Professional Documents
Culture Documents
, Butuan City
TIN No.139-099-468-000 PERMIT NO. 2022-01133, Contact No. 0948-665-2683
Name : Nita Age: 22 years old Date of Birth : Nov. 16, 2000
Address : Valenzuela City Sex: Female Date of Assessment: April 23, 2023
Psychometrician: Date of Release:
Psychologist:
Chief complaints:
1. Lack of communication and a distant relationship with her mother.
2. Anxious about her actions, skills and in making decisions.
3. Occasionally, feeling depressed and unmotivated
Behavioral Observation:
Ms. Nita seems jolly and has an optimistic personality. She was very expressive and responsive
almost throughout the interview. However, she became reluctant and emotional when talking about her
family, especially her relationship with her mother. She tends to be too conscious of what she is about to say
and becomes very restrictive about what she wants to share. Additionally, when discussing her relationship
with her mother in more detail, she felt uneasy and had trouble putting her thoughts into words and
elaborating on them. On the other hand, while taking the psychological tests, she answered every question
enthusiastically and without much difficulty. Although occasionally, she asked to repeat the instructions due
to confusion and made some pauses.
History (Personal, family & social):
Ms. Nita is a fourth-year (4th) student completing her internship in Quezon City. Even though she is
pursuing a BSBA with a major in Financial Management, she is still looking forward to achieving her dream
profession as a flight attendant. In fact, whenever she feels demotivated or simply wants to unwind and
relieve her stress, she watches vlogs of flight attendants, which became her hobby and to become motivated
again. Also, through her friends, she started to play volleyball. She perceives herself as a loving friend who
will do anything she can to help them. She would rather have a friend who is always truthful, even if it hurts
her, fair, and has a good influence on her.
She regarded herself as considerate, cheerful, and willing to endure everything since she knows her
goals in life and is a person who can laugh despite difficulties. She is the youngest of six (6) siblings from a
broken family. Her father had left them since she was in sixth grade, and they had little contact with him
until he died in 2021. She describes her father as a compassionate, sweet, and kind man yet, an irresponsible
and not ready to be a father or have a family. Her mother was obliged to work even harder due to her parent's
separation, which prevented them from seeing her during her childhood. As a result, she feels that there are
walls between them. She describes her mother as very strict, short temper, and a perfectionist toward her.
And whenever she hears the word mother, the only thing that comes to her mind are questions full of whys.
She is currently living with her mother, sisters, and nephews. She had a close relationship with all her
siblings, on whom she could rely. But because of her issues with her mother, she prefers to stay away from
the house when her siblings are not there. She claimed that because of her mother, she felt restricted in her
movements and uncomfortable in their home and unable to be true to herself. Consequently, she prefers not
to stay at their house whenever her siblings are not around. She thinks she can be herself outside their home,
especially around her friends.
Ms. Nita frequently writes her experiences with her mother's verbal and physical abuse in her diaries
from her early years up until now, such as yelling and using derogatory language at her and pinching her in
any part of her body until it leaves a mark or wound. Hence, every time she hears someone shouting, she gets
a tightening in her chest. Also, she describes the pinch of her mother as painful yet itchy at the same time.
And even thinking about it, she still feels the sensation of it. Additionally, as noted in her diaries, she always
places the blame on herself for disagreements that arise in their homes. However, when her mother
discovered her diaries about what she had gone through with her, she did not feel bad for her; instead, she
teased her and made sarcastic remarks about them. Despite being treated poorly by her mother, she still
respects her and still hopes that one day develops a good relationship. Furthermore, during her senior high
school years, she experienced so restless, feelings of guilt, loss of appetite, and crying every other day. These
feelings became severe during the peak of the COVID-19 pandemic, to the point she had suicidal ideation
that sometimes manifested in her dream, such as walking with her blanket toward their staircase or stabbing
herself. These ideations never manifested in real life because she was frightened to hurt herself. Up until
today, she occasionally still experiences these kinds of sentiments.
