PRACTICUM

IN

CLINICAL PSYCHOLOGY

SUBMITTED BY:

Asmita Rajesh Sharma

ROLL NO: 43

MA PSYCHOLOGY PART – II

SEMESTER – III

ACADEMIC YEAR

2023 – 2024
 Department of Psychology

Vivekanand College of Arts, Science and Commerce - Autonomous

Academic Year 2023 - 2024

Certificate

This is to certify that

Ms. Asmita Rajesh Sharma

of M. A. Psychology Part II (Roll No.43)

has duly completed under supervision the internship prescribed for

the M. A. Psychology Part II Course

“Practicum in Clinical Psychology” of Semester 3 of

the Choice Based Credit System

of VESASC (Autonomous) affiliated to the University of Mumbai

and entered the results and reports as required.

Date: 02- 11-2023

_______________
Signature
Head, Department of Psychology

Stamp of the College

 Department of Psychology

Vivekanand College of Arts, Science and Commerce - Autonomous

Academic Year 2022 - 2024

Certificate

This is to certify that

Ms.Asmita Rajesh Sharma

of M. A. Psychology Part II (Roll No.43 )

has duly conducted under supervision the assessments prescribed for

the M. A. Psychology Part II Course

‘Assessment in Counselling and Clinical Psychology”

of Semester 3 of the Choice Based Credit System

of VESASC (Autonomous) affiliated to the University of Mumbai

and entered the results and reports as required.

Date: 02-11-2023

_____________
Signature
Head, Department of Psychology

Stamp of the College

 INDEX

Sr No. Content Page No. Signature

1. Case Report 1

2. Case Report 2

3. Case Report 3

4. HTP/DAP Report

5. MMPI-2 Report

6. TAT/CAT Report

7. BGT-II Report
 Case Report 1

Case History

Demographic Details

● Client Name - S.M

● Age- 34 years

● Sex- Male

● Place: Regional Mental Hospital ,Inpatient

● Date of Admission- 16/11/22

● Socioeconomic Status- Middle-class

● Marital Status: Unmarried

● Education: HSC

● Occupation: Call center [BPO]

● Language Preference: Hindi, English

Informant Details

The informant was the Client and the psychiatry sister.

Presenting Concerns: Bhag nahi pata, heavy weight nahi utha pata, I am bored, denies

hallucinations, multiple joint pains, back pain, headache.

History of Presenting Illness[HOPI]- Patient fell down from train 12 years back he was

admitted immediately in hospital by his family members. Patient went into a coma for 45 days
once he was admitted in hospital. After the patient was discharged from hospital the family

members noted changes in his behavior and mood. Patient was abusive, aggressive and

suspicious regarding his family members. Hallucinations were present. Weakness, constipation

was also mentioned by the Patient.

A. Onset - Insidious

B. Precipitating Factors -Train accident

C. Course of Illness- Fluctuating

D. Associated Disturbances - Reduced sleep and appetite

Past psychiatric history- S.M has been taking psychiatric medication from Sion hospital for the

past 10 years.

Developmental and Medical History- Not known by the patient

● Behavior during childhood: Normal

● Physical Illness during childhood: None

Education and Work History-Patient was a bright student wanted to complete his graduation

but couldn’t complete due to his accident speaks very fluent English and worked in BPO for 2

years

Family History-The patient has one elder brother and one sister. His father passed away a few

years back, and his mother is still alive. The patient was attached to his father and had a dislike

for his elder brother since he brought him to the hospital. There is no family history of mental

illness. The father was an alcoholic.

Domestic Violence- Patient denies any kind of domestic violence.

Trauma and Abuse- Patient was beaten by his brother and father during childhood.
Social History - Likes to interact with others has 4 friends in the ward and he share his feelings

and talks with them.

Sexual History- Denise's any kind of sexual relationship with any girl .Dint had any girlfriend

Substance Abuse History-Tobacco,Cigarette ,alcohol occasionally

Suicidality/Homicidality-Suicidal ideations absent .

Premorbid Personality:

Attitude to others in social, family and sexual relationship

Had a difficult relationship with his brother, socially he was an extrovert and sexual relationship

was not established with any girl.

Attitude to self: Motivated to work and ambitious.

Moral and religious attitude: Used to pray to Lord Sai Ram.

Mood: Irritated, annoyed, anger comes and goes.

