Pascual, Blessie - Psychological Report - November 2022

STRICTLY CONFIDENTIAL
November 2, 2022
To: Ms. Blessie S. Pascual
Dear Madam Pascual:
We are respectfully forwarding your psychological report.
Thank you for giving us the opportunity to be of service to you. We hope this report could be of help
to you.
Sincerely,
Janne Andre G. Magpantay, RPsy, RPm

Registered Psychologist (Lic. No. 0001317)
Registered Psychometrician (Lic. No. 0001534)
Recreo Development and Therapy Center
0943 485 5952
Dante’s Peak Bldg, Don Pedro St., Bantug Norte, Cabanatuan City 3100 1
0943 485 5952 || 0956 045 1014 || recreo.dev@gmail.com
Early Intervention | Behavior Therapy | Psychological Assessment | Counseling and Psychotherapy
Children | Adolescents | Adults
Psychological Report
I. Identifying Information
Client’s Name: Blessie S. Pascual
Nickname: Bless
Age: 29 years old
Date of Birth: September 4, 1993
Sex: Female
Civil Status: Married
Contact Number: 0905 191 3033
Address: Sitio Kaunlaran, Aglipay, Rizal, Nueva Ecija
Religion: Roman Catholic
Nationality: Filipino
Father: Rolando N. Pascual
Age: Not stated
Occupation: N/A
Mother: Noraida C. Santiago
Age: 52 years old
Occupation: Caregiver
Contact Number: 0955 306 8889
Date of Assessment: October 4 and 5, 2022
In Case of Emergency
Contact Person: Alger S. Pascual (Brother)
Contact Details: 0939 906 8521
II. Reason for Referral

Bless was referred by Dr. Pariessa D. Dadgardoust, neuropsychiatrist, for psychological testing and
psychotherapy. It was reported that Bless experiences symptoms that characterize panic attack since
2020.
The results of this psychological evaluation aim to provide Bless’ overall psychological functioning at
present. This also aims to provide an explanation of her emotions and behavior pattern, as well as
identifying if her symptoms characterize a psychological condition.
III. Relevant Background Information

Bless is a 29-year old Filipino married female. She is the secondborn among the three children of Mr.
Pascual and Ms. Santiago.
In terms of education (see table below), no significant concerns were reported with both academic
performance and interpersonal relationships.
Table 1. Summary of education.

Level of Education School Duration
Elementary Caalibangbangan Elementary School 2001 – 2006
High School Nueva Ecija High School 2006 – 2010
College Nueva Ecija University of Science and Technology 2010 – 2014
Program: Bachelor of Elementary Education
When it comes to occupation, she had three (3) jobs (see table below). As with her educational history,
no significant conflicts were shared when it comes to work.
Table 2. Summary of occupation.

Position Institution Duration
Frontline associate E-services November 2015 – February 2018
(due to resignation)
Teacher Flowerlane Montessori Children’s House June 2018 – March 2020
(due to resignation)
Teacher 1 DepEd Cabanatuan December 2021 – June 2022 (due
to end of contract)
With regards to psychological concerns, Bless reported that she experiences panic attacks which last
for approximately 10-15 minutes. When a panic attack is occurring, she experiences palpitations, hot
flushes, and at times, fainting. Because of this, she tends to avoid places that cause her discomfort.
According to Bless, her concerns started on 2020, when she was in a mall in Cabanatuan City. While
she was strolling on the 2nd floor, she suddenly felt dizzy (i.e., “umiikot paningin ko”) and palpitations.
She hurriedly went downstairs because she thought that she was just hungry. Afterwards, she felt chest
pain. This led her to ask help from a stranger and told the latter to call for medical assistance. While
being treated, no one from her immediate family could pick her up, leading her to thoughts of
hopelessness. Nonetheless, she was able to reach her cousin who was able to accompany her to their
house.
After this incident, Bless frequently had sudden worries of what might happen to her, which were
accompanied by palpitations, tightness of the chest, and other related physical discomfort. During these
instances, Bless would feel weak and further worry that the mall incident would happen again. As a
way to cope, she has tried reading books and browsing on the internet.
Since the mall incident, she gradually got better with the help on how she coped. However, on May
2020, she witnessed the death of her grandmother. Since then, she felt intense discomfort and attributed
it to the grieving process. This prompted her decision to go to her husband in Cagayan. However, her
discomfort exacerbated because of the unpleasant environment in her husband’s family residence (e.g.,
father-in-law was smoking). Because of this, she returned to Nueva Ecija.
Since then, her fear of being alone and going to close or public places exacerbated. Whenever she goes
to the mall or public market alone, she feels manifestations of panic attack. Hence, whenever she leaves
the house, she sees to it that she is accompanied by someone. According to Bless, she fears that no one
could help her when she is in a closed or open public place if she would feel discomfort. When she is
outside alone, she immediately wants to go out of the place and at times, having tunnel vision towards
the door. Upon escaping the place, immediate relief is felt.
On August 11, 2022, she consulted with Dr. Pariessa Dadgardoust, neuropsychiatrist, who found that
her experiences are panic attacks. She was prescribed with the following:
Table 3. Summary of medication.

