Mrk Spring 2021 PSYI619 4 MC190403918 PDF

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Summary

INTERNSHIP REPORTMSc psychology Internship course PsyNeeds revision. Contact on Skype.Prepared By: Aqeela Begum Mc Session 2020 to 2021 Case report Background Information Name: VLMGender: Female Age : 29 yearBirth order : Normal How can birth order be normal?Education: College level Occupation: Rece...

Description

INTERNSHIP REPORT

MSc.applied psychology Internship course Psy619 Needs revision. Contact on Skype.

Prepared By:

Aqeela Begum

Mc190403918

Session 2020 to 2021

Case report

Background Information

Name: VLM

Gender: Female

Age : 29 year

Birth order : Normal How can birth order be normal?

Education: College level

Occupation: Receptionist

Income: Low

Date of admission :Not mention: Date when the case was given to you.

Presenting Complaints

Complaints

Duration

Mujhay har subah neend se uth kar khud se ghin aati

8 Years

hai aur main khud ko ganda mehsoos karta hoon Main ne kai mardo k sath be maqsad jismani talluqat

8 Years

qaim kiye hein aur mujhay lagta hai mujhay is ki adat hogai hai

Mujh se talluqat na banaye jaatay hein aur na hi

8 Years

nibhaye jaatay hein History of Present illness: Historyneeds revision.

When she come for therapy her mental condition was very disturb .She describe about herself VLM is 29 year divorce female live in Karachi .She was born and raised in Karachi .She have a brother three year older but she

is no longer contact with her brother. In her childhood they are very close with each other .They are apart when her brother know about her relation and behaviours

She was 14 year old when her father ,s brother abuse her physically .One day her elder brother caught her uncle more then one year abusing her .Uncle lift lefther home quietly she do not realize that is bed which is doing her uncle with her .She reported her uncle is most revered person in home .She recall her father was with drown ??? he does not like his children .He says her daughter her face is ugly .Her father is physically and verbally abusive .She does not have even single good memory about her father

.Her mother is very compromising women .She is like a Glue make together family .She want to improve her ability to maintain relationships in life .She compromise over the years. She is very close to her mother. Her mother always s listen and talk to her. She described her father being abusive to her mother. He abusive physically and verbally . She have no social support to seek or talk to about abuse she suffered. WLM suffered mentally she was a poor student she had difficulty all through. She have a best friend in college , whom she says , “deserted” her. She maintained no close friends since then her best friend introduced her to different boys around the college and even a few of the earlier drugs that she tuck . she realized it later down the years that whom she thought to be her best friend was infect in factan enemy . she spends many hours of the day contemplating on her past especially the incident with her uncle . After passed school and college she started dating guys when she was 17. She involved sexual activity around the same age Explaination was required about this activity. She got married when she was 20 years old with her boy friend . This marriage lasted less than two years. She reported that her husband was very abusive. She moved into a small apartment and remains here since than. She worked in different roles for the past 8 years. Her mother died by committing suicide at the age of 50 , 12 years ago. Her mother was patient of OCD. Her brother was treated for OCD last 10 years her father was died 2 years ago. She feel difficult to maintain relation .She have several boy friend s at the age of seventeen having sex with them. She meet random guys having meaningless sex with them. She has no any psychiatric treatment and never hospitalized. She used medicine recommendation of her friend , who is doctor. WLM also history of drug and alcohol . She also used Heroin, Meth, cocaine and cannabis for last 7 years.Now her condition was not good she need thery.

Family History:

Her Father was a abusive person and died 2 years ago. Her mother was very loving and compromising women and she died 12 year ago.She have a brother older then her .Her relations were good with her brother but when he observe her behavior he alos start disliking her. Her husband was abusive person and he divorced her within 2 years after marriage.

Father:

Alive/dead: Dead

Cause of death: Two year ago

Physical health: Normal

Any psychiatry problem: _Mentally sick

Personality: Abusive

Nature of relationship with patient: Unhealthy

She describe she have no single good memory for her father .He is abusive person .He abuse her physically and verbally.

