Assessment case study of Shane

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Final Test and Assessment Name University Date Running Head: FINAL TEST AND ASSESSMENT 1 FINAL TEST AND ASSESSMENT 6 Client: Barbara B. Date of birth: 2/20/1993 Evaluated by: Case No.: 1234 Date of Evaluation: 3/25/15 Date of Report: 2/25/18 PURPOSE FOR EVALUATION: Barbara is a 22-year-old recent college graduate. She is currently employed as an entry-level account representative in a large advertising agency, a job she recently started about three months ago in a large city in the Northeast. She made a self-referral for assessment, reporting that she has been feeling tired and lacking in energy for about four weeks. Barbara reported that two months ago she started missing college life and friends and was also feeling a dislike for her job. She further reported a loss of interest in socializing, making new friends, performing daily routines such as exercising and trouble with concentration. Barbara also found herself questioning her vocational choice and finds she has difficulty keeping her mind on her work. Barbara recognizes that this is not normal and realized the need to refer herself for professional help. A psychological assessment was requested to gain more information about her present functioning and to aid in a diagnosis and treatment plan for Barbara. BEHAVIORAL OBSERVATIONS Barbara arrived for her appointment on time and was open in discussing her history and present concerns. She did note that she had overslept and rushed to keep the appointment, so she had not eaten that morning. She completed the assessments in a thoughtful manner, occasionally asking clarifying questions. She had some difficulty in responding to the projective tests, stating she was worried she would give incorrect answers. ASSESSMENT PROCEDURES Weschler Adult Intelligence Scale - Fourth Edition Clinical Assessment of Depression (CAD) Myers-Briggs Type Indicator® Personal Impact Report Sentence Completion Test House Tree Person Test Holland Code Career Test INFORMATION ASSESSMENT TECHNIQUES Development History Form Interviews Primary Sources Inventory Review of medical reports BACKGROUND INFORMATION Family/Social: Barbara reports no family history of emotional, behavioral, educational, substance or medical difficulties. Education History: Barbara finished elementary and high school with no reported issues and grades consisted of A’s and B’s. Barbara completed college and received her BA and reported grades of A’s and B’s. There was no history of learning or behavioral problems in school. Medical History: Barbara reports normal birth with no prematurity. No difficulties reported in birth. No reported use of alcohol or drugs while in utero. All developmental milestones were reached as normal. Barbara reports no history of injury or illness. Current medical concerns Barbara reports are fatigue, sleep problems and low energy. Psychiatric History: Barbara reports ...

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“Clinical Assessment of Children and Adolescents with Depression,” Halifax, Nova Scotia, Canada; October 1, 2008 Pediatric Grand Rounds, IWK Health Centre *Although the core symptoms of depression are similar across the life span, developmental differences exist and should be taken into account in the assessment *With increasing age, there generally is an increase in melancholic symptoms, delusions, substance abuse, and suicidal ideation/attempts. *In contrast, younger children tend to have more somatic sxs, separation anxiety, behavior problems, temper tantrums, and hallucinations *Direct interviews with children and adolescents are critical because parents and teachers may not be aware of the youth’s depressive symptoms *Discrepant information between parents and their children should be solve in a cordial and non judgmental way *Assessment of suicidal and homicidal ideation and behaviors is mandatory *The interview process and screening questions utilized by research interviews such as the Schedule for Affective Disorders and Schizophrenia for School Age Children, Present and Lifetime Version (KSADS-PL) can be useful *Detection and diagnosis can be enhanced by available parent and child self-report measures

