TABLE OF CONTENTS

Sr. No Index Page No

1 Introduction 2-3

2 Case No. 1 4-9

3 Case No. 2 10-16

4 Case No. 3 17-23

5 Appendix No. 1 24

6 Appendix No. 2 25

7 Appendix No. 3 26

8 Reference 27

1
INTRODUCTION:

Clinical psychology is concerned with the understanding and improving human

functioning along with the field of psychology and behavioral science. It shares the task of
increasing knowledge about principal of psychology, functioning of person in particular as
one of the so called mental health well-being of psychology trouble people. As a clinical field
it is dedicating in improving. A lot of individual I distress using the best knowledge and
sharpen. A technique needed for the improvement of the future.

PROFESSIONALS OF CLINICAL PSYCHOLOGY:

PSYCHIATRIST:

He is trained in medicine and specialization in prevention. Diagnosis and

treatment of mental disorder. He is legally authorized to prescribed drugs.

CLINICAL PSYHOLOGIST:

He has completed an advance degree from a recognized institution under taken

one or more year of the supervised internship of practical and passed a written examination.
Psychologist is more concerned with the present mental state of patient and being of the
person in distress.

COUNSELLING PSYCHOLOGIST:

Counselling psychologist is clinician who specialized in guidance in marital

problem, during abuse vocational selection and community work etc.

ETHICS OF CLINICAL PSYCHOLOGY:

Clinical psychologist respects the dignity and worth of the individual and strives
for the prevention and protection of fundamental human rights. American psychological
Association (APA) in 1981 has described the principal to be followed by the clinician;

 Responsibility
 Competence
 Moral & legal standard
 Public statement
 Confidentiality

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  Welfare of the clients

PROFESSIONAL PRATICE:

Offers a range of professional services

 Provides psychological treatment (psychotherapy)

 Administer and interpret psychological assessment and testing
 Conduct psychological research
 Teach
 Development of prevention and treatment programs
 Consultation (especially with schools and business)
 Program administration
 Provide expert testimony (forensic psychology)

TRAINING IN CLINICAL PSYCHOLOGY:

 Hallmark is the integration of science and practice

 Follows scientist practitioner model
 Scientist, practitioner model also referred as boulder model
 Boulder model has been shirking for several years therefore alternative model is valid
model.

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 Case No.1

(Schizophrenia)

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 (Schizophrenia)

Bio Data:

Name: M.A

Father`s name: A.A

Age: 42 years

Siblings: 5(3 sisters, 2 brothers)

Birth order: 3rd

Sex: Male

Marital status: Divorced

Education: F.A

Socioeconomic status: Middle

Informant: Client and client mother

Date of assessment: 10th, 11th//, 12th July 2018

+Assessors: Waseem AkramGrewal

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Identifying information:

The client is 42 years old men. He belongs to a middle-class family. His residence is
Lahore. His socioeconomic status is middle. His father was died and mother is alive. His
relation with family is not very good.

Presenting complains and source of referral:

The client was assigned to me for academic purpose from fountain house Lahore.
According to his mother he was very aggressive and quarrel with everyone. His relation with
father was notgood when they were alive. His complains start after marriage. He was
addicted to drugs and smoking. The symptoms of psychological problem are restlessness, odd
behavior, aggression, hyper sexuality, self-talk, pressure of speech.

Interview information:

History of client:

The patient was weak and aggressive but his behavior with me is good. He was
cooperative but a problem with concentration. He was looking fresh.

Family History:

Client was 42 years old man. He lived in Lahore. His sister is also psychologically ill.

Personal History:

The client mother reported that his birth was normal and there is no problem.

The problem was start after his 2 times married and get divorced both time. Then he was
addicted to smoking and other drugs.

Test Administered:

1. Clinical interview

2. Mental state examination

3. House tree person (HTP)

4. Standard progressive matrices (SPM)

5. Rotter`s incomplete sentence blanks (RISB)

6
Behavioral Observation:

Clinical Interview:

According to his mother, his behavior at home is quarrel and aggressive. He became
so much irritate when he cannot complete his work according to his will. According to his
therapist he is cooperative but cannot understand things easily. His appearance was good.

Interpretation of test`s:

Mental State Examination:

The client isin good mood and looking fresh. I have built good rapport with them.
Orientation of time and memory is not seemsto intact.Thereareabnormal pattern of thoughts
in client.There is no suicidal ideation,depression, guilt in him. His sleep is normal andthere is
no history of insomnia.His movements are normal and mood is good.There is no anxiety in
him during session.

