Skip to document

Sign inRegister

o
 o

o
 o

o
 o


 

Download

804

SaveShare

INTERNSHIP REPORT

Name of the Learner: Randhir Kumar Yadav

Name of the Programme: MAPC (Second year, July 2019)

Enrolment Number: 188178309

Year: 2018-2020

Regional Centre: IGNOU Regional Centre, Delhi-2 Gandhi Smriti & Darshan Samiti Rajghat, New

Delhi- 110002

Name of the Organization: Brain Behaviour Research Foundation of India

Discipline of psychology

School of social sciences

Indira Gandhi National Open University

Maidan Garhi, New Delhi-110068

DECLARATION

I Mr. Randhir Kumar Yadav hereby declare that I am a Learner of M.A. Psychology (Part II), July 2019

year, at the Study Centre Code 29046D, Regional Centre Delhi-2, Gandhi Smriti & Darshan
Samiti

Rajghat, New Delhi- 110002 and I want to do my Internship (MPCE-025) at Brain Behaviour Research

Foundation of India (BBRFI), New Delhi on my own free will. I will adhere to the standards
of the

organization and display professionalism during my internship.

Signature of the Learner:

Name of the Learner: Randhir Kumar Yadav Date: 27/7/2020

Enrolment No: 188178309 Place: New Delhi

REFERENCE LETTER

To,

Date: 16th June 2020

Brain Behavior Research

Foundation of India

Rajghat, New Delhi- 110002

Dear Sir/ Madam,

This is state that Mr. Randhir Kumar Yadav, Enrollment No. 188178309 is a student of IGNOU and is
presently pursuing MA in Psychology from IGNOU Regional, Delhi-2 Gandhi Smriti & Darshan

Samiti Rajghat, New Delhi- 110002 and Vision Institute of Advanced Studies. Study Centre. As a

part of

MA Psychology programme he has to carry out internship (MPCE-025) for 240 hours. You are

requested to kindly provide him with permission to undergo internship at your esteemed
organization.

You are also requested to assign one supervisor under whom the learner will carry out his

internship. The supervisor will also have to evaluate the learner as per the given criteria.

Yours faithfully,

Study-Centre Coordinator

CONSENT LETTER (Agency Supervisor)

This is to certify that the internship in MPCE-025 for the partial fulfilment of MAPC Programme of

IGNOU will be carried out by Randhir Kumar Yadav, Enrolment No. 188178309, under my

supervision.

(Signature)

Name of the Agency Supervisor: Priyanka Pandey

Designation: Clinical Psychologist (RCI Regd., CRR NO. A62932)

Address: Brain Behaviour Research Foundation of India (BBRFI)

1, Jawahar Lal Nehru Marg, Rajghat, New Delhi - 110002

Date: 20th June, 2020

RECORD OF VISITS/ACTIVITIES CARRIED BY LEARNER

Date of Visit

Time

Duration

Place Visited

Nature of Work

Name and

Signature

of

Concerned

Authority

Remarks

From

To

20 June 2020

12:00

Online

Introduction
21 June 2020

12:00

Online

Explanation of Format

Formatting of case

History Taking

22 June 2020

04:00

Online
Genogram and Family

Tree

23 June 2020

04:00

Online

Session Guest Lecture

24 June 2020

N/A

Online

Assignment Comp

letion on Case History

25 June 2020

04:30

Online

Personal History

&Premorbid

Personality

26 June 2020

N/A
Online

Assignment: Diff B/N

sign & Symptom,

Counselling and

Psychotherapy,

Maternal Deprivation,

Diff B/N Decease &

Illness

27 June 2020

12:00
Online

Mental status Exam

mination Explanation

28 June 2020

N/A

Online

Self-Study

29 June 2020

04:00

Online
Imaging In Psychology

30 June 2020

04:30

Online

Mental status

Examination

(Continued)

1 July 2020

05:00

Online

Guest Lecture on

Intelligence and
Personality

2 July 2020

04:00

Online

Discussion of Case

History

3 July 2020

05:00

Online

Guest Lecture on

Intelligence and

Personality (Continued)
4 July 2020

04:00

Online

Case History and

Mental status

Discussion

5 July 2020

04:00

04:30
Online

Interviewing Patient:

