NTCC REPORT

INTRODUCTION OF THE ORGANISATION

Mind Ease - Psychological Services & Wellness Centre stands as a beacon of hope and
healing, established by two highly esteemed Clinical Psychologists recognized by the
Rehabilitation Council of India (RCI). Our center is committed to providing exemplary
care, where the integration of holistic principles, collaboration, and client-centered
approaches form the cornerstone of our practice. At Mind Ease, we understand that each
individual's journey towards mental wellness is unique. Therefore, we tailor our
therapeutic interventions to meet the specific needs, challenges, and strengths of every
client. By drawing from a diverse array of scientifically supported techniques and
therapies, we ensure that our interventions are not only effective but also attuned to the
individual's requirements. In our serene and welcoming therapy environment,
characterized by its quietude, nonjudgmental atmosphere, and compassionate ethos,
clients embark on a transformative journey of self-discovery, problem-solving, and skill
development. Whether one seeks to alleviate psychological distress, enhance personal
growth, or navigate life's complexities, our center offers a safe space for individuals to
explore, heal, and thrive. Moreover, our multidisciplinary team comprises not only
Clinical Psychologists but also a psychiatrist and a counsellor, ensuring that our clients
receive comprehensive and holistic care. Through collaborative efforts and
interdisciplinary expertise, we address the multifaceted aspects of mental health, striving
to minimize suffering and maximize wellness benefits for our clients. Ultimately, Mind
Ease - Psychological Services & Wellness Centre is more than just a place of healing; it
is a sanctuary where individuals are supported, empowered, and inspired to cultivate
psychological health, resilience, and progress. We are dedicated to accompanying our
clients on their journey towards holistic well-being, guiding them towards a brighter and
more fulfilling future.

Work Undertaken

During our internship, we observed therapy sessions for mild and moderate psychiatric illnesses,
taking case histories and notes on each client. We were required to provide a case history and
practise collecting session notes. During the first few sessions, we documented the case history
and therapy notes for a client with ADHD and Depression.
In subsequent sessions, we learned how to handle new cases and how early differential and
provisional diagnoses can lead to complications. To address this, we learned about the multiaxial
model and other methods, as well as the phenomenology and symptoms of OCD, BPD, and
Schizophrenia Spectrum Disorder.

After reviewing the third case, we found that the client had a complex set of issues and had
previously been misdiagnosed with ADHD. This taught us to take the diagnosis process carefully.
The client had indications of Borderline Personality Disorder and struggled with substance use.
We were instructed to use nondirective inquiry and probing to gather information from clients
without intimidating them with questions like "why did you do that?". That was an extremely
insightful workshop.

The sessions went smoothly until the role-playing exercise, where one student acted as the client
and the other as the therapist. Initially, the role-play seemed simple. However, understanding the
cases required a thorough understanding of the disorder's symptoms and prognosis. Finally, we
learned to assess various diseases and develop MSE skills. Assessments include PANSS, YBOCS,
DST, VSMS, HAM-D, and MISIC.

CASE STUDIES

1. Demographic Details

- Name : XYZ
- Age : 22
- Sex : Female
- Marital Status : Unmaarried
- Occupation : Student
- Residence : Delhi

Background :

Sarah, a 22-year-old woman, is currently having tremendous issues in her personal life,
including relationships. She has a history of ruminating on prior relationships and struggles to
successfully manage compulsions. Sarah also seeks reassurance regularly in various settings,
which has a huge impact on her interpersonal relationships. She has been diagnosed with
Obsessive-Compulsive Disorder (OCD) and Borderline Personality Disorder, showing a
complicated interaction of mental health issues.

Presenting issues :
Sarah's main concerns focus around managing her obsessive thoughts and behaviours. She
frequently gets lost in recurrent cycles of ruminating on former relationships, which interferes
with her ability to focus on the present. This ruminating causes increased worry and anguish,
aggravating her symptoms of OCD.

Furthermore, Sarah's need to seek reassurance puts a strain on her relationships. She constantly
seeks reinforcement and confirmation from her partners, friends, and family members, which can
be taxing for them and exacerbates her concerns.

Progress and Outcome:

Sarah shows gradual progress in controlling her OCD symptoms and relationship concerns. She
learns to challenge her obsessive ideas, reject compulsive cravings, and refocus her attention on
important tasks. Sarah's emotion management abilities improve, allowing her to better navigate
interpersonal issues and set healthy boundaries in her relationships. She creates more
understanding and intimacy with her loved ones by using efficient communication skills, which
leads to improved satisfaction and fulfilment in her social relationships. Sarah makes tremendous
progress in her quest for emotional well-being and relational harmony thanks to persistent practice
and therapeutic help.

2. Demographic Details

- Name : XYZ
- Age : 22
- Sex : Female
- Marital Status : Unmarried
- Occupation : Employee
- Residence : Delhi

Background :

Anna, a 22-year-old lady, suffers from OCD and secondary depression. She suffers from
excessive rumination, intrusive thoughts, and persistent poor mood, which have a
substantial influence on her everyday functioning. Anna also has a history of seeking
reassurance in a variety of situations, particularly those involving her appearance and
behaviour.

Presenting issues :
 Anna struggles with obsessive thoughts about her appearance and behaviour, causing
intrusive thoughts and feelings of dissatisfaction. This fixation with her appearance feeds
her compulsive behaviours and desire for reassurance, perpetuating a cycle of anxiety and
distress. Anna also has persistent low mood, which exacerbates her OCD symptoms and
reduces her quality of life.

