Final Internship Report - Compressed

INTERNSHIP REPORT
MASTER OF ARTS DEGREE IN PSYCHOLOGY (MAPC)

COUNSELLING PSYCHOLOGY (MPCE-025)
ORGANISATION: SUDISHA COUNSELLING CENTRE
SUBMITTED BY: SUBMITTED TO: ONLINE SUBMISSION
NAME: Ms./Mrs. P SOWJANYA KUMARI IGNOU Regional Centre
ENROLLMENT NO: 180017454 M-5 Block, 1st Floor
STUDY CENTER NAME: NIZAM COLLEGE Manoranjan Complex
STUDY CENTER CODE: 01152 Telangana State Housing Board Complex
(Adjacent to Gandhi Bhavan Metro Station)
MJ Road, Nampally
HYDERABAD- 500001
1
DECLARATION
I Ms.P.Sowjanya Kumari hereby declare that I am a Learner of M.A.

Psychology (Part II), January 2018 year, at the Study Centre Code 01152 Regional Centre Hyderabad and
I want to do my Internship (MPCE-015/MPCE-025/MPCE-035) at Manojagrithi on my own free will. I will
adhere to the standards of the organization and display professionalism during my internship.
Signature of the Learner Date:9/12/2020
Name of the Learner: P.Sowjanya Kumari Place: Hyderabad
Enrollment No.:180017454
APPENDIX-III
CONSENT LETTER (Agency Supervisor)
This is to certify that the internship in MPCE-025 for the partial fulfillment of MAPC
Programme of IGNOU will be carried out by Mr./Mrs. P.Sowjanya Kumari Enrollment
No.180017454, under my supervision.
(Signature)
Name of the Agency Supervisor: Dr. Geetha Challa
Designation: Founder
Name of the Organization: Sudisha Counseling Centre
Address: Sri Laxmi Narasimlu Nivas, Plot No.346/A,
C-Block, Raghavendra Colony, Kondapur, Hyderabad-500084
Date: 9/12/2020
2
CERTIFICATE
This is to certify that Ms./Mr. P.Sowjanya Kumari of MA

Psychology Second Year (MAPC Programme) has conducted and successfully completed the
Internship in Counselling Psychology (MPCE 025) at MANOJAGRITHI .
Name: P. Sowjanya Kumari
Enrollment No.: 180017454
Name of the Study Centre: Nizam College
Regional Centre: Hyderabad
Place: Hyderabad
Date: 9/12/2020
Signature of Agency Supervisor
Name of the Agency Supervisor: Dr. Geetha Challa
Designation: Founder
Name of the Organization: Sudisha Counseling Centre
Address: Sri Laxmi Narasimlu Nivas, Plot No.346/A,
C-Block, Raghavendra Colony, Kondapur, Hyderabad-500084
Date: 9/12/2020
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APPENDIX-V
EVALUATION SCHEME FOR INTERNSHIP— (AGENCY SUPERVISOR)
Name of the Programme: MA PSYCHOLOGY (MAPC) Course Code: MPCE-025
Study Centre: NIZAM COLLEGE Regional Centre: HYDERABAD
Name of the Learner: P.SOWJANYA KUMARI
Internal Marks by Agency Supervisor
Details Maximum Marks Marks Obtained

Sincerity and professional 10
competence
Assessment (Case history, 15
Mental Status Examination,
Interview, Psychological
Testing etc.)
Overall interaction with 5
patients, clients & employees
and handling of cases
Total Marks 30
Comments, if any: ____________________________________________________________ _________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Signature:
Name of Agency Supervisor
Dr.Geetha Challa
Date:9/12/2020
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APPENDIX-VI
EVALUATION SCHEME FOR INTERNSHIP— (ACADEMIC COUNSELLOR)
Name of the Programme: MA PSYCHOLOGY (MAPC) Course Code: MPCE-025
Internal Marks by Agency Supervisor

Report 20
Provisional diagnosis and 5
Planning of Intervention
Overall understanding of 5
cases
Total Marks 30
Comments, if any: ____________________________________________________________

_________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________
Signature:
Name of Academic Counsellor
________________________
Date:
5
APPENDIX-VII
EVALUATION SCHEME FOR INTERNSHIP— (EXTERNAL EXAMINER)
Name of the Programme: MA PSYCHOLOGY-MAPC Course Code: 025
External Marks by Agency Supervisor

Viva 40
Total Marks 40
Comments, if any: ____________________________________________________________

_________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Signature:
Name & Address of External Examiner
______________________________
____________________________
Date:
6
ACKNOWLEDGEMENT
It is my privilege to thank all those who encouraged me and contributed to this work and
some of them were so outstanding, who deserve special consideration here.
I am extremely grateful to Mrs. Geetha Challa, Founder of Sudisha Counseling Centre
I express my deep gratitude and sincere thanks to Dr. Geetha Challa, my guide, and the Centre
Head of Sudisha Counseling Centre for her invaluable help, immense patience, encouragement
and inspiration. I admire her genuineness, commitment, rigorous accuracy in ideas and
brilliance in guiding me in this endeavor.I also express my sincere thanks to all faculties and
other staffs of Sudisha Counseling Centre, I appreciate and thank all the clients for their
cooperation. I would also like to express my gratitude to my classmates for their support and
assistance.
I would remember and express my sincere thanks to my family members who remained my
source of motivation, support and encouragement throughout the completion of my
academic activities.
I thank God, the Almighty, for being with me and leading me at every step of my study.
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PROFILE OF PSYHOLOGIST
DR GEETHA CHALLA Counseling Psychologist, MA, M.SC, MSW, PhD
RCI CRR NO: A45275
Dr. Geetha Challa, a Multi-Faceted Personality has played a vital role in empowering people of all ages
from different sectors. As a Psychologist, Personality Development Trainer, Student Counselor,
Academic Skill Trainer, Gerontologist, Social worker, Early Childhood Education Specialist, Motivational
Speaker, Writer, Artist , Advisor and Mass Training Coordinator she has been rendering yeoman service.
Her deterministic attitude, commitment to work, passion to reach and most importantly her charismatic
smile are few of her personality traits that keeps Dr.Geetha Challa work for 18 hours a day and to
balance her multiple roles.
Dr.Geetha Challa pursued her Masters in Psychology, Master of Social Work, Masters in Child
Development, PhD and many other courses. She attended various Conferences and Trainings both at the
National and International forums. She is the Founder Director of Mano Jagrithi a Registered Non –Profit
Voluntary Organization a Mental Health Awareness for Nation Building, Founder Director of Sudisha
Counseling Centre (A Unit of Mano Jagrithi).
Dr.Geetha Challa is working with government and non government departments and educational
institutions. Dr.Geetha Challa to her credit has imparted Direct and Indirect Training to more than 25
Lakh people comprising High School students, unemployed youth, Teachers, Head Masters, Police
Personnel and Engineers. Personally, she takes the privilege and honor of being guided and appreciated
by People’s President, Missile Man of India Dr. A.P.J Abdul Kalam as Director training Lead India 2020
and many such eminent personalities
Dr.Geetha Challa’s awards and rewards speak of her rich resourcefulness and enriching knowledge in
the field of her study and work. She received International Stress counseling award. She created Record
with team of Manojagrithi in India Book of records, largest session on counseling and psychological first
aid for 625 orphans students & Asia Book of Records, largest Mental Health Peer Counseling for women
with 1150 participants, Selected for Young Scientist Award Group, IACC, received International Student
Legacy Travel Award, Canadian association of gerontology for attending World Congress, Brazil ,General
Proficiency Merit Award in ANGRAU, selected for Short Training Program in Social Gerontology, Malta,
UN and MahilaRatna, Tejaswini – Women Achiever. . Created records as ‘India Book Of Records’ by
conducting “Largest Mass Counseling & Psychological First –Aid”, ‘Asia Book Of Records’ in “Largest
Mental Health Peer Counseling session for women in BVRIT on the eve of International women’s Day,
‘India book of records’ by conducting ‘Maximum Parents Counseled On Positive Parenting’ at TSWREIS,
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Narsingi to 200 parents, and received Top – 20 world records of 2020 for latgest mental health peer
counseling for women award are few among many other accolades that Dr. Geetha Challa has received.
She conducted 42 days Bala Mitra stories for personality development for children in COVID - 19
Lockdown situations.
She developed set of series video lecture for the parents of social welfare students, and 21 days audio
lecture for visually challenged employees at the end of the day conducted one webinar for them.
She provides counseling services for Child and parent counseling, Couple Counseling Career Counseling,
Adolescents Counseling and Pre-Marital Counseling and also provides Therapies like, CBT, Behaviour
Modification & Therapy Relaxation Therapies (JMPR, Guided Imaginary Technique). Provides trainings
like Pre Primary teacher Training, Positive Parenting Course , Basic Counseling Skills Course , Hand
Writing Training , SMART STUDY SKILLS Training , Rubiek Cube Training etc.
She is the consultant psychologist for international companies like OPTUM, EAP services, she teams,
police department, Social welfare and, tribal welfare schools and colleges. She is a practicing
psychologist certified by RCI using therapies like BT, CBT, REBT, Meta Cognitive Therapy, SFBT, NLP, ACT,
CDT, DBT, Mindfulness Based Cognitive Therapy, relaxation, mindfulness, social skill training, play
therapy, movement therapy, Expressive Art Therapy, And creative writing therapy,. She is international
certified RE and CBT therapist from Albert Ellis institute New York.
Her Contribution to Books
She also have Contribution to books like, SUDISHA The right direction - A book on life Skills and
Academic Skills, ABCD for Safety of Girls, Prerana, 100 stories on personality development, positive
parenting hand book with effective techniques of parenting, Training manuals on personality
development ( Sarva Siksha Abhiyan) , Shirdi Sai baba- SAI BHAVANA ,Write poems and inspired lakhs of
students to write poems.
Print & Electronic Media
Her Contribution to print and Electronic media Participated in Live discussions in V6, Gemini News,
Sneha TV, ETV life , TV9, Studio10 ,Jai Telangana, Published articles and media coverage in Eenadu,
Sakshi, Andra Jyothi, Andra Boomi, Namasthe Telangana DC, Nava Telangana and Velugu.
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RECORD OF VISITS
Date of Visit Time Duration Place Visited Nature of Name & Remarks
Work Signature of
From To Concerned
Authority
19/9/2020 3pm-5pm Zoom Session Introduction to

the course
modules •
STAGES in
counseling
21/9/2020 12pm-2pm Zoom Session Role Play
22/9/2020 3pm-5pm Zoom Session Do’s & Don’ts

in Counseling
process
23/9/2020 12pm-2pm Zoom Session Role play
24/9/2020 3pm-5pm Zoom Session Skills in

Counselling

Counselling

Counselling

Counselling
5/10/2020 3pm-5pm Zoom Session General

Mental health
Issues
Date of Visit Time Duration Place Visited Nature of Name & Remarks
Work Signature of
From To Concerned
Authority

Mental health
Issues

Mental health
Issues

Mental health
Issues

Mental health
Issues
16/10/2020 3pm-5pm Zoom Session Stages in

Counselling

Counselling

Counselling

Counselling
Date of Visit Time Duration Place Visited Nature of Name &

Work Signature of
From To Concerned
Authority

Mental health
Issues

Mental health
Issues

Mental health
Issues

Mental health
Issues

Counselling

Counselling
9/11/2020 3pm-5pm Zoom Session Self Awareness

& Self-
Transformation

& Self-
Transformation

& Self-
Transformation
Signature of the Learner Signature of the Academic Counsellor

RECORD OF ACTIVITIES
S.NO DATE CASE NO NAME WORKDONE DIAGNOSIS

1 16/11/2020 111/2020 MS.RAGINI CASE STRESS
HISTORY (S-1)
2 16/11/2020 211/2020 MASTER SHREYAS CASE MOBILE
HISTORY(S-1) GAMES/ONLINEGAMES
3 16/11/2020 311/2020 MRS.HEMALATHA CASE ANGER AND STRESS
HISTORY(S-1)
4 17/11/2020 411/2020 MS.MEERA NAIK CASE CAREER CONFUSION
HISTORY(S-1)
5 17/11/2020 511/2020 MRS.MOUNIKA CASE FRUSTRATION
HISTORY(S-1)
6 17/11/2020 611/2020 MS.AMEENA CASE ANXIETY
BEGUM HISTORY(S-1)
7 18/11/2020 711/2020 MRS.ALEKHYA CASE PROFANITY
HISTORY(S-1)
8 18/11/2020 811/2020 MRS.PRIYA CASE NERVOUSNESS
THOMAS HISTORY(S-1)
9 18/11/2020 911/2020 MRS. LATHA CASE WORK LIFE BALANCE-
REDDY HISTORY(S-1) WORKING MOTHER
10 19/11/2020 1011/2020 MRS.BHUMIKA CASE JOB STRESS
CHOWDARY HISTORY(S-1)
11 19/11/2020 111/2020 MS.RAGINI SESSION-2 STRESS
12 19/11/2020 211/2020 MASTER SHREYAS SESSION-2 MOBILE
GAMES/ONLINEGAMES
13 19/11/2020 311/2020 MRS.HEMALATHA SESSION-2 ANGER AND STRESS
14 20/11/2020 411/2020 MS.MEERA NAIK SESSION-2 CAREER CONFUSION

15 20/11/2020 511/2020 MRS.MOUNIKA SESSION-2 FRUSTRATION
16 20/11/2020 611/2020 MS.AMEENA SESSION-2 ANXIETY

BEGUM
17 21/11/2020 711/2020 MRS.ALEKHYA SESSION-2 PROFANITY
18 21/11/2020 811/2020 MRS.PRIYA SESSION-2 NERVOUSNESS

THOMAS
19 21/11/2020 911/2020 MRS. LATHA SESSION-2 WORK LIFE BALANCE-
REDDY WORKING MOTHER
20 23/11/2020 111/2020 MS.RAGINI SESSION-3 STRESS
21 23/11/2020 211/2020 MASTER SHREYAS SESSION-3 MOBILE
GAMES/ONLINEGAMES
22 23/11/2020 311/2020 MRS.HEMALATHA SESSION-3 ANGER AND STRESS
23 24/11/2020 1011/2020 MRS.BHUMIKA SESSION-2 JOB STRESS
CHOWDARY
10
24 25/11/2020 711/2020 MRS.ALEKHYA SESSION-3 PROFANITY
25 25/11/2020 811/2020 MRS.PRIYA SESSION-3 NERVOUSNESS