Discussion

6 July 2020

N/A

Online

Self-Study on

Interviewing Skill

7 July 2020

04:30
Online

Discussion: Working

with interdisciplinary

team

8 July 2020

04:30

Online

Scoring and

interpretation of
Screening test : BDI &

BAI

9 July 2020

N/A

Online

Case History Writing

Work and Preparing for

Role Play

10 July 2020

05: 00
Online

Role Play (Group 1,2,3)

11 July 2020

05:00

Online

Role Play (Group 4,5,6)

12 July 2020

N/A

Online
Discussion with Group

for Presentation

13 July 2020

N/A

Online

Discussion with Group

for Presentation

14 July 2020

05:00
Online

Psychotherapy

15 July 2020

05:00

Online

Psychotherapy

(Continued)

16 July 2020

05:00

Online
Working on group Case

presentation with

Group

17 July 2020

05:00

Online

Case Presentation

Group (1,2,3)

18 July 2020

05:00

Online

Case Presentation
Group (4,5,6)

19 July 2020

12:00

Online

Guest Lecture on

Health Psychology

20 July 2020

02:00

Online

Discussion on Role

play and case history

with Group (1,2,3)

21 July 2020
11:30

Online

Discussion on Report

Writing

22 July 2020

02:00

Online

Discussion on Role

play and case history

with Group (4,5,6)

Recommended for you

Document continues below

30

Practical Report MPC 007

masters in psychology100% (40)

81

Internship Report for clinical psychology

masters in psychology98% (65)

23 July 2020

04:30

Online
Mental and Physical

well-Being

24 July to 29 July

2020

N/A

Online

Report

Writing and Discussion

Faculty for Doubts

31 July 2020

N/A

Online

Farewell and thought

Sharing
Signature of the Learner Signature of Academic Counsellor

EVALUATION SCHEME FOR INTERNSHIP-(Agency Supervisor)

Name of the Programme: MAPC Course Code: MPCE-025

Study Centre: Vision Institute of

Advanced Studies

Name of the Learner: Randhir Kumar Yadav

Enrolment No: 188178309

Internal Marks by Agency Supervisor:

Comments, if any: ………………………………

(Signature)

Name of the Agency Supervisor: Priyanka Pandey

Designation: Clinical Psychologist (RCI Regd.,

CRR NO. A62932)

Address: Brain Behaviour Research Foundation

of India (BBRFI)

1, Jawahar Lal Nehru Marg, Rajghat, New Delhi

-110002

Date: 27th July, 2020

Regional Centre: RC Delhi-2, Rajghat

Details

Maximum

Marks

Marks Obtained

Sincerity and professional competence

10

09

Assessment (Case history, Mental Status

Examination, Interview, Psychological Testing

etc.)

15

13

Overall interaction with patients, clients & employees

and handling of cases

5
Total Marks

30

27

EVALUATION SCHEME FOR INTERNSHIP-(Academic Counselor)

Name of the Programme: MAPC Course Code: MPCE-025

Study Centre: Vision Institute of

Advanced Studies

Name of the Learner: Randhir Kumar Yadav

Enrolment No: 188178309

Internal Marks by Academic Counselor:

Comments, if any:

………………………………………………………

………………………………………………………

………………………………………………………

Signature_________________________

Name of the Academic Counselor:

___________________________

___________________________

Date: 27th July, 2020

Regional Centre: RC Delhi-2, Rajghat

Details
Maximum

Marks

Marks Obtained

Report

20

Provisional Diagnosis and planning of

Intervention

Overall understanding of cases

Total Marks

30

EVALUATION SCHEME FOR INTERNSHIP-(External Examiner)

Name of the Programme: MAPC Course Code: MPCE-025

Study Centre: Vision Institute of

Advanced Studies

Name of the Learner: Randhir Kumar Yadav

Enrolment No: 188178309

External Marks: (Viva Voce):

Comments, if any:

………………………………………………………

………………………………………………………

………………………………………………………

………………………………………………………

(Signature)

Name & Address of External Examiner

_______________________________

_______________________________

_______________________________

Date:

Regional Centre: RC Delhi-2, Rajghat

Details

Maximum

Marks

Marks Obtained

Viva

40

Total Marks

CERTIFICATE
This is to certify that Randhir Kumar Yadav of MA Psychology Second Year (MAPC Programme) has

conducted and successfully completed the Internship in MPCE-025 in the place Brain Behaviour
Research

Foundation of India (BBRFI).

