Internship Report: Ma Psychology (MPCE - 025)

INTERNSHIP REPORT
MA PSYCHOLOGY
(MPCE – 025)
SUBMITTED BY M. POOJA
ENROLLMENT NO 190629046
SUBMITTED TO IGNOU REGIONAL CENTRE, Vijayawada
CARRIED OUT Z.P.High school, K.Oddepalle, Pakala, Chittoor Dt
STUDY CENTRE S.V.Arts college, Tirupati
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ACKNOWLEDGEMENT
I express my deepest gratitude and regard to my supervisor Dr. S.Viswanath Reddy,
Associate professor, Dept. of Psychology, SV University, Tirupati for his deep insights and
wisdom on the execution of the internship. He was of immense help throughout the
internship. His application and knowledge of the subject enriched my journey in the field of
counseling psychology.
I sincerely thank G. Sreenivas, Head master. Z.P. High school for their unwavering support in
complete my internship and encouragement to learn new experiences. Their open supporting
approach and democratic attitude helped me in taking case histories without any kind of
interference.
I also express my sincere gratitude to the staff at study centre.
M.Pooja
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TABLE OF CONTENTS
S.No. TOPIC Pg. No.

Introduction about Internship 4
1 Case I- Family Therapy 5-16
2 Case II- Feeling of Dejection 17-30
3 Case III- Cyber Addiction 31-35
4 Case IV- Chemical abuse 36-40
5 Case V- Attention Deficit Hyperactive Disorder 41-46
6 Case VI- Parent Counseling 47-51
7 Case VII- Adjustment Issues 52-57
8 Case VIII- Unassertiveness 58-62
9 Case IX- Attention seeker 63-68
10 Case X- Self- deprecation 69-75
INTRODUCTION OF INTERNSHIP
Psychology Internships are internships that are related to Psychological Science as a field of
study. Internships have been defined as job training for different organizations. Internships
are meant to help students or workers increase their expertise in their field of study and get a
grasp of what the work field has to offer. Almost every college and university offers
internships to their students in order to help them get a head start on their careers.
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Because psychology is a complex undergraduate degree program, students often don’t get
what they intended from the internships they take part in. Universities bear some
responsibility here, as they are supposed to be the main source of internship enrollment.
Students often complain that they have a hard time finding jobs after their internships, even
when the internships relate to the jobs they are interested in. Lacking the appropriate
experience, a student may step into a job and struggle to connect the new responsibilities with
past internship experiences.
An internship in psychology gives you an opportunity to apply theories and principles you’ve
been learning in your psychology courses to the “real world” of social service agencies,
medical
institutions, the criminal justice system, business, and industry. During an internship, you can
explore career interests, develop pre-professional skills, see how community organizations
work,
expand your clinical and interpersonal skills, and, in many cases, help others.
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CASE – 1
CASE OF FAMILY THERAPY
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INTAKE INFORMATION
Name: Mr. S.S. Chaithanya

Age: 11Y
Gender: Male
Educational Qualification: 7TH
Marital status: Single
Whether client stays with parents: Yes
Whether have any siblings, if so how many: No
What is the position of the client in the family: Only child
Type of family: Lower middle class joint family
Anyone in the family having conflicts: No
Anyone in the family is suffering/has suffered from any physical disorders: No
Presenting problem: - According to client he does not like anyone interfering his life and
blames his mother for the issues of his life.
Duration of problem: 1 y
Any counseling taken: No
Interview with family members/spouse/the concerned person:
Interview of mother:-
Name: M Saroja
Age: 40
Sex: Female
Relationship: Mother
Chaithanya’s mother is 40 year old and is a housewife. Her education is only through high-
school and hails from a lower middle class business family. She conceived Chaithanya. with
lot of medical support at a later age. She described herself as a witty lady & loves her son.
Also she expects her share of love and affection from other family members. There is no
history of any conduct issue in her family and the level of education in her family is max
through diploma. She does not have any intention to work and wants to support her family in
times of need. She accepted few instance where S.S. failed to behave responsibly and also
understands the gravity of Chaithanya’s situation at school. She holds her family members
responsible for Chaithanya’s misbehavior & their disagreements with her. Also she blames
her husband for not being responsible for his son and his wife. She also said that her in-laws
give wrong inputs to her son about her and that her husband is not supportive in the family.
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He is a least interested person who prefers to continue his silence at all times. She is not
happy the way she is leading her life and does not see any scope of improvement. She loves
her son but has lost all her hope that things would ever improve between her and her son.
Interview of father:-
Name: K.P Suresh
Age: 45y
Sex: Male
Relationship: Father
Chaithanya’s father is 45 year old and is a businessman. He has one elder brother and one
sister who stay in another town. He is a graduate from commerce background and holds a
secondary position in the family business. The main controller in the family is his elder
brother. According to him he is not interested in the finances as he can anytime take out any
amount of money from the family account and respects the decisions of elders. He is not very
aware of his son’s issues and thinks that his behavior is fine as per his age. According to him
children at this age show such tantrums and there is no need to be over concerned as they will
learn responsibility as time passes. He also showed his acceptance to the fact that his son is
not interested in studies much & blames the school authorities for not showing much concern
towards S.S. to improve him instead expects parents to do school’s tasks.
Relationship
Patient’s relationship with Family members:
 With mother: Not good, don’t like his mother

 With father: Normal
 With grandmother: Too good
 With grandfather: Too good
Educational History:
 In school/College:
Very naughty, like to disturb everyone in class.
 How is the client in studies and academic performance?

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Average in studies. As per I.Q testing report.
 Does the client come up to the expectations of parents and teachers?
No, even he comes in average students but do not want to concentrate on studies.
 How has the performance been over the years?
From last one year the performance is not good.
 Do they find that there is sudden deterioration in studies and academic
performance?
Yes
 Have they received any complaints from the school authorities regarding the
clients performances?
Yes
 Since when have they noted that the client is not the same in regard to
academics as he/she used to be?
In his annual result
 Had they done anything about it so far?If so what? : No
Establish Rapport
Appearance
 Age: 11Y
 Sex: Male
 Hygienic: Yes
Movement and Behavior

 Client’s gait: Notorious
 Posture: Restless
 Eye contact: Was not making proper eye contact.
 Facial expression: Calm
Mood: He came into the room without a moment of hesitation.

Speech
 The volume of the person’s voice: Soft
 The rate or speed of speech: Slow
 The length of answers to questions: According to Question
 The appropriateness of the answers: He was answering the questions appropriately
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Thought content:
After establish rapport and observing the client’s appearance and all, and taking the interview
of parents I assess that He is the only child to his parents who are quite elderly. So
understanding issues can be seen in the relationship. The mother is more concern which the
client doesn’t like.
SESSION CONTENT
Client’s Name: Mr. S.S. Chaithanya
Interview No.: 9 Date: 14-01-2021
Session No.: 1 Time: 11:00 AM
Purpose of the Interview: To make sensible picture of the client’s problem.

