PSYCHOMETRIC REPORT

CLIENT’S NAME: Syeda Xara Rahman

AGE: 17 yrs

GENDER: Female

UHID: 1000014534

TESTING DATE: 16/03/2024

REASON FOR REFERRAL

Mr./Ms. Syeda Xara Rahman is currently suffering from inability to maintain

speed in examinations, leaving out some marks in the end.
She is requesting 25 % extra time in her written exam & permission to give the
exam from a computer.

TESTS ADMINISTERED

Ms. Rahman is a 17 year old male/female, currently enrolled in IB

DP(International Baccalaureate).
She is currently preparing for her upcoming exams.

The following tests were administered to Ms. Rahman on 16.3.24, at Department of

Psychiatry & Behavioral Science, OPD 1D, Room 046, United Hospital Limited,
Dhaka.

Psycho-Educational Report:

Recent research has shown that obsessions and compulsions occur quite commonly
among normal people.

While completing the inventories below, please keep in mind the following definitions
of obsessions and compulsions.

OBSESSIONS are unwelcomed and distressing ideas, thoughts, or impulses that

repeatedly enter your mind. They may seem to occur against your will. They may be
repugnant to you, you may recognize them as senseless, and they may not fit your
personality. Examples of an obsession are recurrent thoughts or impulses to do harm
to a child even though you never would.

Obsessions differ from worries in that worries are about possible negative things
related to life problems that you are afraid might happen. For example, you may
worry about failing an exam, about finances, health, or personal relationships. In
contrast to obsessions, your worries don’t usually seem totally senseless, repugnant,
or inconsistent with your personality.

COMPULSIONS, on the other hand, are behaviors or acts that you feel driven to
perform although you may recognize them as senseless or excessive. Usually
compulsions are performed in response to an obsession, or according to certain rules
or in a stereotyped fashion. At times, you may try to resist doing them but this may
prove difficult. You may experience discomfort that does not diminish until the
behavior is completed.

Examples of a compulsion are the need to repeatedly check appliances, water

faucets, and the lock on the front door before you can leave the house or repeated
hand washing. While most compulsions are observable behaviors, some are
unobservable mental acts, such as silent checking or having to recite nonsense
phrases to yourself each time you have a bad thought.

Compulsions, as we define them here, are not to be confused with other kinds of
compulsive behavior such as overeating, gambling, drinking alcohol, over shopping,
or other “addictive behaviors.”

Given the above definitions, the candidate is requested to read carefully each item
on the checklist below and/or

1) place a check mark beside each obsession and compulsion that he/she currently
experiences and that he/she may have experienced at some time in the past.
If he/she placed a check mark beside obsessions or compulsions that he/she
currently experiences;

2) circle the most upsetting obsessions that you currently experience;

and
3) circle the most upsetting compulsions that you are currently engaged in.
INTERPRETATION OF YALE BROWN OBSESSIVE COMPULSIVE SCALE
SCORES

All 19 items are rated, but only items 1-10 (excluding items lb and 6b) are used to
determine the total score.

The total Y-BOCS score is the sum of items 1-10 (excluding lb and 6b), whereas the
obsession and compulsion subtotals are the sums of items 1-5 (excluding lb) and 10
(excluding 6b3; respectively.

Scores on the YBOCS range from 0 (no Symptoms) to 40 (Extreme Symptoms).

Ranges of severity are: 0-7 Subclinical range, 8-15 Mild, 16-23 Moderate, 24-31
Severe, and 32-40 Extreme.

Ms Rahman scored 16/20 on Obsession Subtotal Scales & 15/20 in Compulsion

Subtotal Scale. Her total score is 31/40, which places her in moderate to severe
range.

SUMMARY

YBOCS test results identified her as someone who is having Obsessive Compulsive
Disorder in moderate to severe range.

RECOMMENDATIONS

It is recommended that Ms. Rahman be granted 25 % extra time in her

written exams & permission to give the exam from a computer.

She needs psychotropic medication & also Cognitive Behavior Therapy (CBT) for
OCD.

UPDATES:

She is already started attending Long Sessions with me.

She would need 1 session per week, each 45 mins length, for at least 3 to 4 months.
She will attend a short session shortly with me for her psychotropic medications. Do
let me know if any amendments are needed or any extra information about this
client.

Best wishes,
Dr Nahid Hakim,
Consultant Psychiatrist,
United Hospital, Gulshan, Dhaka.