Personality Assessment:

I applied HTP on client for assessing the personality of the client and conflicts in his
personality.

Test Taking Attitude:

The test was administered in peaceful environment and in separate room. The client
was attentive and take interested in test.

Qualitative Interpretation:

The imageswereambiguous and it shows that he is

 Socialized
 Feel Insecure
 Need shelter
 Live in day dreaming
 Show aggression
 Feel helpless

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Rotter`s incomplete sentence blank (RISB):

Quantitative analysis:

Response C3=6 C2=5 C1=4 N=3 P1=0 P2=1 P3=2

time
No of 2 0 5 2 24 3 4
scores
Obtained 12 0 20 6 0 3 8
score

Total score= 49

Cut of score= 135

Qualitative analysis:

The total score of client in RISB is 49 which show that the client has borderline level
of adjustment in life.

Standard progressive matrices (SPM):

Qualitative analysis:

Age 42 years
Total score 28
Grade Five
Percentile 5th
Time taken 30 minutes
Intellectual level Intellectually defective

Qualitative analysis:

The total score of client in SPM is 28 which show intellectually defective in capacity.

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Diagnosis:

The client is being diagnosis the patient of Schizophrenia 295.90 (F20.9) due to
presenting complains.

Prognosis:

The client is satisfied with his admission in fountain house and also recover his
complaints due to recommended therapy.

Recommended Therapy:

 Cognitive behavior therapy (CBT)

Session Report:

Session 1:

In session 1, I meet with the client and observe his natural setting.

Session 2:

In session 2, I observe the behavior of client. I try to build rapport with him.

Session 3:

In session 3, I generally discussed with the client about his daily routine, relationship
with family members and friends. After that I administered the (SPM, HTP) to check the
intellectual functioning and conflicts.

Session 4:

In session 4, I applied more psychological tests(RISB, BAI) to find out his adjustment
in life and anxiety level in it.

Session 5:

In session 5, I completed the tests. After the completion of the test I selected different
therapies to deal with the client problem like cognitive behavior therapy (CBT) to modify his
behavior.

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 (Case No. 2)

(Mood Disorder)

10
 (Bipolar 1)

Bio Data

Name: N.A

Father name: M. Ahsan

Age: 40 years

Siblings: 6(5 sisters, 1brother)

Birth order: 2nd last

Sex: Female

Marital status: Divorced

Education: B.A

Socioeconomic status: Middle

Informant: Client and client brother

Date of Assessment: 10th, 11th, 12th, July 2018

Assessors: Waseem Akram Grewal

11
Identifying information:

The client is a lady of 40 years old. She belongs to middle class family. Her parents
were died. She belongs to an educated family. Her relation with is good.

Presenting complaints and source of referral:

The client was assigned to me for academic purpose from fountain house Lahore.

According to client brother she was weak and forget things. She becomes sad when can`t
done her task.

Interview information:

History of client:

The client was weak. Her behavior with me is good. She is co-operative but has a
problem with concentration. She was looking fresh.

Family History:

Client was 40 years old lady. She lived in Lahore. There is no psychological problem
in her family.

Personal History:

The client brother reported that her birth was normal and there is no problem. The
problem was started after her injury in B.A. The symptoms of her psychological illness are
crying spells, feeling of guilt, depressive behavior, sadness, suicidal thoughts

Test Administered:

I Clinical interview
II Mental state Examination
III House tree person (HTP)
IV Standard progressive matrices (SPM)
V Rotter`s incomplete sentence blank (RISB)
VI Beck depression inventory (BDI)

12
Behavioral Observation:

According to her brother, her behavior at home is quarrel. She becomes much sad
when cannot complete her task. According to her teacher she was obedient and good student.
She was very co-operative. Her problem starts after her head injury. Her appearance was
good and looking fresh.

Interpretation of test`s:

Mental State Examination:

There is abnormal thought pattern in client. Orientation of time and memory is not
seems to be intact. There is suicidal ideation, depression and guilt in her. Her sleep is normal
and there is no history of insomnia. Her movements are normal and mood is good. There is
no anxiety and fear in her during session.

Personality Assessment:

I applied HTP on client for assessing the personality of the client and conflicts in her
personality.