The client Mr.S.S. Chaithanya entered with his parents. I greeted and asked them to have a
seat. I further enquired them about any difficulty they might face in finding the place. I
offered them a glass of water.
Client’s Appearance: The clothes worn by him were neat and clean. But he was looked little
nervous.
I decided to make sure that the client is comfortable and told him that he can make himself at
home here and whatever he would tell, I will be kept completely confidential. A formal oath
of confidentiality was taken by me so that client becomes comfortable in sharing the problem
and all the things related to problem.
Then Chaithanya started sharing about the problem he was facing in his life.
Chaithanya described himself as a boy of his own likes and dislikes. He is an easy going
person and is doing just fine. According to him he does not like anyone interfering his life
and blames his mother for the issues of his life. As his mother keeps on interfering in
everybody’s life and nobody in the family likes her very much. He likes having money with
himself so he can eat out in the street or party with his friends which results in arguments
often with his mother regarding his expenditure. He quoted his relationship with his
grandparents as a good one and loving. He spends more time at his grandparents place as
there are no time limits, freedom to watch television, play with his play station, go out with
friends and come back late. Also he gets financial support from his grandparents. According
to him his father being a busy person is not seen much at home, even at home he is busy in
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his own commitments. My client does not go for outings with his parents and usually his
outings are to his relative’s place nearby with his grandparents. In school he likes disturbing
the class and thinks it’s funny. He is not bothered about the punishments he gets.
Academically he wants to study but does not find it interesting because of which he is not
able to sit for long hours and finish his tasks. Also he does not feel any responsibility towards
his studies or duties at home. It could be concluded that there is no boundary with lot of
penetration in each other’s roles and responsibilities.
End of the session: Chaithanya, I think today we have discussed about your problems you
were facing and we also tried to find various alternatives to solve it. We will discuss more
thinks in the next session to find out the solution of the problem.
My Observation: This case study details a Family Therapy. It includes a case history of
dysfunctional parents in Family Therapy as a result of which the child was showing
emotional and behavioral problems. A review of the issues that pertain to their case including
past issues and stress related to their marital life were also dealt with.
Plan of Action: Strategic family therapy will be used as the main course of treatment and 12
to 15 sessions of the therapy will be given to do conflict resolution and help them maintain
new learned patterns of communication. Next session will be the examined sessions focus on
assessment and goals for the therapy, conflict resolutions, psycho education and learning new
patterns of behavior.
Today’s session was able to achieve the purpose with which it started.
Next session
The examined sessions focus on assessment and goals for the therapy, conflict resolutions,
psycho education and learning new patterns of behavior. The results of the therapy were
discussed, as well as plans for future sessions were discussed.
REFFERAL AND INTAKE
The identified client is Chaithanya who is 10 year old male studying in class 7 th. He hails
from a lower middle class joint family owning a small business of catering. He is the only
child to his parents who are quite elderly. Every couple in the family is provided with their
own floors and stay separately along with their children with grandparents staying on the
ground floor. Chaithanya is quite close to his grandparents instead of his parents or his uncle
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and does not hold high thoughts towards his mother. His cousins are quite elderly and do not
communicate much with Chaithanya/
In school Chaithanya has been an average student but, since one year he has not been
performing well because of which he along with his parents were warned to detain him in the
same class for not performing satisfactorily. Along with his poor academics the child shows
behavioral and conduct problems also which includes misbehavior with teachers and
classmates, not following the commands and abiding with the decorum of the school. On
discussing the issues with the parents they denied to accept any such behavior about the child
and did not accepted to go for counseling sessions initially. On giving multiple warnings by
the school parents finally agreed to come and visit the counselor. Hence, I was given the
opportunity to follow the case.
While establishing my rapport with the family I could enlighten myself about the family
members, how they relate with each other and the communication patterns being followed in
the family specifically in relation to the child as well as the distribution of roles and
responsibilities of each family member.
It was established that parents did not had much knowledge about the illness as they were in
denial and were reluctant in accepting any behavioral issues with the child. But, it could be
established through the interview that child is not only having issues in the school but at
home as well which could be a reason for his disinterest in academics. Also the child blamed
his mother for her lack of support towards him as well as towards the family which has
always impacted him as a child.
It could also be established through the interview that there were confusion in the roles and
responsibilities being assigned at family level and the physical, emotional, financial and
household burdens were not well distributed, although basic needs of the family were well
met. The family as well as to the index patient adequate social support was provided.
INTIAL PHASE
Before commencing with the treatment process formulation was done about the wrong
behaviour patterns being followed by the child and the reasons of its maintenance. To do so,
an interview was done with the child and the family individually. An, I.Q assessment was
also done at the school level which showed a score between ranges 85 to 90 which is an
average intelligence..
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Starting with establishing the family relations, the father being the younger son is not given
opportunity in the business and gets to hold a small share of the family business. As a result
the freedom of financial independence is restricted. Mother being outspoken was often
argumentative about the financial aspects in front of other family members as a result she was
not appreciated in the house which was supported by the fathers silence and hence the couple
could not maintain a healthy relation with each other. This affected the bringing up of the
son. As chaithanya. being a spectator to his mother’s arguments which was not supported by
the family members and his father’s silence established a difference of opinion in his mind.
Hence CHAITHANYA. could not consider his mother as a commanding authority in his life.
Grandparents being able to fulfill his demands came to be a source of love and affection. This
was a result of father’s silence and not holding responsibility towards financial issues or
issues related to his wife and son. So it was realized that the family is in conflict with the
mother, mother is in conflict with the husband and in the process blames the family members
to inculcate negative feelings to her son about his mother. The family is split into son and
grandparents mother alone and father being a supporter to his parents.
In further session based in the understanding of the case it was decided to use various tasks
which would help in encouraging parents to move together. This would start by making them
go through a preparation stage into an action stage slowly as they develop strategies together
to help change family dynamics.
So the primary focus was to improve the behavior patterns of the child and the secondary
focus was to improve the inter-relationships. Based on them therapeutic goals were decided
with mutual consensus from parents and the child
THERAPUTIC GOALS
 Short Term Goal:-- Building a therapeutic alliance, Psycho education about the
nature of illness to patient as well as family, building parental team, Helping patient
acknowledge and accept his problem ,Enhance motivation to mobilize the patient’s
own change resources, Modifying dysfunctional beliefs, helping child and the parents
establish a healthy communication pattern, father and mother will develop limit
setting strict talk with son which would help in identifying his parents as an authority
& would diffuse most of his power, boundaries in the family as well as in the child’s
pattern of living was established, helping them understand roles and responsibilities
attached to each role.
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• Long Term Goals- Management of unhealthy behavior patterns by the child, helping
parents maintain their relations in a healthy form, old alliances will be dismantled and
new alliances between father, mother and son will be formed, Enhancing academic,
social and personal functioning impaired by the family functioning and the patterns
adopted , Improving coping skills, Relapse prevention.
In the next few sessions rapport formation was done and on the basis of an I.Q assessment his
weaker subject/ topics were identified. The child and the parents were asked to vent out
themselves assuring that they would be listened to and addressed accordingly with empathy.
The child and the parents were explained in detail about the behavioral issues and how they
can be related to the environment where child spends his maximum time at i.e. at school and
at home. Reassurance was also provided to the family that the issues can be handled but,
would require their support and that the child needs to be always under their shadow before
his new patterns of behavior are established fully. Also the child was asked to be
accompanied with his father so he also could be psycho educated about the issues related to
the child and have a deeper understanding of it. Any anxiety related to the child’s dismissal
from the school was also addressed.
MIDDLE PHASE
Firstly steps were taken to identify his weaker topics and with the help of a special educator
they were handled. This task helped him develop an interest in his subjects. His identified
behavior patterns which were to be intervened were talked about individually with the child.
He was asked to make a time table at home which included a disciple about time spent in
studies, watching T.V, going out for play and other recreational activities along with time
spent in meals. This way he started spending less time at grandparents place and mother was
able to spend more time with him. He was also becoming disciplined and responsible about
his activities.
He was explained about the cost involved in a particular activity and the benefit analysis of
the same like, if he eats everyday at the street vendor and spends all his pocket money than at
the end of the month when he could buy something useful for himself or a gift for his friend
would not be possible. So to help him establish a control on his expenditure he along with his
parents agreed to fix a particular amount of pocket money which would be kept with him in
his pig bank and the access to it would be through his mother. The reason to access it would
also be noted in a diary which would be analyzed by the end of the month about if any
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particular expenditure could be avoided. This task helped in multiple ways. Firstly he was
able to establish healthy communication pattern with his father while discussing about the
expenditure being provided to him also, he was able to establish communication with his
mother while they were assessing if the particular expenditure is required or not.
Next Task related to making a behavior maintenance chart. This seemed to be very helpful in
establishing correct behavior patterns in the child. As this chart helped him hold the
responsibility of his own behaviors. Reinforcements were also helpful in setting pace for his
behaviors. As children have a liking for winning this chart helped him regain his confidence
about being able to succeed in tasks. Thus helping him find his self esteem which he did not
seemed to be aware of. After few sessions were done and improvement was observed talks
were done at school level and a request was made to resume his school. The child agreed and
was happy.
Strategic family therapy was used to initiate the process of treatment as during the interview
it was observable that father was taking least responsibility in the family affairs like he was
not spending adequate time at home. So, the aim was to involve father in small tasks so as to
develop communication in family structure specifically with his son. So he was asked to be a
part of chaithanya.’s day to day life and hold responsibility to his actions. Father was
encouraged to lead the discussions related to his son by introducing limits to his son.
In a separate session taken with father & mother discussion about their issues related to each
other and the family were taken up. Roles and responsibilities related to power, financial
aspect, were explained against each other, towards their son and the extended family
members. Father was asked to be more firm in his approach towards other and be able to
share his point of view. He was asked to improve his communication patterns. Also the
mother was asked to be a listener instead of a speaker. To do so they were asked to go on
family outings and spend time together. Conflict resolution patterns were taught where any
unfavorable situation would be viewed with a focus to resolve it so healthy relations can be
maintained. Parents were also asked to use these tips in solving any issues related to extended
family.
TERMINATION PHASE
At the time of intake they were at the stage of pre contemplation where they did not think
they were having a problem or needed counseling. Though the son was ready to accept the
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wrong dynamics at home front and was ready to explore various reasons to help it change.
Through the counseling procedure he was moved to a contemplation stage, where he realized
his parents concerns regarding his misbehavior and disinterest at school which contributed to
his present situation. He in the process learnt various coping strategies.
Child after resuming his school was doing well and the initial bullying response of his
classmates was conveyed to the school authorities and was tackled accordingly for future
reference. With positive feedback from the school and home I decided to terminate the
sessions and continue them with longer gaps.
Child was guided to help maintain his new patterns and not recoil back to the same situation.
He seemed responsible for himself and was able to judge between right and wrong situations.
His communication patterns were improved with his family members. He was able to follow
his new schedule and hold responsibility for it. Though a close observation by his parents was
always their. Seeing the child’s improvement parents also was motivated for change in their
own communication pattern which played a role in pushing each other. Bonds between
family members were established. In the last phase they were slowly and carefully
detachment procedure was started where the parents were helped in maintaining their roles
for the child and the responsibilities attached to it. Also they were guided to start taking
decisions for their child and hold responsibility for those decisions keeping the child in view.
This process reassured him that his parents understand him and would always take decisions
which would benefit him. They were repeatedly encouraged to make sure they maintain the
new patterns and that their child follows a set discipline. They were also guided about how
their own way of conduct would affect their child and that for him his mentors are his parents
only. And to expect any change from their children it for parents to show them the change.
They were guided about the early signs of relapse and various fun activities as a family.
Follow up sessions were also recommended. The therapy showed a very positive feedback on
the child and had a great impact on his personal, social and family life.
FOLLOW UP
In the follow up sessions feedback was taken about chaithanya’s performance at school and
home which were quite positive. chaithanya himself seemed to be a very changed boy with
lot of confidence and disciplined. He seemed more responsible. And was able to relate well to
his mother and father.
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Even his parents were able to relate well to each other and their actions towards their son
were more responsible. Though they are continuing for couple sessions as they found the
previous sessions quite helpful and are looking forward towards improving their relationship.
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CASE-2
CASE OF FEELING OF DEJECTION
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INTAKE INFORMATION
Name: Mr. A.S. Harsha

Age: 18 Yrs
Gender: Male
Educational Qualification: 12TH
Type of family: Upper middle class nuclear urban family
Presenting problem: “. The client claimed himself to be fun loving at times but, only with
his old friends who he misses a lot. They usually used to have technology related discussions
and were involved in many innovative researches. He misses all these opportunities in Delhi
and also his group of friends.”
Duration of problem: 4-5 weeks
Interview of mother:-
Name: N
Age: 45 Y
Sex: Female
HARSHA’s mother is 45 year old professional lady but is not working since one year
because of her son’s issues. Mrs. Reddy explained herself as a very easy going person and
has wanted things to be perfect at home. She makes sure that the environment at home is
always conducive and that nobody in the family is hurt. She revealed about the over
protective behavior of her towards her husband as he has always been emotionally hurt now,
she wants him to have all the happiness and in the course makes sure that nobody reaches to
him with any conflicting situation weather it is important or not. She handles every situation.
She accused the changes in her son’s attitude towards herself and other members of the
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family. Initially she wanted to handle things in her own but, realized that issues are beyond
her way of controlling. So decided to seek professional help.
Relationship
Patient’s relationship with Family members:
 With mother: Good

 With father: Normal
He does most of his work with the help of his old friends.