Medicine Date of Usage
Prescription
Alprazolam (Xanor/Altrox) August 11, 2022 ½ tablet at bedtime every other night
Paroxetine (Xet 20) August 11, 2022 20mg ½ tablet at bedtime
Alprazolam (Xanor/Altrox) September 13, 2022 500mg ½ tablet at bedtime every other
night
Escitalopram (Jovia) September 13, 2022 ½ tablet at bedtime
However, she is currently not taking any medication because according to her, taking such medications
lead to worsening of her psychological concerns.
Meanwhile, on 2020, she was diagnosed with Hyperthyroidism. Because she was able to relay about
her panic attack manifestations, she was prescribed with Propanolol whenever she experiences intense
surge of anxiety.
IV. Assessment Procedures and Tools

A. Procedure
• Clinical Interview
• Behavioral Observations
• Mental Status Examination
• Psychological Testing
B. Psychological Tools
• Purdue Non-Language Test (PNLT)
• Basic Personality Inventory (BPI)
• BarOn Emotional Quotient Inventory: Short Form (BarOn EQ-i:s)
• Sacks Sentence Completion Form (SSCT)
• Draw A Person Test (DAPT)
• House Tree Person Test (HTPT)
• Kinetic Family Drawing (KFD)
• Beck Anxiety Inventory (BAI)
• Panic Disorder Severity Scale (PDSS)
• Fatigue Assessment Scale (FAS)
• Generalized Anxiety Disorder Assessment (GAD-7)
• Clinical Outcomes in Routine Evaluation (CORE-OM)
• Depression Anxiety Stress Scales (DASS-42)
• Brief-Coping Orientation to Problems Experienced Inventory (Brief-COPE)
• World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0)
• Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)
V. Behavioral Observations
Bless had two (2) sessions of in-person psychological assessment with the clinician. She was
appropriately clad during the evaluation. She had a light body build, with fair complexion, and
displayed proper hygiene. Her speech was audible and coherent, with no manifestations of flight of
ideas or thought disorganization. Her main mode of communication was Tagalog, but could
communicate in English as well. Affect was appropriate in all instances.
Bless was accompanied by a friend in both sessions. According to her, she struggles in going outside
and to other places when alone.
VI. Test Results and Interpretation
Cognitive Functioning
Table 4. PNLT-A. Mental ability.

Percentile Interpretation
60 Average
Bless displays appropriate orientation and awareness to her surroundings, specifically the date, time,
location, events, and individuals around her during the evaluation. No manifestations of cognitive
impairment were seen during the assessment.
Test results show that Bless’ general mental ability falls within the average range. This indicates that
she could perform better than 60% of the individuals with similar educational attainment,
occupational rank, and those who are within her age range. Her overall cognitive ability is
significantly at par with such population. This shows that she is capable to process information via
senses and connect them into more general concepts. She displayed adequate abilities to learn novel
things quickly and utilize the acquired knowledge in order to adapt to different situations, as long as
it involves logic.
Socio-Emotional Functioning
The tables below indicate Bless’ summary of personality pattern and socio-emotional functioning.
Table 5. BPI. Personality pattern.