Test Taking Attitude:

The test was administered in peaceful environment and in separate room. The client
was co-operative.

Qualitative Interpretation:

The images were ambiguous and it shows

 Loneliness
 Insure
 Depends on other
 Need care from other
 Emptiness
 Flexibility

13
Rotter`s incomplete sentence blank (RISB)

Quantitative Analysis:

Response C3=6 C2=5 C1=4 N=3 P3=2 P2=1 P1=0

time
No of 2 2 6 4 4 10 12
scores
Obtained 12 10 24 12 8 10 0
score

Total score=76

Obtained score=135

Qualitative Analysis:

The total score of the client in RISB is 76 which show that the client is not adjusted in
life and need to be hospitalized.

Standard Progressive Matrices (SPM)

Quantitative Analysis:

Age 40 year
Total score 37
Grade 5
Percentile 5th
Time taken 35 minutes
Intellectual level Intellectually defective

Qualitative Analysis:

The total score of client in SPM is 37 which show intellectually defective in capacity.

14
Beck Depression Inventory (BDI):

Quantitative Analysis

Raw Score Depression level

0-13 Mild
14-19 Moderate
20-28 Severe
29-more Profound

Qualitative Analysis:

The total score of client in BDI is 5 which show mild level of depression in her.

Diagnosis:

The client is being diagnosis Bipolar 1 disorder manic episode 296.41 (F31.11) due to
presenting complaints.

Prognosis:

The client is satisfied with the re-admission in fountain house and recover her
complains due to recommended therapy.

Recommended Therapy:

Cognitive behavior therapy (CBT)

15
Session Report:

Session 1

In session 1, I meet with client and built rapport. Client was frank and co-operative
with me.

Session 2

In session 2, I observe the behavior of client her mood was good and told to me all
things related to her.

Session 3

In session 3, I take full history of client including her birth and developmental
milestone her education, recreation, hobbies and marital status.

Session 4

In session 4, I applied psychological tests (SPM, RISB) to find out her problem and
also checking her intellectual functioning and adjustment level.

Session 5

In session 5, I applied more psychological tests (HTP,BDI) for checking her

personality conflicts and evaluation also recommended treatment plan for her disorder.

16
 (Case No. 3)

(Schizophrenia)

17
 (Schizophrenia)

Bio Data:

Name: W.A

Father name: M. Sharif

Age: 40 years

Siblings: 3(2 brothers, 1 sister)

Birth Order: 1st

Sex: Male

Marital Status: Single

Education: F.A

Socioeconomic status: Middle

Informant: Client and client brother

Date of Assessment: 10th, 11th, 12th July 2018

Assessors: Waseem Akram Grewal

18
Identifying Information:

The client is a male of 40 years old. He belongs to middle class family. His parents
were died. He has two siblings. His relation with family is not good.

Presenting complaints and source of referral:

The client was assigned to me for academic purpose fountain house Lahore.
According to his brother is mentally weak and forget things. Main problem of the client is
that he can`t understand easily. His behavior was harsh but when he takes medicine then he is
well.

Interview Information:

History of client:

The client was weak. His behavior with me is good. He was co-operative but has a
problem with concentration. He is looking fresh.

Family History:

Client was 40 years old men. He lived in Lahore. His father was depressive patient
and mother was the patient of breast cancer.

Personal History:

The client brother reported that his brother was normal and there is no problem. The
problem was started after trauma in 2017. He was worked in garment factory. The symptoms
of psychological problem are restlessness, repetitive talk, aggression and self-talk.

Test Administered:

I Clinical interview
II Mental state Examination
III House tree person (HTP)
IV Standard progressive matrices (SPM)
V Rotter`s incomplete sentence blank (RISB)
VI Beck Anxiety inventory (BAI)

19
Behavioral Observation:

Clinical interview:

According to his brother, his behavior at home is quarrel and aggressive. He becomes
so much irritate when he can`t complete his task. He is co-operative. His main problem is
that he can`t understand things. He was addicted to smoking. He was confident and looking
fresh.

Interpretation of tests:

Mental state Examination:

The orientation of time and memory is not seems to be intact. There are abnormal
thoughts pattern in client. There is no suicidal ideation and guilt in him. His sleep is normal
there is no history of insomnia. His movements are normal and mood was good.

Personality Assessment:

I applied HTP on client for assessing the personality of the client and conflicts in his
personality.