THOMAS
26 30/11/2020 1011/2020 MRS.BHUMIKA SESSION-3 JOB STRESS
CHOWDARY
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TABLE OF CONTENTS
S.No DIAGNOSIS PAGE NO.
1 STRESS 17-29
2 MOBILE GAMES/ONLINE GAMES 30-40
3 ANGER AND STRESS 41-52
4 CAREER CONFUSION 53-60
5 FRUSTRATION 61-68
6 ANXIETY 69-75
7 PROFANITY 76-84
8 NERVOUSNESS 85-95
9 WORK LIFE BALANCE-WORKING MOTHER 96-103
10 JOB STRESS 104-113
11 HOME ASSIGNMENTIS-REFERENCE 114-177
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CASE NO.: 111/2020
Address: HYD
Name: Ms. Ragini
Age: 25yrs
Gender: Female
Educational qualification: BE
Occupation: HR
Income: 4.6LPA
Marital status: Unmarried
Whether client stays with parents: Yes
Whether client stays with spouse: NA
Whether have any siblings, if so how many: Yes, Elder Brother and Younger Brother
What is the position of the client in the family: Eldest, middle or youngest or only child
Any one in the family having conflicts: No
Anyone in the family is suffering/has suffered from any physical disorders: No
Presenting problem : Client is feeling low and stressed
Date of onset of the problem: May 2020 onwards
Precipitating factor if any: Covid 19 Pandemic
Duration of problem: 6 months
Coping Mechanism: Walking continuously till early mornings, Listening music, Painting
Client Support system: No one
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How intense is the problem ? How does it affect the client? : Client is unable to focus and
works on extreme levels. Either she works continuously for 24hrs without sleep or she doesn’t
work at all. Doesnot want to do anything.
Background Information:
Interview with family members/spouse/the concerned person – N/A (Client came alone)
Relationship(s):
➢Client’s relationship with family members: CORDIAL
Mother-Good (Tailor)
Father-Neutral (He is working in central Govt and doesn’t stay with them)
Elder Brother-Neutral
Younger Brother-Good
➢Any other relative staying with client: NO
➢With friends: How many friends does the patient have? How does the patient relate to
them? She doesn’t have friends
Educational (School/College) history: School life was normal; client did not have any stressful
events or situations.
Best Part: Sports. She has been a national level player.
Happy Moment: Going to school was happy moment
Work history: She is working as HR since 2 yrs. Recently changed company.
Relationship with Trainer: Good
Relationship with Manager: Manager is not yet assigned and she is worried how the manager
would be, as she has newly joined there.
Colleagues: Good
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Physical & Mental Health history: Client has been diagnosed with sever D Vitamin Deficiency
and not on any medication . There has been no history of mental health issues and Client has
not seen a counselor so far.
Sleep: Doesn’t sleep properly (improper schedules and sometimes she doesn’t sleep for 24hrs)
Eat: Sometimes overeats
MENTAL STATUS EXAMINATION
Appearance: The Client has dressed properly. She had dark circles on her face , her hair wasn’t
combed properly, as if she was not interested in her attire. She was looking very low and
stressed.
Movement and Behaviour: She was not seeing around. Her eyes were always looking down.
She didn’t maintain any eye contact.
Affect: She was looking very low and dull.
Mood: She looked in a low mood
Speech: Her speech was slow and low throughout the session .Rate of speech was also low.
Initially, the length of answers was less but as the session progressed, she gave lengthy
answers. Whatever the question asked, she gave appropriate answers. There was clarity in the
answers.
Thought Content: Based on the above observations by the counselor and thoughts put forth by
the client, initial interpretation depicts that client is stressed out as she has lot of things on
hand to finish off before getting married.
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STRESS
Stress is our body’s response to change. Stressors are the situations that bring about change.
How we deal with and react to stress determines how it will affect our body.
There are many different types of change that can lead to stress. These include changes in:
 Health
 Relationships
 Work
 Family
 Friendships
 Lifestyle
 Financial resources
Loss is often involved in these changes.
High levels of stress or chronic stress can lead to anxiety and depression. Ongoing anxiety and
depression are huge stressors.
Factors that impact your stress level
Medical research has found seven factors that contribute to your overall stress level. The seven
stress risks are:
1. Depression.
2. Sleep apnea.
3. Distress.
4. Disturbed sleep.
5. Loss of sense of control.
6. Chronic stress.
7.
Many stressful life events in the past year. Stressful life events may include good events
such as a wedding or a new job or bad events such as a death, loss of a job or divorce.
Chronic stress is ongoing stress that continues for months at a time. Long term exposure to
stressors is a concern. Our body begins to respond negatively to this stress, and over time this
can negatively affect our health. Also, repeated “peaks” of your stressors will increase your
overall stress level, and may increase your risk of a heart attack.
16
Interview Session:
Client’s name: Ms. Ragini
Interview No: 1 (Intake session) Date: 16/11/2020
Session No: 1 Time: 1hr
Purpose of the Interview:
The client was referred to me for taking detailed case history.
Start of the Session:
The client Ms. Ragini was welcomed into the session. She was given intake form to fill up. She
filled with comfortably and gave back. She was looking very low and she was not maintaining
any eye contact. She was always looking down. Counselor gave her the confidentiality
statement that whatever the client says would be kept confidential and won’t be revealed to
any of her family members, friends or anyone else. Counselor also ensured that the client is
currently not facing any kind of abuse (verbal, sexual, mental, or physical). She nodded her
head as if she understood the confidentiality. A young working lady who dressed up properly
but her hair was messy and had dark circles under her eyes.
Counselor: “Now Ms Ragini, tell me how can I help you?”
Client: “I feel stressed. These days not days but months, I feel stressed a lot. I have hair fall. I
have acne on my face. I feel stressed a lot.
Counselor: Can you elaborate a bit more?
Client: Regarding what?
Counselor: What causes you stress.
Client: I think I am thinking a lot
Counselor: Regarding what?
Client: There are too many things going right now. It’s too much to take. I have too much work.
May be that is the reason.
She was pausing a lot.
17
Counselor: I can see that you are stressed a lot. As you have lot of things to handle, you feel
stressed. I understand your pain. As I understand, you have so much work and apart from work
any other things, causing stress?
Client: yes, Its mostly work related only. In the sense, I am doing my masters final year,
attending internship, have to write assignments, recently I changed company and training is
going on. Training Process is a little difficult for me, as it’s new. And my parents are asking me
to shift to Tamilnadu. I don’t know if I can complete my 2nd year before going to Tamilnadu.
I haven’t yet fit into my new work. If my father says to move I have to Tamilnadu immediately,
it would be a problem for me. It’s a bit hard for me to complete the tasks.
Counselor: I can feel the pain you are going through. We shall work together upon this.
Ms. Ragini how frequently you felt stressed?
Client: I often feel stressed because in particular day, I do a lot of things. And sometimes I don’t
do anything. Like yesterday and today, I dint do any work. When there is a lot to do.
Counselor: What do you think, when you are stressed?
Client: I don’t think anything in particular but think when these days would end. When will I
have a day to relax? Why I am doing all these?
Counselor: How do you behave when you are stressed?
Client: I am feeling stressed since Pandemic and lock down, my father was here for few months.
He was also stressed regarding the career of my brothers and my marriage. When I feel too
upset I put on my headsets, listen songs and walk for hours, for 4-5hrs till 2am, sometimes till
4am. I walk...walk…walk. My mother asks me to take rest, even if lay down, I won’t get sleep.
Too much thinking. I repeat to walk and listen songs. I restarted painting. Since then I am
feeling little ok.
Counselor: If I heard you right, Is it like since pandemic, your stress has started?
Client: I think it is not something related to pandemic but I would say since March 2020, after
lockdown, my parents started talking about my marriage. I am feeling pressured, as I have to
complete my studies before my marriage. I am doing my Master’s and I am doing a course in
Spanish language and this would be last opportunity for me to clear. I don’t have enough time
to complete my project. After marriage I may not be able to complete. I don’t have enough
time to complete my pending works. If I don’t complete my studies, money would be wasted.
(Client didn’t maintain any eye contact. She was looking down while speaking)
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Counselor: You feel stressed as you have lot of things to complete, right?
Client: yeah, I have too much work.
Counselor: Is there any specific event which you made to get into stress?
Client: No specific event as such but yes, these, Deadlines for these exams and it was said that I
can complete my course in 5yrs but now my parents started talking about my marriage. I have
to complete everything before I get married.
Counselor: How do you cope with this stress?
Client: It doesn’t go away really. It seems like I am always under pressure. I don’t do anything to
cope up. Yesterday and today I did some painting. I feel relaxed, but after art work again I feel
same stressed. I have to submit assignments, finish project, finish internship. Lot of pending
tasks.
Sometimes I sit and don’t do anything.
Counselor: We have a biological scale from 0-100 for stress, where 0 is no stress and 100 is
extremely stressed.
Client: It is not on and off; stress is always there with me constantly. It would be more than 85.
Counselor gave self disclosure that her parents also asking her to get married and she know
things cannot work out that way and how much time should she spend thinking that what is
demotivating her. Counselor figured out the deadlines and how she could complete the things
on time before deadlines. And trying to pull out some time for herself and as its pandemic time
and everyone is stressed out and a bit depressed. So it’s most important for anyone to keep
them positive. Counselor said she can understand the pain client is going through as counselor
also has been gone through same situation. Still counselor is trying to overcome it.
Counselor assured client to figure out the things together. And hope she feels better.
Client was asked her physical and mental health. Client said she doesn’t sleep properly.
Sometimes she doesn’t sleep for 24hrs and sometimes she sleeps for whole day. And as its
work from home now, she put on weight. When her father was with them, he pointed out that
she was putting on weight and its not good at her as they are seeing proposals for her. Client
overeats sometimes. Client would have something or other to eat beside her while working.
Client put on almost 10kgs in a year.
Stress is most bothering issue and along with it she also has overeating, insomnia and mood off
as her issues.
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Client was given to write positive and negative effects of stress as Home Assignment. Session
was ended as time was up and on mutual agreement; next appointment was scheduled after
3days.
Summary/My Observation:
Session was a satisfactory session. Client has lot of pending works to complete and she felt she has very
less time to finish. Her family was seeing proposals for her and this made her more stressful. Client has
to shift to her native place and also she just changed her company. She was worried about all these
things. Client presented that stress is the most bothering issue for her and along with it she also has
insomnia, overeating and mood off as issues.
Progress Notes:
Client was very low and dull initially, but as the session progressed, she opened up about most
of her bothering issues and she felt a little relieved.
Interventions:
Client was given to write down positive and negative effects of stress as home activity.
Plan of Action:
Next appointment was scheduled as per mutual agreement. Motivation grid has to be given to
her in next session and few relaxation techniques will help her.
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Interview No: 1 (Rapport building) Date: 19/11/2020
Session:2 Time: 45mnts
The client was referred to me for taking detailed case history and rapport building
Client was welcomed into the session . She was checked if she was comfortable. Client said she is
comfortable. This time she looked a little better than last session, though she didn’t groom herself
properly.
Client was asked about the home activity which was given to her in the last session. Client told the
counselor that she couldn’t find any positive effects of stress.
Client felt that her productivity got effected, quality of work, not able to gave 100% to any work, she
has hair fall, acne, improper sleep schedules, weight gain and dark circles under eyes, just because of
stress. Client told she was not this kind of person, she used to finish her works with her personalization
but now she was unable to. She felt stress was always there with her.
Counselor said that as she could see only negative effects of stress, asked the client how motivated she
is to overcome stress. Client said she is not sure, if she can overcome her stress anytime.
Counselor gave her pen and paper and asked her to write motivation grid. What happens if she
overcomes stress and what happens if she doesn’t overcomes stress. She felt if she overcomes stress,
she can complete her project work, assignments on time, all the other things will go away like hair fall,
acne, improper schedules etc. Client’s mother would also be happy if she overcomes stress. As seeing
her stressed, her mother also gets stressed.
Counselor asked if she wants to overcome stress. Client said, she doesn’t know if she can overcome it, as
stress was always there with her.
Counselor said lets not be judgmental and lets work out together.
Counselor tried to find out who was responsible for the issue of stress with her. Client told, 70% she
was responsible and 30% her parents are responsible..
21
When client was asked about marriage , client told she is not ready about marriage at this point of time
as she just changed her company and she is in a good position , she wants to grow in her career. She
wants to complete all her pending works before her marriage . Her parents feel pressurized because of
relatives, about their daughters marriage. For this sake, their parents are asking her to come to her
native place.
As the time was up, she was given relaxation technique of breathing exercise and was asked to practice
the same regularly. On mutual agreement, next session was planned after 3 days.
Session was a satisfactory session . Client is worried about her pending works and her marriage. Client
had dark circles, she was gaining weight, she has improper sleep schedules. Client was over thinking. In
this session, client opened up a lot, though she didn’t maintain much of eye contact. Client was asked to
relocate to her native place by her parents , so that it would be easy for them to look for proposals. This
also made client to feel stressed as she has recently changed company, she has new role to handle.
Client felt if she overcomes stress, all the problems she was facing will fade away.
Interventions:
Motivation grid was given and Relaxation technique of Breathing exercise was given and asked the client
to practice it regularly
Progress Notes:
Client was hesitant in the initial session but she opened up a lot in this session. She felt comfortable
after the session.
Plan of Action:
Next session was scheduled after 3 days. Time management, prioritizing her work and coping card for
stress may help the client..
22
Interview No: 1 (End of Session) Date: 23/11/2020
Session No: 3 Time: 1hr-15mnts
Follow up session and to see the progress in the client
Client was welcomed into the session. Client was checked if she was comfortable. Client said she is
comfortable. This time she looked a little better than last session. She groomed herself properly.
She greeted the counselor with an eye contact.
Counsellor: Hi Ms.Ragini, are you feeling better?
Client: Hmmm…not much mam.
Counsellor: Did you practice meditation for this week?
Clinet: Mam, I did for 2 days and after that I couldn’t get time to do.
Counsellor: How did you felt when you did meditation?
Client: A little relaxed but I did just because you told me to do. I did for 5-7mnts for only 2 days.
Counsellor: Did you had your sleep properly?
Client: No mam, I had work and next week I am going to Tamilnadu.I have lot of things to do before I go
and have very less time. I don’t know how this would effect my work as well , as I am worried about
internet network there. If I wont have proper network, it would be really difficult for me to work from
there.
Counsellor: How are your stress levels now?
Client: I didn’t see any change . I am worried about my works.
Counsellor: We have a motivation grid. Please take pen and paper. Please write what happens if you
come out this stress on left side and write what happened if you don’t come out of this stress on right
side.
Client : Ok mam.
23
She wrote on paper and she saw that if she comes out of the stress, her health would improve, her hair
fall would decrease and she can be more focused on her work.
Coping sentence was introduced “ PUT THE GLASS DOWN”
Client was given a glass to hold straight with her right hand. Client said she can hold it comfortably.
Counsellor asked to hold it for some more time. Client said she started to sense pain in her elbow and
shoulder. As the time passed for 4-5mnts, client wanted to put the glass down as it was causing strain in
her hand.
Client was told that if she holds any stressful event or stressful thing for a long time, it will effect her
physically and mentally. Stress is good, if its in limits.
Client was asked to prioritize the the important things first. Client was asked to put on paper all her
pending tasks. Client listed down all her pending tasks. Client was asked to give numbers according to
most important task as 1st priority and likewise.
Client gave numbering to the most important ones . Client felt a little relaxed. Client said, she has
identified the important ones and she would leave few, which can be done later.
Client was given Relaxation Technique of breathing exercise for 5mnts. She felt relaxed after the
exercise.
Client was asked to give appropriate time for sleep and and was told to give time allocation according to
the task she has to finish. Higher time for most important task and less time for least one.
Client said she is travelling to Tamilnadu in next 5 days and she felt relaxed now, as she could find a way
to prioritize her tasks.
Client was given to write ‘what causes stress to me’ for a weeks time as a Home assignment.
Session ended with mutual greetings.
Summary/My Observation: Session was a lengthy one as the client was travelling to Tamilnadu and she
wanted to finish the sessions. Session was a satisfactory session. Client was mostly worried about her
pending works which she was not sure whether she would be able to complete after her marriage.
Client was introduced to coping card for stress. Put the glass down and activity was also done. Client was
also told about Time Management and prioritize her works which made her to realize her priorities.
Client could delay few which are not on priority list. Client felt relaxed and confident after the session.
Progress Notes: The client was initially a lot worried about her pending tasks which are to be finished
before going to Tamilnadu. Once the interventions were given, she was more relaxed and was confident
enough to finish her to do list.
24
Interventions: Client was given motivation grid, was asked to write what happens if she overcomes
stress and what happens if she doesn’t overcome stress. Coping card was given ”PUT THE GLASS
DOWN”. She was given Relaxation technique of Breathing exercise. Client was asked to put down her to
do list on paper and asked her to give the numbers according most important (1st no.) to least important
ones .
Plan of Action: Client was asked to give time allocation for every task according to the importance. And
whenever she felt stress, she was asked to do breathing exercise. Session was ended on mutual
agreement.
25
CASE No: 211/2020
Intake Information Address: Hyderabad
Name: Master. Shreyas
Age: 13yrs
Gender: Male
Educational qualification: 8th Standard
Occupation: NA
Income: NA
Marital status: NA
Whether have any siblings, if so how many: Yes, Younger Sister
Anyone in the family having conflicts: No
Presenting problem : Client is feeling pain and stressed