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Respond in the following ways: Compare the diagnosis you provided and the process in which you reached the diagnosis with those of your colleague. Explain how the Z codes (other conditions that may be a focus of clinical attention) that your colleague identified may influence the client’s upcoming treatment. Domineque My four initial diagnosis are oppositional Defiance Disorder, Autism Spectrum Disorder, Attention Deficit Disorder and Intellectual Developmental Disorder. In order to diagnose and/or rule out, it is necessary to match the symptoms with the best fitting diagnosis. In the case of ADHD, I am not able to complete this as a diagnosis as I can only fit 6 of the 8 hyperactivity criteria. ADHD is then ruled out. In the event of ODD, Pablo does not deliberately annoy others or start arguments with his peers. He actually interacts well with this peers and is reported to be quite sociable. He also likes to be touched and/or held by his caregivers/parents. ODD is ruled out and therefore will be exploring neurodevelopmental disorders, such as Intellectual Developmental disorder and Autism Spectrum. Autism Spectrum disorder is characterized by ongoing deficits in social communication and social interactions. This does not apply to the case of Pablo as he is the opposite and is very interactive with his peers. Also, Pablo does not have a language and/or intellectual impairment. As for the consideration of Intellectual Developmental disorder, this can impact not only the intellectual piece but the adaptives (the ability to complete routine tasks as developmentally appropriate without cues) of an individual. In Pablo’s case, there are reports about his behaviors being “immature” and demonstrating difficulty in following routines and remembering instructions as given. This also reflects at school when he is not able to be still, follow instructions and/or complete the provided task at hand. Furthermore, there is to take in account for his age, he does not know certain information such his address or home phone number, and could not print his surname. I would give a primary diagnosis of Intellectual Developmental Disorder, mild and looks as follows: F70 Intellectual Disability, Mild F90.9 Other Specified Attention-Deficit/Hyperactivity Disorder, with insufficient inattention, and hyperactivity symptoms (he is still demonstrating hyperactivity in two settings, school & home) Z55.9 Academic or educational problem Z65.8 Other problem related to psychosocial circumstances Z72.821 Inadequate sleep hygiene Z81.8 Family history of other mental and behavioral disorders (grandmother was diagnosed with depression) Torri DSM-5 Full diagnosis of Pablo. Morrison (2014) discusses the Roadmap for Diagnosis as building blocks of data. Informants is initial information gathered according to Morrison (2014) shedding light on possible presenting illness. Parents and teachers present Pablo’s problem characterized as; restlessness, remi ...

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The document explains various methods of assessment used in the process of guidance and counselling. The methods discussed in detail are: Intake interview, case study, mental status examination, psychological assessment tools; such as, cognitive and personality assessment. The document further elaborates some intervention techniques; such as, relaxation training, assertion training, bio-feedback, systematic desensitisation, A-B-C model of cognitive behaviour approach, rational-emotive therapy, etc. employed in guidance and counselling.

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PSY615: Week Three School Psychologist-Based Personality and Behavior Assessment Scenario PSYCHOLOGICAL EVALUATION (Johnson Middle School) Jane Smith Date of Evaluation: 10/12/2013 Grade: 8 Age: 14 PURPOSE FOR EVALUATION: Jane was recommended for evaluation by the school psychologist due to recent behavior problems and declining academic performance. ASSESSMENT PROCEDURES: The clinical psychiatrist on duty recommended the following assessments: • Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) • Mental Status Examination • Review of School Records • Review of Prior Medical Records • Interview and Observation ASSESSMENT RESULTS: Note: Typically, this section reports test results of all the recommended assessments. Here you are provided with the abbreviated results from the MMPI-A, the mental health examination, records review, and interview/observation. Interpretive results from the MMPI-A are presented below. Validity Considerations Jane’s approach to completing the MMPI-A was open and cooperative. The resulting MMPI-A results appear valid and is probably a good indication of her present level of personality functioning. Her compliance is a good indicator of positive involvement with this evaluation. Symptomatic Behavior This student’s MMPI-A clinical profile indicates multiple serious behavior problems including explosive behavior, school maladjustment, and adolescent conduct problems. She can be moody, resentful, and impulsive. Jane also shows signs of adolescent alienation (social isolation), low PSY615: Week Three School Psychologist-Based Personality and Behavior Assessment Scenario self-esteem, and depression. She may run away or isolate herself to avoid punishment. Her lack of good judgment may lead her to inappropriate behavior and get her into trouble. Her two highest clinical scales, Depression (D) and Psychopathic Deviate Subscales (Pd), are clearly above the other scales in the measure, and occur at this high a level in less than 1% of the normative sample (by Pearson Assessments). An examination of her underlying personality factors on the PSY-5 scales could help explain any behavior problems she is currently exhibiting. Jane seems to be self-isolating and appears to have increasing social alienation. She tends to see the world in a negative light, worries to excess, and may develop more belligerent behavior expressions. Interpersonal Relations Jane is an intelligent and likeable person. She seems to make a good initial impression on others, but seems unable to build deep and lasting relationships. She is empathetic and gets along with other children younger than her, but seems to have trouble with building positive connections in her peer group. The MMPI-A Content Scales profile offers some additional informa ...

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