PSYCHOLOGICAL ASSESSMENT RESULT

Name: Mr. B Age: 22 Date of Birth: March 18, 2001

Address: Brgy. Sto. Cristo, CSJDM Bulacan Sex: M Date of Assessment: April 2, 2023
Psychometrician: Date of Release:
Psychologist:

Reasons for referral:

Mr. B was referred for a psychological evaluation to assess his challenges with decision-making,
feelings of regret and guilt, family difficulties, and interpersonal conflicts at work.

Chief Complaints:

1. Difficulties in making decisions

2. Feelings of regret and guilt related to past infidelity
3. Challenges in family environment, including parental separation and limited support from
biological parents
4. Interpersonal conflicts at work, including exclusion, betrayal, and verbal mistreatment from
colleagues and superiors.

Mental Status Examination:

During the session, Mr. B was observed to be dressed in casual attire and appeared generally
prepared. His eye contact was limited, and he exhibited signs of physical anxiety, such as shaking knees
and a tense posture. He spoke rapidly and loudly, but with some hesitancy and pausing at times. Despite
this, he communicated his thoughts with confidence and chose his words thoughtfully. Overall, Mr. B
displayed some signs of anxiety but was able to effectively convey his thoughts and feelings during the
session.

Behavioral Observation:

During the psychological testing session, Mr. B exhibited cooperative and attentive behavior,
although he displayed mild physical signs of anxiety. His knees were observed to be shaking, and he
engaged in frequent consumption of menthol candies during the testing process. He was observed to be
very talkative, speaking rapidly and loudly during the testing session, and his grooming appeared to be
in a normal casual style. Additionally, his posture was observed to be tensed, and he displayed limited
eye contact, with a mild aversion of gaze. Despite these manifestations of anxiety, Mr. B actively
participated in the cognitive assessments, demonstrating adequate concentration and effort. He appeared
motivated to provide accurate responses and engaged in thoughtful consideration of the test items.

History (personal, family & social):

Mr. B comes from a family background where his parents separated when he was a child. His
biological mother and father do not show consistent support for his activities and decisions, and he has
experienced verbal abuse from his mother. He has limited contact with his father and describes a
strained relationship with his mother. Mr. B is an only child, but his mother has children from outside
the family, resulting in step-siblings with whom Mr. B has a complicated and awkward relationship.
However, he reports that his stepfather is the only person who supports him in everything he does.

In his social history, Mr. B previously had a close relationship with a best friend. However, their
ties were severed after the best friend attributed blame to Mr. B for the deterioration of their romantic
relationship. This event resulted in a loss of friendship for Mr. B, and he currently reports having only a
limited number of friends in his social circle. In addition to the aforementioned details, Mr. B also
reports experiencing challenges in his relationships with his coworkers. He has described being
outcasted by his coworkers and has reported instances of backstabbing and verbal abuse from one of his
bosses at work.

Test Administered:

1. Beck Depression Inventory (BDI)

2. Beck Hopelessness Inventory (BHI)
3. Beck Anxiety Inventory (BAI)
4. Culture Fair Intelligence Test
5. Emotional Quotient Inventory
6. Sach's Sentence Completion Test
7. Basic Personality Inventory

Assessment result:

Cognitive Functioning
Based on the test results, it appears that Mr. B has difficulties in cognitive functioning,
particularly in decision-making, problem-solving, and self-awareness. This aligns with his reported
struggles in decision-making and dependence on external sources for guidance. His low self-worth may
also contribute to his poor cognitive functioning by leading to self-doubt, insecurity, and self-criticism.
As a result, making decisions can be challenging for him as he may hesitate or feel inadequate in his
ability to make the "right" choice.

Emotional Functioning
Based on the assessment results, it appears that Mr. B is experiencing challenges in emotional
functioning, specifically in the area of emotion regulation. He exhibits symptoms of sadness,
dissociation, irritability, panic attacks, and mood swings. These difficulties may negatively impact his
ability to cope with stressors and manage his emotions effectively. Furthermore, Mr. B's severe
symptoms of unresolved guilt align with his report of remorse and regret linked to past infidelity. These
emotional challenges may be contributing to his reported issues with decision-making, interpersonal
relationships, and self-worth. It is recommended that Mr. B receives further assessment and treatment to
address his emotional functioning.

Interpersonal Functioning
In terms of interpersonal relations functioning, Mr. B reports challenges in his family
environment and experiences interpersonal conflicts at work. He also displays limited empathy and
social skills, which may contribute to these difficulties in his interpersonal relationships. The results
from the personality assessment indicate high levels of emotional distress, including hypochondriasis,
depression, persecutory ideas, and anxiety, which may further impact his daily functioning and ability to
cope with stressors.