Date of onset of the problem: 1 yr
Precipitating factor if any: Whenever caught by parents while playing mobile games
Duration of problem: 1yr
Coping Mechanism: Beats soft toys and sleeps
Client Support system: Mother
How intense is the problem ? How does it affect the client? : Intensity is not that much, . If the
client wont get a chance to play, he feels dull and low. Looks for other playing options like
chess.
26
Interview with family members/spouse/the concerned person – Came along with Mother
Mother: He is always in front of the screen. He attends Online classes for 4 hrs, plays Xbox,
watches Videos on YouTube. When he attends online classes, he hides his screen. He sits in a
place where we can’t see his screen. When asked, he shows us the screen of class. We scold
him not to play on Phone, still he plays. When his father scolds severely, he goes upstairs and
cries. He assures us that he won’t play again but it gets repeated. We don’t see him studying
much though he has a very good memory. He scores more than 95%.. We are worried that he
may lose his path and get addicted to mobile games. We asked him if he doesn’t want to study,
he said he is interested to study further.
Relationship(s):
➢ Client’s relationship with family members: Good
➢ Any other relative staying with client: No
➢ With friends: How many friends does the patient have? How does the patient relate to
them? He has 4-5 friends and have good relationship with all of them
Educational (School/College) history: School life is normal; Client was stressful when his
teacher was talking on behalf of his girl classmates and was opposing boys. She scolded boys
and supported girls.
Happy Moment: When his father bought him X box and recently gaming headphones.
Work history: NA
Physical & Mental Health history:. There has been no history of mental health issues and Client
has not seen a Counselor/Psychologist/Psychiatrist.

Appearance: The client was dressed properly. He was fair enough and was maintaining his
attire. He looked conscious. A young teenage boy dressed up in Jeans and T-shirt
Movement and Behaviour: He was looking normal and was observing everything going around
his surroundings. He maintained eye contact and looked nervous.
Affect: He was looking calm and was speaking whenever asked questions. If he didn’t
understand anything, he asked for clarification
27
Mood: He looked calm but once the session started , while he was conversing, moved into
tears. Then he calmed himself and continued the conversation.
Speech:
His speech was very clear. He shared what he wanted to share. His tone was a little high as he is
entering into adolescence.
Rate of speech: Good
Length of answers: Neither long nor short
He gave appropriate answers to all the questions with clarity
Thought Content:
Based on the above observations by the counselor and thoughts put forth by the client, initial
interpretation depicts that client has pain within himself as he was not allowed to play mobile games
Mobile Games/Online Games

A mobile game is a video game that is played on a mobile phone (feature
phone or smartphone), tablet, smartwatch, PDA, portable media player or graphing calculator.
The earliest known game on a mobile phone was a Tetris variant on the Hagenuk MT-2000
device from 1994.[1][failed verification][2]
In 1997, Nokia launched the very successful Snake.[3] Snake (and its variants), that was
preinstalled in most mobile devices manufactured by Nokia, has since become one of the most
played games and is found on more than 350 million devices worldwide. [4] A variant of
the Snake game for the Nokia 6110, using the infrared port, was also the first two-player game
for mobile phones.
Today, mobile games are usually downloaded from an app store as well as from mobile
operator's portals, but in some cases are also preloaded in the handheld devices by the OEM or
by the mobile operator when purchased, via infrared connection, Bluetooth, or memory card,
or side loaded onto the handset with a cable.
Most studies in this area have assessed problematic smartphone use in adolescents rather than
adults. However, problematic smartphone use among adults can include a wider range of
activities that can be interfered with (e.g., driving, full-time work rather than education, and
long-term relationships) because of the smartphone’s immersive properties. Consequently,
further research is needed to study the effects of problematic smartphone uses by adults, such
as gaming through smartphones.
28
Client’s name: Mr. Shreyas
Interview No: 2 (Intake Session ) Date: 16/11/2020
Session No: 1 Time: 45mnts
Mr. Shreyas was welcomed into the session. He came along with his mother. Counselor asked
both of them to have a seat.. Counselor checked with them if they are comfortable. Counselor
asked his mother to wait for sometime so that counselor can speak to client separately.
Counselor gave the confidentiality statement and ensured there is no abuse
(physical/mental/verbal/sexual) with the client.
Counselor: Mr. Shreyas, now tell me how can I help you?
Client: Mam, I like to play games on mobiles and but my parents don’t allow me to play. They
think I get addicted to mobile games and I won’t concentrate on my studies. But I love to play
on mobiles. I know I won’t neglect my studies. I score good percentage in my exams. When my
parents don’t allow me to play mobile games, I used to get up early mornings to play. But my
concentration would be only 10% on the game and rest 90% to see whether my parents woke
up or not. I couldn’t immerse in my game as I have fear of getting caught.
(Moved into tears)
Counselor: Can you elaborate a bit
Client: mam, Once my father caught me playing game and he wanted me to go out of the
house. My mother stopped and I assured them I wont play again. But recently in Dussera
vacation, when I was playing they didn’t say anything, as I got 4 days holidays. But one working
day my father saw me holding phone in hand and scolded me. (he was shaking his legs)
Counselor: Since when you started playing in mobiles?
Client: When I was in 6th standard, I used to play and study, but in 7 th it got decreased and now
in 8th I get only few chances to play. Sometimes I don’t play at all.
Counselor: What made you to play in mobiles
29
Client: Sometimes for fun, sometimes for challenging the levels
Counselor: What do you feel when your parents stop you to play ?
Client: I feel angry, I feel happy, I feel relieved.
Counselor: On one hand you say you feel angry and on another hand you say you feel happy
and relieved? Can you explain?
Client: Mam, after playing for sometime, my hand and fingers would be in pain and my eyes
also get strained. So when my parents stop me, I feel relieved so that I can take rest.
(His lips were shivering while answering and he was shaking his legs a lot)
Counselor: How do you cope when you are angry.
Client: I go to upstairs and we have big teddy bears, I beat them a lot and I feel relaxed. I sleep
after that.
Counselor: When you are angry, you get sleep…. Do you sleep comfortably?
Client: Yes
Counselor: Apart from mobile games what do you play?
Client: I play chess with my father and sister. I read books.
Counselor: Do you remember when did u start playing mobile games.?
Client: I think when I was around 6 or 7 yrs. My mom used to go to office, so whenever I visited
her office, I used to play for sometime.
Counselor: Do you play outdoor games?
Client: Yes, before this pandemic, we used to play kabaddi and cricket at my friends home. And
I like to solve puzzles.
Counselor: Shreyas, I think we had identified you issue of being stressed and painful feeling
when your parents stop you while playing mobile games. Am I right?
Client: Yeah mam.
Time was up and we had to close the session by giving him a home assignment. Counselor
asked him to write Pros and cons of playing mobile games.
30
Next session was fixed after 2days, by agreeing mutually.
Client is a 13yrs old teenage boy who wants to play mobile games and which is opposed by
parents. Client feels pain and stressed whenever couldn’t play or whenever caught by parents
while playing mobile games. He beats soft toys to show his anger and also he sleeps while he is
in anger. Client’s mother consoles him whenever he is stressed but his father scolds him
severely whenever caught playing on mobile. Though client feels, mobile gaming doesn’t effect
his studies, his mother is worried, her son may get addicted to mobile games.
Progress notes:
Client looked upset in the initial stage of session but as the session progressed, he shared all his
anger and pain and he moved into tears at some point of time. He calmed himself and again
started sharing his details.
Interventions:
Empathetic listening was done. He was given to write pros and cons of playing mobile games as
home activity.
Plan of Action:
Next session was planned after 3 days and may get more insight into clients issue in next
session. Anger management and thought log are planned for next session.
31
Interview Session: 2
Interview No: 2 (Middle session) Date: 19/11/2020
The client was referred to me for taking detailed case history and for rapport building.
Client Master Shreyas was welcomed into the session. Client was in his casual wear with t-shirt
and jeans and well groomed.
Counselor asked if he did the home activity which was given in the last session. Client said yes
and shared information with the counselor. Client wrote that if gets to play on mobile he would
feel happy and if he doesn’t play his parents would feel happy.
Counselor: So whenever you parents caught you playing mobile games, you feel angry, pain
within yourself and stressed.
Client: Yes mam, when I am angry I like to play the most challenging levels and would kill
everyone around me in the game. I have reached higher levels in games, and once I challenged
a Youtuber (who make videos on how to play) and I won for continuously 10 games. My name
would pop up randomly in his videos. I would feel happy. And he used to ask questions, but I
would just answer only few as I have fear of getting caught by my parents or any other friends.
Counselor: Since which year you started playing online/mobile games
Client: I think since when I was 7yrs old
Counselor: Do you play physical games?
Client: Yes mam, I play kabaddi and cricket at my friends home. But even at that time, my father
thinks that I am playing mobile games there.
Counselor: How motivated you are to come out of this anger, pain and stress
Client: 100% mam
32
Counselor: What do you think, is causing you this anger, pain and stress?
Client: My habit of playing mobile games.
Counselor: Whom do you think are responsible for this issue of pain and stress
Client: Myself 85% and my parents 15%
Mental health checklist was given and client identified stress and negative thinking as his most
bothering issues.
Counselor: Could you hold this glass for a while with your right hand.
Client: Yes
Counselor: Do you feel any weight
Client: As its empty, I don’t feel any weight of the glass
Counselor: OK, hold it for sometime
After holding the glass for 3-4 minutes, client said his hand is getting strained and he would like
to put the glass down
Counselor: See though initially it wasn’t paining you, but once you hold it for some time, your
hand started getting strained. Similarly when you played mobile games occasionally, it didn’t
cause any pain, but now you want to play it all the time, which is causing you pain. So do you
want to put the glass down?
Client: (Thinking for sometime) Yes mam
Counselor: We can both work together and you feel better.
Client: Ok mam (with a confusing smile on his face)
Counselor gave him relaxation technique of breathing exercise. Client felt relaxed .
Counselor also asked the client to write his thought log for a week before coming to the next
session as home activity.
33
The session was very fruitful session. Client identified mobile gaming as his issue and and if not
played its causing him anger, pain and stress. Not only for him, mobile gaming is causing stress
for his parents as well. Client told he would feel anger if not played and also he looks for an
opportunity to play in the absence of his parents. He wakes up early only to play and his
parents think he is studying. His father caught him while playing in the morning and scolded the
client to get out of the house. . This caused disturbance in the family.
Progress Notes: Client identified his issue as mobile gaming and confused whether to get out of
it or not.
Interventions: Coping card was given “ Put the glass down” and Relaxation Technique of
breathing exercise is done. Thought log was given as home activity.
Plan of action: Next session was planned after 5 days on mutual agreement . Work sheet of
“My habits” would help the client to identify his habits (Good and Bad) . Cognitive Behaviour
Therapy is the ideal treatment for mobile game addiction. The therapy allows the person to
replace his thoughts with those that lead to compulsive gaming with healthier thinking
patterns.
34
Start of the session:
Master Shreyas along with his mother were welcomed into the Session. Clients’mother requested
that she would like to speak to the counselor. Master Shreyas was asked wait for sometime till he was
called.
Counselor: Yes mam…
Client’s mother: Mam, though we are coming here for help, but still my son is playing mobile games a
lot. I don’t see him studying. Whenever he has classes, he attends, after that even for a minute he
doesn’t miss an opportunity to hold mobile and play in it. He is afraid of his father but in front of me, he
argues with me. When I scold him severely then only he keeps mobile away. We have seen a lot of
dreams for him and couldn’t see him waste his time for games which are not at all worth. He is the only
son for us. But still my husband doesn’t pamper him at all, he is very strict. I can’t follow my son for
24hrs but he doesn’t listen to me. His screen time has increased a lot. Once I scold him, he leaves mobile
and puts on Tv and watches videos in YouTube. Again I have to scold him to witch off TV.
Mother has tears in her eyes, which showed the pain she has been feeling.
Counselor: yeah mam, I am trying to understand your pain. We shall work together and your son will be
able to focus more on studies rather than mobile games.
Client’s mother thanked the counselor and left. Client was called into the Virtual session.
Counselor: We shall do one activity today. Shall we?
Client: Yes mam
Counselor: Here is a work sheet which has MY HABITS. Please take your time and write your habits in it.
Client took some time to write.
On the good habits side, he wrote, waking up early to study, reading books mostly Harry potter and
Sudhamurthy. He read them n number of times; still he didn’t get bored of them. Attends online classes.
Can learn any kind of coding in short time.
35
In bad habits, he wrote mobile games, watching videos, not listening to mom, complaints about proper
self grooming
Counselor asked if he would like to change his bad habits, though it’s not very easy. It’s not impossible.
Client nodded. Client was also appreciated for his coding skills and also for his interest towards reading
books and gaining knowledge.
Summary/My Observation: Client has been identified with mobile gaming as his issue. His
mother is very much worried about it as he is not listening to her and not working towards
leaving the mobile games. Client’s mother has been assured that nothing is impossible and we
can mutually work together. Client was given worksheet to write My HABITS, which included
both good habits and bad habits. Client could put his mobile gaming into bad habits.
Progress Notes: Client is seemed to be worried that his mobile gaming would go away or
atleast there would be decrease in time. He was not so happy in giving away his gaming habit.
Few more sessions may help him get better.
Interventions: Work sheet of My habits is given to client and was asked to write his good and
bad habits.
Plan of Action: Cognitive behaviour therapy is recommended for mobile game addiction.
(Though the client is not addicted, client is playing most of the time, ignoring other works)
36
CASE NO: 311/2020
Name: Mrs Hemalatha
Age: 45yrs
Gender: Female
Educational qualification: SSC
Occupation: HomeMaker
Income: NA
Marital status: Married
Whether client stays with parents: NA
Whether client stays with spouse: Yes
Whether have any siblings, if so how many: Yes and Younger Brother
What is the position of the client in the family: Eldest,
Any one in the family having conflicts: Yes
Presenting problem : Client is feeling Anger, stressed and lonely
Date of onset of the problem: almost an year
Precipitating factor if any: Whenever there is conflict at home
Duration of problem: 1year
Coping Mechanism: Cries and tries to sleep but can’t sleep
Client Support system: No one
37
How intense is the problem ? How does it affect the client? :
 Has to take leave from work place / school/ college:- NO
 Cannot carry on even the routine work: NO
 Does not want to do anything: No
She feels lonely and she thinks no one is supporting her, neither her husband nor her kids. Her
Husband has a habit of alcohol which she doesn’t like. Because of that also she feels stressed.
Interview with family members/spouse/the concerned person :
Younger Daughter: My mom was behaving abnormal since 4-5months. She shouts at everyone
without any valid reason. She gets angry when something she doesn’t like happens. And this
turns out to be fight among family members. My sister got married and was about to travel to
Abroad but due to Pandemic, the couple were staying with us, which also made her to do more
household work and other chores.
Any counseling taken: Met a Neuro psychiatrist 5months back and had medication for few days
as client didn’t like to take medicines, client stopped taking them.
Relationship(s):
➢Client’s relationship with family members:
If Married: Relationship with spouse in terms of
 Day to day dealings-Good