Leisure activities and interest: Music, likes to listen to sad songs.

Fantasy life: Patient showed hope to work after getting discharged from hospital.

Habits : Appetite: Increased Sleep: More than normal

● Excretory Functions: Normal

 Mental Status Examination

General Behaviour: Patient was cooperative and rapport was established. Patient was mindful

about her cleanliness, sleep and eating schedule. She was well groomed but was feeling sleepy

and lazy (as stated by the patient). She was conscious and was in touch with her surroundings.

Adequate eye contact was maintained.

Psychomotor activity: No abnormalities were found

Talk : Was monotonous, tone was low and was maintained. Speech was relevant and coherent.

Reaction time was appropriate and prosody of speech was maintained.

Thought: Was normal. There was no presence of any thought disorder.

Mood: Was bored and affect flat.

Perception: There were no perceptual difficulties. No illusions or hallucinations were reported.

Cognitive Functions:

Attention and concentration: Attention and concentration was above average. Client was

oriented to time, place, and person. Performance on memory task was sufficient.

Memory: Patient’s memory was intact.

General information: Patient could answer questions.

Intelligence: Adequate

Judgement: Was adequate

Insight: Was not present

Differential Diagnosis : Traumatic Brain Injury[TBI]

Diagnosis - Organic Psychosis

 Case Formulation

● SM experiences cognitive deficits, including drowsiness, indicating potential medication

side effects.

● While attention and memory are preserved, SM exhibits signs of irritability, annoyance,

and boredom, highlighting emotional dysregulation.

● His mood appears predominantly flat, occasionally punctuated by bouts of irritation and

anger.

● He finds solace in sad music, suggesting an emotional outlet for his inner turmoil.
 Proposed/Ongoing Treatment Plan

1. Medical Stabilization and Monitoring:

● Providing medical care and treatments to stabilize SM physical health.

● Managing any immediate medical issues, monitoring vital signs, and ensuring the

patient is physically stable.

2. Psychopharmacological Intervention:

● Psychopharmacological intervention refers to the use of medications to manage mental

health symptoms.

● Psychiatrists may prescribe medications to address specific symptoms or underlying

conditions. These medications can help regulate mood, reduce anxiety, manage

hallucinations, or stabilize other mental health symptoms.

● Risperidone

● Clozapine

3. Psychotherapy [CRT] and Counseling:

● Psychotherapy (Cognitive Rehabilitation Therapy - CRT): CRT is a specialized form

of cognitive training designed to improve cognitive functions such as attention, memory,

and problem-solving skills.

● It's often used in the treatment of various mental health disorders, particularly

schizophrenia and other psychotic disorders.

 ● Counseling:Counseling involves talking to a mental health professional, such as a

psychologist or counselor, about emotional and psychological issues.

● It provides a supportive environment for the patient to discuss concerns, gain insights,

and learn coping strategies.

4. Occupational Therapy:

● Occupational therapy focuses on helping individuals develop or regain skills needed for

daily living and working.

● In the context of mental health, occupational therapists work with patients to improve

their abilities to perform tasks, manage routines, and engage in meaningful activities.

● This therapy aims to enhance the patient's overall functioning and independence.

5. Psychoeducating the Family:

● Psychoeducational interventions involve providing education and information to the

patient's family members about the patient's mental health condition.

● It helps family members understand the disorder, its symptoms, treatment options, and

how they can support their loved one effectively.

● Psychoeducation can reduce stigma, improve communication, and foster a supportive

family environment.

6. Laughter Therapy:

● Laughter therapy, also known as laughter yoga or laughter meditation, involves

intentional laughter exercises combined with yogic deep breathing techniques.

● It's based on the idea that laughter has positive effects on physical and mental health.

● Laughter therapy aims to reduce stress, improve mood, enhance social connections, and

promote overall well-being through laughter-induced relaxation.

 Case Report 2

Case History

Demographic Details

● Name of the patient: RB

● Age: 23 years

● Place: Regional Mental Hospital ,Inpatient

● Date of Admission: 22/8/22

● DOB: 07/01/2001

● Sex: Male

● Socioeconomic Status: Middle class

● Marital Status: Unmarried

● Education: 1 st year Bsc

● Occupation: Sales Person[Unemployed]

● Language Preference: Hindi, English, Marathi

Informant Details:

Client and the Psychiatry sister gave the information.

