. She says that she can hear voices of two persons
talking each other. She also attempted harming him with a knife. She likes her son
but shows her dislike towards her daughters. She locked out her husband for 3 days
and her children had to convince to open the door for him. Later she was bought to
Negative History
No history of depressed mood. No history of increased self-esteem, over
FAMILY HISTORY
Family genogram
The patient is the eldest daughter of the five children. One of her younger siblings
has passed away as well as her parents. She is married have three children. Two
PERSONAL HISTORY
Patient was married at the age of 14. It was an arranged marriage. She is
satisfied with her marriage life. Her husband is a peon in SBI . Currently they
have three children, a son and 2 daughters of age 26, 29 and 34 years. Sexual
PREMORBID PERSONALITY
The patient was extrovert and calm in nature. She loves to cook. Helps husband in
family chores. She maintained a good relationship with family and neighbors
She was well dressed and sat comfortably on the chair. She was conscious and had
touch with reality and surroundings. Rapport was established and was cooperative
Tone – Normal
Volume – Normal
Objective – Normal
Stable/labile – labile
Range – Normal
Congruent- Congruent to situation
Form – delusion
Content – Delusion
Date – Intact
Place- Intact
Person – Intact
Recent – Intact
Remote – Intact
Social – Present
Personal – impaired
Insight: Absent
DIAGNOSTIC FORMULATION
The patient, Mrs. K of 63 years old Hindu female, belonging to a middle class
husband, she believes that she is God (Mariyamah ), Harmless spirit on her head
precipitating factor includes over religiousness and family issues, MSE findings
reveal that depressive affect and presence of delusion and hallucination. With
significant impairment in social- vocational function. Insight is absent
PROVISIONAL DIAGNOSIS
Schizophrenia
Date: __________
Details:
Introduction
Psychological Assessment Camp at the Government Mental Health Centre, Thrissur. The
camp was designed with the objective of applying theoretical knowledge and
The Government Mental Health Centre, Thrissur, is a leading institution in Kerala that
growing need for early identification and intervention in psychological issues, the camp
focused on assessing the mental health status of individuals from various socio-economic
further evaluation.
This community-based initiative aimed to bridge the gap between mental health services
consultations. The focus was not only on assessment but also on enhancing awareness,
reducing stigma, and encouraging open conversations around mental health within the
community.
Throughout the duration of the camp, psychology trainees were actively involved in
every stage of the process—from case history collection and behavioral observations to
health professionals, we had the opportunity to interact with clients from varied
cultural context.
This camp served as a vital platform for students to gain hands-on experience while
underutilized.
Objectives of the Camp
issues.
health initiatives.
Activities Conducted
Depending on age and presenting complaints, the following tools were used:
the Centre.
learning difficulties
. Conclusion
based mental health interventions. Through this camp, we gained firsthand exposure to
economic, cultural, and familial factors influence mental health. Engaging directly with
case histories, and offering basic feedback under supervision allowed us to develop
essential professional skills. These included not just technical competencies, but also
for a future mental health practitioner. The camp also reinforced the critical role of early
identification and intervention, particularly in settings where access to specialized care is
limited. Many of the individuals we assessed presented with conditions that had gone
constraints. This highlighted the urgency and impact of preventive mental health services
collaboration, which is essential for holistic mental health care. The support and guidance
our theoretical knowledge with practical insights. Most importantly, this camp
students, we were reminded that our work extends beyond clinical boundaries—it
involves educating the public, advocating for mental health awareness, and contributing
just a learning opportunity, but a deeply meaningful experience that strengthened our
SCHOOL]
Introduction
In the rapidly evolving social and educational landscape of the 21st century, the
to interact effectively and harmoniously with others. These include—but are not limited
early childhood and preadolescence (ages 7–12) is actually the most formative period to
introduce and nurture them. Around the age of 10, children are in the developmental
stage known as middle childhood, marked by significant cognitive, emotional, and social
growth. At this age, children begin to understand complex emotional states, develop a
stronger sense of identity, and become more socially aware. Their peer relationships
deepen, their need for belonging grows, and their ability to empathize improves. These
Moreover, children at this age are highly receptive to experiential learning and often
emulate the behaviour of adults and peers. If provided with the right guidance and
exposure, they can internalize positive values and behaviours that last a lifetime.
Equipping children with soft skills not only improves their social competence and
classroom behaviour but also significantly contributes to mental health, resilience, and
future employability.
This community outreach program was designed with the aim of early intervention,
developmentally appropriate, using games, stories, and group activities to ensure that
By targeting this specific age group (10 years), the program sought to:
speaking.
Promote team spirit and reduce tendencies toward isolation or aggressive
behaviour.
emotions.
areas of improvement.
Equip children with basic strategies to regulate emotions like anger, frustration, or
sadness.
Ultimately, the program aimed not just at temporary learning, but at planting seeds for
lifelong socio-emotional growth, helping children become more balanced, thoughtful, and
compassionate individuals.