 Sex life-No
 Work relationship (if spouse is working)-Normal
 Relationship with children-Normal
 Relationship with opposite sex persons- Normal
 Decision making (who takes the decision – spouse or self)-Spouse
 Sharing of work at home with the spouse-No
 Relationship with spouse’s relatives-Good
 Relationship with spouse’s friends-Normal
38
➢With friends: No friends
Educational history:
 In School / College: Was an active student

 How is the client in studies and academic performance?: Poor performance
 Does the client come up to the expectations of parents and teachers?: No
 How has the performance been over the years?: Constant
 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
performance?: No
 Since when have they noted that the client is not the same in regard to academics as he
or she used to be? NA
 Had they done anything about it so far? If so what? NA
 After their efforts had there been any improvement? NA
 When did they decide to consult a counselor? NA
Happy Moment: No happy moments
Work history: NA
Physical & Mental Health history: Have severe headaches and consulted Neuro Psychiatrist
2months back. Took medication for sometime and now stopped taking medication.
Sleep: Doesn’t sleep properly .
Eat: Doesn’t eat properly

39
Appearance: The client was a thin lady with neat attire.
Movement and Behaviour: Client was looking a little anxious and nervous.
Affect: She looked Conscious.
Mood: She looked in a nervous.
Speech:
 Speech: High and anxious
 Rate of speech: Fast, as if wanted to to share everything at the earliest.
 Length of answers: Lenghthy answers.
 Clarity: Whatever the question asked, she gave appropriate answers. There was clarity in the
answers.
Thought Content:
interpretation depicts that client is feeling angry and lonely and anxiety disorder.
STRESS
Long term exposure to stressors is a concern. Our body begins to respond negatively to this
stress, and over time this can negatively affect our health. Also, repeated “peaks” of your
stressors will increase your overall stress level, and may increase your risk of a heart attack.
Anger Issues:
Anger is an emotion characterized by antagonism toward someone or something you feel has
deliberately done you wrong. Anger can be a good thing. It can give you a way to express
negative feelings, for example, or motivate you to find solutions to problems. But excessive
anger can cause problems.
Causes: Many things can trigger anger, including 1) stress 2) family problems, and 3) financial
issues.
Anger issues symptoms: Anger causes physical and emotional symptoms.
Physical symptoms: Anger affects different parts of your body, including your heart, brain, and
muscles. The physical signs and symptoms of anger include: 1) Increased blood pressure, 2)
Increased heart rate, 3) tingling sensation 4) muscle tension
40
Emotional Symptoms: There are a number of emotions that go hand in hand with anger. You
may notice the following emotional symptoms before, during, or after an episode of anger:
1) Irritability 2) Frustration 3) Anxiety 4) Rage 5) Stress 6) feeling overwhelmed 7) Guilt
Effects: Increased blood pressure and other physical changes associated with anger make it
difficult to think straight and harm your physical and mental health. A 2010 study found that
uncontrolled anger is bad for physical and emotional health. It can also quickly escalate to
verbal or physical violence, harming Self and others around.
41
Interview Session:
Client’s name: Mrs. Hemalatha
Mrs Hemalatha was welcomed into the Session. Client came along with her younger daughter.
Counselor checked with them if they are comfortable. Her daughter wanted the counselor to
speak to her mother and she left . Counselor gave the confidentiality statement and ensured
there is no abuse (physical/mental/verbal/sexual) with the client.
Couselor : Mrs. Hemalatha now tell me how can I help you?”.
Client: I feel angry at my family members as my husband and daughters are opposing for any
suggestions given by me.
Counselor: Since how long you are feeling angry?
Client: Since almost an year
Counselor: How frequently you feel angry?
Client: Mam, my elder daughter has got married in March 2020 and it’s a love marriage. That
boy comes from a poor family but still we agreed for her marriage. We supported the boy to go
to abroad. After the marriage they were supposed to go to abroad , but due to this pandemic,
they couldn’t go. They stayed with us for few months. My daughter doesn’t help me in any
household chores. It caused a physical stress and burden on me. When I ask her her to help she
disobeys. My husband has a habit of drinking daily. Its not good to have alcohol in front of son
in law. My husband quarrels with me. We have debts. And my husband promises our daughters
whatever they ask for. And I suggest my husband to rethink before giving them any promise.
My daughters think I am stopping my husband in giving them money. There is always a conflict.
42
(Client was very anxious to tell everything as if the counselor is the first person who has asked
her to share her pain)
Counselor: Could you elaborate a bit?
Client: hmmm
Couselor: Could you share any instance?
Client: Mam, recently for Dussera festival, as its first Dussera, I asked my husband how much
he would give for elder daughter. He said Rs.5000. When he was drunk, my elder daughter
asked him how much he would give her. He said Rs. 10000. He said one thing to me and
another to my daughter. When I tried to oppose, my elder daughter thinks I am bad mother
and her father gives them more than they ask. But we have one more daughter for marriage
and also we have debts. I feel stressed when I think all these. I feel lonely as my husband and
daughters are together. I show my anger and my daughters also shout at me. I couldn’t sleep
properly. I couldn’t eat properly.
Couselor: Did you share this with anyone else?
Client: No mam, if I tell to my mother, she would be worried.
Couselor: What do you do when you feel angry and stressed?
Client: I shout at them , cry and try to sleep. But I wont get sleep. I wont hurt anyone.
Counselor: I can see that you are stressed and feeling lonely.
Client: These days I have severe headaches.
Counselor: Have you consulted any doctor,psychologist or psychiatrist before coming here?
Client: Yeah mam, when my health was deteriorating, my family members thought of taking me
to sorcerer but one my uncle suggested to take me to psychiatrist. So we went to a Neuro
psychiatrist. He gave some medicines. I took them for few days and I stopped.
Couselor: You didn’t continue the medicines?
Client:No mam, I didn’t continue the medicines as I am not fond of taking medicines.
Counselor: Did you felt any change when you were on medication.
Client: Yes, I could sleep properly and didn’t had any fights at home at that time.
43
As the time was almost up, counselor gave breathing exercise. Made her relax a bit. As a home
assignment, client was asked to do meditation daily. And on mutual agreement , an
appointment was fixed 2 days later.
Counselor maintained SHOVLER throughout the session
Summary/My observation: Session was fruitful session. Client is a 45yrs old lady with 2 kids.
Elder daughter got married and was about to fly to Abroad but due to Covid, the newly married
couple are staying with them, which has caused stress and anger in her. Client didn’t had a
pleasant childhood and also not happy with her marriage life as her husband is an alcoholic. Her
father was also an alcoholic and expired due to that. Client feels her husband’s habit of having
alcohol is the main culprit for all her issues. Load of household chores have got increased ,
because of new couple and no one is helping in her chores. These all things made her to feel
anger and lonely.
Progress Notes: Client was very nervous at the beginning, but as the time passed, she felt
relived and could share the details properly.
Interventions: Relaxation technique of breathing exercise has been given and was asked to
practice meditation daily.
Plan of Action: SWOT analysis, Anger log and reframing could help the client to overcome her
issues, which can done in coming sessions.
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Interview Session:
Interview No: 3 (Rapport building) Date: 19/11/2020
Rapport building and understanding the issue