Name: Randhir Kumar Yadav

Name:

Enrolment No: 188178309

Designation:

Name of Study Centre: Vision Institute of Advance

Studies

Place: Delhi

Regional Centre: Rajghat, RC DELHI-2

Date: 28/7/2020

Place: Delhi

Date: 27/7/2020

Signature of Agency Supervisor

Name : Priyanka Pandey

Designation: Clinical Psychologist (RCI Regd., CRR NO. A62932)

Address : Brain Behaviour Research Foundation of India (BBRFI)

1, Jawahar Lal Nehru Marg, Rajghat, New Delhi – 110002

Place : New Delhi

Date : 27th July, 2020

ACKNOWLEDGEMENT

At the outset, I would like to show my gratitude for my internship opportunity at Brain Behaviour
Research

Foundation of India, which has been a great chance for learning and professional development. I
consider

myself to be a blessed and lucky individual to be provided with this opportunity. I extend
my heartfelt

gratitude for having an amazing opportunity to meet so many wonderful professionals in the field of
Mental

Health and Clinical Psychology; all who have led me to this have a very comprehensive
internship

experience.

It is with my radiant respect that I owe my deepest sense of gratitude to Dr. Meena Mishra
(Chairperson), to let

me work under her department with her team of clinical psychologists; And to Ms. Priyanka Pandey
(Clinical

Psychologist). It is for her careful and precious guidance, monitoring and constant
encouragement which have

been extremely valuable for my educational understanding; both theoretical and practical. The
blessing, help and

guidance given by her from time to time shall always stay with me and help me move forward to a
long way in
the journey of life on which I am about to embark. I will always remain grateful for her natural
affection and able

guidance.

Name: Randhir Kumar Yadav

Enrolment Number: 188178309

MAPC (Counseling Psychology), IGNOU

Brain Behaviour Research Foundation of India

Brain Behaviour Research Foundation of India is a National level research trust registered under the
Indian

Trust Act 1882. It is working to develop new techniques, tools & methods to solve the
Mental Health

problems in India. BBRFI is the only charitable organization in India that is working towards scientific
and

evidence-based guidance and counseling in career, interpersonal and intrapersonal relationships.

The Trust is an amalgamation of diverse professionals with the common aim of ‗Promoting Positive
Mental

Health & Well-being for All‘ by guiding the children and youth towards careers matching their talent
using

4-Dimensional Brain Analysis, a unique diagnostic tool innovated by BBRFI.

There is a large ‗gap‘ between the needs of the society and delivery of mental health
services. Team

members at BBRFI are striving to bridge this gap by targeting children and youth- helping them
realize their
true potential in studies, career and relationships which is the core to an individual‘s happiness
along with

addressing common problems of depression, suicidal tendency amongst others.

Specialized services:

 Psychoanalysis & Counseling

 De-addiction

 Brain Mapping

 Psychological Disorder Testing

 Attention Deficit disorders

 Emotional and Behavioral issues

 Relationship Problem

 Adjustment Problem

 Depression

 Stress and anxiety management

 Career counseling

 IQ Testing

 Marriage Counseling

Ms. Priyanka Pandey, M.Phil. In Clinical Psychology (RCI registered) and MA in Clinical

Psychology, is associated with Brain Behaviour Research Foundation of India as Consultant

Clinical

Psychologist. She has 9 years of experience in clinical psychology and is expert in full range
of de-

addiction which includes Clinical Evaluations, Psychotherapies, Group Therapies, and 12 Step
Programs,

Projective Test, Memory Test, personality and aptitude tests along with career guidance.
TABLE OF CONTENT