Presenting Concerns : Mai theek hu muje kuch nahi hua hai thode din mai ghar chale jaunga.

History of Present illness [HOPI]: Patient used to hit his parents when they used to stop him

from consuming drugs/alcohol, was abusive, suspicious with his family members, aggressive,

and had auditory hallucinations.

(a)Onset: Gradual

(b)Precipitating Factors: Ganja

(c)Course of the illness: Since 3-4 years. Increased since 1-2 years

(d) Associated Disturbances: Loss of appetite

Past History: Patient was admitted to TMH 1 year back before that he had joined alcohol

anonymous in Sion hospital

Family History: Mother [59 years],Father[81 years] is a cab driver and consumes tobacco,2

younger sisters studying in college.

Personal History:

Birth and Development: Not known by the patient

● Behavior during childhood: Normal

● Physical Illness during childhood: None

Education and Work History: R was an average student who used to like science when he was

in school.

Domestic Violence: Patient denies any kind of domestic violence. Mother used to hit him when

he used to not study.

Trauma and Abuse: Patient was beaten by his brother and father during childhood.

Sexual History: RB had a girlfriend they both had physical relationship within 2 years they

broke up .As stated by RB she left him due to his anger issues. Does not indulge in masturbation.

Marital History: R is unmarried

Social History: Fond of social interaction likes to go to parties and social places. Love his

friends.
Substance Abuse History: Patient admits using various substances over the past several years,

with increasing frequency over the last 12 months. He reports using cigarette.

ganja,alcohol,bhang,whitner. 25 cigarettes per day.

Suicidality/Homicidally: Suicidal ideations absent. Feels like running away from the hospital by

breaking the glasses and windows.

Premorbid Personality:

Attitude to others in social, family and sexual relationship: Had good relations with friends

and liked to spend more time with them rather than his family shares good bond with his sisters

and is attached with his mother.

Attitude to self: Motivated to work and ambitious.

Moral and religious attitude: Does not believe in god.

Mood: Irritated, annoyed, anger comes and goes.

Leisure activities and interest: Cricket,carrom,singing and dancing.

Fantasy life: Pizza and burger shop.RB mentioned that he has done a contractor course and says

that he wants to be a builder too.

Habits: Appetite: Decreased

● Sleep: Normal

● Excretory Functions: Normal

 Mental Status Examination

General Behavior: Patient was cooperative, friendly rapport was established. Clothes were

clean and overall appearance was presentable. Patient was feeling drowsy because of the

medications.

Psychomotor activity -Was normal.

Talk -Was monotonous, tone was low and was maintained. Speech was relevant and coherent.

Reaction time was appropriate and prosody of speech was maintained.

Thought: Was normal. There was no presence of any thought disorder.

Mood :Happy

Affect- Happy

Perception: There were no perceptual difficulties. No illusions or hallucinations were reported.

Cognitive Functions:

Attention and concentration: Attention and concentration was above average. Client was

oriented to time, place, and person. Performance on memory task was sufficient.

Memory: R memory was intact.

General information: R could answer questions.

Intelligence: Adequate

Judgment: Was adequate

Insight: Partially present

Differential Diagnosis : Schizophrenia

Diagnosis : Polysubstance abuse

 Case conceptualization

Predisposing Factors:

● RB's predisposing factors include a history of substance abuse within his family (father's

tobacco consumption) and childhood trauma (physical abuse by family members).

● His early exposure to substances and a challenging family environment might have

contributed to his vulnerability.

Precipitating Factors:

● The onset of RB's symptoms was gradual, with substance abuse, particularly ganja, acting

as a precipitating factor.

● Substance use triggered aggressive behavior, auditory hallucinations, and suspiciousness.

● His recent increase in substance use intensified his symptoms.

Perpetuating Factors:

● RB's ongoing substance abuse, including cigarettes, ganja, alcohol, bhang, and whitener,

perpetuates his symptoms.

● Substance abuse negatively impacts his mood, cognition, and social interactions.

● His decreased appetite and suicidal ideation further indicate the severity of his condition.

Protective Factors:

● RB's protective factors include his positive relationships with friends and his sisters, as

well as his interest in leisure activities like cricket, carrom, singing, and dancing.
● These activities provide a temporary escape and moments of happiness amid his

challenges.
 Treatment Plan

1. Substance Abuse Treatment:

● Priority should be given to addressing RB's polysubstance abuse through detoxification,

counseling, and rehabilitation programs.