Mrs Hemalatha was welcomed into the Session. Client seemed to be confused a little. Client was asked
if she has been practicing meditation. Client said she did for only 1 day and couldn’t continue.
Counselor: So you feel, you have been not given priority by your family members. So its making you
feel angry and lonely. Am I right?
Client: yes mam
Client was given mental health checklist and was also told that those are general mental health issues
which could be for anyone. Client felt comfortable and she was listening to each and every issue. She
felt she has low self esteem, low motivation, attention & concentration are other bothering issues.
Counselor : We shall do a small acitivity. Shall we?
Client: Yes
Counselor: Imagine that you have a fireball in your hand. For how long would you be able to hold it.
Client: No mam, I will throw it away?
Counselor: Can you give me reason
Client: It will burn my hand
Counselor: Hmm similarly your anger is also like a fireball. Don’t hold it, if you hold it, it will burn you. So
throw it away.
Client: Ok mam.
Client felt a little relieved and was looking for more time but as the time time was up, counselor ensured
she would feel much better in coming sessions.
Counselor gave Anger log as a home activity.
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As the time was up, session was ended by fixing next appointment.
Counselor maintained SHOVLER throughout the session.
Summary/My Observation: Session was a satisfactory session. Client was confused initially but has
been assured that everything would be alright. Client could identify her other bothering issues as low
motivation, low self esteem and attention & concentration. Client was given coping card for anger.
Progress Notes: Initially client was confused , as the session progressed she felt comfortable
Interventions: Mental Health Checklist was given and coping card for Anger was given. Client was also
told to note down her Anger log till next visit
Plan of Action: More coping cards and breathing techniques would help the client. Meditation would
make the client to have peace of mind.
Interview Session:
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Interview No: 3 (Rapport Building) Date: 23/11/2020
Rapport building and understanding the issue
Mrs Hemalatha was welcomed into the Session. She was looking comfortable this time. She was
wearing saree and groomed herself properly.
Client was asked about her previous session’s home activity of Anger log. Client told she could
write a few. Counselor asked the client to check her anger log and asked her to reframe the
situation. And write the same again.
Client was anger on her husband for giving more money for festival for elder daughter. This was
reframed as client could have spoke to her husband when he was not drunk and reminded him
of his debts. This could have helped her husband to understand the situation. And things could
have been different.
Similar manner, rest of them have also been reframed and client could understand the
difference.
Breathing exercise has been practiced in the session.
Mental health Checklist was given. Client could identify Anger, Stress, Attention &
concentration, mood off as her most bothering issues.
Summary/My Observation: Session was a satisfactory session. Client was looking comfortable
this time. She could do her home activity of anger log and has been discussed with the
counselor. Client was told to reframe the situations. After reframing was done, she looked
more relaxed and could understand the situations.
Progress Notes: Client was relaxed at the end of the session
Interventions: Anger log and reframing for the same were done. Relaxation technique of
breathing exercise was also practiced.
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Plan of Action: Few more coping cards and activities for anger management, and stress would
help the client to overcome her issues and be confident.
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CASE NO: 411/2020
Address: HYD
Name: Ms. Meera Naik
Age: 18yrs
Gender: Female
Educational qualification: Intermediate
Occupation: NA
Income: NA
Whether have any siblings, if so how many: Yes, Elder Brother
Presenting problem : Client is confused about her career
Date of onset of the problem: After NEET results are announced
Precipitating factor if any: Its always in mind
Duration of problem: 2 months
Coping Mechanism: Shares with friend
Client Support system: Friends
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How intense is the problem? How does it affect the client? : Client is unable to choose her
career.
Relationship(s):
➢Client’s relationship with family members: Good
Mother- Very Good (Home Maker)
Father-Very Good (Business)
Elder Brother-Very Good
➢With friends: How many friends does the patient have? How does the patient relate to
them?
She has many friends and her relationship with them is also good.And among them she is close
to one friend with whom she shares everything.
Educational (School/College) history: School life was good; She was academically good.Client
did not have any stressful events or situations.
Best Part: 9th & 10th class
Happy Moment: All school days.
Work history: NA
Physical & Mental Health history: She is in good health and she is not on any medication. This
is the first time she has consulted a counselor. No one in the family had any mental or physical
health issue so far.
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Appearance: The client was groomed herself properly . She looked very active.
Movement and Behaviour: She looked active. She was pleasant.
Affect: She looked active , no visible unhealthy behavior and was conscious
Mood: She looked in a good mood.
Speech:
Her speech was good.. Rate of speech was also good. The length of answers was appropriate according
to the questions asked. There was clarity in the answers.
Thought Content:
interpretation depicts that client is confused about her career options.
Career Confusion:
Confusion simply means a mental state characterized by a lack of clear and orderly thought and
behavior. Under confusion, we feel the difficulty to pay attention and suffer a lack of ability to
think and act correctly and make decisions. But career is no pushover matter that can be left to
destiny.
To many in their late teens and for those in the age of 18 to 34 years, career options begin to
look like a jigsaw puzzle, but of course for different reasons. If the confusion is not resolved in
time and appropriately, teenagers and fresh grads will end up in the wrong jobs for their
aptitude, or worse, may fail in getting a job altogether. But those who are already working may
feel like they are not moving anywhere and their careers have arrived at their ends. They
develop frustrations which, as a consequence, lead to job losses.
Career Guidance has to be provided in career confusion
Career guidance is the guidance given to individuals to help them acquire the knowledge,
information, skills, and experience necessary to identify career options, and narrow them down
to make one career decision. This career decision then results in their social, financial and
emotional well-being throughout.
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Interview Session:
Client’s name: Ms. Meera Naik
The client was referred to me for taking detailed case history and rapport building.
The client Ms. Meera Naik was welcomed into the session. She was given intake form to fill up.
She filled comfortably and submitted back.. She was looking active, no visible signs any kind of
stress or tension. Counsellor gave her the confidentiality statement that whatever the client
says would be kept confidential and wont be revealed to any of her family members, friends or
anyone else . Counselor also ensured that the client is currently not facing any kind of abuse
(verbal, sexual, mental, or physical). She nodded her head as if she understood the
confidentiality. A young teenage girl who was wearing tshirt and jeans and was looking
pleasant.
Counselor: Ms. Meera Naik, how can I help you?
Client: Actually I have just cleared my NEET exam and I did ICOR exam. I didn’t score enough
marks in the exam to get a a seat in Good Govt. Medical college. Now I am in a dilemma
whether to go ahead with one more attempt of NEET or should I go for another career option.
Counselor: Since how long you are feeling confused about your career?
Client: After the NEET results came.
Counselor: How frequently you think about career confusion?
Client: It’s always in my mind, to be honest. But I keep on avoiding that because it takes me to
a stressful situation. I cant get out then. I then feel a little depressed about what to do ahead. If
I want to do one more attempt for NEET I have very less time for the preparation. And the
syllabus is very huge. I am not sure if I would be able to read them again. In ICOR also I didn’t
score well. Even if I score well also, I am not sure if go and make a career in that. Then and now
I am thinking about all these.
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Counselor: When you get thoughts of depression and you feel stressed, what do you do to cope
up?
Client: When the situation becomes too much stressful when I cant handle, I have one best
friend and I share my feelings with her. She attempted for IIT and she also didn’t qualify. She
didn’t score that well. She is presently in NIT Bhopal. She is also of my age and she faced the
same situation as mine. So she can hear me out and also whenever I feel so, I write it down in
my diary.
Counselor gave the scale 0-100 to rate her confusion and client said she is almost 60-70%
confused about her career option.
Counselor did reflection of feeling and and also Self disclosure was done. Counselor said she
prepared for a competitive exam along with her Graduation 1 st year, so that she didn’t lose an
year. After Self disclosure was given client felt a little relieved.
Counselor said that Career confusion is the client’s issue.
Client acknowledged for the same.
Counselor said that they can work together so that she would be in a position to decide what
career she wanted to choose.
Client had a smile on her face.
When asked about what she was expecting from this counseling session, client replied that she
may get motivated , where she would be confident enough to take decisions and she may feel
open to herself. Counselor told that after the sessions, she may get insight into herself and she
would be in a position to choose her career and take a decision.
Counselor gave motivation scale and client said she is 100% motivated to get out of her career
confusion.
Client was asked to draw a circle. And was asked to share percentage to each person who she
thinks are responsible for her career confusion.
Client felt 70% , her college is responsible and 30% to herself, as responsible for her issue of
career confusion.
Mental Health Checklist was given to client and client identified low self esteem, low
motivation, adjustment problems and distraction by TV /Internet/mobile and as her other
bothering issues. Client could identify low self esteem as her most bothering issue.
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Counselor asked the client to identify any 3 different objects within her range. Client identified
book , pen and purse. Counselor asked to tell the purpose of each and also checked if book pen
or purse can replace each other. Client said are have different purposes and they cant replace
each other. Counselor said, as book, pen and purse are unique, similar way she is also unique.
Client had a smile on her face. Counselor said client shouldn’t compare herself to anyone else ,
client has her own capabilities and uniqueness. Counselor also said the fingers of our hand are
different with each other and have unique purpose, though they are to the same hand.
Similarly every person is unique.
As the time was about to end, counselor gave the client home activity to write what happens if
she joins for long term NEET and what happens if she chooses other career option.
On mutual agreement , next session is planned after 3 days.
Session was satisfactory session. Client is a 18yr old teenage young girl who is active and
conscious. Client attempted NEET and couldn’t score good marks enough to get into a good
Government Medical college. Client is confused in choosing her career option. Client is
confused between whether to go for one more attempt in NEET exam or to go for any other
course. Client is also worried whether she could study again the huge syllabus meant for NEET
or not. Client was not confident enough. Coping card for Self esteem was given. Client made to
feel as she is unique and no one is similar like her. Client felt better.
Progress Notes:
From the session beginning client was active and she was clear what she was expecting from
the counseling session. She came with career confusion as her issue. But She could identify low
self esteem also as her issue
Interventions:
Empathetic listening was done. Coping card was given for client’s low self esteem. Home activity to write
what happens if she joins for long term NEET and what happens if she chooses other career option was
given.
Plan of Action:
My thought log and thought reframing may help the client to cope up with her career confusion. These
will be introduced in next session.
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Client’s name: Ms. Meera Naik
The client was referred to me for taking detailed case history and rapport building.
Client Ms. Meera Naik was welcomed into the session and greetings were exchanged. Client groomed
herself properly and looked active and in conscious state.Counselor asked about the home activity.
Client said she wrote and shown the paper. Client said she can’t prepare at home for NEET exam as its
very tough and she also gets distracted by TV/ internet etc. If she goes to hostel, it will take time for her
to adjust for the food and environment and she will in loss of time., as its not even an year left for next
exam. Client is not confident enough to read again all the huge syllabus and score good marks. Client
said she would get bored to read again and again the same syllabus.
On the other hand client said , she would prefer to join for registered dietician, or profession in genetics
or bio informatics or biotechnologist or agriculture geneticist.
Counselor asked the client to get more clarity about the courses and when asked about her preferred
course. Client chose dietician and when asked more about role of dietician, client told dietician can look
after the diet for patients at hospitals and there would also be dietician who is also a doctor. Counselor
asked which one should she prefer only dietician or dietician who is also a doctor. Client said obviously
dietician who is also a doctor. Clint could get a little insight into what she wanted to become. At this
point counselor asked the client to reframe her thoughts regarding preparing for NEET. Client could do
the reframing and seemed a little confident at what she wanted to choose as her career.
Client was referred to Sr. counselor for further career guidance.
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Client was confused about her career options. She was asked to write if she opts to attempt for NEET
exam, what would be her thoughts and if she is not going to write NEET then whar are the other career
options she has. Client could identify other career options but landed in a course which demanded
NEET. Counselor asked the client to reframe her thoughts regarding next attempt for NEET. Client did
and could see a change in her attitude.
Progress Notes:
When client came, she was still in dilemma about her career options but after some worksheet activity
and reframing, she could be seen confident enough in choosing her career option.
Interventions:
Client was asked to do a worksheet activity and also thought reframing.
Plan of Action:
For further career guidance, case was transferred to a Sr. counselor.
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CASE NO:511/2020
Address: HYD
Name: Mrs Mounika
Age: 30yrs
Gender: Female
Educational qualification: MBA
Occupation: Asst. Principal in School
Income: 4LPA
Whether client stays with parents: No
Whether have any siblings, if so how many: Yes, Younger Sister
Presenting problem : Client feels frustrated with Mother-in-law
Date of onset of the problem: after 6months of marriage
Precipitating factor if any: Whenever mother -in- law calls
Duration of problem: 5n ½ yrs
Coping Mechanism: Gets occupied with work
Client Support system: Husband
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Any counseling taken: No
How intense is the problem ? How does it affect the client? :
Has to take leave from work place/school/college: No
Cannot carry on even the routine work: No
Does not want to do anything: No.
Relationship(s):
 I f married: Relationship with spouse in terms of

 Day to day dealings : Good
 Sex life: Good
 Work relationship (if spouse is working): Good
 Relationship with children: Good
 Relationship with opposite sex
 persons: Good
 Decision making (who takes the decision – spouse or self): Both
 Sharing of work at home with the spouse: Yes
 Relationship with spouse’s relatives: Good (Except Mother in Law)
 Relationship with spouse’s friends: Good
 With friends:
 How many friends does the patient have? : 3-4

 How does the patient relate to them? : Good
 With neighbours: Good
 With school and class mates: Good
 With the teachers in school: Good
 With the authority figures: Good
 With Playmates: Good
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 In the games field: Good
Best Part: When scored good marks in Maths
Happy Moment: Going to school were happy moments
Work history: She is working as Asst School principal since 5yrs. She is maintaining cordial
relationships with everyone at her workplace. She doesn’t have any complaints about work.
Physical & Mental Health history: No history of physical and mental health issues and Client
has not seen a counselor so far.
Appearance:
The client was dressed neatly in a cotton saree. She looked confident and was very active.
Movement and Behaviour:

Her behavior was appropriate and she was conscious. She looked educated..
Affect:
She looked as an active person.
Mood:
She was a little angry, frustrated and was a little confident as well.
Speech:
Her speech was good and she gave lengthy answers. Rate of speech was good.. Whatever the question
asked, she gave appropriate answers. There was clarity in the answers.
Thought Content:
interpretation depicts that client is frustrated with her Mother-in-Law.
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FRUSTRATION
In psychology, frustration is a common emotional response to opposition, related

to anger, annoyance and disappointment. Frustration arises from the perceived resistance to
the fulfillment of an individual's will or goal and is likely to increase when a will or goal is denied
or blocked. There are two types of frustration: internal and external. Internal frustration may
arise from challenges in fulfilling personal goals, desires, instinctual drives and needs, or dealing
with perceived deficiencies, such as a lack of confidence or fear of social situations. Conflict,
such as when one has competing goals that interfere with one another, can also be an internal
source of frustration or annoyance and can create cognitive dissonance. External causes of
frustration involve conditions outside an individual's control, such as a physical roadblock, a
difficult task, or the perception of wasting time. There are multiple ways individuals cope with
frustration such as passive–aggressive behavior, anger, or violence, although frustration may
also propel positive processes via enhanced effort and strive. This broad range of potential
outcomes makes it difficult to identify the original cause(s) of frustration, as the responses may
be indirect. However, a more direct and common response is a propensity towards aggression.
Frustration can be classed as a mental health problem–response behavior and can have a
number of effects, depending on the mental health of the individual. In positive cases, this
frustration will build until a level that is too great for the individual to contain or allow to
continue, and thus produce action directed at solving the inherent problem in a disposition that
does not cause social or physical harm. In negative cases, however, the individual may perceive
the source of frustration to be outside their control, and thus the frustration will continue to
build, leading eventually to further problematic behavior
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Interview Session
Client’s name: Mrs. Mounika
The client was referred to me for taking detailed case history and understanding the issue.
The client Ms. Mounika was welcomed into the session. She filled up the intake form and
submitted back. She was wearing a cotton saree and looked very dignified. She looked
confident enough. Counsellor gave her the confidentiality statement that whatever the client
says would be kept confidential and wont be revealed to any of her family members, friends or
anyone else . When counselor talked about the abuse, Client said she faces verbal abuse from
her Mother-in-Law.
Counselor: Now , Mrs. Mounika, tell me how can I help you?
Client: Mam, Its been 6yrs to our marriage. Everything was really good till 6months of our
marriage . After 6 months my Mother-in-Law started behaving differently. They stay at other
location and my husband and my Mother-in-Law used to speak daily over phone in the
evenings. She asks my husband, what I wore, what I have cooked, where I went etc and the
next day she calls me and says I should not have cooked that vegetable as her son doesn’t like
that. I shouldn’t have wore that dress etc. She speaks differently with my husband and changes
her version with me. Initially my husband didn’t agree but later I tried to record her calls and
presented them before my husband. After that he used to believe me and mostly ignored what
my Mother-in-Law used to say. Though these things didn’t interfere in my daily routine, still I
would be very disturbed and want to get out of this. I have a girl child who is 4yrs old and my
Mother-in-Law provokes her against my maternal family members which I don’t like. Iam
worried that all these things would affect my baby. I feel when I am disturbed it may affect my
parenting as I am not able spend quality time with my kid as well. For anything I get a help from
my mother but not from my Mother-in-Law. All these things makes me frustrated sometimes. I
feel , majorly my Mother-in-law responsible for my frustration and only minor part I may be
responsible. I would like to come out of this as soon as possible and would not like to affect my
baby’s growth.
Counselor: I am trying to understand your pain and I can feel how frustrated you are.
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Client: Yeah mam, I would like to get out of this as soon as possible and I don’t want this to
effect my child in any way.
Mental health checklist was given and she could choose Anger and negative thinking as her
other bothering issues.
Counselor: Mrs. Mounika , I think we have discussed your problem today which you have been
facing with your mother in law., which in fact is making you angry and frustrated. Would you
like to discuss more in the coming session? Shall we fix up an appointment on 20th November
at 3pm?
Client: Yes mam, would come for next session.
My observation: When the client left, she felt relaxed as someone had listened empathetically
to her.
Plan of Action: Should gather more information on her bothering issues and and give
mindfulness interventions in coming sessions so that she can be relaxed.
Summary/My Observation: Session was fruitful session.An educated and working lady who
looked confident enough had issues with her mother in law which are making her frustrated.
Client is worried about the impact of her frustration on her 4yr old baby. So client wanted to
overcome this at the earliest.
Progress Notes: When the client came, her inability to handle her issue was clear on her face.
But as the session continued, client felt relaxed after sharing her issue. And was looking for
positive outcomes and exit from her issue. She was ready to cooperate for any kind of
psychological tests or interventions.
Interventions : Empathetic listening was done and client was made to understand that
counselor would help her in getting insight into her issue.
Plan of Action: Should gather more information on her bothering issues and and give
mindfulness interventions in coming sessions so that she can be relaxed.
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Client’s name: Mrs. Mounika
The client was referred to me for taking detailed case history and understanding the issue.
Client Mrs. Mounika was welcomed into the session. Client looked a little better than last
session. It was clear on her face that she wanted to come out of this issue as she doesn’t
wanted this to effect anymore , either her or her daughter.
Counselor: Hi Mounika, in the last session we discussed that you are feeling frustrated because
of your mother in law…Am I correct?
Client: Yes mam
Counselor: Do you have any control on your Mother-in-Law? Could you rate that in between
0-100?
Client: No mam, it would be 0.
Counselor: You don’t have control on other person but you can have control on yourself and
your feelings.
Client: Hmm
Counselor: We shall do some work sheets today, would you be ready to do?
Client: Yes mam
Counselor: Could you please take a pen and paper
Client: yeah mam
Counselor: Could you please write advantages and disadvantages of this frustration you are
feeling.
Client took some 10mns of time to write few advantages and disadvantages of her frustration.
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Among those mentioned, she pointed out that she doesn’t want her baby to get effected with
her frustration. Which looked as a major disadvantage to her. When the client was asked to
analyze, there were more disadvantages than advantages.
Client was made clear on her part that the frustration which she is having is causing more
damage than she thought.
Client was given relaxation technique of breathing exercise for 5mns.
Client looked relaxed. Client was asked to sit and enjoy nature whenever she feels frustrated.
Counselor: Mounika, now you seem to be a bit relaxed.
Client: Yes mam.
As the time was up, has to end the session on mutual agreement.
Summary/My observation: Client was frustrated because of her Mother- in-Law which is effecting her
parenting. Client wanted to get rid of that. Client was made to understand that her frustration is making
more damage to her . Client was clear on her part and she wanted to overcome that at any cost. Client
was more worried about any negative effects causing on her baby and she wanted to get rid of that.
Progress Notes: Initially client was anxious and frustrated but as the session progressed and
interventions were given, client looked relaxed and more confident.
Interventions: Along with empathetic listening, Client was made to write advantages and disadvantages
of her frustration. Client was asked if she could have any control over the opposite person. Client said
no and she was made to understand that she can have control on her own feelings. Relaxation
technique was given. Client was asked to enjoy nature whenever she feels frustrated.
Plan of Action: Interventions played a key role , as the client looked relaxed after the session. May be
one or more sessions with few more interventions l like thought log and reframing would make client
feel much better.
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CASE NO: 611/2020
Name: Ameena Begum

