PSYCHOLOGICAL ASSESSMENT REPORT

Name: Ms. Sara Raheem

Father’s Name: Mr. Azhar Raheem
Date of Birth: 1st September 2000
Assessment Dates: 25th May 2022- 23rd June 2022
Assessed By: Arooba Sania
Case No: 04
IDENTIFYING INFORMATION

Ms. Sara is a 21 years old female. Her education is Fsc pre-medical, currently she is
doing BS radiology. She has 3 sisters and 1 brother. She belongs to middle socioeconomic status
and Urdu-speaking Muslim family. Her father has a private job and her mother is house a wife.

REFERRAL SOURCE AND PRESENTING COMPLAINTS

Client’s friend introduced her to therapy she did not approached by herself. Her
presenting complaints include overwhelming need and preoccupation with order and
organization to the extent that the major point of activity is lost, perfectionism t o the point that it
impairs the ability to finish tasks, extreme attention to details, reluctant to work with others, rigid
adherence to ethics and rigid mannerism, excessive devotion to work at the expense of family or
social relationships.

INTERVIEW INFORMATION

According to Ms. Sara’s, her symptoms appeared since late adolescence and these
symptoms persisted since then in home, in school and then in college and university. In school
she started to become very perfectionist and used to keep all of her things in order and neat, and
now nothing is different, most of her tasks remain unfinished or late because she is too fond with
doing it right and in an organized way. She spent so much time on one task that her other
activities and social life get disturbed.

Ms. Sara reported that she do not get much time to spend with her family and friends
because it take her too long to finish her assignments and other tasks, she always thinks her work
is not neat and ordered so she work on that a lot instead of the purpose of the work, for example
if she have to do an assignment that can be completed in two hours, Ms. Sara will spend almost
four to five hours on it because she wants the perfect content, font, arrangement and everything
about that, and if she get up to take something from the cupboard and something is disorganized
in it she will immediately start organizing and forget about the thing she reached to the cupboard
for. Ms. Sara is also very conscious about her notes, is any of its page get torn she immediately
get a new one printed or write it again if it’s handwritten, which affect her other daily activities
when they remain unattended and too much time and energy is spend on one task.

Ms. Sara lives in hostel now as she is doing her bachelors, her friend lives with her and
she reports that Ms. Sara is very reluctant to work with others unless they submit to exactly her
way of doing things, she stubbornly insist everything to be done her way, at first she reject offer
for help but if she has to do a task with someone else she give very detailed instructions about
how things should be done. Ms. Sara is inflexible about ethics and mannerism and her friend
reported that she turns games and plays into structured tasks and become stubborn and organized
about them too.

BEHAVIOR DURING TESTING SESSIONS

Client was dressed neatly. Her hair and clothes were neat and tidy. Her posture was
normal during all the testing sessions. She was eager to know about the test results. She enjoyed
doing SPM and RISB, she took quite enough time during TAT and wrote the stories very slowly
and carefully. The length of TAT made her feel exhausted and irritated in the end. She carefully
marked all the answers on SPM sheet after some brainstorming on each of the questions.

TEST ADMINISTERED

Solloson Drawing Coordination Test (SDCT)

Standard Progressive Matrices (SPM)
Human Figure Drawing (HFD)
Thematic Apperception Test (TAT)
Rotter’s Incomplete Sentence Blank (RISB)
Five Factor Obsessive Compulsive Inventory (short form, 48 items) (FFOCI-SF)
PSYCHOLOGICAL EVALUATION

Solloson drawing coordination test (SDCT), a neuropsychological screening test indicates

that Ms. Sara’s eye-hand coordination is intact.

Standard Progressive Matrices (SPM), a test of abstract reasoning (it is one aspect of
intelligence) which indicates that Ms. Sara’s intellectual capacity falls above average range.

Human Figure Drawing (HFD), a projective test, indicates that the Ms. Sara has
aggressive reaching out towards the environment, need for achievement, acquisition, love and
affection as shown by the long arms in the figure drawn by her. In addition a Projective test
Thematic Apperception Test (TAT) indicated that client has significant needs of autonomy,
achievement and affiliation. Client’s significant presses are lack and rejection. To deals with
conflicts she used defense mechanisms of sublimation and acceptance. Client stories indicate that
she has excessive guilt over false decisions. Projective analysis of test Rotter’s Incomplete
Sentence Blank (RISB) further reveals that test Ms. Sara is not well adjusted in her environment
she scored 136 which was above the cutoff score. Most of the statements indicated orderliness,
responsibility and perfectionism.

The scores on Five Factor Obsessive Compulsive Inventory (short form, 48 items)
(FFOCI-SF) indicated that Ms. Sara scored high in inflexibility, workaholism, perfectionism and
doggedness. The retesting or this test after the sessions indicated comparatively less score in
inflexibility.