Scale Interpretation
Hypochondriasis Moderately elevated
Depression Average
Denial Average
Interpersonal Problems Average
Alienation Average
Persecutory Ideas Average
Anxiety Elevated
Thinking Disorder Average
Impulse Expression Average
Social Introversion Average
Self Depreciation Average
Deviation Average
Table 6. BarOn EQ-i:s Socio-emotional functioning.

Scale Interpretation
Intrapersonal skills Average, effective functioning
Interpersonal skills Low, area for enrichment
Stress Management Average, effective functioning
Adaptability Very low, area for enrichment
General Mood Very low, area for enrichment
General Emotional Quotient Low, area for enrichment
Positive Impression Low
Table 7. Specific behavioral and emotional tests.

Tool Interpretation
PDSS Severe panic
FAS Mild – Moderate
GAD-7 Mild
CORE-OM Severe psychological distress

DASS-42 Mild – depression
Extremely severe – anxiety
Moderate – stress
Brief-COPE Emotion-focused (often)
Problem-focused (often)
Avoidant (moderate)
Note: Meaning of scores (interpretation) are not and should not be interpreted independently. See
text below for proper explanation of integration of test results.
Present evaluation shows that Bless manifests difficulties when it comes to her personal emotional
and cognitive adjustment. Test results convey that she experiences 56.11% difficulty in her life areas,
particularly in getting around, self-care, getting along with people, household activities, and
participating in the society. This means that her severe psychological distress leads to moderate
impairment of personal, household, and social functioning. Findings reveal that her overall Emotional
Quotient (EQ) falls within the low range, indicating an underdeveloped emotional and social capacity.
This means that she struggles in utilizing her emotions and social skills when dealing with day-to-
day demands.
It was seen that Bless obtained elevated scores in Anxiety and Hypochondriasis scales. Bless tends
to be easily scared. Little things, even an idea, can cause a frenzy of anxiety. She is afraid of novelty
and of the possibility of physical or interpersonal danger. Integration of her history and test results
show that her feelings of anxiety stems from the first time that she experienced panic (i.e., incident
in the mall). As she received limited support during that time, she associated that everytime she is in
panic or danger, there is no assurance that someone would help her. Hence, whenever she feels
anxious, her thoughts automatically lead to scenarios of reaching intense anxiety and being helpless,
particularly when no one is physically around. This is corroborated by her reports, wherein she could
not go out of the house when not accompanied by anyone. As such situations re-occur, this developed
into the fear of going to enclosed or open spaces where evident help might not be available.
Due to Bless’ level of anxiety, she struggles in processing her thoughts all at once. As her mind gets
overwhelmed, her distress is transferred to physiological manifestations. As evidenced by her
elevation in the Hypochondriasis scale, she tends to be frequently concerned about being sick. She
complains regularly of peculiar pains of bodily dysfunctions, such as tightness of the chest, nausea,
stomachache, and other related discomforts. As she is severely distressed because of her panic
symptoms, fatigue is felt. Based on test results, she experiences more physical fatigue than mental
fatigue. That is, she experiences physical exhaustion and lack of energy.
Furthermore, it was conveyed that her symptoms cause challenges in terms of her interpersonal skills
and adaptability. This means that there are instances when she finds it difficult to communicate her
needs to others. Her symptoms hinder her from constructing and maintaining mutually satisfying
relationships with others. This is further exacerbated by her difficulties in adapting to her
surroundings. While she is able to control her emotions when people are around, she finds it difficult
to look for solutions to ease her burden.
Indeed, findings show that Bless relies more on looking for ways on how to solve her problems, but
not necessarily acting on them. With this, rumination is highly likely to be experienced. It was found
that she mainly uses self-distraction and use of informational support as her main coping mechanisms.
While the latter might be helpful, she has difficulty in utilizing the information that she obtains. It
was seen that she tends to vent and blame herself for what she is experiencing. While there are times
when she is able to plan her next move, she does not carry her plans into action. Test results convey
that the least coping mechanism that she does is positive reframing.
Integration of her emotional and cognitive concerns lead to an unpleasant view of life, as evidenced
by her low General Mood scale. She finds it hard to be self-motivated in carrying out her daily life
activities.
VII. Working Impression: 300.22 (F40.00) Agoraphobia
300.01 (F41.0) Panic Disorder
Present evaluation indicates that Bless manifests the following clinical symptoms, meeting the
criteria for both Agoraphobia and Panic Disorder. Below are the criteria that are met, as set by the
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5, 2013). Note that the
criteria indicated below are the ones she met, while the ones she did not meet are excluded.
Agoraphobia
Criterion A: Marked fear or anxiety about the following situations:
• Being in open spaces (i.e., public market)
• Being in enclosed spaces (i.e., mall)
• Being outside of the home alone
Criterion B: The individual fears or avoids these situations because of thoughts that escape
might be difficult or help might not be available in the event of developing panic-like
symptoms or other incapacitating or embarrassing symptoms.
Criterion C: The agoraphobic situations almost always provoke fear or anxiety.
Criterion D: The agoraphobic situations are actively avoided, require the presence of a
companion, or are endured with intense fear or anxiety.
Criterion E: The fear or anxiety is out of proportion to the actual danger posed by the
agoraphobic situations and to the sociocultural context.
Criterion F: The fear, anxiety, or avoidance is persistent, typically lasting for 6 months or more.
Criterion G: The fear, anxiety, or avoidance causes clinically significant distress or impairment
in social, occupational, or other important areas of functioning.
Criterion H: If another medical condition is present, the fear, anxiety, or avoidance is clearly
excessive.
Criterion I: The fear, anxiety, or avoidance is not better explained by the symptoms of another
mental disorder.
Panic Disorder
Criterion A: Recurrent unexpected panic attacks. A panic attack is an abrupt surge of intense
fear or intense discomfort that reaches a peak within minutes, and during which time, the
following symptoms occur:
• Palpitations, pounding heart, or accelerated heart rate
• Sweating
• Trembling
• Sensations of shortness of breath or smothering
• Feelings of choking
• Chest discomfort
• Nausea
• Feeling dizzy or light-headed
• Fear of losing control
Criterion B: At least one of the attacks has been followed by 1 month of both (1) persistent
concern or worry about additional panic attacks or their consequences and (2) a significant
maladaptive change in behavior related to the attacks.
Criterion C: The disturbance is not attributable to the physiological effects of a substance or