Relationship with wife: Unhealthy.

She always saw her father being abusive towards her mother. There were instances of physical and verbal abuse, whereby, his father would not care for anything at all and would hit her mother with anything that he’d find .

If Yes strained psycho why/cause__

Circumstance was a major cause.

Mother:

Alive/dead: Dead

Education: Nlil

Occupation: House wife

Cause of death: OCD How can OCD be a cause of death?

WLM’ mother died by committing suicide at the age of 50

Physical health: Normal

Her mother was diagnosed with major depressive disorder with psychotic features and OCD

Any psychiatry problem

; OCD

Major depressive disorder with psychotic features and OCD

Personality ;Kind and compromising.

Nature of relationship with client: Healthy

Relationship with husband: Unhealthy.

WLM further described that she always saw her father being abusive towards her mother. There were instances of physical and verbal abuse,

If strained, why/cause;

WLM further described that she always saw her father being abusive towards her mother. There were instances of physical and verbal abuse, whereby, his father would not care for anything at all and would hit her mother with anything that he’d find. Due to all this constant battering at home and no social support to seek or talk to about the abuse she suffered, WLM suggested that she suffered mentally.

Siblings:

Total No:

1 Brother

Client Birth order Secend

Physical health ;Healthy;

Relationship with siblings Not good

If strained, why/cause:

She has a brother who is 3 years older than her. She reports that she is no longer in contact with her brother. Although, when they were small, WLM and her brother very close. They fell apart when her brother found about her relations and behaviors a few years ago.

Personal History:

Birth : Normal

Early development : Normal

Physical health/ Medical history : Normal

Traumatic experiences:

She was experiencing abusive behavior of her father to her and her mother and than she was being sexually abuse by her uncle and other guys and her boyfriends and her best friend also deserted her. she had a very traumatic experience of her marriage her husband was very abusive to her and he divorced her

Any psychological problem .

She was patient of anxiety and depression .She feel insecure and pretty low self esteem.

Schooling;

She was a poor student feel ever difficulty in schooling.

Developmental Milestone

Normal

Adolescence;

She was a isolated because of her home atmosphere.

Occupation;

She do service in different companies in last 8 years. Know she was receptionist.

Sexual inclination

WLM was describe her uncle sexually abuse her when she was only 14 year old. Even she can,t understand the meaning of sex. She have sexual relation with different guys at the age of 17.

Marital History:

She is divorced lady .

Spouse:

Alive/dead: Alive

Occupation:

Cause of death:

Physical heath: _Normal_______________

Any psychiatric problem:

Abusive

Personality:

Nature of relationship with client:

Relationship with spouse family

Unhealthy

Unhealthy

If strained, why/cause

He was abusive person.

Children:

Total No:

NIL

Occupational History:

Age at which client starts occupation: -After college

Name of Occupation—Company worker Receptionist

Relationship with co-workers:---Normal

Change in occupations if any:--Yes more often

Reason of occupation change:- Unsatisfaction

Any dispute with co-workers: No

Sexual History:

Age at which client acquired sexual information:--17 year.

Medium of getting sexual information: Friend

Any incidence of sexual assault: .When her uncle abuse her and her brother see her with uncle.

Age if client had a history of sexual abuse: 14 year

Did client get social support -No

Premorbid Personality:

Social interest ;She spend time with different guys.

Social relationships . Unhealthy

Mood. Abnormal Define abnormal.

Moral and religious values .Not good How can you suggest this?

Habits .Sexual Sexual what?

Reactions to stress; Depressed Revise.

Smoking/ Drug abuse; Yes she used alcohol , Heroine , Meth ,Cocaine and Cannabis.

Psychiatric traits/problem .Outgoing ,Abusive, Revise.