Diagnostic Impression:

The results of the assessments administered and the information provided about Mr. B suggest a
possible diagnostic impression of Major Depressive Disorder, Generalized Anxiety Disorder, and
Unspecified Personality Disorder. Mr. B presents with deficits in cognitive and emotional functioning, as
well as challenges in interpersonal relationships. These issues seem to stem from his reported low
self-worth, which may have contributed to his difficulties in decision-making, problem-solving, and
emotion regulation. Furthermore, his history of infidelity and unresolved guilt may be contributing to his
emotional distress and symptoms of depression, anxiety, and mood swings. Mr. B also experiences
interpersonal conflicts and displays limited empathy and social skills, which may impact his ability to
establish and maintain healthy relationships.

Summary:

Mr. B, a 33-year-old male, sought assistance for struggles in decision-making, emotion

regulation, and interpersonal relationships. He disclosed a history of infidelity and unresolved guilt,
which influenced his emotional difficulties and associated symptoms of depression, anxiety, and mood
instability. Mr. B expressed a lack of support from his biological parents and difficulties with colleagues
at work. Cognitive and emotional evaluations showed deficits in decision-making, problem-solving,
emotion regulation, and limited empathy and social skills. A provisional diagnosis of Major Depressive
Disorder, Generalized Anxiety Disorder, and Unspecified Personality Disorder was suggested based on
the results of the assessments administered. Additional evaluations may be needed to confirm this
diagnosis and develop an effective treatment plan.

Recommendation:

1. Psychotherapy: Mr. B may benefit from psychotherapy, such as cognitive-behavioral therapy

(CBT) or dialectical behavior therapy (DBT), which can help him develop coping strategies for
 managing his depression, anxiety, and emotion regulation difficulties. Therapy may also help
him address his issues with low self-worth, past infidelity, and interpersonal relationships.
2. Medication: Depending on the severity of Mr. B's symptoms, medication may be recommended
as an adjunct to therapy. A psychiatrist or primary care physician can prescribe antidepressant or
anti-anxiety medications, if deemed appropriate.
3. Support groups: Mr. B may benefit from participating in support groups or self-help groups for
individuals with depression, anxiety, or relationship difficulties. These groups can provide a
sense of community and support, and help him develop healthy coping strategies.
4. Lifestyle changes: Mr. B may benefit from making lifestyle changes, such as improving his sleep
habits, increasing physical activity, and reducing alcohol and substance use, if applicable.
5. Consultation with a psychiatrist: Given Mr. B's possible personality disorder, it may be helpful
for him to receive a consultation with a psychiatrist to assess the need for further evaluation and
potential medication management.

Note: Please observe strict confidentiality of this test result. Kindly disregard (shred or burn) this protocol after it serves its purpose
because a person is dynamic. This result is valid until April 2023. This will not be used in court or for any other purposes except
orphanage admission purposes only. Thank you.
 APPENDIX

Beck’s Depression Inventory (BDI)

Score Interpretation

22 Moderate Depression

Beck’s Hopelessness Inventory (BHI)

Score Interpretation

8 Mild Hopelessness

Beck’s Anxiety Inventory (BAI)

Score Interpretation

28 Moderate Anxiety

Culture Fair Intelligence Test (CFIT)

Score Interpretation

15 Poor

Emotional Quotient Inventory

Factors Category

Innovation Below Average

Self-Awareness Low

Intuition Low
 Emotions Low

Motivation Low

Empathy Low

Scoial Skills Low

Sach’s Sentence Completion Test

Areas Degree of Disturbance

ATTITUDE TOWARDS MOTHER Mildly Disturbed

ATTITUDE TOWARDS FATHER Mildly Disturbed

ATTUTUDE TOWARDS FAMILY UNIT Mildly Disturbed

ATTITUDE TOWARDS MEN/WOMEN No significant disturbance

ATTITUDE TOWARDS HETEROSEXUAL

Mildly Disturbed
RELATIONSHIP

ATTITUDE TOWARDS FRIENDS &

Mildly Disturbed
ACQUIANTANCES

ATTITUDE TOWARDS SUPERIORS AT

Mildly Disturbed
WORK OR SCHOOL

ATTITUDE TOWARDS PEOPLE SUPERVISED Mildly Disturbed

ATTITUDE TOWARDS COLLEAGUES AT

No significant disturbance
WORK OR SCHOOL

FEARS Mildly Disturbed

GUILT FEELINGS Severely Disturbed

ATTITUDE TOWARDS OWN ABILITIES No significant disturbance

ATTITUDE TOWARDS PAST No significant disturbance

ATTITUDE TOWARDS FUTURE Mildly Disturbed

GOALS Mildly Disturbed

 Basic Personality Inventory

Interpretation

HYP - Hypochondriasis High

DEP - Depression High

DEN - Denial Low

IPS - Interpersonal Problems Low

ALN - Alienation Low

PID - Persecutory Ideas High

AXY - Anxiety High

THD - Thinking Disorder High

IME - Impulse Expression High

SOL - Social Introversion Low

SDP - Self Depreciation High

DEV - Deviation High