Test administered:
1. Mental Health Examination (MSE)
2. Adverse Childhood Experiences (ACE) Questionnaire (Screening Tool)
3. Culture Fair Intelligence Test Scale 2 (CFIT)
4. Beck Anxiety Inventory (BAI)
5. Beck Depression Inventory
6. Emotional Quotient Questionnaire (WPQEI)
7. Sachs’ Sentence Completion Test
8. MMPI-2
Assessment result:
Cognitive Functioning
Based on the psychological tests administered to Ms. Nita, her innate mental ability is
classified under the Inferior Level. It suggests that she has difficulties executing job-related tasks that
involved cognitive ability as well as perceiving relationships in shapes and figures. She tends to feel
uncomfortable in making decisions and has poor judgments. Likewise, she may feel inadequate in her
skills and abilities and incompetent in doing some tasks. She prefers to follow the rules and not to
take a risk. Also, she may appear to be overly sensitive to criticisms and rejection of others.
Additionally, she tends to have difficulty concentrating.
Emotional Functioning
The client tends to be less aware of their mood states and how these can affect their behavior.
She tends to have difficulty reading or using emotional knowledge and information when deciding
what to do. When stress arises, she may get irritated easily and may lose self-control. She is more
susceptible to feelings of feeling blue, unhappy, depressed, unmotivated, worried, tense, and anxious.
And she tends to find it difficult to relax and unwind. She has low self-esteem and confidence. Thus,
these characteristics may be due to her past experiences.
Diagnostic Impression:
All of the information gathered through the result of the psychological assessment indicates that Ms.
Nita has been experiencing chronic depressive symptoms, such as lack of pleasure, feeling of extreme
sadness, guilt, suicidal ideations, low self-esteem, and loss of appetite that persist for more than two years.
However, the client has not fully met the criteria for Persistent Depressive Disorder because there has not
been any significant reported impairment in the important areas of her functioning. Nonetheless, if this was
left unnoticed and worsened to the point where it affected her functioning in social, occupational, or other
critical areas, the said disorder may take into consideration.
Summary:
Ms. Nita is a 22-year-old graduating student who has been occasionally experiencing chronic
depressive symptoms for a few years, such as feelings of unmotivated, low self-esteem, feeling depressed,
loss of appetite, and suicidal ideation. Also, she is greatly affected by the ongoing conflict between her and
her mother, which puts her to doubt herself and be conscious of her actions, skills, and decision-making.
Additionally, her experience of verbal and physical abuse from her mother throughout her life seems to have
a significant impact on how she perceives herself. However, despite the circumstances she encountered, she
is a positive and jolly person and still hopes that a day better day will come for her and her mother.
Recommendation:
1. Maintain her strong positive support and relationship with her siblings and friends.
2. Attend family counseling sessions with her mother to address the conflict in their mother-
daughter relationship and know the cause of it. Also, to hear the side of her mother. And most
importantly, to help them effectively communicate with one another.
3. Individual counseling sessions, the client may undergo Cognitive Behavioral Therapy (CBT)
to work on her negative and inadequate thoughts about herself and to aid in the work on her
emotional trauma.
Note: Please observe strict confidentiality of this test result. Kindly disregard (shred or burn) this protocol after it serves its purpose because a
person is dynamic. This result is valid until April 2023. This will not be used in court or for any other purposes except orphanage admission
purposes only. Thank you.
“We value your trust in our name.”
APPENDIX
Sachs’ Sentence Completion Test Attitude towards Mother. Rating = 1.5. Mildly
disturbed.
Interpretative Summary: The client seems to
have difficulty completing the phrase above.
Based on the client’s responses shows that
she and her mother have a distant
relationship and a lack of good
communication between them. Also, most of
the client’s response was toward the
negative trait of her mother.
MMPI INTERPRETATION
Name: Nita
1. L Scale
(Raw Score =5; T-score = 57)
a. Valid: This is a “normal” range for individuals taking the test in clinical setting. Individuals
taking the test in forensic or job evaluation settings would typically score higher. A T-score of 55,
there is already a slight tendency to be putting one’s best foot forward, unless the individual is
from an unsophisticated background. A T-score of 55 might be seen in an educated, although
mildly cautious, defensive individual and/or in a mildly moralistic individual. Individuals from
lower SES backgrounds score in this range and the L score reflects traditional, if somewhat
unsophisticated views.