1. CASE STUDY 1:______________________________________________________________15

2. CASE STUDY 2:______________________________________________________________23

3. CASE STUDY 3:______________________________________________________________32

4. CASE STUDY 4:______________________________________________________________42

5. CASE STUDY 5:______________________________________________________________53

6. CASE STUDY 6:______________________________________________________________61

7. CASE STUDY 7:______________________________________________________________67

8. CASE STUDY 8:______________________________________________________________75

9. CASE STUDY 9:______________________________________________________________83

10. CASE STDUY 10:_____________________________________________________________89

CASE STUDY 1

Date: 02/02/2020

Socio-demographic Data:

Name : Client-2

Age : 37 years
Gender : Male

Marital Status: Unmarried

Occupation : Employed (Labourer)

Education : 08th Std.

Religion : Hindu

Residence : Rural

Language : Hindi

Informant : Elder Brother of Client-2

 40 years old

 Formally educated up to B.A & is doing marketing business

 Not living with the Client-2

 Well- wisher of the Client-2

 No h/o past psychiatric illness

 Appears to be of sound mind

Reliability & Adequacy: Poor

Course: Continuous and Progressive

Chief Complaints:

According to the Informant:

 Developed over familiarity with unknown persons

 Keeps talking to unknown persons even if they ignore him 1 month

 Started talking excessively - 15 days

According to the Patient (Client-2):

 Decreased need for sleep

 Over familiarity 1 month

 Excessive talking

 Making big talks

 Abusive behaviour

 Hyper sexuality 15 days

 Hyper religiosity

 Increase in activity

 Spending money recklessly

Precipitating Factors:

 Relationship break-up with girlfriend

 Quarrel with neighbours

Mode of onset: Acute

History of present illness:

Client-2 was apparently asymptomatic about 1 month back when he developed disturbance in his
sleep.

Previously he used to take sound & uninterrupted sleep of 06-07 hours during night time but
now it is

reduced to less than 2 hours and when he is awake, he usually pace at home and go to temple and
take

ganja (Cannabis/ marijuana). He would stay fresh and energetic the next day despite his reduced
sleep and

had no daytime somnolence.

He also developed over familiarity with unknown persons as informed by his brother, he keeps
talking to

unknown persons even if they ignore him.

The Client-2 has started talking excessively for the past 15 days and becomes uninterruptable
at times.

Most of the content of his talks are big like – “main baba hoon, mujhe bhagwan ne shakti di
hai,main
kareena kapoor se shadi karunga,main 1000 logo ki bhi lashen bicha sakta hoon”.

There is h/o abusive assaultive behaviour towards family members and outsiders on mild
provocation like

when someone stops him from talking or doing work, or teases him he gets aggressive and abusive
with

them. He beats his father and younger brother when they try to stop him.

There is h/o hypersexual behaviour. Client-2 says meri shaadi karado, smiles and teases girls in
village

and try to talk to them. Earlier he was not doing such activities.There is increased
religiosity.Client-2

prays these days for 06 to 08 times, he reads geeta and ramayan and does agarbatti even
during night.

Earlier he used to pray once or twice a day.

Client-2‘s activities have increased these days. He does household works for hours together like
washing

clothes, cooking and even do work of neighbours. He gets up at 4 A.M. and start brooming
the house

when he is stopped by his father he becomes aggressive.

There is h/o of spending money recklessly on unnecessary clothing and household items in
more than

required quantity.

Negative History:

Psychiatric History:

 No h/o projectile vomiting/ prolonged headache/ LOC/ significant head injury/ seizures/ fever

with neck rigidity.

 No h/o suspicion/ hearing of abnormal voices/disorganized behavior/ remaining mute and

rigidity.

 No h/o suggestive of episodic/ generalized shortness of breath, choking sensation, sweating,

palpitations, fear of doom.

 No h/o persistent low mood/decreased energy/suicidal ideation or attempts/ self-harm.

 No h/o repetitive acts/ ideas/ images/ impulse.

 No h/o any chronic medical/ surgical illness or hospitalization for non-psychiatric cause.

Functioning:

 Self-care: Maintained

 Occupational: Impaired

 Relations with family and friends: Impaired

History of Substance use:

 Started drinking bhang and ganja more than 15 years back.