another medical condition.
Criterion D: The disturbance is not better explained by another mental disorder.
VIII. Recommendations
Based on the present evaluation, the following are recommended for Bless:
1. Continue consultations with a psychiatrist and adhere to the respective recommendations.

2. Continue psychotherapy sessions with present psychologist.
3. Undergo a psychological intervention after six (6) months to monitor progress and to reevaluate
current working diagnosis.
Prepared by:
Janne Andre G. Magpantay, RPsy, RPm

Registered Psychologist (Lic. No. 0001317)
Registered Psychometrician (Lic. No. 0001534)

Pascual, Blessie - Psychological Report - November 2022

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STRICTLY CONFIDENTIAL

To: Ms. Blessie S. Pascual

Dear Madam Pascual:

We are respectfully forwarding your psychological report.

Janne Andre G. Magpantay, RPsy, RPm

II. Reason for Referral

III. Relevant Background Information

Table 1. Summary of education.

Table 2. Summary of occupation.

Table 3. Summary of medication.

IV. Assessment Procedures and Tools

VI. Test Results and Interpretation

Table 4. PNLT-A. Mental ability.

Table 5. BPI. Personality pattern.

Table 6. BarOn EQ-i:s Socio-emotional functioning.

Table 7. Specific behavioral and emotional tests.

CORE-OM Severe psychological distress

VII. Working Impression: 300.22 (F40.00) Agoraphobia

300.01 (F41.0) Panic Disorder

Criterion C: The agoraphobic situations almost always provoke fear or anxiety.

agoraphobic situations and to the sociocultural context.

Criterion C: The disturbance is not attributable to the physiological effects of a substance or

Criterion D: The disturbance is not better explained by another mental disorder.

1. Continue consultations with a psychiatrist and adhere to the respective recommendations.

current working diagnosis.

Janne Andre G. Magpantay, RPsy, RPm

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