3. K Scale
(Raw Score =6; T-score = 30)
a. Very low scores (T<35) can stem from several possibilities. If there is any secondary gain from
being diagnosed with a psychiatric disturbance and other validity scales suggest self-unfavorable
responding along with elevated clinical scales, consider that the profile may be intentionally
exaggerated. Typically, the profile would also show exaggerated F and FB scores, and the other
endorsement of critical items. In valid profiles in which the clinical scales are elevated, such a
low K score suggest severe disturbance with little capacity to modulate feelings and behaviors.
The individual would likely need a very supportive and involved intervention, and any suicidal
and/or homicidal threats should be taken seriously. These individuals experience their symptoms
as frightening and feel a sense of panic and loss of control. They are self-critical and need
directive, supportive, esteem-building psychotherapy.
6-8/8-6
Description:
Individuals with this high point pair usually show evidence of a formal thought disorder and paranoid
ideation compatible with a paranoid schizophrenic reaction (especially if F is greater than or equal to 70).
They can be expected to suffer from moderate psychological distress, to be pervadingly hostile and
suspicious, and to experience delusions of persecution and/or grandeur and hallucinations. Regression,
disorganization, and autistic associations are likely. Clients with this high point pair are often preoccupied
with abstract or theoretical matters to the exclusion of specific concrete aspects of their lives. General apathy
may be pronounced, affect seems blunted, and established defenses are lacking. Under stress, they are likely
to withdraw and occupy themselves with secretive autistic fantasy accompanied by loss of capacity to
recognize reality. Individuals with this high point pair are quite resentful of demands imposed on them and
are described as moody, irritable, unfriendly, and negativistic. Conflicts regarding sexuality are evident.
When individuals with this high point pair do not meet the traditional MMPI-2 criteria for schizophrenia,
then the most likely diagnosis involves a paranoid psychosis or schizoid personality. Psychotropic
medications are usually the treatment of choice for individuals with this high point pair.
a. Female – Basic
1. Scale 1: Hypochondriasis (HS)
T-Scores 58-64 (moderate elevation) are indicative of individuals who:
have some concern about bodily functioning
are likely to be seen as immature, stubborn, and lacking drive
scores in the lower end of this range are typical for individuals with physical
handicaps and individuals with actual physical disease
b. Female – Content
1. Scale 1: ANX-Anxiety
T-Scores > 65 are indicative of individuals who:
feel nervous, worried and apprehensive
have problems with concentration
complain of sleep disturbance
feel uncomfortable making decisions
report feeling sad
feel that life is a strain
are pessimistic
lack self-confidence
feel overwhelmed by the responsibilities of life
if female, may appear irritable/hostile
2. Scale 2: FRS-Fears
Normal Range
Individual may feel the sense of fear in a normal or average range.
3. Scale 3: OBS-Obsessiveness
T-Scores > 65 are indicative of individuals who:
are fearful and uneasy most of the time
report specific fears and phobias
4. Scale 4: DEP-Depression
T-Scores > 65 are indicative of individuals who:
feel depressed or despondent
feel fatigued and lace interest in activities
are pessimistic and hopeless
are recently preoccupied with thoughts of death or suicide
cry easily
are indecisive and lack confidence
feel guilty
have a number of health concerns
report feeling lonely
are uncertain about their future and find their lives empty and meaningless
if female, appear resentful and demanding
incarcerated criminals have high DEP scores, but this is probably a situational factor,
not a personality factor
7. Scale 7: ANG-Anger
Normal Range
Individual may feel anger in normal or average range of reaction
8. Scale 8: CYN-Cynicism
Normal Range or average range
c. Female – Supplementary
1. Scale 1: A-Anxiety Scale
T-Scores > 65 (marked elevation) are indicative of individuals who:
are anxious and uncomfortable
have a slow personal tempo
are pessimistic, apathetic, unemotional, shy, and retiring
lack confidence in themselves
are hesitant and vacillating
are inhibited and overcontrolled
are influenced by diffuse personal feelings
are defensive
rationalize and blame others for their problems
lack social poise
are conforming and compliant with authority
have a high commitment to feminine values
are confused and disorganized under stress
are motivated in therapy once trust has been established
Harris-Lingoes Subscales
Raw
Scores T Score
Depression Subscales
Hysteria Subscales
Schizophrenia Subscales
Hypomania Subscales
Amorality (Ma1) 3 62
Psychomotor Acceleration (Ma2) 5 50
Imperturbability (Ma3) 2 43
Ego Inflation (Ma4) 6 68