Report writing

Submitted To: Miss Tehreem

Submitted By: Aansa Akram
Roll No: 1256
MS Clinical Psychology 1st semester
Session: 2021-2023
 Case Summary

The cline was Serena, an 11 years old girl. She was only child born into an affluent, but highly

conflicted family. Serena was referred to trainee clinical psychologists with symptoms of having

violent outbursts, disobedience of teachers and parents, misbehaviour at school, Hyperactivity,

Restlessness, deteriorating school grades, Mostly irritable mood, throwing tantrums on minor issues.

Client met the criteria for Oppositional defiant disorder and ADHD.

Biological Factors
 Aggressive and
argumentative father
 Language Based
learning disability
Social Factors
 Separation and
divorce of parents
 Abusive father
 Parental expectations
 Failure in school

Psychological
Factors

 Low self—esteem
 Attachment
insecurity
 Low self control
Case Formulation

Client

Serena Presenting Complaints

11 years old  Having violent outbursts

 Disobedience of teachers and
Female parents
 Misbehavior at School
 Hyperactivity
 Restlessness

 Deteriorating school grades

Predisposing Factors
 Mostly irritable
 Highly argumentative
 throwing tantrums on minor
parents
issues
 Abusive father
 Language based
learning disability
 Limited access to peers
and community
 Aggressive and violent
father
Perpetuating Factors
 Highly conflicted family
 Difficult temperament
 Probable attachment
insecurity
 Limitations in cognitive
abilities Precipitating Factors
 Inconsistent behavior  Parent’s separation
during management  Domestic violence
 Low self- esteem  Failure in school

Protective Factors

 Socially adaptable
 Helpful school culture
 Good engagement with therapist
 Anxiety limits oppositionality at
school