Age: 25yrs
Gender: Female
Educational qualification: MA 1st year
Occupation: NA
Income: NA
Whether have any siblings, if so how many: Yes, Two Siblings
Date of onset of the problem: May 2020
Precipitating factor if any: Whenever there is discussion about her marriage
Duration of problem: 6months
How intense is 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-No
 Does not want to do anything-No
Interview with family members/spouse/the concerned person-NA, as client came alone

 Their view point in regard to all of the above
 The interview with family members should cover all aspects that are covered in the
interview with the client. In addition the following need to be covered.
Relationship: Patient’s relationship with family members:

 If unmarried:
With Mother-Good
Father-Good
Brother-Good
Sisters-Good
Any other relative staying with patient-Yes, grandmother and relationship is Good
 With friends: How many friends does the patient have? How does the patient relate to
them?- Has 5 friends, and have cordial relationships with them.
 With neighbours-good
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 With school and class mates-Good
 With the teachers in school-Good
 With other authority figures-NA
 With playmates-Good
 In the games field-Good
 In School / College: Was very active
 How is the client in studies and academic performance? –topper in school and college
 Does the client come up to the expectations of parents and teachers?-Yes
 How has the performance been over the years?-Constant
 Do they find that there is sudden deterioration in studies and academic performance?-
No
performance? No
 Had they done anything about it so far? If so what?-NA
 After their efforts had there been any improvement?-NA
 When did they decide to consult a counselor?-NA
Work history: NA
If Married: NA
Physical & Mental Health history: Client is conscious and stable, client doesn’t have any physical or
mental health issues so far.
 Appearance: A young lady who is in her 20’s wearing a Chudidar and groomed herself neatly. By
seeing the appearance, can figure out from which community she belongs to.
 Movement & Behaviour: Her speech were normal. She could maintain her eye contact. Her
behavior indicated that she is in conscious state.
 Affect: She was looking a little anxious as she stepped first time into a counseling session. She
looked in complete conscious state.
 Mood: She was active
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 Speech:
 Volume of the person’s voice: Good
 Rate of speech: Appropriate
 Length of answers to questions: Neither long nor short
 Appropriateness of the answers: She gave appropriate answers
 Clarity of the answers: Yes, she gave answers with clarity
 Thought Content: Based on the above observations by the counselor and thoughts put forth by
the client, initial interpretation depicts that client is worried , anxious and unable to choose
whether to get married or not.
ANXIETY
Anxiety is your body’s natural response to stress. It’s a feeling of fear or apprehension about
what’s to come. The first day of school, going to a job interview, or giving a speech may cause
most people to feel fearful and nervous.
But if your feelings of anxiety are extreme, last for longer than six months, and are interfering
with your life, you may have an anxiety disorder.
It’s normal to feel anxious about moving to a new place, starting a new job, or taking a test. This
type of anxiety is unpleasant, but it may motivate you to work harder and to do a better job.
Ordinary anxiety is a feeling that comes and goes, but does not interfere with your everyday life.
In the case of an anxiety disorder, the feeling of fear may be with you all the time. It is intense
and sometimes debilitating.
This type of anxiety may cause you to stop doing things you enjoy. In extreme cases, it may
prevent you from entering an elevator, crossing the street, or even leaving your home. If left
untreated, the anxiety will keep getting worse.
Anxiety disorders are the most common form of emotional disorder and can affect anyone at
any age. According to the American Psychiatric Association, women are more likely than men to
be diagnosed with an anxiety disorder.
Psychotherapy and medication can help a person with anxiety disorder
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Interview Session
Client’s name: Ms. Ameena Begum
Client Ms. Ameena Begum was welcomed into session. Client was in a neat Chudidar, wearing a
scarf, covering her head. Client was slim and not much active. Her behaviour indicated she was
in complete conscious state. Client sat in a leaning position. Counselor gave the confidentiality
statement. After the confidentiality statement was given, client looked comfortable.
Counselor: Now, Ms. Ameena , tell me how can I help you?
Client: Mam, my parents are talking about my marriage, I really don’t know what to do. I am
not ready for it now.
Counselor: Could you please elaborate ?
Client: Whenever my parents talk about my marriage, I feel upset and worried
Counselor: what kind of thoughts you get?
Client: I feel I wont be able to continue my education after marriage and how would I be able to
manage myself. That’s thought itself scares me.
Counselor: Any recent event?
Client: Recently a proposal came and I felt very upset and scared.
Counselor: What made you to scare?
Client: Thought of getting married itself scares me.
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Client’s scariness could be seen in her eyes.
Counselor: So whenever you are scared, what do you do to cope with it?
Client: I go and speak to my mom, saying that I am ready for marriage , then she tries to
convince me. I also share these things with my brother and my father. They say as the time
passes by, everything would be normal and I would be adjusted. But that’s not as easy as they
say mam. They say I am overthinking about it.
Counselor asked the client how motivated she is to come out of the issue, client said 80%
motivated to come out of the issue.
When pizza diagram was given, she gave 50% responsibility to herself for her issue and 30% to
parents pampering and 20% to the failed marriages of her friends.
As the time was up, counselor had to end the session by giving relaxation technique of
breathing exercise. And client was told to practice the same, whenever she feels scared.
Home activity to look for successful marriages among her family and friends was given.
Summary/ My Observation: Session was fruitful session. Client is a young lady who is afraid of
getting married. Whenever there is talk about her marriage , client feels scared , worried and
anxious. Client has seen few failed marriages in her close circle, for that reason she has got
negative feelings about marriage. And is scared of that thought itself. Client comes from a
settled family. Client is also a pampered kid at home. She seems to be having separation anxiety
as well.
Progress Notes: Client looked confused at the beginning of the session. As the session
progressed, she felt comfortable and opened up about her issue. Complete intake and
background information was taken.
Interventions: Throughout the session, counselor was empathetic towards the client.
Relaxation technique was given and was asked to practice the same frequently (daily).
Home activity to note down the successful marriages in her family and friends circle was given.
Plan of Action: Client has been given to focus on successful marriages in and around her family
and friends. This may boost her confidence and and may push the client towards getting
married. Thought awareness and thought reframing would also help the client to overcome her
issue.
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Interview Session
Client’s name: Ms. Ameena Begum
Interview No: 6 (Rapport Buildng) Date: 20/11/2020
To build rapport with the client and understanding the issue
Client. Ms Ameena Begum was welcomed into the session and greetings were exchanged. She
looked active as was in previous session. She groomed herself properly and was in a Chudidar
with scarf covering her head.
Counselor: HI Ms. Ameena, hope you are feeling better.
Client:Yeah mam, a little bit
Counselor: So did you work on the home activity which was given to you in the last session?
Client: Yes mam
Counselor: How many successful marriages you have seen?
Client: There are successful marriages but there are also failed marriages , I mean they are not
happy with their marriage though they are not divorced.
Mental health checklist was given to the client and client felt she also feels anxious whenever
there is a talk about her marriage.
Client opened up saying the successful marriages are from earlier generation and most
unhappy and divorced couples are from this generation.
Thought awareness worksheet was given to client. Client could make out all positive and
negative thoughts.
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Thought reframing worksheet was also given. And all her negative thoughts were asked to
convert into positive thoughts.
Counselor could see the change in the client’s face. And she was inclined a little towards
getting married.
Summary/My observation: Client has seen mostly failed and unhappy marriages in her family
and friends circle. The younger generation had more issues then elder couples. Which made her
scared of the thought of getting married itself, as she belongs to the younger generation. She
felt she couldn’t adjust after marriage and her education will be stopped. She wont be able to
work. All these things made her to avoid marriage.
Progress Notes: As the session progressed, client opened up a lot and she wanted to come out
of the issue of scariness of marriage or negative thoughts about marriage. After interventions
were given, she felt a little relaxed.
Interventions: Thought awareness worksheet and thought reframing worksheets were given to
the client. Client could identify her negative thoughts and successfully reframe them into
positive thoughts.
Plan of Action: Worksheets helped the client to identify her negative thoughts and were
converted into positive thoughts. For further counseling, the case has been transferred to a Sr.
Counselor. CBT would help the client
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Intake information in the box
CASE NO: 711/2020 Address: Hyderabad
Name: Mrs. Alekhya

Age: 40yrs
Gender: Female
Educational qualification: MBA HR
Occupation: Freelancer
Income: 3LPA
Whether client stays with parents: NO
Whether have any siblings, if so how many: Yes, 2 siblings
Anyone in the family having conflicts: No
Presenting Problem: Client is murmuring bad words, cursing in law’s.
Date of onset of the problem: 2months
Precipitating factor if any: Whenever there is a discussion on property or in law’s
 Cannot carry on even the routine work- Sometimes
 Does not want to do anything-Yes


 With Mother-Good
 Father-Good
 Brothers-Good
 Sisters-Good
 Any other relative staying with patient-No
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them?
She has 2 close friends; she has close relationship with them. She doesn’t hesitate to
share anything with them.
 With neighbors-Cordial
 With school and class mates- Good
 With other authority figures-NA
 With playmates-NA
 In the games field-NA
 In School / College: Good and active student
 How is the client in studies and academic performance? –Academically good
 Does the client come up to the expectations of parents and teachers?-yes
No
Performance? No
Work history:
 What occupation is the client involved?-HR/recruitments
 How regular is the client for work?-regular
 Has the client been complaining about work place? If so what?-No
 Generally how has the client been fairing in work?-Constant
 What is their perception about client’s relationship in the workplace?-Good
 With Boss: NA
 With colleagues: NA
 With subordinates: NA

 Sex life-Good
 Work relationship (if spouse is working)-Good
 Relationship with children-Good
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 Relationship with opposite sex persons-Good
 Decision making (who takes the decision – spouse or self)-Both
 Sharing of work at home with the spouse-few times
 Relationship with spouse’s friends-Good
Physical & Mental Health history: Client is conscious and stable; client doesn’t have any physical or
mental health issues so far.
 Appearance: An active lady who is her 40’s wearing a cotton saree. Looked educated and
conscious. Groomed herself properly. Her appearance itself shows, she is a calm person.
 Movement & Behavior: Her behaviour was normal. She could maintain her eye contact. Her
behavior indicated that she is in conscious state. She was sometimes folding her fingers and
sometimes she was rubbing her palms, which showed she may be anxious and nervous as well.
 Affect: She was looking a little nervous as she stepped first time into a counseling session. She
looked in complete conscious state.
 Mood: She was active and was keenly waiting for the counselor. As if she wanted to share her
worries to a person who can help her. She was also nervous.
 Speech:
 Volume of the person’s voice: Good and sometimes her volume rose as if she was in anger.
 Rate of speech: Appropriate
 Length of answers to questions: Mostly Long answers
the client, initial interpretation depicts that client is murmuring bad words, cursing in laws and
sometimes showing her anger on kids and utensils which is against her normal behavior.
Profanity
Prafanity is socially offensive language which may also be

called cursing, cussing or swearing, cuss words (American English vernacular), curse
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words, swear words, bad words, or expletives. Used in this sense, profanity is language that is
sometimes considered by certain parts of a culture to be strongly impolite, rude, or offensive. It
can show a debasement of someone or something,[2] or be considered as an expression of
strong feeling towards something.
Interview Session
Client’s name: Mrs. Alekhya
A lady who is her near 40’s, having a pleasant look, groomed herself properly and looked
dignified. She was wearing a saree and was carrying herself with confidence, but somewhere
her nervousness can be seen in her eyes. By seeing her, can say something was bothering her.
Counselor invited her to the session. Client and counselor exchanged greetings with a smile.
Counselor gave her the confidentiality statement and client nodded for the same. Client also
assured there was no abuse (physical/mental/Verbal/sexual). Counselor maintained SHOVLER.
Counselor: Hi Mrs. Alekhya, now tell me how can I help you?
Client: mam, I am a very calm person who believed in helping others. Though I am the only
person who is educated in my in law’s side, I never ever showed that with them. My husband is
the elder person in the family, so being his wife, I understood his responsibilities and we stood
there for our in-laws’ for each and every thing. We helped our sister-in law a lot financially and
morally as her husband doesn’t work properly. There are a lot of things which I ignored from
my in ‘laws side. But recently they have denied entry into the house which we built 13yrs back,
as the land belongs to my father-in-law. With so much of effort and pains we had built that
house. Its so much of pain for me and my husband too. Since that time, I am murmuring bad
words, which actually I never ever used in my life. I am cursing my in law’s. I am feeling angry
and frustrated as we didn’t put anything on papers at that time. Now we don’t have any proof,
only it was a trust. Our in law’s used us like a tissue paper and thrown us. Whenever I am angry
and frustrated, I am sometimes showing that on my kids as well, which I don’t want to do. I am
showing my anger on utensils as well. I have lot of works to do, but these things are occupying
my mind and wasting my time. I am unable to follow up on my kids studies.
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Client felt relieved as someone listened to her. She could seem to be calm after she spoke.
Counselor: Yeah I am trying to understand your frustration and pain. Since how long you are
feeling like this?
Client: Its been almost 2 months mam.
Counselor: Do you believe in God?
Client: Yes mam
Counselor: So whenever you feel you are about to murmur a bad word or curse your in law’s,
replace that with your favourite God’s name or you can replace with a word with a thing which
is infront of you at that time.. Practice this for at least a weeks time.
Client: Ok mam
Counselor: There is a small work sheet. It’s a Thought log, please do this for a weeks time.
Whatever thoughts you get, please put it down on paper. And do this for a weeks time.
With this the session ended and on mutual agreement, next session was scheduled after a
weeks time.
Summary/My Observation: Session was a satisfactory session. Client has a dispute in the family
regarding their property. Due to this, client is very disturbed. Client is very calm person who
believed in helping others. Client couldn’t digest that her in law’s used them for everything and
now denied their entry into their own house. Client started murmuring bad words, cursing in
law’s . Unable to sleep properly. Showing her anger and frustration on kids and utensils. Client
is unable focus on her kid’s education.
Progress Notes: Client was very nervous initially, but once the session started and progressed,
client felt relieved.
Interventions: Empathetic listening was done. Whenever client was about to use any bad word,
client was told to replace that with her favourite Gods name or anything that she can see in
front of her. Client was asked to writer her thought log for a week.
Plan of Action: Once client is done with the thought log, thought reframing can be done, which
may help her to turn her negative thoughts to positive thoughts.
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Interview Session
Rapport Building and understanding the issue.
Client Mrs. Alekhya was welcomed into the session. Once client was comfortable, session
started by the counselor.
Counselor: Hi Alekhya, hope you are feeling better…
Client: Hmm yeah mam
Counselor: So did you practice what we have told you in the last session? Replacing bad words
and cursing with either Gods’ name or with anything you see in front of you?
Client: yeah I tried mam, but sometimes…I missed and continued using bad words.
Counselor: Still you can continue practicing the same, which will help you not to use any kind of
bad words.
Client: Yeah mam
Mental health Checklist was given and client could feel that stress , too sensitive, negative
thinking are few issues which are bothering her.
Counselor: Did you write thought log?
Client: yes mam, I tried to put it on paper. The thoughts I have been having were killing my
good time which I could have used for better things.
Counselor: yeah. So now, please try to reframe those thoughts into positive statements.
Client took time to reframe those thoughts.