● Motivational enhancement therapy can help him recognize the need for change.

2. Psychiatric Interventions:

● Antipsychotic medications may be considered to manage his psychotic symptoms,

improve his mood, and reduce aggression.

● Regular psychiatric follow-ups are crucial for medication management.

3. Psychoeducation:

● RB and his family should receive psychoeducation about substance abuse, its effects, and

coping strategies.

● Understanding the interplay between substance use and his symptoms is vital.

4. Individual Therapy:

● Cognitive-behavioral therapy (CBT) can help RB manage anger, improve coping skills,

and challenge distorted thinking patterns.

● Therapy should address his trauma history and its impact on his behavior.

5. Family Therapy:
 ● Involving RB's family in therapy can help address family dynamics, improve

communication, and provide emotional support.

● It can also address the impact of RB's behavior on his family members.

6. Occupational Support:

● Vocational training and supported employment programs can assist RB in finding

meaningful employment, promoting his sense of purpose and stability.

7. Safety Measures:

● Given RB's suicidal ideation and impulsivity, safety measures, such as close monitoring

and a safe environment in the hospital, are crucial to prevent self-harm.

 Case Report 3

Case History

Demographic Details:

● Name : NM

● Age: 32 years

● Place: Regional Mental Hospital ,Inpatient

● Date of Admission: 12/8/22

● DOB: 07/01/1979

● Sex: Male

● Socioeconomic Status: Middle class

● Marital Status: Unmarried

● Education: SSC

● Occupation: Driver , Call center

● Language Preference: Hindi, English, Marathi

Informant Details

NM and psychiatry sister.

Presenting concerns: Neend nahi aati ,baichani hoti hai ,chidchidapan,badan mai dard.

History of present illness: Suspected that his boss had put something in his food, which made

him feel dizzy and caused it difficult for him to recall events log maan ki baat sun rahe wohi

chalta tha.

client did not clearly remember the event that led for his second admission .Chid-chid hone laga

aur dosto se patata nahi tha.

On july 23 the client was readmitted based on the complaints presented before. thoda kuch bole

toh gussa ho jata tha.

Past Psychiatrist illness: The client's psychiatric treatment commenced in 2016 due to

persecutory delusions, which led to aggressive behaviour and discontinuation of medication. The

client was admitted to RMH three times, in 2016, 2021, and 2023, and on each admission,

exhibited aggressive and irritable behaviour. It is noteworthy that the client reported that the

delusive thoughts did not resurface after the initial incident. After each discharge, the client

noted a shift in their thinking, describing it as feeling "fresh laga" and “dimaag shant hua”.

EDUCATIONAL AND WORK HISTORY:

JOBS

1. Call centre

2.Bombay porters trust

3. Bouncer

4. driver

Family History: N.M comes from a family comprising his father, mother, and a younger sister

who is currently married.

● N.M himself is single and has no history of marriage.

● N.M particularly highlighted a strong bond with his father, who has been a source of support

for him.

● However, he also recalled an incident where his father admitted him to the hospital without

prior notice, and while discussing this, N.M conveyed a sense of slight disappointment about the

incident.
Social History : N.M had a passion for music, particularly playing tunes on the Casio keyboard

and singing Dhalo music

Sexual History : Teenager when he was introduced to topic of sex. He was 17 when he first had

sexual encounter with a female friend.

Substance Abuse :First time had alcohol when he was 19- 20. occasionally smokes

Suicidal /Homicidal: No current or past history of suicidal attempt or ideation no past history of

homicide.
 Mental Status Examination

General Behavioral : CONSCIOUS, COOPERATIVE, MAINTAINED EYE CONTACT

PSYCHOMOTOR FUNCTIONS : NORMAL RANGE

VERBAL COMMUNICATION :RELEVANT , NORMAL RESPONSE TIME , COHERENT,

AFFECT - NORMAL RANGE

THOUGHT PROCESS : Client did not display flight of ideas, retardation of thinking,

circumstantiality, preservation, or thought blocking.

THOUGHT FORM : No formal thought disorder. No symptoms of obsession, compulsion or

phobias .

CONTENT OF THOUGHT : Delusions of persecution, anger, aggression, and anxiety due to

their inability to recall things.

MOOD :Euthymic mood, anxiety and negative mood due to living arrangements at hospital.