Average in studies.
Yes, before shifting
From last one year the performance is not good.
performance?
Yes
No
From last few weeks his behavior was not good.
 Had they done anything about it so far? If so what? :
No
Establish Rapport
Appearance
 Age: 18Yrs
 Sex: Male
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 Hygienic: Yes

 Client’s gait: Normal
 Posture: Restless
Mood: Sad, disturbed

Speech
 The length of answers to questions: According to Question
 The appropriateness of the answers: He was answering the questions appropriately
Thought content:
After establish rapport and observing the client’s appearance and all, and taking the interview
of parents I assess that client wanted to shift his school but, parents were not satisfied by his
reasons so asked him to continue in the same school. HARSHA still wants to shift his school
but has lost all hope from his parents.
SESSION CONTENT
Client’s Name: Mr. HARSHA
Interview No.: 10 Date: 14/1/2021
Session No.: 1 Time: 1 PM
Purpose of the Interview:

To make sensible picture of the client’s problem.
The client Mr. HARSHA is entered with his mother. I greeted and asked them to have a seat.
I further enquired them about any difficulty they might face in finding the place. I offered
them a glass of water.
Client’s Appearance: The clothes worn by him were neat and clean.
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Then Mr. HARSHA started sharing about the problem he was facing in his life.
HARSHA is an 18 year old adolescent and is an introvert personality. He claimed himself to

be fun loving at times but, only with his old friends who he misses a lot. They usually used to
have technology related discussions and were involved in many innovative researches. He
misses all these opportunities in Delhi and also his group of friends. He claimed himself to be
close to his family more to his mother as she is staying at home whereas his father is usually
out for work so he is shares only academic/work issues with him. He has knowledge about
his father’s past life as told by his mother and understands her feelings. Hence he also makes
sure his father gets best of things. He understands his responsibility as their son and abides
with the roles and regulations at home. At school he is going through mild adjustment issues
and is not able to find any solution to them so, want his parents to shift his school, so he can
perform well. HARSHA told about his poor performance in academics and is quite
disheartened by it as he has always been quite good at academics. He has motivation to
improve it but, is unable to find ways to improve it. And associated all his sorrows to his new
school as well as change in place. There were times when he felt heavy over his family
structure with lack of support and no elders in family apart his parents. Also there is no place
to vent out him as he can make everyone feel bad about situations. To conclude we can make
out that he is not happy with his home as well as school environment.
End of the session: HARSHA I think today we have discussed about your problems you were
facing and we also tried to find various alternatives to solve it. We will discuss more thinks in
the next session to find out the solution of the problem.
My Observation: This case study details a Family Therapy. It includes a case history of an
adolescent with severe Depression. As families can have a significant effect on the mental
health status of a child decision was taken to understand the roots of family structure and a
review of the issues that pertain to the case including past issues and stress related to them
were dealt with.
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Plan of Action:Psychodynamic family therapy is chosen as the main course of treatment and
15 sessions of the therapy were given to do conflict resolution and help the child understand
and maintain new learned patterns of communication.
Next session: The examined sessions will focus on assessment and goals for the therapy,
conflict resolutions, psycho education and learning new patterns of behavior. The results of
the therapy will be discussed, as well as plans for future sessions will be discussed.
REFFERAL & INTAKE
The identified client is HARSHA who is 18 year old class12th student hailing from an upper
middle class nuclear urban family. He is the only child to his parents and has shifted from
Hyderabad to Delhi last year. He was bought by his mother for referral as since few weeks he
has been showing behavioural concerns.
Both his parents come from an upper socio-economic status typical south Indian family. His
father had a very struggling childhood. Presently his father is working at a descent position in
a reputed firm and mother is a professional but a housewife presently because of her son. As
reported, his father is a man of his words but very caring. He is a family oriented person and
respects the culture and traditions being practiced in the family. He is little rigid for changes
in traditions being followed and makes sure the family values are passed to the next
generation. According to mother he is very understanding and always prefers taking the
neutral path in a contradictory situation. On the contrary his mother is quite submissive and
non-assertive by nature and abides with the changes easily. The decisions within the family
are mostly been taken by his father whose word would be the final say in whatever matter.
The HARSHA has always found this environment at home inhibited and restricted in nature,
so does not feel close to anyone with whom he can share his problems or other issues in life.
Extended family is not supportive in nature and the family works at their own level.
According to mother, father lost both his parents in a tragic incident when he was 14 year old
and was given the responsibility of his 3 elder sisters. The other members of the family were
opportunistic and not very helpful financially. So he had to start working at a very early age
and married all his sisters. Patient’s mother and her family were closely related and very well
knew the situation of the father and decided to marry them. According to mother her husband
had been a very charming person but sudden losses in his family and early responsibilities
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made him a very serious person. Till he got married he had not been a very social person and
would prefer to be on his own. As a result he has been very protective about his son and does
not feel like maintaining good relations with his extended family. There is lack of physical
and mental support.
Initially as told by mother HARSHA wanted to shift his school but, parents were not satisfied
by his reasons so asked him to continue in the same school. HARSHA still wants to shift his
school but has lost all hope from his parents. Mother seems to be quite well aware of his
symptoms and has all hope to improve his feelings which was quite positive for the therapy.
She seemed quite motivated. . Roles of all the family members are well defined. Father has
not been involved in gaining the knowledge about their son’s problems as mother felt it was
not the right time to involve him.
HISTORY OF PRESENT ILLNESS (as inferred through interview)
The HARSHA was maintaining adequately well till one year back since when he started to
feel sad and disinterested in social interaction and wanted to shift his school. One year back
they shifted from Hyderabad to Delhi and since then HARSHA has been showing adjustment
issues. Since few weeks back there is a sudden decrease in his visits to school and low
interaction at home. He remains irritable, feels low, lethargic, unable to concentrate in his
studies and there is loss of appetite. According to patient he does not have much friend circle
in Delhi so does not feel interested in social activities. He started to prefer solitude and most
of the time remained by himself. He was unable to have a sound sleep. According to mother
the patient since few months has been forcing them to shift his school but, they are not
supporting his idea as they could not get any justifiable reason to it. Since few weeks mother
feels the patient wants to share something which he is not able to open up. Patient revealed
separately to therapist that there are adjustment issues in school.
The patient has been born and brought up in Hyderabad. He had been a very bright student
and an ideal child at home. Father having to shift his job in Delhi, the whole family decided
to shift with him here one and a half year back. As they thought it would be good for their
son’s future. But the patient was unable to adjust in his new environment and there seemed
difficulty in making friends. As a result he started losing interest in studies and his marks
started going low. All this resulted in increased family pressure to perform well. Father holds
a major say in the family and patient does not feel himself close to his father compared to his
23
mother. Being the only child the patient did not had any siblings of his age to share his
feelings with. There was dearth of intimate friends or relatives around hence, he preferred to
be alone but sometimes even while having a little desire to share his problems with someone
close who he expected and wanted to understand his current state and also sympathize with
him, he found difficulty in opening up with a selected few which included his mother. These
feelings started to disturb the HARSHA and his mother more as although for most part of the
time his father would be busy at work and would not be very happy with his performance at
school. As a result he started distancing himself slowly from his father since one year.
His inability to adjust in school, pressure at home & low results kept him more preoccupied
and he started feeling helpless. Inability of his father to relate reasonably with him increased
the feelings of helplessness and hopelessness in him. As a result there was lot of confusion in
his thoughts. And gradually he began to feel that he won’t be able to carve a good future for
himself with so many unresolved issues at hand, management of which seemed to him a
distant reality. Crying spells increased in frequency during the bouts of which excessive
negative thoughts about current state of affairs, inability to pursue studies, lack of hope
regarding improving his relationship ever with his father, acquiring confidence and working
upon his crushed self esteem would keep the HARSHA preoccupied and which worsened the
situation. According to mother the patient is hiding something which is the root cause of his
situation and does not wants to share. Mother had to pursue him a lot to seek a professional
help. As the patient remained sad and seemed uncomfortable. Seeing him the mother was
restlessness and when thought that things are beyond her control, she forced him to sought
help.
Diagnostic formulation
Client is 18 year old unmarried male studying in class 12 th. He comes from an upper middle
class urban south Indian nuclear family and is the only child to his parents. He came with
chief complaints of sadness, crying spells, decreased interaction socially & at home, poor
academic performance, and decreased interest in going to school. Past history suggested of
sudden shift of places might have resulted in difficulty in communication as a result their
seems difficulty making friends. With poor communication at home specifically with father.
Higher mental function was normal with poor insight.
Provisional Diagnosis: Depressive episode [severe] with suicidal risk
24
INITIAL PHASE
The initial phase was to develop a repo with the patient and understand the case formulation.
Understanding about the symptoms of the patient, how they progressed and were maintained
for so long.
Starting with the socio-cultural background of the family it was revealed that the patient came
from an urban background hailing from the southern part of our country. It seemed that the
patient was not very comfortable with the national language that is “Hindi” though his
English speaking was quite fluent. According to mother he was coping quite well in
communicating in the local language and did not had much issue in it. It could also be elicited
that the extended family was not very supportive and due to sudden shift in places they were
not very close to any friends or neighbors in the new place which would support them in
situations of distress and illness. Though they were financially quite sound and his father was
performing well professionally. While talking about the extended family it could be elicited
that the father had a very distressful and struggling childhood. Because of which he had early
experiences of punitive parenting and restricted home environment leading to the
development of low self confidence, decreased self belief and inhibited, reserved
temperament. According to mother he had increase in his confidence and self belief only
when he got married and started a separate life for himself. Mother revealed that she has
always been a major pillar in her husband’s life. As soon as their son was born he got very
protective and has always been happy with his performance academically. There is lack of
communication at home between father and other members of the house. Which mother feels
has been emotionally hurted him a lot since childhood and which needs compassion & love.
So as a rule nobody in family defies the orders of the father. And he holds the power of
decision making, problem solving & control in the family.
Inability to express his concerns to his parents specially his father has led to the formation of
dysfunctional thoughts like (I do not feel like going to school, nobody understands me, I do
not have anyone close to me, I am a loner, nobody wants to be friends with me). These were
some of the assumptions which were found to be underlying his thought process. These
assumptions got activated when HARSHA continued for some more time in the same school.
But not being able to adjust adequately and cope with the new environment around negatively
affected his academic performance. It could be inferred that these issues can be a result of his
lack of communication. When his father came to know of his academic performance, he
25
became extremely upset and scolded the HARSHA. HARSHA perceived this action of father
as rejection and punishment, which activated his negative automatic thoughts (my parents do
not understand me and No one wants me to be with me). HARSHA’s inability to
communicate with his parents and make them understand about why he is not able to
concentrate on studies further exacerbated these negative thoughts. These negative thoughts
further led to the development of depressive symptoms.
In the initial session, this understanding of the case was communicated to the HARSHA. on
the basis of this a problem list was created, which when tackled, would help in reduction of
depressive symptoms. The significant problems being faced by the HARSHA were not being
able to concentrate, lack of communication with his father, decreasing scores, being sensitive
to criticism, social withdrawal and spending time alone in his room and not having any
interest in participating in any activity. On the basis of this, target symptoms were identified
and HARSHA and the therapist mutually decided upon both short and long term goals.
Therapeutic goals (short term) were – To decrease depressive symptoms, to increase