1. Communication Skills
o Active listening
3. Emotional Intelligence
The Soft Skill Training Program for 10-year-old children proved to be a meaningful and
impactful initiative in promoting vital social, emotional, and interpersonal competencies
at a crucial stage of child development. The outcomes of the program reflected the
receptiveness of children at this age and the transformative potential of structured soft
skill education when delivered through age-appropriate, interactive methods. This
initiative reinforced the understanding that soft skills are not secondary to academic
achievement, but rather complementary and foundational to a child’s overall
development. In today’s world, children are not only required to grasp academic content
but must also learn to function within diverse social environments, build healthy
relationships, cope with stress, and make responsible decisions. These skills directly
contribute to a child's ability to thrive in school settings, family environments, peer
groups, and eventually, society at large. By introducing children to essential soft skills
such as effective communication, empathy, emotional regulation, cooperation, and
problem-solving, the program played a preventive and developmental role. It helped
address and reduce behavioural challenges, enhanced emotional awareness, and fostered
a classroom culture of respect and collaboration. Many children demonstrated increased
self-confidence, improved listening skills, greater patience, and willingness to cooperate
with peers following the sessions. Moreover, the training provided early tools for
emotional resilience—a skill set that helps children bounce back from setbacks, manage
anxiety, and seek help when needed. This emotional foundation is crucial not only for
mental well-being but also for cultivating positive self-esteem and social adaptability in
adolescence and beyond. The success of this program also highlighted the importance of
community-based interventions in education. With the support of teachers, parents, and
facilitators, such programs can be sustained and scaled. Encouragingly, teachers and
caregivers reported noticeable improvements in children’s peer interactions, attentiveness
in class, and problem-solving behaviour shortly after the intervention. In conclusion, the
program demonstrated that early exposure to soft skills is not only beneficial—it is
essential. It lays down a solid framework for the development of emotionally intelligent,
empathetic, and socially competent individuals. Investing in such early interventions is a
step toward creating a more emotionally healthy and socially responsible generation
STUDY TOUR REPORT
Introduction
As part of the Clinical Psychology internship curriculum, a study tour was conducted to
Psychopark, India’s first psychology-themed park and rehabilitation center, located in the
The primary aim of the tour was to deepen students’ understanding of psychological
thoughtfully curated exhibits and simulations, students were able to witness abstract
field trip—it was a transformative journey into the depths of the human mind. Through
virtual reality simulations, sensory experiments, and emotion-based learning zones, the
experience offered new perspectives on how people perceive, process, and respond to
their inner and outer worlds. Concepts such as perception, memory, stress, and emotional
The visit also served as a powerful demonstration of how psychology can be made
accessible to the general public through creative, engaging, and inclusive approaches.
insight into how mental health awareness can be normalized and destigmatized at the
community level. The park’s ability to blend fun, science, and therapy was not only
inspiring but also a call to reimagine the future of mental health education.
Ultimately, this experience reinforced the idea that psychology is not confined to
tool not just for understanding others, but for healing, connection, and empowerment.
world settings.
rehabilitation.
To interact with professionals and understand the integration of clinical,
To understand the role of innovative therapies such as MBCT, CBT, and creative
modalities in recovery.
in rehabilitation.
Interactive Exhibits
perception, memory, learning, and emotional processing. These activities helped illustrate
Mind Maze
A major attraction of the park, the Mind Maze tested participants’ problem-solving,
phobias in a safe and controlled setting. These simulations offered a rare opportunity to
Brain Gallery
This section presented anatomical models and interactive panels illustrating brain
Emotions Zone
and empathy. It deepened our understanding of the interplay between emotion, cognition,
This section provided educational content on common mental disorders (e.g., depression,
anxiety, schizophrenia) and their treatments. Resources for managing stress and seeking
brought into the public domain to reduce stigma and raise awareness.
Student Engagement: Real-time cognitive and emotional challenges fostered
experiences.
Conclusion
The study tour to Karuna Sai Psychopark – De-Addiction and Mental Health Research
Institute was an enriching and eye-opening experience that offered far more than just
highlighting how effective rehabilitation goes beyond clinical diagnoses and medication
One of the most profound lessons was the power of environment and culture in shaping
recovery outcomes. The serene, green surroundings of the centre and the positive,
structured daily routines contribute not only to psychological healing but also to
rebuilding a sense of purpose and identity among the inmates. Additionally, the inclusion
of success stories, family involvement, and real-life engagement with former clients
reminded us that mental health treatment must be empowering, humanizing, and hope-
oriented.
This experience also reinforced the idea that psychology is not confined to academic
creativity, and adaptability in psychological practice and the need to see each client not
just as a patient, but as a whole person with strengths, stories, and the capacity for
growth.
In conclusion, the study tour not only contributed to our academic learning but also
psychologists who are not only scientifically informed but also emotionally intelligent,
socially aware, and ethically grounded. The visit to Karunasai has left a lasting
impression and will continue to shape our approach to mental health care as we move
PHOTOGRAPHS
Photographs
• Attendance sheets