Professional Documents
Culture Documents
Identifying information
The client’s name is H.B. he is 13 years, old and first-born child of two siblings.
He is studying in grade 1 after he left his previous school where h was studying in grade 4.
The client was observed in classroom, activity areas. His clothes were not clean,
hair was not combed, teeth were not brushed and shoelaces were not tied. The client was
secretive and reluctant to share information initially. He was shy, anxious, and restless.
However, he got much better in later session. He was responding to questions asked. He
sits in head down posture in beginning sessions, keeps on moving his hands, feet, and was
not able to sit straight. The orientation of time, place, and person of client was accurate.
The client has good visual and auditory perceptions. He followed the test instructions well,
however was reluctant to perform on tests, and was slow while following different
commands.
Psychological evaluation
The client’s visual motor index is 80-89 due to which he falls under the category
of below average.
On the intelligence test, the clients mental age was 7 years and 1 month, and falls
Tentative diagnosis
Prognosis
The client’s prognosis is unfavorable, even though the client tries to work hard and