motivation for studying, to increase HARSHA’s communication with family members, to
help him learn the local language so he could communicate.
Therapeutic goals (long term) was – to improve communication pattern with his father, to
understand any other major area of concern.
The initial phase focused on building a therapeutic relationship with the HARSHA and other
members of the family. HARSHA and his mother were psycho educated about the possible
psychological nature and maintaining factors of his depressive symtoms. Both were reassured
about the ways in which he can be helped through psychological means. The collaborative
nature of therapy was explained to them, emphasizing on his responsibilities and need to
carry out homework assignments. Need to carry out joint family session/ homework were
also guided. It was conveyed that consistent motivation at home was very important. Patient
was asked to maintain a diary where he would write down all his thoughts with time and date
and the duration of these thoughts. Also he was asked to write how he managed to resolve
these issued or if he is not able to resolve them.
MIDDLE PHASE
26
The next phase began with pre treatment assessments. For objective assessment of severity of
depression, Beck’s Depression Inventory (BDI) was administered. HARSHA got a score of
30, which was indicative of severe depression. While connecting with the patient he revealed
that he is been bullied by his schoolmates here in Delhi on his name. They feel that his name
is quite long and associate different kinds of dirty meanings to it. On further asking that if he
has discussed it with the school authorities he revealed that they console him but that is not
helping his situation. He also suggested that he wants his name to be changed to a more
shorted form as in future he would be staying in other parts of the world and might face the
same issue again. This came as a major thing to be revealed by him. So with his permission
these concerns were discussed with his mother in the same session but in his absence. Mother
was quite upset about the fact that why he could not talk about it with his parents, on further
discussion he revealed that he did not wanted to hurt their feelings. Specially his father who
is closely attached to the family values & would not agree. Also he would feel disturbed.
On the basis of this revelation a new problem list was created and the therapeutic goals were
modified on the basis of which the major changes were done at the short term goals where
priority was given to handle this issue and long term goals were added with the task of
infusing confidence in him about various ways to handle such situation in future.
To counteract the inactivity and social withdrawal of the HARSHA, he was asked to record
his daily activities on an hourly basis to understand clearly as to how the HARSHA was
spending his day. HARSHA was also asked to rate each activity that he did in terms of
accomplishment and pleasure derived from it. This was given as the homework assignment to
be recorded for a week.
Next on the basis of psychodynamic family therapy approach & understanding the dynamics
of each family member tasks were assigned to the family members based on their
capabilities. Patient was asked to develop a level of communication with his father. To do so,
his mother was asked to accompany him and help him initiate talks with his fathers. Patient
was asked to spend more time in a common room so he would be in front of other members.
Mother was asked to take up the issue with the school authorities and without letting the child
and his friends know about it the teachers of his section were asked to keep a watch on the
interaction pattern of the class. School therapist was also involved suggesting to develop
more healthy patterns for classroom interaction by giving them joint assignments and
allowing everyone to showcase the importance of team work where emphasis would to
27
understand the qualities of every individual in helping to improve a specific task. Also
mother was separately guided to discuss the issue with the father so he could be more
understanding towards the reactions of his son and not be very pushy towards him.
In the next session, feedback was taken from the HARSHA. HARSHA reported that he was
able to go to school and skipped only twice. He was praised for his efforts and motivated to
increase the frequency. The activity schedule prepared by the HARSHA was analyzed and it
was found that HARSHA spent his majority of the time in his room or working on computer.
Few activities, including physical activities were suggested to the HARSHA according to the
feasibility and means. Mother was asked to accompany him. Meanwhile it was also discussed
if the patient was able to open in front of his father and if he was able to start a level of
communication with him and also if it felt helpful to him. Mother was also asked separately
about how the patient was performing at home. And if the activities suggested were helpful.
Any changes required were also suggested.
Next when the HARSHA was able to carry out the activity schedule and practice techniques
to improve his communication, he was explained about the inter relationship between his
cognitions, emotions and behavior. He was given examples of both positive and negative
thinking, its effect on one’s emotions and on subsequent behavior. The relationship and
distinction between thoughts and feelings was elucidated by the therapist with help of
examples. This was primarily done so that when HARSHA was asked to record his thoughts
and feelings, he would not get confused.
Along with all this, we continued with the behavioral techniques of activity scheduling,
revising the activities regularly. HARSHA was also taught about the importance of good &
healthy communication patters at home. Meanwhile the father was called along with the
mother in the absence of the patient and his concerns as a father were handled. Also patterns
of behavior and communication pattern at home were discussed. In the process psycho
education was given to the father about his patterns of behavior. Education about the various
biological changes in the adolescents and relation between these changes with the thought
process were discussed. While developing a repo with the father topics about his past life
issues were discussed which dealt with his present reactions of being over protective, over
emphasis on academics and not spending social time with son like going for fun activities or
recreational activities. On the basis father was helped in resolving his own issues and asked to
28
spend quality time with the son. He was asked to go out with son for outings just for fun and
develop a father son relation.
Mother has known the past issues so have always been over conscious about the relationship
so, she was asked to give time to them and let them resolve their issues at their own. They
should be able to find their own ways.
In the next session the patient was asked about how he is coping up. And any changes in the
level of activity required were implemented. The subsequent sessions were devoted to
challenging his negative automatic thoughts. The main techniques employed were Socratic
questioning, cost benefit analysis, identifying errors in his thinking and then disputing them.
Through Socratic dialogue, HARSHA was encouraged to come up with the evidence for and
against his beliefs. One of the prominent thought of the HARSHA was that because if his
name he is a mockery in the class and has lost his self belief and self esteem. To dispute this,
he was asked to cite evidence for and against his thought. HARSHA was taught this method
of challenging his thoughts and then changing his thoughts on the basis of the evidence
present. Home work assignments based on challenging his negative thoughts to be carried out
at home were planned. HARSHA was also encouraged to look for alternative views for his
belief, say how he would have viewed the situation when he was not depressed. Through
regularly analyzing it was found that the patient was having an either- of thinking pattern.
These errors were explained to the HARSHA and how they were leading to more negative
thoughts, which was eventually affecting the depressive symHARSHAoms. HARSHA was
taught to challenge these errors. He was further taught to evaluate his thinking in terms of its
effects on him. Advantages and disadvantages of changing a negative thought were discussed
with the HARSHA to help him in changing his viewpoint. Meanwhile he was encouraged to
convey his feelings to his father. On further support and encouragement the patient was able
to communicate with his parents and the father agreed to change of his name without any
inconvenience.
TERMINAL PHASE
The terminal phase had reached when his father agreed to the change in his name and the
family was able to develop a healthy level communication pattern in between them. This was
able to help them bond more strongly emotionally and mentally. BDI was administered to
assess the severity of depression. Positive feedback about this was given to the HARSHA and
29
his family. He reported an overall of 80% - 85% improvement subjectively in his depressive
symHARSHAoms. In this phase, HARSHA was explained the interrelationship between
cognitions, emotions and behavior. Different techniques (eg, planning the day so that
pleasure and mastery are maximized, being tolerant with oneself, not engage in thinking
errors, challenging them in case they occur, using praise and encouragement rather than
putting oneself down) were explained to HARSHA and the family members again to be used
as first aid in case of relapse. Also techniques to be used in school in case of any bullying
were administered to the patient and for the parents required steps to be taken were guided.
School authorities were also asked to be more vigilant and do regular session in the school so
as to make sure a conducive environment is maintained for a healthy growth of the child.
Patient was taught about various techniques to help him maintain his self esteem.
Outcome/ Follow Up
HARSHA reported of 80% - 85% improvement. Further, HARSHA was able to concentrate
on his studies and was confident of appearing for exams. He also reported to have been
feeling more confident about himself and has enrolled himself for an tech fest which was
being help at his school. HARSHA is still coming for follow-up fortnightly and social skills
enhancement is being worked upon.
30
CASE – 3
CASE OF CYBER ADDICTION
31
INTAKE INFORMATION
Name: Mr. J.S. Revanth
Age: 17 Yrs
Gender: Male
Educational Qualification: XIIth
Whether have any siblings, if so how many: Yes
What is the position of the client in the family: Elder
Presenting problem:-: “I use internet for long hours and now I have become habitual. But due
to this habit it was diagnosed as migraine.”
Precipitating Factor: No
Duration of problem: 1 year
How intense is the problem and how does it affect the client?
 Has to take leave from work place/school/college - Yes

