PSYCHOLOGICAL ASSESSMENT REPORT

Name: Muhammad Usman

Father’s Name: Ishtiaq Ahmad
Date of Birth: 02-08-1997
Assessment Dates: 18-09-2022 – 25-09-2022
Assessed By: Muhammad Nadeem
Case No:

IDENTIFYING INFORMATION

25 years old single male. His education is bachelors in food science. He is the
only child of his parents. He belongs to low middle socioeconomic status and Urdu-
speaking Sunni family. His father is a stitching master and his mother is a house wife.

REFERRAL SOURCE AND PRESENTING COMPLAINTS

Muhammad Nadeeem, a close friend of his, presenting his complaints as reported

by him including depressed feeling, inferior felling and excessive night falls that lead to
physical weakness, excessive thoughts about suicide, excessive uncontrolled thoughts
and obsessions.

INTERVIEW INFORMATION

According to client’s father, his stage 1 cancer problem gradually increased. The
client reported that he did not take interest in daily living activities and seems depressed
most of the time. He did not concentrate over his work. He feels very restlessness and
fatigue all the time. He became anxious and guilt feeling over his behaviors. He started
self talking and excessive thoughts about his health. He considers himself helpless. Client
reported excessive night falls that led him toward physical weakness. He also reported
that he had no control over his thoughts. He thinks most of the time about different ideas
to cure himself and did not concentrate over his particular work. Client’s milestones were
normal (motor & speech). He is not strong physically.

According to previous history, client’s problem started at age 24 years. Client

reported that he spends most of the time at home. He becomes frustrated and depressed
due to isolation and over protection of his parents. He also committed suicide at home.
Client started excessive masturbation from past one year, and he felt guilt felling over act
of masturbation and loneliness.

Client’s father held OCD patterns of personality. Parents did not have good
relationship with each other. Client joined school at the age of 4. His education
performance remained good till matriculation. He failed in matriculation two times.
Client reported that parent did not pay attention on his studies. He continued his study
and passed bachelors examination with D-grade as private. Now he worked in a private
organization as worker.

BEHAVIOR DURING TESTING SESSIONS

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The client came with his father into session room and he stayed in the room for 10-15
mins. Initially, he was hesitant and refused for testing. Therapist encouraged the client for
assessment. Client was very talkative. He seemed very depressed and irritable during the
administration of DASS, KCSS, HFD and RISB.

TEST ADMINISTERED

Depression anxiety stress scale (DASS)

Kingston caregiver’s assessment scale (KCSS)
Human Figure Drawing (HFD)
Rotter incomplete sentence blank (RISB)
 
PSYCHOLOGICAL EVALUATION

DASS-21 is a set of three self report scales designed to measure the emotional states of
depression, anxiety and stress. Each of the three DASS-21 scales contains seven items
divided into subscales with similar content.
DASS indicated that the client has severely suffered from anxiety and the stress in the
client is of mild level. DASS also indicated the client has severe levels of depression.

Human Figure Drawing Test (HFD), a projective test, indicates that the Mr. Usman is
very aggressive and guilt feeling. He also has poor self image. He is very suspicious.

RISB is a projective psychological test developed by Julian B Rotter. It comes in three

forms and comprises of forty incomplete sentences usually 1-2 words long. The result of
this test was 96.

KCSS is primarily a scale used to monitor change in a family caregiver stress level
overtime. The range of this scale is 10-50. The client has scored 25 that mean he has
more care giver stress.

TENTATIVE DIAGNOSIS
The client has a severe level of anxiety and stress and also has a care giver stress.

PROGNOSIS
The chances of recovery were 63% over 5 years of time period.

CONCLUSION
The client is severely affected by depression, anxiety and loneliness but there still is a
great chance for him to recover and come back to a happy normal life after treatment and
support he needs.

RECOMMENDATION

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Cognitive behavior therapy work very effectively with such client in order to cope their
behaviors and believes.
Selecting goals are translated into target behaviors.
Work with target goals and change them into normal behaviors
Teaches the client in order to;
1. Monitors emotional upsets and activating events
2. Identifying maladaptive thinking and beliefs
3. Realize the connections between thinking, emotions and behaviors
4. Test out maladaptive thinking and beliefs by examining the evidence for and
against them.
5. Substitute the negative thinking with more realistic thinking.
 Coping skills will help client to cope over negative behaviors, frustration at home
due to loneliness that will be decreased in company of friends.
 Social skills training by an expert therapist that will help the client to engage in
social activities and improve client’s positive behaviors.
 The role of therapist to work directly with the client in order to teach him and
behavioral managements techniques and way of expressing appropriately feelings
such as anger, communication, fears, poor self concept, and confidence.
 ABC model will help the client to change irrational believes into rational believes.
 A behavior technique like molding is very important with him to shape new
behavior in the place of abnormal behaviors.
 Work with client negative thinking and irrational believes that cause disturbance
in client behavior and interpersonal relationships.

 
Supervisor Internee