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Counselor asked the client to read the thought log and reframing . Once it was done client
could analyse that her negative thoughts which were killing her quality time are no longer
negative but could have been converted into positive thoughts. Client could be seen a little
relieved.
Rather than thinking on what has happened, client felt, she could have focused on her kids
education and other prioritized activities.
Summary/My Observation: Session was a satisfactory session. Client could identify few other
issues as well which are bothering her. Client was practicing to replace bad words with
alternate words and was told to continue the same. . Client could identify that nothing could be
changed which has already happened. By thinking of that, she is wasting her present time
which she can utilize it properly.
Progress Notes: Client could feel better than first session.
Interventions: Mental health checklist was given. Thought log and reframing thoughts is done
which helped the client to identify her thoughts which can be changed to positive thoughts.
Plan of Action: Coping cards can be introduced in next session for anger, stress, and frustration.
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Interview Session
Rapport Building and getting insight into client’s issue
Client Mrs. Alekhya was welcomed into the session. Once client was comfortable, session
started by the counselor. Client was seen smiling comfortable for the first time, which showed
client was feeling better than last time.
Counselor: Hi Alekhya, hope you are practicing what have been told you in the last
session.(replacing bad words with any other word)
Client: Yes mam, now most of the times I am not using any bad words and even my murmuring
stopped so much.
Counselor: That’s good to know. We will do a small activity now. Would you be ready to do?
Client: Yes mam
Counselor: Can you hold this glass.
An empty glass was given to the client to hold with her right hand. Client agreed and hold it for
some time. After 1 minute, counselor asked if she has any pain in hand , client said no. After 3
minutes, again counselor asked the same, client said ,” yeah ,I can feel a little strain on my hand
and shoulder”. Counselor asked the client to hold it for some more time. After more 3 minutes,
client wanted to keep the glass down, as she couldn’t hold it more. She was told to PUT THE
GLASS DOWN
Counselor: It was an empty glass right, no weight was added to that glass, but still as the time
passed, you couldn’t hold it. Right?
Client: yes mam
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Counselor: Similarly, some situations, we feel then don’t harm us, if we hold them (thinking
about them), but if we do it for a longer time, they may cause strain and stress to us. It will
effect both our mental and physical health. So please, don’t hold any strain causing situation,
longer in your mind. PUT THE GLASS DOWN.
Client could be seen relaxed and smiling after the coping card was given.
Next session was planned on mutual agreement.
Summary/My Observation: Client has been practicing the activities which were given. Client
was identified with stress as well. Client could feel that she has mostly stopped using bad words
and murmuring.
Progress Notes: Client could be seen with pleasant smile on her face which was missing all
these sessions. She felt comfortable and active and relaxed.
Interventions: Coping card put the glass down was given and it worked well with the client.
Plan of Action: Few relaxation techniques and coping cards will make the client more relaxed
and stress free.
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CASENO: 811/2020 Address: Hyderabad
Name: Mrs. Priya Thomas

Age: 35yrs
Gender: Female
Educational qualification: B.Pharmacy
Occupation: Asst. Professor in Pharmacy College
Income: 5LPA
Whether have any siblings, if so how many: yes, 3 sisters
Presenting problem: Client is nervous and stressed
Date of onset of the problem: Jan 2019
Precipitating factor if any: Whenever there is load of work
Duration of problem: close to 2yrs
 Has to take leave from work place / school/ college-Sometimes
 Cannot carry on even the routine work-Sometimes
 Does not want to do anything-Sometimes


 If unmarried:
With Mother- Good
Father-Expired, but had good relations
Brothers-NA
Sisters-Good
Any other relative staying with patient-NA
them?- She has 5friends, have good relationship with them
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 With neighbours-Good
 With other authority figures-Good
 With playmates-Good
 In School / College: Good
 How is the client in studies and academic performance? -Good
NA
performance? NA
Work history:
 What occupation is the client involved? Teaching
 How regular is the client for work? Regular
 Has the client been complaining about work place? If so what?
Yes, There is no recognition for work.
 Generally how has the client been fairing in work? Fair enough
 With Boss: Neither Good nor bad
 With colleagues: Good
 With subordinates: Good

 Sex life-Good
 Relationship with opposite sex persons-Cordial
 Decision making (who takes the decision – spouse or self): Mostly Spouse
 Sharing of work at home with the spouse -No
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 Relationship with spouse’s friends-Cordial
Physical & Mental Health history: Client has thyroid since 3months and using medicines for the same.
Client is also diagnosed with diabetes, but client is not using any medication. Client thinks, her mother
overthinks and overreacts for any situation, which client also inherited from her.
 Appearance: A calm lady who is in her mid 30’s, wearing a saree with a professional look and
groomed herself properly.
 Movement & Behaviour: Her walk and speech were normal. She was behaving normally but
looking a little nervous and dull.
 Affect:. She looked in complete conscious state
 Mood: She looked dull and calm and her stress can be seen in her face
 Speech:
 Volume of the person’s voice: Low
 Rate of speech: Normal
 Length of answers to questions: Mostly Long answers
the client, initial interpretation depicts that client is nervous and stressed.
NERVOUSNESS
Nervousness is a common feeling brought on by our body’s stress response. This involves series of
hormonal and physiological responses that help prepare you to handle a perceived or imagined threat.
Our body prepares to fight or flee a threat by boosting adrenaline production. Almost instantly, our
heart begins to beat faster, your blood pressure rises, and your breathing quickens, increasing your
alertness and energy.
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This response can result in feelings of nervousness and anxiety.
STRESS
There are many different types of change that can lead to stress. These include changes in:
 Health
 Relationships
 Work
 Family
 Friendships
 Lifestyle
 Financial resources
Loss is often involved in these changes.
Factors that impact your stress level
Medical research has found seven factors that contribute to your overall stress level. The seven
stress risks are:
8. Depression.
9. Sleep apnea.
10. Distress.
11. Disturbed sleep.
12. Loss of sense of control.
13. Chronic stress.
14.
Many stressful life events in the past year. Stressful life events may include good events
such as a wedding or a new job or bad events such as a death, loss of a job or divorce.
Chronic stress is ongoing stress that continues for months at a time. Long term exposure to
stressors is a concern. Our body begins to respond negatively to this stress, and over time this
can negatively affect our health. Also, repeated “peaks” of your stressors will increase your
overall stress level, and may increase your risk of a heart attack.
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Interview Session
Client’s name: Mrs. Priya
Interview No:8 (Intake session) Date: 18/11/2020
A lady who is in her mid 30’s, having a calm face, groomed herself properly and looked dignified
in a saree.
Counselor invited her in to the session. Client and counselor exchanged greetings with a smile..
Client took sometime to feel comfortable. Counselor gave her the confidentiality statement and
client nodded for the same. When client was asked about abuse
(Physical/Mental/Verbal/Sexual), client felt may be there is Mental abuse.
Counselor: Hi Mrs. Priya, now tell me how can I help you?
Client: Mam, I feel so much stressed. I have multi roles to be played. I work as professor in a
college and mother of 2 kids. My younger one is just close to 2yrs. I suffered a lot to balance my
work and personal life. My husband doesn’t support me much. I have to take care of
everything.
Counselor: Yeah, I can see stress on your face. Can you elaborate a bit more?
Client: After my second delivery, I felt very lonely. I had to focus on my career as it was my need
and also I had to take care of my kids. I used to go to college for 2hrs, when my child was asleep
and used to rush back home after the class. I tried working like this for an year. My husband
doesn’t support me much. It’s me who is doing all the house hold chores, taking care of kids
and my work. I feel so stressed out. Sometimes my stress becomes anger and sometimes I burst
it out on my kids and my husband.
Counselor: If I understood you correctly, whenever there is accumulation of anger, you show it
on kids and husband.
Client: Yes mam
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Counselor: Since how long you are feeling stressed?
Client: Since my second child is born…almost 2yrs
Counselor: How frequently you feel stressed?
Client: Almost daily. It’s always there with me
Counselor: Whenever you feel stressed, what do you do to cope with it?
Client: I pray to God. And someone said, God is there with us always. I started believing in that.
After few days I could feel a little relieved. Whenever I feel angry, stress or frustrated, I pray
and open bible. Particular words in that page will take me to peace.
Counselor: How do you behave when you are stressed?
Client: Mam, sometimes, the stress gets accumulated and I burst out sometimes. I show my
anger on my kids and Husband.
Counselor: Is your husband supportive?
Client: No mam…. I expect least from him. Ours is a love marriage, I thought I would be happy
but no, my husband doesn’t understand. Neither he supports me in any of my chores. For
outside world, ours is a happy family and we as a couple look perfect, made for each other. But
things are not the same. There were lots of quarrels, fights among us. I tried to consult a
counselor/psychologist but they said, even my husband has to come for counseling, for which
my husband denies.
(Client ‘s voice was trembling and client had tears in her eyes. Counselor gave time to client to
get normal)
Counselor: Hmm Its hard to handle.
Client: Hmm
Counselor: Let’s practice some relaxation techniques. It’s a deep breathing exercise. Shall we
do?
Client: yes mam.
Breathing exercise was done and client felt relaxed a bit. As the time was up, on mutual
agreement, next appointment was scheduled after 2days.
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Summary/My Observation: Session was a satisfactory session. An educated lady who is in her
mid 30’s seemed to be dull and calm. Something was bothering her which can be seen on her
face. Client has multiple roles as a wife, mother and working professional. Client has hassles in
handling things. Client’s is a love marriage . Client couldn’t get what she has expected out of
love marriage, Client is upset for that. Client is expecting her husband to support her but there
is no help from her husband’s side. Client is feeling stressed and nervous. Counselor maintained
SHOVLER throughout the session. And skills like empathetic listening, paraphrasing and
reflection of feelings have been used in the session.
Progress Notes: When client arrived at center, she was dull and calm, but once the session
started and progressed, client felt relieved as she could share her worries with someone who
listened to her patiently and empathetically.
Interventions: Empathetic listening was done. Relaxation technique of deep breathing exercise
was done which made the client feel relaxed.
Plan of Action: More intake has to be taken to get clear understanding of the issue.
Interventions for stress has to be planned in next session.
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Interview No:8 (Rapport Building) Date: 21/11/2020
Client Ms. Priya was invited into the session. Counselor asked if the client is comfortable. Client
said yes.
Counselor: Mrs. Priya, You feel stressed because you have multi roles to handle and your
husband don’t support you much.
Client : Yes mam
Counselor: Did you share this with anyone?
Client: Yeah, I shared with my friends and sisters.
Counselor gave scale of stress and asked the client to rate on 0-100, for which client said 90.
Client told that she handled all the works, being a wife, mother and professor, made her feel
stressed. It’s a kind of 3 fold work which her husband does.
Counselor: Did this effect your either your official work or personal life?
Client: Yes, my quality of preparation effected, I used to postpone few house hold chores and
sometimes I didn’t do anything whole day.
Counselor: Hmm
Client: This also made my Senior officials pointing towards me for my work which made me
more stressful. They didn’t appreciate my
Counselor: What made you to get into this situation?
Client: Need
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Counselor asked about the happiest moment in her life, for which client said “ we were told
from childhood that if we give everything in GOD’s hand, he will take care of us. When I was
feeling a lot stressed, I went to church and I kept everything in God’s hand. After that I felt
relieved. This is my most happiest moment in my life”
When asked about any stressful event, client said she doesn’t have any.
Counselor gave motivational scale to the client. Client said she is 100% motivated to get out of
this stress.
Pizza diagram was given and was asked the client to give a share, for whoever she feels is
responsible for her issue.
Client gave 30% to her husband, 20% to in laws, 20% to her colleagues and 30 % to self.
Client was told that she can have a control on herself and her feelings.
At this juncture, client was looking relieved.
Counselor made the client to do breathing exercise and also gave her home activity to do
meditation daily for 10minutes along with breathing exercise.
Next appointment was scheduled again after 2days on mutual agreement.
Summary/My Observation: Session was a satisfactory session. Client has hassles in handling
her household chores, an infant kid and her work. Client was expecting some support from her
husband, which she was not getting. Client is upset with her husband. Client’s worklife also got
effected , as she couldn’t give her 100% to her work. She couldn’t get any appreciation for her
work . Client believed in God and which made her to relax sometimes, at the same time client
wanted to get out of her stress completely.
Progress Notes: Client was looking better than last session and as the session continued she felt
more relaxed.
Interventions: Scale of stress (0-100) was given , for which client mentioned 90% stressed.
Motivational scale was given, client said she is 100% motivated to come out of her stress. Pizza
diagram was given and client could share her causes of stress as husband, in laws, colleagues
and herself. Before ending of session, breathing exercise was given. Client was asked to practice
meditation daily for 10 minutes.
Plan of Action: Mental health checklist has to be given .Coping card and few stress release
activities can be planned in next session.
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Interview Session
Interview No: 8 (rapport building) Date: 25/11/2020
Rapport building and working towards solution.
Client Mrs. Priya was welcomed into the session. Greeting were exchanged.
Once the client was comfortable, session started.
Counselor: Hope you are practicing both meditation and breathing exercises.
Client: Yes mam
Counselor: How are you feeling now?
Client : Relaxed and relieved
Counselor: We have a General Mental Health Checklist. In this list, you may some issues, I may
have some issues, my friends may have some issues. I will read out one by one. If you feel you
have any of these please make a note.
Client: Ok mam
Counselor read out one by one, explaining few, if the client couldn’t understand. Client
identified Stress, time management and negative thinking as her most bothering issues.
Client was asked to hold an empty glass. Counselor asked if she could feel any weight. Client
denied and holded the glass comfortably. But after sometime, client complained of strain on
her elbow and shoulder. As the time passed, client couldn’t hold the glass. Counselor said” PUT
THE GLASS DOWN”
Client was made to understand that holding any stressful situation or event for long will cause
harm both physically and mentally.
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Client smiled as if she understood. Client was told to practice both meditation and breathing
exercise regularly.
Client was asked to list out her daily routine till next session as home activity.
Summary/My Observation: Session was a fruitful session . Client was looking better than last
session. Client was given mental health checklist and Client was briefed about few issues which
she couldn’t understand. Client identified Stress, time management and negative thinking as
her most bothering issues. Client was given coping card for stress.
Progress Notes: As the session progressed, client felt relieved and relaxed .
Interventions: Coping card for stress was given. PUT THE GLASS DOWN. And activity of holding
an empty glass was done. Client was asked to practice meditation and breathing exercise
regularly. Client was asked to list out her daily routine till next session as home activity
Plan of Action: Coping cards can be introduced for time management and negative thinking in
next session along with thought log.
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CASE NO:911/2020 Address: Hyderabad
Name: Mrs. Latha