 Cannot carry on even the routine work - No
 Does not want to do anything - Yes
Interview with family members/spouse/the concerned person : No
Relationship
Patient’s relationship with family members:
 With Mother - Good

 With Father - Good
 With Brother - N.A.
32
Educational history
 In School/College:
He does most of his work with the help of Internet.
Average performance
No
Good
 Do they find there is sudden deterioration in studies and academic performance?
No
Establish Rapport
Appearance
 Age : 17 years
 Sex : Male
 Hygienic: Yes
 Client’s gait : Normal

 Posture : He was seemed uneasy.
 Eye Contact : He was making eye contact.
 Facial expression : Calm
Speech
 The volume of the person’s voice : Average

 The rate or speed of speech : Slow
 The length of answers to questions : Keeping short
 The appropriateness of the answers : Appropriate
 Clarity of the answers and similar characteristics : Clear
Thought Content:
After establish rapport and observing the client’s appearance and all, I assess that the client
was disturbed to think about the problem of migraine.
SESSION CONTENT
Client’s Name: Mr. J.S. Revanth
33
Interview No: 7 Date:
16/1/2021
Session No: 1 Time: 11

AM
Purpose of the Interview: To make sensible picture of the client’s problem
The client Mr. J.S. Revanth entered; I greeted and asked him to have a seat. I further enquired
him about any difficulty he might face in finding the place. I offered him a glass of water.
Client’s Appearance: The clothes worn by him were neat and clean. But he was looked
disturbed.
Then Mr. J.S. Revanth started sharing about the problem he was facing in his life.
J.S. Revanth shared that he use internet almost whole day. He downloaded files, movies,
software for him as well for his friends also use emails e watching video on you tube, net
surfing, searching not regarding assignment gradually. The use of internet gradually
increased. According to Revanth.“why there is sleep and people should not sleep”. Revanth.
sleeps around 3am, wakeup around 7:30am then go to the school and after returning from
school J.S. again start spending time on internet.
How much time you spend on internet on an average? (Leading)
“I spend 8-9 hours daily, sometimes I spend continuously 12 hours on internet for different
project and assignment.”In this way Revanth. shared his problem.
Problem according to counselor point of view: Process Addiction
In this session, we’ll discuss about the strategic solution. According to Psychological
Research, spending more than 4 hours on internet considers as addiction and it is worldwide.
It was explained to Revanth. that it is not a substance but it is process addiction, sometimes
process also addicts you. The process you are using, you get some thrill from them and also
you are curious to know the things so it’s an addiction to you. Now-a-days it is a lifestyle
disease.
Revanth, if you are aware about our brain system, it has different parts and each part has its
different function. Brain needs varieties for better processing. For your problem, we have to
see the criteria of addiction, that it affects our daily life or not.
34
According to psychological research process addiction can be DE addicted by time
management. For this, you have to set yours priorities to adhere the time. One who can’t
adhere the time, he has to finish that work at first which seems very important.
For explaining the flexibility of time and role of priorities I shared an example with Revanth.
Once I showed my students a jug and put big stones in the jug and asked students, “Is it
completely filled?”
Students replied, “Yes,
But I put small stones again and then asked students, “Is it filled now?”
Students replied “yes”
But this time I put sand and again asked the same question. Students were now confused and
then I poured honey and then flowers in the jug.
So, Revanth, our time is like this jug which is flexible. It depends on us that how we can
manage things for doing our important work at first and then finishes small work according to
priorities. (Self-disclosure)
For relief in migraine, some activities were suggested to Revanth. which includes meditation,
walk, exercise, sleep. Revanth you have to fix your time for different works. You should shift
your sleeping time from 3am to 12 ‘o’clock.
Revanth was interested in gym so he was suggested to join gym. Through this the time which
was only devoted to cognitive activities, now it will be engaged in non-cognitive activities
and in the mean time you can use internet like before going gym, after coming from gym,
before going college. Except this, make routine for doing BrahmariPranayam for 15 minutes
daily. As process takes time, so for De addicting the habit, things should be connected with
time. You can do meditation, walk, exercise for getting relief from migraine.
So I ended the interview in the following manner:
Revanth we have discussed about your problem which you are facing from long time. Hope
you have found the solutions for your problems.
My Observation:
When the client left I found that he was looking relaxed and was happy that his problem
could be put across by him clearly to the counselor. Now he was able to choose the right
solution to solve the issue.
Plan of action:
Continue the interview and gather more information about the dynamics underlying the various issues
of his life.
35
CASE – 4
CASE OF CHEMICAL ABUSE
36
INTAKE INFORMATION
Name: Mr. G. Aneesh

Age: 16 yrs
Gender: Male
Educational Qualification: XIth
Occupation: Student
Whether have any siblings, if so how many: One Younger brother.
What is the position of the client in the family: Eldest
Anyone in the family having conflicts: None
How intenseis the problem and how does it affect the client?
 Has to take leave from work place/school/college : No
 Cannot carry on even the routine work: Yes
 Does not want to do anything: Yes

Their view point in regard to all of the above
Relationship
 With mother : Mother died in client early age
 Father: Not so healthy relationship
 Brother: Good
 With friends: how many friends does the patient have? How does the patient relate to
them?
37
He has huge list of so called friends. He hardly get emotionally attached to any of his
friends. He used to keep things straightforward and develop relation only with people
having great money strength.
 With neighbors : Hardly Interact with anyone in the surrounding
Educational History
Quite Student in school. In College pretty known for her notorious activity.
Even though he is blessed with good amount of sense in his brain but he hardly used it
in educational field.
No
His performance has been good over the years.
performance?
Yes.
Yes, Since near about six months his father was getting complain by school
authorities about his performance and behavior.
 Since when have they noted that the client is not the same in regard to academics
as he/she used to be?
Near about six months.
 Had they done anything about it so far? If so what?
Yes, His father and brother tried their best to understand him about his studies.
 After their efforts had there been any improvement?
There was no sign of improvement on client.
Establish Rapport
Appearance
 Age : 16yrs
 Sex : Male
38
 Hygienic : Yes

 Client’s gait : Strut
 Posture: He was seemed restless and impulsive.
 Eye contact: Hesitant to make in the beginning but as the session progresses he was
feeling comfortable and started to make eye contact.
 Facial expression: Expression of Mortification could be seen on his face for all his
past doing.
Speech
 The volume of the person’s voice: Brittle
 The rate or speed of speech: Low, Fumbling
 The length of answers to questions: He was feeling hesitant in telling but after a
while he started to complete his words and was not precluding hisself from
completing his statement.
 The appropriateness of the answers: He was answering appropriately.
Thought content:
After establishing report it could be assess that the client is facing with grief and tension
about his brother’s life and started to take substance (Smoking). As it helps to reduce stress.
He has the feelings of frustration to accept the reality and anger about the lack of support.
Session Content
Client’s name: G Aneesh

Interview No: 8 Date: 16-01-2021
Session No: 1 Time: 1 PM
Purpose of the interview:
The client was referred to me for taking a detailed case history.
39
The client Aneesh came in. I greeted him and asked him to please come in and take his seat.
He ame with his father. I offered him also a seat. However as the interview started I asked
Aneesh if it would be all right we both talked alone.
The Client’s appearance: He was well dressed up .
home here and whatever he would tell, I will be kept completely confidential. Only that
information, which we say can be passed on to other family members, would be done so and
he can feel free to convey whatever he wants.
Start of session:
Then Aneesh started to tell me about the problem which he was facing in his life. He was not
able to cope up with his situations (Smoking). He is feeling alone in his attempts to cope with
his situations. He was feeling hopeless for himself and for her brother as her mother died in
early age and her father does not support or care.
He also talked about his feelings of inadequacy and he feared about her brother’s future.
End of the session:
As the time allotted to the client is generally one hour, I ended the interview in following manner.
Mr. Aneesh, I think today we have discussed your problem. It has been possible to understand when
your problem started, what precipitated it and you have been handling the same. Your efforts are
really appreciated. However there are many things we need to discuss with each other. The client
responded that he would like to come next week for the next session. We both stood up , and shook
hands, and the client took leave.
Problem:
“ I am not able to understand what to do? I am so afraid about my brother’s future so I started
Smoking to reduce my stress.”
My observation:
For instance the difficulty you are feeling in your life with family and the effect of this on
your life, work life and all.
Plan of action:
I’ll ask about his current stress, levels and what strategy he was feeling to combat. I’ll
motivate him to join rehabilitation and focused more on his goals and brothers future.
Today’s session was able to achieve the purpose with which it started
40
CASE – 5
CASE OF ADHD
41
INTAKE INFORMATION
Name: Z. Zubheir
Age: 7yrs
Gender: Male
Educational Qualification: 2nd
Occupation: Student
Whether have any siblings, if so how many: Yes, one
Presenting problem:
The child talks too much and he is very stubborn. He can’t sit on one place always remain restless. He
has poor concentration.
Precipitating Factor: The client was sufferd with a seziure attack.
Interview with family members/spouse/the concerned person
Interview with her mother:
The chief complaint, as reported by the mother, Was that the child talks too much and he is very
stubborn. He can’t sit on one place always remain restless. He has poor concentration.
Relationship
 With mother: very much attached
 With Father:Not as much good
 With Friends: He has many friends but he had hyper and distractable types problem also
with friends.
 With neighbors: Voilent.
 With school and class mates: Impulsive and Voilent
 In the game field: Active but Hyper
Educational History
He was a poor performer in school.
42
Poor
No
 Do they find that there is sudden deterioration in studies and academic performance?
Day by day he was falling down in his studies and had no concentration on things. Even If he
was asked to sit in his class for 5 mintues it was not possible for him as he used to go to
playgrond.
 Have they received any complaints from the school authorities regarding the client’s
performances?
Yes
 Since when have they noted that the client is not the same in regard to academics as
he/she used to be?
After recieveing complaints regularly by the school authorities, neighbours and friends.
Tried to pamper him so that he can improve.
No
 When did they decide to consult a counselor?
After realizing that the client hyperactive behavior is getting worst.
43
Establish Rapport
Appearance
 Age: 7
 Sex: Male
 Hygienic : Yes

 Posture:Continuously jumping from One place to another
 Facial expression: Restless
Mood:He came into the room without a moment of hesitation.