Test taking Attitude:

The test was administered in peaceful environment and in separate room. But the
client was not attentive.

Qualitative Analysis:

The images were ambiguous and it shows

 Aggression
 Isolated
 Concentration issues
 Show anxiety
 Loneliness

20
Rotter`s incomplete sentence blank (RISB)

Quantitative Analysis:

Response C3=6 C2=5 C1=4 N=3 P3=2 P2=1 P1=0

time
No of 4 0 6 8 5 3 13
scores
Total 24 0 24 24 10 3 0
score

Total score=85

Cut of scores=135

Qualitative Analysis:

The total score of client in RISB is 85 which show that client is not adjusted in life
and need to be hospitalized.

Standard progressive matrices (SPM)

Quantitative Analysis:

Age 40 years
Total score 44
Grade 5th
Percentile 5
Time taken 40 minutes
Intellectual level Intellectually defective

Qualitative Analysis:

The total score of client in SPM is 44 which show intellectually defective in capacity.

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Beck anxiety inventory (BAI)

Quantitative Analysis:

Raw score Anxiety level

0-7 Minimal
8-15 Mild
16-25 Moderate
26-63 Severe

Qualitative Analysis:

The total score in BAI is 26 which show severe level of anxiety in him.

Diagnosis:

The client is diagnosis Schizophrenia 295.90 (F20.9) due to presenting complaints.

Prognosis:

The client is satisfied and there are 50 percent chances of recovery due to
recommended therapy.

Recommended therapy:

Cognitive behavior therapy (CBT)

Session Report:

Session 1:

In session 1, I meet with client and built rapport. Client was frank with me, I observe
his natural setting.

Session 2:

In session 2, I take full history of client including his birth and developmental
milestone his education, job, recreation, hobbies and marital status.

22
Session 3:

In session 3, I applied psychological tests (HTP, BAI) for assessing the personality
and conflicts in his personality.

Session 4:

In session 4, I applied more psychological tests (RISB, SPM) for assessing his
adjustment level and intellectual functioning.

Session 5:

In session 5, I recommended treatment plan and apply some technique of behavior

therapy.

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Appendix 1

24
Appendix 2

25
Appendix 3

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 REFERENCES

Halgain, R.P & Whitbourne, S.K. (2005) Abnormal Psychology Clinical perspective on
psychological disorders, New York, NY; McGrawhill

Myers, D.G, (2011), Myers Psychology for AP. New York, NY; Worth Publishers

APA, (1994). Diagnostic and statistical manual of mental disorders (4th edition.), Washington
DC: American psychiatric Association.

Butcher, J.N., Mineka, S., &Hooley, J.M. (2010). Abnormal psychology (14th edition).
Boston, MA: Allyn & Bacon

Max-men, J.S., Ward, N.G., & Kilgus, M. (2009). Essential psychotherapy & its treatment
(3rd edition.). New York, NY: Norton & company.

Barlow, D.H. & Waddel, M.T. (1985). Agoraphobia. In D.H. Barlow (Ed.), clinical handbook
of psychological disorders; A step-by-step treatment manual. NY.; The Guilford press.

Barraclough, B, Bunch, J, Nelson, B, et.al, (1974) A hundred cases of suicide Clinical

aspects, British Journal of Psychiatry, 125, 355-373.

Bateson, G, Jackson, D.D Haley, J, & Weakland, J, (1956)), Toward a theory of

Schizophrenia. Behavioral Science, 1, 251-264,

Beck, A.T. & Emery, G, (1985) Anxiety Disorders and Phobias; A Cognitive Perspective,
NY,; Basic books

Bem, D. J, & Allen, A. (1974), on predicting in some of the people some of the time; The
search for cross-situational consistencies in behavioral, Psychological Review, 81, 506-520.

Blanchard, E.B. (1982) Behavior medicine; Past, Present and future. Journal of consulting
and clinical psychology, 50, 795-796.

Blaney, P.H. (1986). Affect and memory; A review. Psychological Bulletin, 99, 229-246,
27
Bower, G.H (1981) Mood and memory, American psychologist, 36, 129-148.

Bootzin, R.R. & Acocella, J,R, (1984), Abnormal psychology; Current perspectives (4th ed.)
NY.; Random house.

Bowly, J, Attachment and loss: III. Loss, Sadness and depression, New York: Basic books.

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