Goes to OT to combat these feelings.

PERCEPTION :No hallucination or illusions.

COGNITIVE FUNCTIONS :Orientation to surrounding, memory , general knowledge,

intelligence, personal, social, and test judgement remained intact. Partial insight .
 Case Conceptualization

N.M, a 32-year-old male, presents with a complex clinical picture marked by a history of

psychiatric admissions and shifting diagnoses. Notably, N.M initially exhibited symptoms

suggestive of persecutory delusions and hostility, leading to his diagnosis of psychosis with

schizophrenia. Subsequently, his diagnostic profile evolved into schizoaffective disorder, marked

by a range of symptoms, including reduced sleep, over-religiosity, anger, over-talkativeness,

assaultiveness, suspiciousness, and self-muttering. The onset of these symptoms dates back to

2016 when he reported paranoia related to his boss allegedly tampering with his food. These

experiences have been accompanied by fluctuating insight and periods of discontinuation of

medication. N.M also reports significant anxiety symptoms, characterized by excessive worry

about job, future, and marriage. Additionally, N.M's social history reveals a supportive family,

past friendships with negative influences, a passion for music, and a history of substance use,

which could contribute to his clinical presentation. The current formulation highlights the

complexity of N.M's presentation, incorporating elements of schizoaffective, and anxiety

disorders.
 Treatment Plan

1. Comprehensive Psychiatric Assessment:

● Conduct a thorough psychiatric evaluation to understand the current symptomatology,

identify triggers, and assess N.M's insight into his condition.

● This assessment will guide the treatment approach.

2. Medication Management:

● Prescribe antipsychotic medications to manage N.M's psychotic symptoms, such as

delusions and suspiciousness.

● Regular monitoring of medication compliance and side effects is crucial.

● Considering his fluctuating insight, long-acting injectable antipsychotics could be

considered for adherence improvement.

3. Psychoeducation:

● Provide psychoeducation to N.M and his family about his mental health condition,

including the nature of psychosis, the importance of medication adherence, and strategies

to cope with symptoms.

● Address misconceptions and reduce stigma associated with mental illness.

4. Individual Therapy:

● Implement Cognitive-Behavioral Therapy (CBT) to address N.M's anxiety symptoms,

distorted thinking patterns, and improve coping skills.

● CBT can help him manage excessive worry and reduce paranoid thoughts.

● Focus on enhancing insight and awareness of his symptoms.

5. Social Skills Training:

● Conduct social skills training to improve N.M's interpersonal interactions,

communication skills, and assertiveness.

● Enhance his ability to navigate social situations, build positive relationships, and address

conflicts effectively.

6. Supportive Therapy:

● Provide supportive therapy to offer a safe space for N.M to express his feelings,

concerns, and fears.

● Supportive therapy can help him manage the emotional distress associated with his

symptoms and improve overall well-being.

7. Occupational Therapy:

● Engage N.M in occupational therapy to enhance his daily functioning, promote

independence, and improve his overall quality of life.

● Occupational therapy can focus on improving self-care skills, time management, and

coping with stressors.

8. Substance Abuse Counseling:

● Offer substance abuse counseling to address N.M's history of substance use.

● Provide interventions to reduce alcohol and tobacco consumption, and support him in

maintaining sobriety.

● Explore triggers and coping mechanisms related to substance use.

9. Family Therapy:

● Involve N.M's family in therapy sessions to enhance their understanding of his condition,

improve communication within the family, and address any family dynamics that may

contribute to stressors.

10. Relapse Prevention Planning:

● Collaborate with N.M to create a relapse prevention plan. Identify early warning signs

of worsening symptoms and develop coping strategies to prevent relapses.

● Involve N.M in his own care planning process.

11. Vocational Rehabilitation:

● Explore vocational rehabilitation programs to help N.M regain employment.

● Assess his skills, interests, and abilities to identify suitable job opportunities.

● Provide training and support for job interviews and workplace integration.

12. Regular Follow-ups and Monitoring:

● Schedule regular follow-up appointments to monitor N.M's progress, medication

adherence, and overall functioning.

● Adjust the treatment plan as needed based on his response and changing clinical needs.

13. Crisis Intervention Plan:

● Develop a crisis intervention plan outlining steps to be taken in the event of worsening

symptoms, suicidal thoughts, or other emergencies.