Speech:
 The volume of the person’s voice: Loud
 The rate or speed of speech: Fast
 The length of answers to questions: Adequate
Thought content:
After establishing rapport with the client
From the forgoing description of my first session with the mother I am Certain that the parents will
not have draw a clear picture of their personalities, the emotional atmosphere in the home. But I came
to know about the chief complaint, as reported by the mother, Was that the child talks too much and
he is very stubborn. He can’t sit on one place always remain restless. He has poor concentration.
44
Session Content
Client’s name: Mr.Z Zubheir

Interview No: 5 Date: 20/1/2021
Session No: 1 Time: 11.00 am

Start of session
The client Mr. Z Zubheir came in. I greeted him and asked him to please come in and take his seat. He
was accompanied by her mother. I offered her also a seat.
I decided to make sure that the client is comfortable and told him that he can make himself at home
here and whatever he would tell me will be kept completely confidential. Only that information which
they say can be passed on to other family members, would be done so and she can feel free to convey
whatever she wants.
The Client’s appearance: Dressed well. Seems to be very notorious.
Interview With mother
The chief complaints, was that the chief complaint, as reported by the mother, Was that the child talks
too much and he is very stubborn. He can’t sit on one place always remain restless. He has poor
concentration. He was not a good eater and active body.“He could not be unnoticed because of the
marked temper. Outbursts which occur frequently.
From the forgoing description of the session interview with the mother I am certain that the reader
will not have drawn a clear picture of their personality, the emotional atmosphere. It was Also tlod by
her that the client was delivered by forceps and have to suffer with a seizure attack also. She also told
me that he feels happy to distract others and can’t sit on one place in home also. He don’t want to do
anything and left every work in mid. He didn’t pat attention to anything also.
End of the session:
As the time allotted to the client is generally one hour, I ended the interview in following manner.Mr.
Z. Zubheir, I think today we have discussed your problem. It has been possible to understand when
your problem started, what precipitated it and you have been handling the same. Your efforts are
really appreciated. However there are many things we need to discuss with each other. The client
responded that she would like to come next week for the next session. We both stood up , and shook
hands, and the client and her mother took leave.
My Observation:
45
When the client left I found that she was looking Slightly more relaxed and was happy that she was
listened to and her problem could be put across by her clearly to the counselor.
Plan of Action:
Continue the interview and gather more information about the dynamics underlying the
various conflicts that she has expressed. A session with the father is required to tell him her
problem which she is facing from a long time.
46
CASE – 6
CASE OF PARENTS COUNSELLING
47
INTAKE INFORMATION
Name: Ms. F. Fathima
Age: 17 Yrs
Gender: Female
Education qualification: 12th Class
Position of the client in the family: Elder
Anyone in the family having conflict: Yes
Anyone in the family has suffered from any physical disorder: No
Presenting problem:The client have to face failure in her studies due to her parent’s dreams
for her future. As her father wants that she complete her studies first then find a suitable job
for her while mother wants to join a Beauty Parlor course so that she can help her in her
mother’s Beauty Parlor.
Precipitating factor if any: The Father wants from his daughter to do graduation and then
to do any job but mother wants that her daughter do course related to beauty parlor. And due
to this, there is rift between them.
Duration of problem: 2 months
 Has to take leave from work place/school/college - No

 Cannot carry on even the routine work - No
 Does not want to do anything - Yes
Interview with the family members/spouse/the concerned person: No
Relationship:
Patient’s relationship with the family members:
 With Mother - Close relationship

 With Father - Not so good
 With Brother - Nil
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Educational History
 In School/College:
She is falling behind in her studies in the school.
Below Average
No
The performance of the client is continuously falling behind as in class 11th she scored
38%.
No, it was not sudden change
Establish Rapport
Appearance
 Age : 17 years
 Sex : Female
 Hygienic: Yes

 Posture : She sat down and crossed her hands
 Eye Contact : Not making eye contact
 Facial expression : Confused
Mood: Sad
Speech
 The volume of the person’s voice : High

 The rate or speed of speech : Fast
 The length of answers to questions : Keeping short
 The appropriateness of the answers : Lack
 Clarity of the answers and similar characteristics : Not so clear
Thought Content:
49
was frustrated from her parent’s quarrel.
SESSION CONTENT
Client’s Name: Ms. F Fathima
Interview No:6 Date: 20-01-2021
Session No.: 1 Time: 1:00 PM
The client Ms. F Fathima entered with her family; I greeted them and asked them to have a
seat. I further enquired them about any difficulty they might face in finding the place. I
offered them a glass of water. As the issue was related to whole family, so family counseling
was preferred.
Client’s Appearance: The clothes worn by her were neat and clean. But she was looked
confused and nervous.
Then Ms. F Fathima, started sharing about the problem she was facing in her life.
Ms F Fathima shared that she completed her 11th class with 38% marks and before passing
11th class, she failed two times. F. is interested in learning parlor related work. F’s mother has
her own parlor and this is one of the reasons behind her low score.
Fathima., What do you exactly mean by ‘this is the reason’? (Probing)
Fathima. shared that as her mother spent all her time in the parlor and many times F. also
went to the parlor for helping her mother. “I lose interest in studiesNow F’s interest was
developed towards Parlor related work.
What does your mother wants to you? (Leading)
Fathima’s mother shared that F. should join a Beauty Culture course in an institution at
Vikaspuri. This course duration is one year and fees for the course is 1,25,000Rs. for one
year. She added that after doing this course, she and her daughter together can spread their
work. Now-a-days the monthly earning from a good parlor is 40-45,000 Rs.
What does your father wants to you? (Leading)
“I want my daughter to complete her graduation and then find job at good place”. Fathima’s
moher is doing work in parlor but not able to earn enough money . I don’t want that my
daughter work at such place where there is no recognition of such job.
The family members shared their views one-by-one.
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Problem from the counselor’s point of view: Miscommunication between family members.
It was told to Fathima. and her mother that it’s your father’s dream for her daughter to
complete graduation and it is his aspiration to see your future in better way. You both should
also understand his point of view.
The counselor said to Fathima’s father that it is good that you want from your daughter to
complete graduation but as you also know her percentage in class 11th is very low. So, it’s
very difficult to get admission in any college. Another thing is that after completing
graduation, she won’t able to get job as no skills are taught in B.A. So, if F. is interested in
taking admission for beauty Culture Course, it is also a good option. After one year she
would be able to start her own parlor or can help her mother.
Fathima, now you have an option that you can do both the things together. From Open
Learning System, you can complete your graduation. In Open Colleges you just have to go
once in a year to take exams. Rest of the time, you can do your beauty culture course side-by-
side. After one year, you will be able to earn money and in spare time you can also prepare
for your studies.
So I ended the interview in the following manner:
Fathima. I think today we’ve discussed about your problem you are facing all over and we
also have tried out to find the alternatives to solve it. Hopefully, now you as well as your
parents are able to choose right career option for you.
My observation:
When the family was leaving I found that they were looking relaxed and confident.
Plan of Action:
various conflicts that she has expressed. A session with the parents is required to tell him her
51
CASE – 7
CASE OF ADJUSTMENT ISSUES
52
INFORMATION INTAKING
Name : R.K. Gayathri
Age : 14Yrs.
Gender: Female
Education qualification: IXth
Position of the client in the family: Elder
Anyone in the family having conflict: No
Anyone in the family has suffered from any physical disorders: No
Presenting problem: “I have gone in high anxiety. I have no interest in studies and I don’t
want to go to my school. My parents changed my school which I don’t like”
Duration of problem: 3-4 months
 Has to take leave from work place/school/school : No

 Cannot carry on even the routine work : No
 Does not want to do anything : Yes
Interview with the family members/spouse/the concerned person: Yes
With Father: I took the interview of his father. After asking he explained that from last 3-4
months she is getting tensed that she doesn’t want to go to school. As she doesn’t want to
change her previous school but due to financial problem he has to take such step.
Relationship:
Patient’s relationship with the family members:
 With Mother - Good

 With Father - Good
 With Brother - N.A.
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Educational History
 In School/School:
She scored a good percentage (94.6%) in class 8th and she didn’t want to change her
previous school so she doesn’t want to go that school.
Good
No
The performance of the client was good. She still wants to become lecturer.
Yes, after change of school.
Establish Rapport
Appearance
 Age : 14 years
 Sex : Female
 Hygienic: Yes

 Posture : Moving hands while talking
 Eye Contact : Making eye contact
 Facial expression : Angry and sad
Mood: Sad, anxious
Speech
 The volume of the person’s voice : Normal

 The rate or speed of speech : Normal
 The length of answers to questions : according to question
 The appropriateness of the answers : Appropriately answered
 Clarity of the answers and similar characteristics : Clarity of answer
Thought Content:
was angry and also sad.
54
SESSION CONTENT
Client’s Name: Ms. R.K.Gayathri
Interview No: 3 Date: 28-01-2021
Session No: 1 Time: 11