Diagnosis:

All the symptoms are shown that WLM is suffering from 300.3(F42)

Obsessive Compulsive Disorder

Recommended Therapy

Cognitive Behavioral Therapy (CBT): The CBT program seemed to ameliorate the symptoms of OCD and therefore might be a feasible treatment option. the best way to treat OCD disorder through cognitive behavioral therapy. Generally, need about 12 to 16 therapy sessions. the goal is to build confidence. Learning skills to manage the situations that scare the client most . Decreased OCD symptoms after attending the CBT program, future studies should evaluate the treatment program with a larger sample and a randomized controlled procedure to ensure treatment effectiveness. CBT has been found effective fo dysphoric mood states and impulsivity. The most effective treatments for OCD are Cognitive Behavior Therapy (CBT) and/or medication.

Assessment Report Bio Data;  Name; Hara  Age; 35  Birth order; Second  Education; Master in Islaymiat  Occupation; Teaching  Date of admission; 05;08;2021

Reason for Referral

The subject is brought and referred by the examiner at virtual university for the requirements of the course of internship. For the administration of beck depression inventory and HTP test. Background Information  Family History Father: Alive/dead:___Dead Education: Middle Occupation: Private sectar Cause of death; Cancer Physical health: Normal Any psychiatry problem: NO

Personality:Loving and carring person. Nature of relationship with patient: Very kind and loving . Relationship with wife: They care and love each other. If strained why/cause: No Mother: Alive/dead: _Dead Education: Middle Occupation: House wife Cause of death: Brain hemorrhage Physical health: Good Any psychiatry problem: hypertension and diabetes.

Personality: She was very pious lady. offers prayers and recite the holy Quran. She loves and cares her children alot and always pray for them.

Nature of relationship with client; Very loving and caring Relationship with husband..They love and care each other. If strained, why/cause: Nill Siblings: Total No: Three Brothers, Sisters: She have one sister.

Client Birth order: ___Second Physical health;She have good health. Relationship with siblings: Friendly If strained, why/cause:___Nill_ Overall family history: Her Father died with liver cancerand mother was died with brain hammrage a few year ago. she was patient of hypertension and diabetes her brother has cardio problem. Her younger sister has the history of epilepsy since her childhood . Marital History: Spouse:__ Alive/dead: Alive Age: 43 Education: Matriculation

Occupation: Wapda Physical heath:Healthy Any psychiatric problem: Nill Personality: He is shy and conservative person Nature of relationship with client: Normal Relationship with spouse family: Healthy relation  Children: Total No: 2 Son: 2 son Age: 19 and 13 year old Physical health: Good health Any psychiatric problem: No Relationship with children: Very loving and caring Overall home atmosphere: Normal  Test Administration  The client was brought to me by the examiner for the requirements of the course internship, the subject is being administered Beck depression inventory and HTP interpretation. I gave her inventory and explain her how to do it. I explain her each question of the inventory, after completing the inventory, I calculate the score of the

inventory. She took 20 minutes to complete it. I calculate her score which he gains through inventory and her score is 17 and she is lying Borderline clinical Depression. Behavioral Observation: Hira's behavior to the test was positive, and she took interest in the test. she had good mood to respond my test and she is excited about the test. she has anxiety for the result. Time taken for BDI She took 20 minutes to complete the inventory. Results Quantitative Analysis of BDI Score

Range

Category

17

17- 20

Borderline clinical depression

Qualitative Analysis of BDI: My subject scored 17 in beck Depression inventory. Which is categorized in Borderline clinical depression. The appendices no 1,2, and 3 are her filled inventory in appendices section. Client has circle most of the statements in the inventory on the number 1. only the statement No 7, she circled 2, which is I am disgusted with myself. that’s mean she is not satisfied with her life. her marital life is disturbed .and she has depression which is in beginning stage. And can be treated. Summary of BDI This is a BDI test which is administered by me. I’m a student MSC applied psychology. And the subject is named Hira is a working woman of pretty personality .and she is married. her age is 35 years old. he got marriage in her early ages. She is masters in Pakistan studies .and did job in Educatin department. She has three kids. she has a busy life. Her husband is Private