 Earlier he drinks 5 to 10 chillam with friends, and then he increased it in amount from last 4

years and drinks 20 to 25 chillam almost daily.

 His last intake was 1 month back.

 Client-2 takes tobacco 1 to 2 pouches per day

Treatment History:

 Client-2 was diagnosed & treated as a case of mixed episode in 2017 by a private psychiatrist.

He was prescribed:

 Tab olanzapine 10 mg 1-0-1

 Tab sod valproate 500mg 1-0-1

 Tab lorazepam 2 mg 1-1-1

Client-2 took the treatment for 15 days and then stopped the treatment due to social and financial

constraints.

Past Illness:

Onset of illness was sudden 25 years back. The symptoms were decreased need for sleep, exceesive
talks,

big talks, hyper sexuality, hyper religiosity which remains for 1 to 1.5 month. No treatment was
taken and

all symptoms got relieved by themselves in 6 months.

Second episode was 20 years back with similar symptoms. No treatment was taken and it got
resolved in 6

months.
Third episode was 14 years back after the death of his mother and the symptoms were decreased
need for

sleep, aggressive behaviour, excessive talks, big talks. No treatment was taken and symptoms got
resolved

in 7 to 8 months.

Since then, there is an episode of illness every year. The episode last for 1 to 1.5 month and is
resolved

completely in 5 to 6 months without any treatment. In 2017Client-2 had taken medication for 15
days for

the illness as his hypersexual behaviour towards his sister in law had led to dissolution of his
brother‘s

marriage so the family members took him to a psychiatrist. He took medication for 15 days and then
left

medication due to social and financial constraints.

Family History:

 Extended Nuclear family

 Family size : 6 members

 Birth order : 2nd

 Interpersonal relationship : strained

 Home atmosphere : poorly supportive

 Consanguinity : Nil

Mother of the Client-2had similar illness (episodic) and died 14 years back due to snake bite

Personal History:

Prenatal and Natal:

No reliable informant present.

Early Childhood:

No reliable informant present.

Middle Childhood:

 Client-2 was an average student and passed all classes in first attempt.

 Had a good friend circle and was sincere in his studies.

Late Childhood:

Client-2 performed well in his studies and get educated up to 8th std.

Psychosexual History:

He acquired sexual knowledge from friends and media.

Religious Background:

 He is a believer of God and spends most of his time in praying.

 He is a follower of religious norms and beliefs of the family.

Occupational and Marital History:

 He is a labourer by occupation.

 For last 1 month Client-2 was working as a guard but he was expelled due to his abusive

behaviour and frequent quarrel with the employer 10 days back.

 Client-2 is unmarried.

Socio-Economic Status:

 Lives with family of 6 members in a 4 room pucca house with inadequate sanitation.

 Head of the family is Client-2‘s father & he is retired 4th class.

 Monthly income is about Rs.10, 000 per month (pension of father).

 Lower middle SE status according to modified Kuppuswamy SES scale (revised in 2012)

Premorbid Personality:

 Client-2 was a friendly and extrovert person with a large friend circle.

 He used to remain cheerful most of the time and was helpful to everyone.

 He was responsible towards family. He gave part of his earning to his father for household
expenses.

 Good initiative in work and energy levels.

 Regular bowel habits.

Impression: Well-adjusted status

Mental Status Examination

Movement and Behaviour: Client-2 is a young male, appearing of stated age, tall and thin built, clad
in a

pant shirt and chappals, entering the room with normal gait, unaccompanied.

 He greets the interviewer with a smile and takes a seat comfortably when offered.

 He is conscious, cooperative and oriented to time, place and person.

 His eye contact is established and sustained.

 His psychomotor activity is raised (no tics/ mannerisms/ stereotypies/ abnormal

gestures/postures/

rigidity)

Rapport was easily established with Client-2.

Mood/ Affect: Ekdum bdiya rehta hai

Affect is elated, appropriate and non-labile.