AM
The client Ms. R.K.Gayathri entered; I greeted and asked her to have a seat. I further
enquired her about any difficulty she might face in finding the place. I offered her a glass of
water.
Client’s Appearance: The clothes worn by her were neat and clean. But she was looked
anxious and sad.
I decided to make sure that the client is comfortable and told her that she can make herself at
home here and whatever she would tell, I will be kept completely confidential. A formal oath
Then Ms. R.K.Gayathri started sharing about the problem she was facing in her life.
In the first session R.K. Gayathri`s father started to share the problem that R.K.Gayathri has
gone in anxiety. Now she is not interested in continuing the studies.
R.K.Gayathri What do you mean by anxiety?(Probing)
“I don’t like my school so I don’t want to go in that school` I scored well still I get such
school.” It creates tension for her.
R.K.Gayathri, why don’t you like your school? (Leading)
According to R.K.Gayathri, no co-curricular activities are there and the school is single sex
school. She added that the faculty is also not good and she is unable to understand their
lectures.
How much time you spend in school? (Leading)
R.K.Gayathri replied as she used to go to school at time but not with her will. She felt it as a
burden and waste of time as she is not comfortable with school authorities and no co-
curricular activities also in that school.
55
She requested with her parents to admit her again in her previous school but her parents
denied her as they can’t afford that school expenses due to financial problems which made
her disappointed a lot. R.K, I will repeat the things what I understood as you told that you are
not interested in studies due to your choice of school and its faculty members. You are
worried due to single sex school as well as no co-curricular activities in you school. You feel
that your time is wasted.
For the next session I asked R.K, Can we fix next Monday? The client responded that she
would like to come next week at the specified time.
Problem according to counselor point of view: Adjustment problem in School
In the second session, it was told that R.K.Gayathri, your score in 8 th class (94.6%) was very
respectable and good. But according to CBSE (The Central Board of Secondary Education)
94.6% is not a very high score, and see how many students lie between 94.6% and 100%. If
you would see before 94.6% also there is a large population who didn’t get admission
anywhere. As there is high competition, so students like you, even after having a good
percentage, don’t able to get school according to their choice.
What is your aim, R.K.Gayathri.? (Leading)
“I WANT TO BECOME ENGLISH LECTURER”
R.K.Gayathri you have a lot of preparation time for your career. It’s good if you study in
single sex school as your career won’t distract. I believe that co-ed schools and schools helps
in personality formation but you have to see the personality vs. academics.
R.K.Gayathri as you shared that your faculty is poor. Poor faculty is a world-wide issue.
Scarcity of good teaching faculty is a problem of almost every school student because
teaching is an art. But in the present scenario you have so many other resources like
multimedia books, library, videos available on internet which helps in conceptual learning.
R.K. you can use library and through this you can use your time which you get between the
classes. And according to Research, if purpose is important for any person then other things
should not important. If you go anywhere, you won’t get any option which is free from any
issue or problems. “Distractions are everywhere”
R.K.Gayathri added one more problem that in her school he was famous and was performed
very well in co-curricular activities. R.K. when here is no scope, there is high probability of
getting the shine and fame. R.K. in my known, there was an uncle who lived in a village. He
was the only person in that village who bought a car and he was famous in that village. After
some years he shifted to posh area of Delhi but there he saw that every person have their own
vehicle and in a single house, there was more than one vehicle. His fame got faded. So R.K.
one needs darkness to shine, in your school you can shine by taking initiatives (Self-
Disclosure).
Overall, you have to change your perception by linking things with your career and also co-
operate with your family by understanding their problems. After Four years you have to go
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for Graduation so you need fewer distractions. R.K. spends this phase keeping in mind your
career. God has given you an opportunity that you can shine and make your career.
So I ended the interview here in the following manner:
R.K. I think today we have discussed about your problems you are facing all over and we
also have tried out in finding the alternatives to solve it. Hopefully now you are able to reach
your solution and you are well known about what is right and what is wrong.
My Observation:
When the client left I found that she was looking relaxed and confident for her goals and
decisions. Now she is able to choose the right solution to solve the issue.
Plan of action:
Continue the interview and gather more information about her problem and to counseling for
better adjustment in new surroundings.
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CASE – 8
CASE OF UNASSERTIVENESS
58
INTAKE INFORMATION
Name: Ms. S.U. Neha

Age: 16 yrs
Gender: Female
Educational Qualification: XI
Presenting problem:-
I have never felt independent of figures of authority and have usually acted out role of a
willing child. I am self conscious and fully dependent on others.
Precipitating Factor: Strict upbringing of her parents
Duration of problem: Near about one year
 Has to take leave from work place/school/college: Yes
 Cannot carry on even the routine work: No
 Does not want to do anything: No

Name: Mr. Surya kumar
Age: 40yrs
Sex: Male
Relationship: Acquaintance
Views of acquaintance about her: She hardly talk to anyone, she is very quiet and shy. She
did her works only after taking permission from her parents.
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Relationship
 With mother: Not so good, as she don’t like to live with her parents.
 Father: Not so good
 With friends: how many friends does the patient have? How does the patient
relate to them?: No friends
 With neighbors: Never talked to them
She always seeks the permission of those who are in authority and whenever she
attempt to assert her own will, she experiences guilt and self doubt.

Good at studies. As she shown her grade cards.
Yes, always as she states that this because of the lodes she has learned to live by,
however there have been times when she wanted to break away from this.
She was too good in her studies.
performance?
Yes
No, According to client there was no such incidents.
Near about six moths as she remains to be alone and quite. She also become fully
dependent to others for her works.
 Had they done anything about it so far?If so what? : They tried to understand her
to do her work self.
Establish Rapport
Appearance
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 Age: 16
 Sex: Female
 Hygienic: Yes

 Client’s gait: Normal
 Posture: Uneasy.
 Coordination: Good
 Eyecontact: Continuously moves her eye balls, was not able to make eye contact.
 Facial expression: tensed, Fearful
Affect: Client sometime after listening the questions, does not able to respond and gave a
emotional expression.
Mood: Nervous,. Anxious

Speech
 The length of answers to questions: Two or three words
 The appropriateness of the answers: she was answering the questions ,appropriately
Thought content:
After establish rapport and observing the client’s appearance and all, I assess that the client is
facing self conscious, weak will power
Session Content
Client’s name: Ms. S.U. Neha
Interview No: 4 Date:28/1/2021
Session No: 1 Time: 1 PM
The client Ms S.U. Neha came in. I greeted her and asked her to please come in and take her
seat. She came with her father. I offered him also a seat. However as the interview started I
asked Ms.S.U Neha if it would be all right we both talked alone.
61
I decided to make sure that the client is comfortable and told her that she can make herself at
home here and whatever she would tell me will be kept completely confidential. Only that
information which we says can be passed on to other family members, would be done so. I
am a psychologist working here and she can feel free to convey whatever she wants.
Then Ms. S.U. Neha started to tell me about his problem she is facing with her life. She stated
that she felt self conscious, weak willed, lacking in assertiveness and dependent. I Discussed
these opinions further with her and asked her questions such as „How are you dependent‟?
„Who is responsible for yourself consciousness‟?
After these questions, She was little quiet when prompted to speak, she explained that she
feared about her parent’s response to her own decisions. She wanted to make her own
choices. But she wanted her parent’s approval to do so. She was afraid that they would not
tolerate her decision.
The Problem:
She asks herself: “what if I am wrong ? Who am I to decide? What is moral or immoral?
What will I discover if I follow my own path? Will I lose my self respect or be able to survive
the guilt I feel?
As the time allotted to the client is generally one hour, I ended the interview in the following
manner.
Ms S.U. Neha, I think today we have discussed your problem particularly about your non
assertive behavior and your conflicts with your family. It has been possible to understand
when your problems started, what precipitated it and how you have been handling it.
However there are many things we need to discuss with each other. For instance, the
difficulty that you didn’t like about your unassertive self and the effect of all the frustrations
of your life, career, etc.
I ended up the session by shaking hands and the client too leaves.
My observation:
When the client left I found that she was looking slightly more relaxed and was happy that
she listened to and her problem could be put across by her clearly to the counselor.
Plan of action:
various conflicts that she has expressed. A session with the husband is required to understand
the problem from his angle too.
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CASE – 9
CASE OF ATTENTION SEEKER
63
INTAKE INFORMATION
Name: P. Ramesh
Age: 7
Gender: Male
Educational Qualification: 2nd
Occupation: Student
Whether have any siblings, if so how many: Yes, one
What is the position of the client in the family: Eldest
Presenting problem:
The child did not speak very much and when he speaks it is so difficult to understand what he was
saying. He often did not understand the spoken words.
Precipitating Factor: Sister’s birth
Interview with her mother:
The chief complaint, as reported by the mother, Was that he is the older children’s difficulties.
The child did not speak and read well. He was not a good eater. Her second pregnancy was
unwelcome. She knows that she did not relatives her full attention with the birth of the second baby.
Relationship
 With mother: very much attached
 Father:Not as much good
 Earlier he has many friends but now he hardly talks to anyone.
 With neighbors: He loves attention from adults.
 With school and class mates: Healthy relations with classmates
 In the game field: Active
Educational History
School
64
Bright
Yes
 Do they find that there is sudden deterioration in studies and academic performance?
No
 Have they received any complaints from the school authorities regarding the client’s
performances?
No
 Since when have they noted that the client is not the same in regard to academics as
he/she used to be?
After the birth of his younger sister.
Tried to pamper him so that he tells them everything.
No
 When did they decide to consult a counselor?
After realizing that the client aggressive behavior is getting worst.
65
Establish Rapport
Appearance
 Age: 7
 Sex: Male
 Hygienic : Yes

 Posture:Continuously jumping from One place to another
Mood:He came into the room without a moment of hesitation.