employee and he is less talkative and only talk when he needs. He is shy, low confident and conservative man. The chat between husband and wife is very less. the total home atmosphere of the client is silent type. Husband and wife both have not friendly relationship with each other.in BDI test client scored 17. Which is categorized in Borderline clinical depression. She has beginning stage of depression. if it not treated in time it can be worsen. Client almost all statement circled 1 and statement No.7 she circled 2. which is I'm disgusted with myself which shows his desperation about life. She feels she may be punished. She thinks she cry more now than usual. she often feels sadness. She feels guilt over her mistakes. she is being irritated slightly now. At the age of 35 she worried about her looks. she often worried about her physical pains and aches. This all show that she is entering to depression. that might be worse if not cured.

Assesment report of HTP Reason for referral for HTP: The subject was brought by the examiner at virtual university for the Administration of HTP for academic course requirements. Background information and family history for HTP As the client was same as in BDI, That's why the family history and background information is same that mention above in BDI interpretations. Test Administration for HTTP: In HTP administration I gave the client 3 papers and pencil and eraser for drawings. I asked him to draw a person, a house and a tree as better as you can. And she drew 4 drawings. she made

one female with half body. I asked him to draw full body picture then she drew full body pictures and she drew a house and a tree. Behavioral observation for the HTP: Her behavior toward HTP was not so pleasing because she was hesitating to draw the drawings. She thought she did not make the drawings but when she drew the drawings that are very good drawings. In appendices no 4, 5, 6 and 7 are her HTP drawings. When she completed the drawings. she seems satisfied then. Time taken for HTP My client took 1 hour to complete the drawings. Qualitative analysis for HTP

The person.

In appendices section the picture no 4 is a drawing of person which made by the client. She made a teen age girl picture which is standing in a stylish pose .girl wore a hat on his head which means she has moral values , she made open arms of the girl that shows willing to engage herself .and as we mention above in his background history that she is a working woman its indicate that she like to be busy and engage .she made the girls legs straight which shows her straight forwardness .she made her neck not separated from his head which means her desires for aspirations .she made small mouth with smile .that indicate she has the desire to live happily and smiling the girl is wearing a modern stylish dress which shows client 'a aesthetic sense

.She made a teen age girl which mean that client wants to look young and she memorize his youth days .She made her eyes gazing down as it seems that she is shying, it seems that client is a little bit shy lady .Her open and stylish hair depict her sense of aesthetic. Interpretation of tree: In the appendices section the picture No 5 is the picture of tree. Which is made by the client The picture of tree drawn by the client is very meaningful .she made a tree with a broad trunk with heavy lines or shading present in it which shows anxiety about herself the trunk is small which means she has small ego strength .she made large branches with thick leaves which means she meets her needs and she has no financial problem .she made thick and heavy leaves which means she likes to effort in her life .she did not shown roots of the tree which

means she has hidden desires in her .and she is despair . This shows a little emptiness in her. She draw ground under the tree which means she likes to hide his sorrows. She made overall tree in round shape and tree is not so high which shows some depression like feelings in the client.

The interpretation of house: In appendices section the picture no 6 is the drawing of house which is made by the client. She made a big house drawing. Which show her desire to live in big houses? She uses strong lines making house which shows her strength to ego .and strong lines also depict her anxiety.

She made windows which are closed and having no curtains indicate some unwillingness to reveal much about herself. the ground lines are so dark and bolt. that means that inside the family believe and thought are so congested. All the doors and windows are closed which means that their home atmosphere is isolated and silent. Her house drawing roof shown empty. which shows that the person is not like to gatherings around his house. Summary: In short in HTP analysis the client is a person which has some hidden desires. The person is living in a home where the atmosphere is silent type. Her husband is a silent man. Her kids are school going and she also a working woman but she feels alone that there is no one in this world who love and care of her. Her drawing...