Speech/ Language:

a. Volume: Increased.

b. The speed and tone: Rapid speech with minimal pauses. The tone was high.

c. The length of the answers to the questions: Elaborate answers were given, even to simple
questions.

d. Appropriateness of the answers: Non-spontaneous later on spontaneous Comprehensible,

Coherent

and initially relevant later on irrelevant

e. Reaction time : decreased

f. Productivity : increased

Thought and perception:

Stream: Increased rate & flow of ideas

Form: No disorder present

Content: Delusion of grandiosity

Possession: No disorder present

No perceptual disorder present

Cognition:

a. Orientation: Intact with respect to time, date, place and person.

b. Attention/ Concentration: Intact and sustained (digit span test : 5 fwd and 3 backward)

c. Memory: Immediate : Intact

Recent/Recent past: Intact

Remote: Intact

d. Intelligence: Adequate (as per educational background /intact with respect to GK, abstraction and

reasoning.

Judgement:

Social: Impaired

On test: Intact

Insight:1/6 (complete denial of illness)

Verbatim:

Interviewer: apko hospital me kyu laya gya hai?

Client -2: Mera sar dukhta rehta hai shayd isliye laye hain; mujhe gaadi me dal kr le aye.

Interviewer: Kya sar dukhna koi mansik bimari ho skti hai?

Client -2: Nhi mujhe koi bimari nhi; bimar to ye log hain.

Impression-insight 1/6 complete denial of illness

Interviewer: Aapke sharir me takat kitni hai?

Client -2: Khoob hai.

Interviewer: Agar 10 aadmi ladne aa jaye to kya aap sambhal loge?

Client -2: Vaise to main kisi se ladta nhi, Han par apni jaan bachane k liye main sabke jhund meghus
kr

sabki lashein bicha doonga.

Interviewer: Aisa kaise ho skta hai aap akele itne logo se kaise lad loge?
Client -2: Main to aur jyada se bhi lad skta hoon chahe to bula lo.

Interviewer: aap kis bhagwan ko mante ho?

Client -2: Main sare bhagwan ko manta hoon; mere aur mere pariwar ke pas bhagwan ki aisi shakti
hai

jo kisi k pass nhi hai.

Interviewer: Aisi kausi shakti hai?

Client -2: Vo main aapko bta nhi skta.

Impression: Delusion of grandiosity

Diagnostic Formulation:

 Client-2, 37 years old, unmarried hindu male, labourer by occupation, resident of Boondi,
belonging

to lower middle socioeconomic status, having episodic illness of 25 yrs of acute onset and with

following complaints for last 1 months:

 Decreased need for sleep

 Over familiarity

 Excessive talking

 Making big talks

 Abusive behaviour

 Hyper sexuality

 Hyper religiosity

 Increase in activity

 Spending money recklessly

His current mental status examination reveals elated, affect with mood congruent delusion of
grandiosity,

absent insight and severely impaired social and moderately impaired occupational functioning;

While his higher mental functions are adequate according to his socio-cultural and educational

background.
His general and systemic examination and all relevant investigations are within normal limits.

Provisional Diagnosis:

F31.2 Bipolar affective disorder, current episode manic with psychotic symptoms

Points in favor:

 Episodic illness, multiple episodes

 Duration of current episode more than 7 days

 Disturbed sleep

 Talkativeness

 Making big talks

 Increased indulgence in pleasure seeking behaviour.

 Elated affect

 Delusion of grandiosity

Point in against: Nil

F06.3Organic mood disorder

Points in favor:

 Presence of change in mood and overall level of activity characterized by-

 Disturbed sleep

 Talkativeness

 Making big talks

 Elated affect

 Abusive behaviour

Points in against:

 No evidence of cerebral disease, damage or dysfunction or of systemic physical disease,

known to be associated with one of the listed syndromes.

 Presence of evidence to suggest an alternative cause (strong family history) of the mental
syndrome.

Mental and behavioral disorder due to use of cannabinoids, psychotic disorder, and predominantly

manic symptoms.

Points in favor:

 History of cannabis use with features suggestive of mania-

 Disturbed sleep

 Talkativeness

 Making big talks

 Increased indulgence in pleasure seeking behaviour.

 Elated affect

 Delusion of grandiosity

Points in against:

 Use of substance started after the illness onset.

 Symptoms persist (no improvement in symptoms) even after cessation of substance use after

1 month.

 Bipolar affective disorder is diagnosable.