Speech:
 The volume of the person’s voice: Average
 The length of answers to questions: Depends upon The Questions.
Thought content:
After establishing rapport with the client
From the forgoing description of my first session with the parents I am Certain that the parents will
not have draw a clear picture of their personalities, the emotional atmosphere in the home. But I came
to know that client did not understand the spoken word clearly not even read them. He could not go
unnoticed because of the marked temper, outburst.
66
Session Content
Client’s name: Mr. P. Ramesh

Session No: 1 Time: 11.00 am

Start of session
The client Mr. P. Ramesh came in. I greeted him and asked him to please come in and take his seat.
He was accompanied by her mother. I offered her also a seat.
I decided to make sure that the client is comfortable and told him that he can make himself at home
here and whatever he would tell me will be kept completely confidential. Only that information which
they say can be passed on to other family members, would be done so. I am a psychologist working
here and she can feel free to convey whatever she wants.
The Client’s appearance: Dressed well. Seems to be very notorious.
Interview With mother
The chief complaints, was that Mr P,Ramesh the older of two children, was having speech difficulties.
The child did not speak and read clearly, it is so difficult to understand what he was saying.
Furthermore it was clear that the mother had been entertaining some thought that Mr. k was not very
intelligent.
He was not a good eater and active body.
“He could not be unnoticed because of the marked temper. Outbursts which occur frequently.
Observation: From the forgoing description of my first session interview with the parents I am certain
that the reader will not have drawn a clear picture of their personality, the emotional atmosphere. It
was not known from the first interview that there was tension between parents, but there was some
evidence that differences existed as to the manner in which Mr. P Ramesh had been handled.
Session 2
On the first visit, after being introduces he came into the examining room without a moment’s
hesitation. Didn’t even look back to his mother. I asked him to tell me about his family member? I
asked him to tell me about all the teachers he had had in the past. He listed his first grade teacher as
having been the best teacher and he talked about his mother and father but he denies to talk about his
sister. He hardly reacted on her name.
Observation:
67
From the forgoing description of client, I came to know that there is an issue between parents and
client. We all have unconscious desires and that desires seems to dangerous if doesn’t then it will
change into aggression and same will happened to the client.
Childhood is the age in which everyone wants full attention of their parents. Client want all the
attention of his parent but after the birth of his sister, he become insecure and start behaving
differently.
Plan of action:
Continue the interview and gather more information about the dynamics underlying the various
conflicts between him and his parent’s. So I’ll again go for the interview of his parents.
68
CASE – 10
CASE OF SELF-DEPRECATION
69
INTAKE INFORMATION
Name: Ms. M.G. Soumya
Age: 14 yrs
Gender: Female
Educational Qualification: IXth
Whether client stays with parents: No
Whether have any siblings, if so how many: Yes
What is the position of the client in the family:Youngest
Any one in the family having conflicts: No
Presenting problem:-
I am not able to adjust in the school of Oddepally. I want to go back my hometown Amalapuram. The
people here are very dominating. I am depressed because I cannot continue my study in this
environment. My father is not supporting me in this decision. I am very upset because nobody
understands me and my problems which I am facing here. I never want to go to that college.
Precipitating Factor: dominant behavior of her college mates, and strict behavior of father towards
her.
Duration of problem: one and half year
 She did not going regularly her school from last 1 month.
 Cannot carry on even the routine work
 Does not want to do anything
 Takes sleeping peels to sleep.
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 Anytime started crying.
 Does not want to go to school.
 Does not want to meet any classmate.
Name: Ms K. Sumithra
Age: 45
Sex: Female
The view point of her mother in regard to all the above
Her mother said in the interview that her daughter Ms M.G. Soumya is very shy and softly spoken.
She is a very brilliant student. She was very good always in her studies in her school (Amalapuram).
So her father decided to send her Oddepally for further studies. And she was happy from her father
decision but after coming here she faced a lot of problems as she is introvert so is not able to express
her feelings in front of everyone. She told her problem to us after a long time but her father said that
she has to stay here to complete her studies everybody faces problems after coming in new
environment. But later everything becomes normal.
Her mother said that I am concerned about my daughter feelings and carrier so I encouraged her to
take counseling.
Relationship
 With mother: Very Good.

 Father: Not so good.
 Brothers: Good.
Educational history
 In school / college :
She was very good in studies.
 How is the client in studies and academic performance ?
Her academic performance according to her report card of her school was too good as she
stands first always in her class.
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 Doesthe client come up to the expectations of parents and teachers?
Yes
 Have they received any complaints from the school authorities regarding the client
performances?
No, they never received any complaint regarding this.
 Since when have they noted that the client is not the same in regard to academics as she
used to be ?
During the exams.
 When did they decide to consult a counselor ?
When the client told the whole situation to her family and say no to continue the study at
same place.
Establish Rapport
Appearance
 Age : 14 yrs
 Sex : Female
 Hygienic : Yes
Movement and behavior
 Clients gait : normal

 Posture : restless
 Coordination: the coordination was good.
 Eye Contact : she was not able to make eye contact
Affect : She was emotional and giving answer , or responded emotionally.
Mood : She was very upset . Her mood was very sad.
Speech :
 The volume of the person’s voice: Soft and low.

 The rate or speed of speech: Normal.
 The length of answers to questions: Depends upon Question.
 The Appropriateness of the answer: The answers were appropriate.
 Clarity of the answers and similar characteristics: Cleared
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Thought content:
After establishing rapport, counselor asses that the client has adjustment problems in the new
environment. She thinks that she is not able to adjust with such kind of dominating people. She got
very bad experience from her school life.
Session Content
Client’s Name: Ms M.G. Soumya
Session No: 1 Time: 1:00 PM
The Client was referred to me for referred to me for taking a detailed case history.
Start of the session:
The client Ms. M.G.Soumya comes in. I greeted her and asked her to please come in and take her
seat. She Was accompanied by her mother. I offered her also a seat. However as the interview started
I asked Ms. M.G.Soumya if it would be all right we both talked alone and her mother waited for a
while outside, as she was not looking comfortable to talk in front of her mother.
The Client’s appearance: The Client was well dressed, neat and clean. She looked bright but
somewhat anxious.
I decided to make sure that the client is comfortable and told her that she can make herself at home
here and whatever she would tell me will be kept completely confidential. Only that information,
which she says can be passed on to other family members, would be done so and she can feel free to
convey whatever she wants.
Then Ms. M.G.Soumya started to tell me about the problems she is facing with her college mates. She
told me that she was coming to Tirupati before 6 months for her studies. She was a good student in
her studies at Amalapuram who stands first always in her class. She was so happy that she is doing
her further studies from the top school. But after coming here she faces many problems like different
culture new environment new people around her. But that time she thought that after some time she
will cope up with this environment. She make new friends, the teachers were also impressed with her
because she was a bright student in her class. But some students started feel jealous to her because she
got first position in first internal exams. Now they started game planning against her like back
73
bitching and all. She observed a strange change in the behavior of her friends and other classmates.
Her friends also stopped to talking to her suddenly. She got disturbed from all of this and now she
also not able to concentrate on her studies. And during this time period some incidents also happens
with her which totally break her from inside. That incidents was that she suffered with high fever one
day in her class and her friends left her alone there in this situation. After all these things she got fade
up and these incidents affect her grade in next semester. Then she decided not to go to school and
from last 1 month she did not go to school on the regular basis.
End of the session:
As the time allotted to the client is generally one hour, I ended the interview in following manner.
Ms. M.G.Soumya, I think today we have discussed your problem. It has been possible to understand
when your problem started, what precipitated it and you have been handling the same. Your efforts
are really appreciated. However there are many things we need to discuss with each other. The client
responded that she would like to come next week for the next session. We both stood up , and shook
hands, and the client and her mother took leave.
My Observation:
When the client left I found that she was looking slightly more relaxed and was happy that she was
listened to and her problem could be put across by her clearly to the counselor.
Plan of Action:
various conflicts that she has expressed. A session with the father is required to tell him her
74
75

Internship Report: Ma Psychology (MPCE - 025)

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Internship Report: Ma Psychology (MPCE - 025)

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INTERNSHIP REPORT

SUBMITTED TO IGNOU REGIONAL CENTRE, Vijayawada

CARRIED OUT Z.P.High school, K.Oddepalle, Pakala, Chittoor Dt

STUDY CENTRE S.V.Arts college, Tirupati

I express my deepest gratitude and regard to my supervisor Dr. S.Viswanath Reddy,

I also express my sincere gratitude to the staff at study centre.

S.No. TOPIC Pg. No.

past internship experiences.

Name: Mr. S.S. Chaithanya

Name: K.P Suresh

Patient’s relationship with Family members:

 With mother: Not good, don’t like his mother

Very naughty, like to disturb everyone in class.

 How is the client in studies and academic performance?

Movement and Behavior

 Eye contact: Was not making proper eye contact.

 Facial expression: Calm

Mood: He came into the room without a moment of hesitation.

Client’s Name: Mr. S.S. Chaithanya

Interview No.: 9 Date: 14-01-2021

Session No.: 1 Time: 11:00 AM

Purpose of the Interview: To make sensible picture of the client’s problem.

REFFERAL AND INTAKE

Name: Mr. A.S. Harsha

Patient’s relationship with Family members:

 With mother: Good

 How is the client in studies and academic performance?

Movement and Behavior

 Eye contact: Was not making proper eye contact.

 Facial expression: Calm

Mood: Sad, disturbed

Client’s Name: Mr. HARSHA

Interview No.: 10 Date: 14/1/2021

Session No.: 1 Time: 1 PM

Purpose of the Interview:

HARSHA is an 18 year old adolescent and is an introvert personality. He claimed himself to

REFFERAL & INTAKE

HISTORY OF PRESENT ILLNESS (as inferred through interview)

Provisional Diagnosis: Depressive episode [severe] with suicidal risk

Therapeutic goals (short term) were – To decrease depressive symptoms, to increase

CASE OF CYBER ADDICTION

Name: Mr. J.S. Revanth

Educational Qualification: XIIth

Marital status: Single

Whether client stays with parents: Yes

Whether have any siblings, if so how many: Yes

What is the position of the client in the family: Elder

Anyone in the family having conflicts: No

Anyone in the family is suffering/has suffered from any physical disorders: No

Duration of problem: 1 year

Any counseling taken: No

 Has to take leave from work place/school/college - Yes

Interview with family members/spouse/the concerned person : No

Patient’s relationship with family members:

 With Mother - Good

Movement and Behavior

 Client’s gait : Normal

 The volume of the person’s voice : Average

Client’s Name: Mr. J.S. Revanth

Session No: 1 Time: 11

Purpose of the Interview: To make sensible picture of the client’s problem

How much time you spend on internet on an average? (Leading)

Problem according to counselor point of view: Process Addiction