● Educate N.M and his family about accessing crisis helplines and emergency services.
PSYCHOLOGICAL ASSESSMENT REPORTS
 House-Tree-Person Interpretation Report

Client Information:

Name: Priyanka Rawat

Age: 22

Date of Assessment: September 2, 2023

Assessment details:

The House-Tree-Person [HTP] assessment is a projective test to gain insight into an

individual’s aspects of personality, bringing one’s inner world to the page, examine the extent

of brain damage and general mental functioning and to assess the brain’s overall neurological

functioning.
House
Tree
Person
 Interpretation:
House Drawing:

P drew the house in the middle of the page which could suggest that she values stability and

security. The size of the house is relatively big which may suggest that she may be overwhelmed

by her home environment. The lines are slightly weak which represents a kind of weakness of

the ego. The presence of two ventilators inside the house might represent a need for fresh air or

a desire for communication and exchange of ideas. A roof is drawn above a roof which might

indicate the fantasy life of P. Chimney with little smoke may indicate that there is some level of

tension or unresolved issues within the home. There is an absence of window which may

suggest a hostile or withdrawing personality. The door is slightly open with a lock which

suggests defensiveness. The grass outside the house may signify a connection to nature or a

desire for peaceful and natural environment. Coconut tree with 3 coconuts could represent

fertility, abundance and growth and prosperity in her life. The presence of a mountain could

symbolize challenges or obstacles in her life. The hidden sun might indicate a period of

uncertainty or darkness in her life. The presence of pathway may suggest that the person

acknowledges the possibility of leaving their comfort zone or exploring new opportunities.

Tree Drawing:

In her drawing there are no branches in tree which suggests the person has little contacted with

people The fruits might show a strong tendency to have children. The baseline indicates strong

thinking, desire to be independent. The tree is drawn in cloud shape which indicates a confused

thinking pattern.
Person Drawing:

P drew the person of the same sex which means that the person in the figure is like her. Open

arms suggest willingness to engage. pointed fingers can indicate aggression small feet might

indicate a need for security. Neck is normal sized. Close tight mouth can indicate denial

of needs or some kind of passive aggression and smile is what she does in real life.

Summary:

Priyanka is a 22-year-old female who became my participant in the assessment. Priyanka’s

performance on the House-Tree-Person Projective test shows the themes of withdrawal, and less

desire for social interaction. The figure of tree is drawn in a childlike manner which shows a

kind of immaturity. There might also be some unresolved childhood conflicts with the client.

The Client also shows some confused thinking patterns. There is a possibility of her

experiencing some amount of anxiety and tension in her life. She also shows a strong desire to

have children. The client also has some anger issues.

 Minnesota Multiphasic Personality Inventory (MMPI) - II

MMPI-2 Report

Client Information:

The individual being assessed is SM, a 37-year-old woman, residing in a controlled home

environment. She is married with a 7-year-old daughter and lives with her husband, maintaining

a neutral family setting due to issues with her mother-in-law. SM used to work as a fashion

designer but became a homemaker after the birth of her child.

Observations and Interaction:

During the testing session, SM presented herself as well-groomed and composed. She

established good rapport and exhibited cooperation throughout the assessment. SM maintained

appropriate eye contact and spoke with an adequate rate and volume. Her tone of voice was

pleasant and modulated. She reported a stable and positive mood, which was consistent with her

overall demeanor.

Assessment Validity:

Considering SM's attentiveness, concentration, and motivation levels, the evaluation conducted

is likely to provide a reliable measure of her functioning.

Assessment Instruments and Procedures:

The evaluation process included a clinical interview and the administration of the Minnesota
Multiphasic Personality Inventory- Second Edition (MMPI-2).

Interpretation of Test Results:

Upon analyzing the client's scores on the assessment scales, it appears that the client did not face

any difficulties in reading and comprehending the test (as indicated by VRIN & TRIN).

However, it is crucial to approach the inferences and interpretations drawn from these scores

with caution. There are indications that the client might have responded randomly (high TRIN

score) or exhibited indiscriminate true responses. Additionally, there might be elements of

over-reporting or exaggeration of symptoms (positive F-K value), suggesting a possible cry for

help (high Fp value). Consequently, the findings could be inflated, and the results need to be

interpreted with care. It's noteworthy that the F value also seems to have an impact on the

clinical scales.