TENTATIVE DIAGNOSIS

301.4(F60.5): Obsessive Compulsive Personality Disorder.

PROGNOSIS

Chances of recovery are good due to enough motivation and enthusiasm and low
resistance of client toward the treatment

CASE FORMULATION

Predisposing factors: Ms. Sara’s father also has obsessive compulsive features in his
personality which indicate that client problem can be genetic.

Precipitating factors:

Perpetuating factors: Ms. Sara’s symptoms were left unattended by herself and her family

CONCLUSION

Ms. Sara is a 21 years old female. Her issues include overwhelming need and
preoccupation with order and organization to the extent that the major point of activity is lost,
perfectionism to the point that it impairs the ability to finish tasks, extreme attention to details,
reluctant to work with others, rigid adherence to ethics and rigid mannerism, excessive devotion
to work at the expense of family or social relationships. Tests administered are SDCT, HFD,
SPM, TAT, RISB and FFOCI-SF. Test results confirmed the described symptoms. Overall
analysis reveals that client has obsessive compulsive personality disorder. Her changes of
recovery are high due to enough level of motivation. Cognitive behavioral therapy is
recommended for the client.
RECOMMENDATION:

 Meditation helps reduce anxiety and obsessive thoughts. Deep breathing, Progressive
muscle relaxation, Autogenic training and Yoga can be really helpful for relaxation and
mindfulness.
 Psycho-education of client and family and awareness about the tentative diagnosis and
treatment plans to be applied.
 Awareness of unnecessary and unhelpful thoughts and behaviors.
 Cognitive behavioral therapy for changing problematic behavior that can normal and
satisfying for oneself but irritating for others.
 Cultivate self-compassion. Try not to be self-critical when having obsessive thoughts, as
this can make obsessive thoughts more powerful. Instead, work on practicing acceptance
to reduce negative emotions.
 Identify self-soothing techniques. Anxiety is a major component of OCPD. Learning
ways to calm down intense emotions, like anger, frustration, anxiety and sadness, helps
reduce emotional reactivity. Listening to music, going for a walk, or watching TV may
help.
 Self-monitoring and setting of small attainable goals to change problem behavior related
to OCPD.

NOTE: This report is only for clinical and therapeutic purpose.

Supervisor Examiner
Case No 02 Client’s Name Ms. Sara Raheem Age 21 Gender Female

Symptoms Overwhelming need for order and perfectionism, reluctance to work with other, excessive
devotion to work at the expense of family or social relationships, inability to finish tasks due
to excessive attention to details

Diagnosis 301.4(F60.5): Obsessive Compulsive Personality Disorder

Target Symptoms  Inability to finish tasks due to perfectionism

 Reluctance to work with other due to high standards
 Affected social relationship due to detailed work
Treatment approach

 Cognitive Behavioral therapy (CBT)

Frequency of sessions 2 per week Proposed number of 10-15

required sessions to achieve goals

Major  Inducing ability to finish tasks on time.

Treatment Goals  Promoting working with others and accepting their work

 Balancing social life and work.

Number Expected Time

To achieve
Interim Treatment
1. Establish working relationship with the client. 1
Goals for target
2. Rapport building with client 1
Symptoms
3. Perform initial testing on client 3

4. Discussing the test results and possible diagnosis 1

5. Deciding treatment goals with mutual consent. Teaching 2

initial deep breathing and muscle relaxation exercises and
giving homework assignment of performing these exercises
daily.

6. Practice of replacing problematic behavior by keeping track 2

of activities through keeping a journal to avoid any
unnecessary work. Regular feedback necessary

7. Making schedule checklist for everyday with specific time 2

 assigned to each activity, if client exceeded the limit she will
leave the half work done and suffer its consequences but not
spend extra time on the particular activity. Regular feedback
necessary

8. Leaving one thing (i.e cupboard, notes) or task (i.e 2

assignment) less than perfect or ordered every day. Along with
that getting help in one task from someone every day. Regular
feedback necessary.

9. Designating a particular time every day to be spent with 1

family and friends (almost half an hour every day)

 Establishment of working relationship

Initial Phase  Rapport building and psycho-education

 Initial testing and discussion of test results

 Goal setting
Middle Phase  Muscle relaxation and deep breathing exercises
 Cognitive behavioral therapy and fulfillment of decided goals by
cognitive restructuring and journal keeping.
 Monitoring schedule checklist for performing time limited tasks.
 Behavior modification by leaving comfort zone
 Implementation of self-soothing techniques
 Practicing acceptance by cultivating self-compassion
 Frequent practice of self-monitoring by taking time out to think about
how ones behavior is affecting others and how it can be changed.

Termination Phase Evaluation of the progress of therapeutic work and success of overall
treatment to a moderate extent.

Therapist name: Date: ______________________

____________________________
Approved by

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