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Case Study

Clinical Study

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0% found this document useful (0 votes)
5 views6 pages

Case Study

Clinical Study

Uploaded by

anhedonic735
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PSYCHOLOGICAL ASSESSMENT REPORT

Bio data

Name: Maryam Zulfiqar Father’s Name: Zulfiqar Ahmed

Age: 20 Gender: Female

Assessment 2-1, 7-1, 8-1, 9-1 Education: BS. Hons


dates:

Examiner: Hafiza Hania Irshad Case No. 8

IDENTIFYING INFORMATION

Miss Maryam was 20 years old single woman. They were three siblings. Her
father was working in Govt. institute. She was living in a nuclear family. she was a
resident of Multan.

REFFERAL SOURCESAND PRESENTING COMPLAINTS

The client was self-referred for the psychological assessment. Furthermore,


her presenting complaints included difficulty staying in social gathering, feeling of
loneliness, sensitive to criticism, problem in adjusting in hostel life and crying spells.

INTERVIEWING INFORMATION

Miss Maryam reported that the problem started 1 year ago when she shifted to
Faisalabad for studies. She reported that she faced difficulty in making friends.
According to her people are selfish and they are mean. She reported that she faces
difficulty in attending gathering. She feels headache wen stays longer in gathering.
She complained that when someone criticizes her in gathering, she doesn’t want to
stay there and ant to escape from there.

Miss. Maryam’s birth was normal, and her milestones were achieved at proper
time. She was a good student at school. She had few friends since childhood. She
complained that she was frightened from teachers that may scold her if she did
something wrong. She secured 977/1050 in matric and 952/1100 in F.sc.

Client’s family migrated from village to city when she was in 8 th class. She
had good relations with her family. she was more attached to her father. His elder
brother was suffering from Intellectual deficit.

Client’s reported that her sleep gets disturbed when she takes tension or stress
about studies or social conflicts.

BEHAVIOR DURING TESTING SESSION

Miss. Maryam was a cooperative client during her sessions. She was properly
dressed and was punctual. She was talkative. She was resistant to tell about her
problem in the beginning but after assuring confidentiality she talked about her
problem.

INFORMAL ASSESSMENT

TEST ADMINISTERED

 Slosson Drawing Coordination Test (SDCT)


 Standard Progressive Matrices (SPM)
 Human Figure Drawing (HFD)
 Rottor Incomplete Sentence Blank (RISB)
 Thematic Apperception Test (TAT)

PSYCHLOGICAL EVALUATION

Slosson Drawing Coordination Test is a neuropsychological test. The goal of


this test was to know about neurological functioning of the client. Client’s score on
SDCT was 97.7%. According to the accuracy score Client seems to be intact eye hand
coordination.
Standard Progressive Matrices is a test to measure client’s abstract reasoning.
The goal of this test was to know intellectual capacity of participant. Client’s score
was 44 and 3rd grade which indicates intellectually average.

Human Figure Drawing is a projective test, indicating that Miss. Maryam had
poor self-control, perceives herself different from others, primitive aggression,
dependency on opposite sex, sensitive to criticism, externalized aggression, somatic
delusion, immaturity and maternal dependency.

Rotter’s Incomplete Sentence Blank is a semi-projective test with cut-off score


135 and Client’s score on RISB was 155 indicating maladjustment of client.

Thematic Apperception Test is projective in nature, because by viewing the


pictures of different situations, the client projects his emotions, feelings and
perception that helps in revealing his/her unconscious conflicts. The client’s most
stories were interpretive. He had needs of achievement, recognition and abasement.
Client’s conception of environment was stressful. The qualitative analysis of the
stories revealed that the client was going through stressors.

TENTATIV DIAGNOSIS

V62.4 (Z60.3) 29 Acculturation Difficulty

RECOMMENDATIONS

Socialization with others.


Stress management skills.
Tentative Treatment Plan

Case Number 8

Gender Female

Symptoms
Difficulty staying in social gathering, feeling of loneliness,

sensitive to criticism, problem in adjusting in hostel life and

crying spells

Diagnosis
29 Acculturation Difficulty
(Principal)

Target
Symptoms Difficulty staying in social gathering, feeling of loneliness,

sensitive to criticism, problem in adjusting in hostel life

Treatment Goals o Establish working relationship with the client.


o Educate the client about the nature of
for problem
 Describe events with worry and its
Target impact on functioning and
Symptoms resolve it

o Verbalize and understanding of the cognitive,


physiological, and behavioral components of
problem

o Verbalize an understanding of the role of


cognitive biases play in excessive irrational
worry
o Identify, challenge and replace biased, fearful
self-talk with positive, realistic, and
empowering self-talk

o Learn and implement problem-solving


strategies
o Learn and implement relapse prevention
strategies
o Maintain involvement in work, family and
social activities

Family counselling
Behavioral management

Catharsis

Deep breathing technique

Initial phase o Trust and rapport building with the client.


o Tell the client about worth and effectiveness of the client-
therapeutic relationship.
o Ensure the client about collaboration in therapy.
o Calming strategies such as relaxation techniques and
breathing exercises.
Middle phase Positive self-talk and cognitive restructuring about the fear
o Muscle relaxation and assertive training
o Reduce anxiety that cause emotional disturbance
o ABC model of cognitive assessment
o Work with Identified repetitive thoughts and reduce them
gradually
o Confront the client about repetitive thoughts and educate
them
o Enhance interpersonal relationships
o Belief change chart to identified client’s strength of belief
o Socratic dialogues to reached at end of client thinking
Termination o Evaluate the progress of therapeutic work

Phase o Homework assignments


o Reduce dependency of client from therapy gradually
o Decreased numbers of session
o Inform the client about lapse and relapse in therapy
Number of o 15-20
Sessions

Required to
achieve goals
(Approximately)

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