Specific Scale Scores and Interpretation:

The client has obtained high scores in three scales: Social Introversion (si),

Masculinity-Femininity (mf), and Depression (D). These scores suggest that the client is highly

socially introverted and exhibits feminine traits. The elevated Depression scale score indicates

the presence of depressive symptoms, possibly indicating inner conflicts and distressing

thoughts.

Top Three Scale Scores:

- Social Introversion (si): 47

- Masculinity-Femininity (mf): 29

- Depression (D): 25
The corresponding code for these scores is (052). It is important to approach these findings with

a discerning perspective, considering the potential complexities and nuances involved in the

client's psychological state.

Summary and Recommendations:

The client of 37 years from non clinical background volunteered for the assessment of

educational purpose, a housewife completed her graduation in fashion designing, the test results

has been found that the client is introvert, feminist and has depression. Depression may be due to

her faminial problems. No recommendations but if the depression gets severe therapy can be

recommended to the client Variables:

MMPI-2 PROFILE FOR VALIDITY AND CLINICAL SCALES: L - 05 F - 10 FB - 11 K - 07

TRIN - 12 VRIN - 09 HS - 12 D - 25 HY - 17 PD - 17 MF - 29 PA - 14 PT - 22 SC - 22 MA - 23

SI - 47 FP - 05 FBS - 14 S - 18 ? - 0

MMPI-2 PROFILE FOR K - AND NON-K-CORRECTED VALIDITY AND CLINICAL

SCALES K CORRECTED : HS - 16 D - 25 HY - 17 PD - 20 MF - 29 PA - 14 PT - 29 SC - 29

MA - 24 SI - 47 NON - K - CORRECTED HS : 12 D : 25 HY - 17 PD - 17 MF - 29 PA- 14 PT-

22 SC-22 MA-23 SI-47

MMPI-2 HARRIS LINGOES SUBSCALES: D1 - 63 D2 - 46 D3 - 56 D4 - 52 D5 - 68 HY1 - 45

HY2 - 30 HY3 - 55 HY4 - 57 HY5 - 46 PD1 - 38 PD2 - 30 PD3 - 41 PD4 - 54 PD5 - 68 PA1 -

81 PA2 - 59 PA3 - 36 SC1 - 65 SC2 - 49 SC3 - 55 SC4 - 44 SC5 - 65 SC6 - 68 MA1 - 70 MA2 -

50 MA3 - 43 MA4 - 74 SI1 - 49 SI2 - 65 SI3 - 74

MMPI-2 SUPPLEMENTARY SCALES: AGGR - 08 PSYC- 13 DISC - 07 NEGE - 18 INTR -

14 A - 20 R - 21 ES - 24 DO - 14 RE - 19 MT - 19 PK - 17 MDS - 04 HO - 38 O-H - 14 MAC-R

- 28 AAS - 01 APS - 19 GM - 22 GF - 37

Thematic Apperception Test

Report

● Name of the patient: SM

● Age: 34 years

● Sex: Male

● Education: HSC

● Occupation: Call center [BPO]

Reason for using the TEST

● Explore underlying emotional conflicts and trauma .

● Understand the patient's emotional responses, motivations, and coping mechanisms,

especially in relation to auditory hallucinations.

● Gain insights into the patient's emotional expression and interpersonal dynamics that

may be contributing to her symptoms. Inform treatment planning by providing a deeper

understanding of his inner world and guiding therapeutic interventions

d no.dentification Needs Presses Theme Inner state ct level Outcome

1. Boy for knowledge or on &Restraint, chievement Conflict Average Negative

wisdom, Lack of mposed task or Unresolved
nurturance. training.

2.mer, Women Achievement Uncongenial Gender role Elation Average Positive

environment xpectations
[Monotony]

3.Boy, Woman ABASEMENT REJECTION onship with Conflict AverageUnresolved

mother negative

4.Boy, Mother AFFILIATION URTURANCE Creativity ELATION Average e resolved

[Emotional]

5. NatureHANGE/TRAVEL Monotony Creativity ELATION Average Resolved

ADVENTURE,
SENTIENCE

6.Man, Woman SUCCORANCE AFFILIATION exual desire EALOUSY Average Negative

Unresolved
[Emotional]
 7. Woman EXPOSITIONUCCORANCE Hope ELATION Average Positive
unresolved

8.Boy, Woman Sex Affiliation exual desireonal change average Positive

9. Man SUCCORANCE Luck [Bad] Sadness Dejection Average Negative

unresolved

10. Girl Dominance Luck [Good] Fantasy life Elation Average e resolved

11. Boy Achievement Exposition Motivation Elation Average e resolved

Summary
● SM has several advantages, including being bright, articulate, and insightful also has a

strong desire to form and maintain meaningful relationships, which drives him to seek

assistance in doing so

● . He naturally exhibits the use of several coping skills such as travelling and spending

time in nature as well as spiritual practices.