Progress and Outcome:

Anna commits to therapy to address her symptoms and improve her general well-being.
She learns about her thought patterns and develops effective coping techniques through a
combination of cognitive behavioural therapy, mindfulness practices, and medication
management. Anna gradually reduces her rumination, intrusive thoughts, and reassurance-
seeking behaviours, resulting in increased mood and functioning. With continued therapy
and medication management, Anna makes great progress in managing her OCD and
secondary depression, improving her general quality of life and outlook for the future.

3. Demographic Details

- Name : XYZ
- Age : 16
- Sex : Male
- Marital Status : Unmarried
- Occupation : Student
- Residence : Punjab

Background :

Michael, a 16-year-old guy, suffers from a severe form of obsessive-compulsive disorder

(OCD), which is characterised by a wide range of disturbing obsessions and compulsions.
His symptoms have a substantial impact on his everyday life and functioning, causing
obstacles in many aspects of his personal and academic life.

Presenting issues :

Michael has violent obsessions, which include intrusive thoughts of harm or violence
against himself or others. He engages in obsessive handwashing and grooming procedures out
of fear of contamination. Michael also deals with sexual obsessions, hoarding, and checking
compulsions, which worsen his distress. His compulsive behaviours include extensive planning
and list-making, indicating a strong need for control and assurance in his surroundings.
Progress and outcome :

Michael begins on a comprehensive treatment regimen that is tailored to his specific OCD
symptoms. ERP, CBT, and behavioural therapies help him gradually overcome his phobias and
fight obsessive cravings. Psychoeducation and medication management help manage symptoms
and reduce overall misery. As Michael learns more about his disease and develops coping
strategies, his symptom severity and functional impairment improve significantly. With ongoing
therapeutic help and monitoring, Michael is making progress in managing his OCD and regaining
control of his life.

4. Demographic Details

- Name : XYZ
- Age : 27
- Sex : Female
- Marital Status : Married
- Occupation : Household
- Residence : Delhi

Background :

Samantha, a 27-year-old lady, was recommended by her psychiatrist owing to recurrent

poor mood and difficulties in many areas of her life. She reports feeling stuck and having
ongoing issues with her schooling and profession since childhood. Samantha exposes a
history of sexual abuse in her youth, which has had a significant influence on her emotional
well-being. She has difficulty concentrating, lacks intimate relationships, and shows signs
of despair, low self-esteem, and self-loathing. Her clinical presentation led to a tentative
diagnosis of Borderline Personality Disorder (BPD), AttentionDeficit/Hyperactivity
Disorder (ADHD), and depression.

Presenting Issues :

Samantha's main concerns are her constant bad mood, sense of being stuck in life, and
ongoing difficulties in education and employment. She relates these challenges to her
horrible childhood sexual abuse experiences, which have contributed to her concentration
problems, low self-esteem, and inability to develop personal relationships. Samantha's
symptoms point to a complicated interaction of psychological problems, including mood
disorders, trauma-related discomfort, and perhaps underlying personality and attentional
issues.

Progress and Outcome :

 Samantha starts on a therapeutic journey to address her complex psychological needs and
promote overall wellness. Through trauma-focused therapy, CBT, and DBT therapies, she
gains insight into her thought patterns, learns coping strategies, and gradually improves her
mood and self-esteem. The ADHD exam clarifies her attentional challenges and guides
focused interventions to improve academic and career success. Samantha is on the path to
healing, self-discovery, and improved well-being, thanks to continued therapy support and
engagement with her treatment team.

5. Demographic Details

- Name : XYZ
- Age : 28
- Sex : Male
- Marital Status : Married
- Occupation : Businessmen
- Residence : Delhi

Background :

Mr. A, a male client, was referred to therapy by his son because he was concerned about
his mental health. Mr. A complains of becoming depressed, irritable, and losing interest in
activities that used to make him happy. These symptoms point to a major influence on his
mental well-being and overall quality of life. According to the assessment, Mr. A has mild
depression, prompting a suggestion for further examination and therapy by a psychiatrist

Presenting issues :

Mr. A's primary complaints revolve around his persistent low mood, irritability, and
anhedonia, which indicate a loss of pleasure in previously enjoyable activities. These
symptoms are consistent with a diagnosis of depression and suggest potential impairment
in various domains of functioning, including social, occupational, and familial
relationships. Mr. A's son expresses concern about his father's emotional state and seeks
professional guidance to address his mental health needs effectively.

Progress and Outcome :

 .Mr. A begins on a therapy journey to alleviate his despair and improve his general
wellbeing. He obtains insight into his depression symptoms, develops coping mechanisms,
and gradually improves his mood and functioning through the use of cognitive behavioural
therapy, behavioural activation, and supportive counselling. Collaboration with a
psychiatrist ensures thorough treatment planning, including medication management,
which improves therapeutic outcomes. With continued assistance from his therapist and the
participation of his son, Mr. A navigates towards a path of recovery, reclaiming a sense of
joy, purpose, and fulfilment in his life.

KEY LEARNINGS

1. Although counselling and psychotherapy have theoretical concepts, each client has unique
psychological characteristics and thresholds.
As a result, establishing an early rapport with the client is critical to properly understanding
him.

2. Before making a diagnosis, it's important to learn more about the individual.

3. Session notes may not accurately reflect the individual's intended message. It's crucial to
follow the client's instructions and refrain from adding your own opinions.

4. The questions and framing of psychometric assessments impact the client's responses. Avoid
asking leading questions as they may change the person's reaction.

5. The person's first reaction is the most valid and suitable. Subsequent responses may be
manufactured to conceal the first response for social reasons.

6. Building rapport is the most important aspect of receiving honest responses.