● SM shows a strong desire to establish sexual relationships and is motivated to work after

being discharged from the hospital.

 BENDER-GESTALT TEST

REPORT

Demographic Details

Client Name: SM Age (in years and months): 22 years 11 months

Gender: Female

Education:M.A in clinical Psy

Marital Status: Single

Occupation: NA

Reason for referral: To assess client’s current level of visuo-motor integration

Languages known: Punjabi, English, Hindi, Marathi

Language tested in: English

Date of assessment: 1/10/2023

No of sessions: 1

Duration of assessment: 09 minutes

Test(s) administered: Bender Visual-Motor Gestalt Test, 2nd Edition (BVMGT-II)

Brief clinical history of the client (if applicable) -NA

Observations of the Client's Behavior:

Upon arrival at the testing room, the client was dressed comfortably and maintained good

personal hygiene. She was well-groomed and established appropriate eye contact. The initial

interaction involved forming rapport, giving clear instructions, and offering necessary

clarifications, all of which the client comprehended well. Her attention was consistently intact,

and she exhibited a happy mood throughout the session. The client was right-handed, and her

paper orientation was tilted to the right. From a physical standpoint, she wore corrective lenses,

showing no signs of visual or hearing difficulties, physical impairments, or motor disturbances.

The client demonstrated high compliance, showing no signs of fatigue or frustration during any

part of the testing process. She remained attentive, alert, and fully oriented throughout the

session, indicating a good level of motivation for the assessment. As a result, the tests

administered are considered valid measures of her psychological functioning. Her responses to

the test questions fell within the normal range of alertness.

During the test-taking phase, the client used an eraser twice for the last two items and expressed

difficulty in drawing, mentioning her lack of confidence in drawing skills. In the copy phase, the

client did not use an eraser. She took some time, especially getting stuck on two items, before

completing the last two items. The client proceeded at her own pace while copying items. In the

recall phase, she exhibited a fairly systematic approach for the first three items, possibly due to

the primary effect (the tendency to recall the first few designs more easily). However, her

performance gradually declined as the recall task progressed. In the supplemental tests, the client
took 60 seconds for the motor test and 20 seconds for the perception test, respectively.

Test Results and Interpretation:

During the BGT copy phase, the client achieved a raw score of 47, translating to a standard score

of 137 and a corresponding T score of 75. This indicates that her visuo-motor integration skills

are presently at a high average level. The standard score of 137 aligns with a percentile rank of

99.32, highlighting that her visuo-motor integration skills surpass those of 88.49% of individuals

in her normative group. The client completed the copy phase in a total time of 6 minutes and 10

seconds, displaying competence and accuracy in reproducing the items from the card.

In the BGT recall phase, the client scored a raw score of 25, resulting in a standard score of 120

and a corresponding T score of 63. This signifies that her immediate visual memory is at a high

level. The standard score of 127 corresponds to a percentile rank of 90.88, indicating that her

immediate visual memory skills surpass those of 96.41% of individuals in her reference group.

The recall test was completed in 2 minutes and 52 seconds, demonstrating her ability to retrieve

and reproduce visual information efficiently.

In the supplemental motor and perception tests, the client scored 12 and 10, respectively, falling

within the percentile range of 76-100 for both tests. These scores indicate that her motor skills

and visual perception abilities are adequate, suggesting the absence of specific visuo-motor

deficits. The client's quick response times in seconds underscore her sustained attention and

enthusiasm to perform well on the tests.

Summary:

During the BGT copy phase, the client achieved a T score of 75, signifying her high average

level of visuo-motor integration skills. This performance demonstrates her ability to accurately

reproduce visual information.

Recommendations

1. Feedback to the client about her current level of visuo-motor integration was given, which

was of high average level.

2. The client seemed to have high average visuo-motor integration and adequate memory skills.

No recommendations are been suggested as no problem or concern was identified during & after

administering the test.