Age: 27yrs
Gender: Female
Educational qualification: B.Tech
Occupation: Senior Software Engineer
Income: 10LPA
Whether have any siblings, if so how many: No
Date of onset of the problem: 2months
Precipitating factor if any: Whenever there is a call from Office
 Cannot carry on even the routine work-No
 Does not want to do anything-No
Interview with family members/spouse/the concerned person-

Client came along with her husband
Husband: My wife is worried about getting back to work. She is not sure how she would be able
to manage. I told her, if she feels she can’t handle she can either extend her leave or she can
take a break But she is not ready for that. She wants to continue her job. Though I am there for
her for any help from my side, but she is the person who has to manage her new role as a
working mother. I bought her here, so that she will feel confident and take her decision
accordingly.
 With Mother- Strong
 Father-Expired
 Brothers-NA
 Sisters-NA
them?- 3 friends who are close and can share a good relationship with them
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 With neighbours-Cordial
 With other authority figures-Good
 With playmates-NA
 How is the client in studies and academic performance? Topper in school
 Does the client come up to the expectations of parents and teachers? Yes
 How has the performance been over the years? Constant
 Do they find that there is sudden deterioration in studies and academic performance?
Not Applicable
performance? NA
 Had they done anything about it so far? If so what? NA
 After their efforts had there been any improvement? NA
 When did they decide to consult a counselor? NA
Work history:
 What occupation is the client involved?
Senior Software Engineer in an MNC firm
 How regular is the client for work?
Presently on maternity break, otherwise regular to work
No
 Generally how has the client been fairing in work?
Good
 With Boss: Good
 With colleagues: Normal
 With subordinates: Normal

 Day to day dealings: Good
 Sex life: Good
 Work relationship (if spouse is working): good
 Relationship with children: Good
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 Relationship with opposite sex persons: Good
 Decision making (who takes the decision – spouse or self): Both
 Sharing of work at home with the spouse: Yes
 Relationship with spouse’s relatives: Good
 Relationship with spouse’s friends: Good
Physical & Mental Health history: Client doesn’t have any physical or mental health issues till now and
haven’t consulted any counselor/psychologist so far.
 Appearance: A young short lady who is in late 20’s wearing a chudidar, looked pleasant and
happy with an infant in her laps.
 Movement & Behaviour: Her movements and behaviour depicted normal behaviour
 Mood: She looked pleasant and was completely involved in playing with her infant. She was
enjoying her motherhood.
 Speech:
 Length of answers to questions: neither short nor long
the client, initial interpretation depicts that client is very much attached to the child and worried
about getting back to work.
Challenges of a Breastfeeding working mother
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One of the biggest challenges that new mothers face is going back to work after having a baby. This can
be a highly emotional experience, with new moms wondering how to balance their demanding careers,
while spending adequate time with their families. In other words, new moms often want to “do it all.”
with a bit of planning and preparation, one can smoothly manage the process of returning to work.
Interview Session
Client’s name: Mrs. Latha Reddy
A lady who is in her late 20’s arrived into the session with an infant baby in her hands. Her
husband accompanied her. Client could be seen playing with her infant child and was not
bothered about her surroundings. Client could be seen enjoying her every moment with the
child.
Counselor invited the couple into session. Initial greetings were exchanged between counselor and the
couple.
Husband spoke to the counselor that his wife is worried about getting back to work. “My wife is
worried about getting back to work. She is not sure how she would be able to manage. I told
her, if she feels she can’t handle she can either extend her leave or she can take a break But she
is not ready for that. She wants to continue her job. Though I am there for her for any help from
my side, but she is the person who has to manage her new role as a working mother. I bought
her here, so that she will feel confident and can take her decision accordingly.”
Husband left the session along with the child, so that client can speak to the counselor
comfortably.
Counselor gave confidentiality statement to the client. Client nodded her head with a smile on
her face. Client also assured that there was no abuse (physical/mental/Verbal/sexual).
Counselor: Hi Mrs. Latha, now tell me how can I help you?

Client: Mam, as you can see I have an infant child who is just 6months old now. My maternity break is
getting over in a short time and I don’t know how I would be able to manage once I join back to my
work. I am much worried about it.
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Counselor: Yeah I can understand your feelings
Client: Hmm
Counselor: Is your husband supportive?
Client: Yes madam, he is very supportive. As you have seen, he accompanied me till here when I told him
that I wanted to speak to a counselor. Whenever he gets time, he takes care of our child and also helps
me in my household chores.
Counselor: It’s a good thing that your husband is supportive.
Client: But still I am worried on how to manage things. I have to cook, manage house hold chores, look
after my baby and also work. I have worked till my last week of pregnancy. And this time as I am on
maternity break, my manager called me atleast 4-5 times taking assurance from me that I would join on
said time. And I wont extend my maternity leave. I assured them that I would join on said date. Only 2
females are there in our team. As I am on leave my other female colleague has been given so much of
work load. She is looking for me to join back so that she can take leave for a month. I am more worried
about it, as I may be loaded with lot of work once I am back. I have to handle meetings with across
world and the timings would be completely different. The thought itself making me so stressed and
worried.
Counselor: That’s really hard to handle. If you try, its not impossible.
Client: Yeah mam, with that hope only I came to you
Counselor: So how do you behave when you get these thoughts?
Client: I feel stressed…and try to play with my son, so that I can forget my stress
Counselor: How frequently you feel worried about getting back to work?
Client: As the time is passing on and my joining date is getting near by, its almost very frequently I feel
worried.
Counselor: I am trying to understand your worry.
Time was up and has to end the session with a breathing exercise. Next appointment was scheduled a
day after.
Client was asked to note down her daily routine till she comes for next session.
Counselor maintained SHOVLER throughout the session.
Summary/My Observation: Session was a lengthy session. Client was a lady in her late 20’s . She is
mother of an infant of 6months. Client is presently on maternity break and she has to join back to work
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in a month’s time, which is making her to worry. Client is not sure of how to handle the new role as a
working mother. Client’s husband is very supportive and is there for her whenever she needed him.
Empathetic listening was done by the counselor and maintained SHOVLER throughout the session.
Progress Notes: Client was worried initially, and as the session progressed, client felt relaxed as if she
gave her weight to the counselor.
Interventions: Empathetic listening was done. Client was given relaxation technique.
Plan of Action: Making changes in her day plan and planning according to the work schedule would help
the client in managing her work. Relaxation techniques will make her relaxed.
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Interview Session
Client’s name: Mrs. Latha Reddy
Mrs. Latha was welcomed into the session. Initial greetings were exchanged.
Counselor: So Latha hope you are enjoying your motherhood.
Client: Yes mam
Counselor: Is working is a need for you or a choice?
Client: It’s a choice for me
Counselor: You have to plan your daily schedule so that there would be minimum stress for you
I asked you to write you daily routine. Did you write?
Client: Yes mam
Counselor had a glance on client’s routine and asked to make few changes according to her
work timings. Client took some time and made few changes like finishing her kitchen work like
cooking etc before 9.30am, so that she can login to her work before 10am.
Counselor asked the client if she can take anyone’s help for taking care of her child.
Client said she can ask her mother to come and stay with her and take care of child. Client was
confident enough that her mother would come.
Client was asked to make few other changes so that, she can manage her time.
Client felt little relaxed after the session.
Client was asked if she can deligate her household hold work, for which client said , she can
take help of her maid for any extra house hold work.
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Client was told about 4D’s.
Do it
Deligate it
Delay it
Don’t Do it.
Client was told to prioritize her work according to the importance of work.
Client felt relieved as she could see options for every problem she felt, she couldn’t manage.
Now its time for the client to prepare herself and get into action.
Client was asked to practice breathing exercise daily.
Session was ended with mutual agreement.
Summary/My Observation: Session was a fruitful session. Client wanted to continue her job
and said its her choice. Client was asked to work out on her daily routine. Client could plan her
routine with some required changes. Client was asked to take help and also deligate her work
to anyone who are capable of that work.
Progress Notes: Client could find solutions for most of her issues. Client was relaxed at the end
of the session.
Interventions: Reworking on daily plan has been done. Client was told about 4D’s-Do it,
Deligate it, Delay it , Don’t Do it.
Plan of Action: Session was ended on mutual agreement. Client was asked to practice breathing
exercise daily.
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Intake information
CASE NO:1011/2020 Address: Hyderabad
Name: Mrs. Bhumika Chowdary

Age: 38yrs
Gender: Female
Educational qualification: B.Ed, MA English
Occupation: Government Teacher
Income: 6LPA
Whether have any siblings, if so how many: Yes, 2 sisters
Date of onset of the problem: October2020
Precipitating factor if any: Whenever there is a meeting at school
 Cannot carry on even the routine work-Sometimes
 Does not want to do anything-Sometimes

 With Mother-Good
 Father-Good
 Brothers-NA
 Sisters-Good
them? 5 friends, has cordial relationships with them-
 With neighbours-cordial
 With school and class mates-good
 With the teachers in school-good
 With other authority figures-good
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 With playmates-good
 How is the client in studies and academic performance? -Good
NA
performance? NA
 After their efforts had there been any improvement?- NA
Work history:
 What occupation is the client involved?
Government teacher
 How regular is the client for work?
Regular
Yes. Due to Covid-19, there is poor attendance of students and authorities pressure to
increase the strength of students.
 Generally how has the client been fairing in work?
Good
 What is their perception about client’s relationship in the workplace?
Good
 With Boss: Neither good nor bad
 With colleagues: Good
 With subordinates: Good

 Sex life-good
 Relationship with opposite sex persons-Good
 Decision making (who takes the decision – spouse or self)-Both
 Sharing of work at home with the spouse-only few times
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 Relationship with spouse’s relatives-good
 Relationship with spouse’s friends-good
Physical & Mental Health history: Client has neck pain. Using some medications for it. Client
doesn’t have mental health issues and haven’t consulted any counselor/psychologist so far.
 Appearance: A lady in her late 30’s wearing a saree. Looked uncomfortable, nodding
her head
left and right side frequently.
 Movement & Behaviour: Her walk seemed normal and she looked in conscious state.
Her behavior with staff indicated her normal behaviour
 Mood: She looked uncomfortable.
 Speech:
 Length of answers to questions: neither short nor long
 Thought Content: Based on the above observations by the counselor and thoughts put
forth by the client, initial interpretation depicts that client has some neck pain and has
issues at her work place.
JOB STRESS
Job stress can be defined as the harmful physical and emotional responses that occur when the
requirements of the job do not match the capabilities, resources, or needs of the worker. Job
stress can lead to poor health and even injury.
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The concept of job stress is often confused with challenge, but these concepts are not the
same. Challenge energizes us psychologically and physically, and it motivates us to learn new
skills and master our jobs. When a challenge is met, we feel relaxed and satisfied. Thus,
challenge is an important ingredient for healthy and productive work. The importance of
challenge in our work lives is probably what people are referring to when they say “a little bit of
stress is good for you.
When the situation is different-the challenge has turned into job demands that cannot be met,
relaxation has turned to exhaustion, and a sense of satisfaction has turned into feelings of
stress. In short, the stage is set for illness, injury, and job failure.
Cognitive Behaviour Therapy and mindfulness practices can help a person to get out of job
stress.
Interview Session
Client’s name: Mrs. Bhumika Chowdary
A lady who is in her late 30’s,wearing a saree, groomed herself properly, having some difficulty
with neck can be seen.
Counselor invited her to the virtual session. Client and counselor exchanged greetings with a
smile. Client took time to adjust in the chair. Counselor gave her the confidentiality statement
and client nodded for the same. Counselor also ensured that the client is currently not facing
any kind of abuse (verbal, sexual, mental, or physical).
Counselor: Hi Mrs. Bhumika, now tell me how can I help you?

Client: Mam, since the virtual classes have started, there is a lot of difference in work schedule
which is completely new to us. As it’s a government school, most of the parents are not
educated and few doesn’t even have smart phones. Government is running classes on TSAT,
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DD and some other channels. We try to inform to parents about the class schedules, some
doesn’t have phones, some doesn’t respond to calls. Our authorities, don’t understand this and
they force us to meet the parents and students at their respective homes. As its pandemic, we
are worried to step out and meet them. Even if we try and go to their homes, they wont be
available. Its creating so much pressure on us.
Counselor: I am trying to understand your pain.
Client: Due to this, there is less attendance of students. Authorities ask us and tell us to
improve the attendance of the students. Its difficult to do it at this time as its not a regular
class. It would have been very easy with a regular class but not with this virtual classes.
Counselor: Because of less attendance of students, you have pressures from authorities…right?
Client: Yes mam
Counselor: And because of these things, usage of mobile has increased, screen time has
increased. These effected my sight and also I got neck pain, for which I am using medications.
Counselor: Yeah,I can see that difficulty in your face
Client: Because of that medication, I am feeling drowsy during day times and not able to sleep
properly at night times.
Client could be seen yawning frequently, showing her sleeplessness.
Relaxation technique of Breathing exercise was done.
Client felt a little relaxed.
Counselor: How these are effecting your life?
Client: All these things, sometimes make me frustrated and angry
Counselor: How do you behave when you are frustrated and angry?
Client: I sometimes show my anger on my kids
Counselor: What do you do to cope with it?
Client: I have a passion for singing…so I sing. I practice stitching I mean embroidery. I also
practiced Pranayamam, which makes me feel relaxed.
Counselor: Oh That’s a good thing you did!
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Counselor gave scale of work stress and client identified herself at between 90-100.
Client was asked to write thought log, till next session
Time was up And on mutual agreement next session was scheduled after 3 days.
Summary/My Observation: Session was a satisfactory session. Client is a government teacher

who is close to 40yrs.Client has issues regarding her work in pandemic. Client has to coordinate
with students for virtual classes and lessons taught in TV channels like TSAT, DD Saptagiri etc.
Client has to check on each and every student who has attended the classes, who has listened
to classes on TV which is a bit difficult for them. As most of the parents are uneducated and
doesn’t have smart phones, its difficult for the teachers to monitor them. Client has also got
neck pain and sight because of the online classes and increased screen time. Client is using
medication for neck pain and she couldn’t sleep properly at nights. Client shows her frustration
and anger on her kids. Client has a passion for singing. Work Stress scale indicates, client is very
much stressed.
Progress Notes: Client initially looked worried but as the session progressed, she could be seen
comfortably sharing her issues.
Interventions: Empathetic listening was done. Breathing exercise was given.
Plan of Action: Meditation, Relaxation techniques, Coping cards can help the client. Coping
card would be introduced in next session and also thought log can help the client to identify her
thought patterns.
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Interview Session
Interview No: 10(Rapport Building) Date:24 /11/2020
Client was invited into the virtual session and was offered seat. Both of them exchanged
greetings.
Counselor: If I have understood you correctly, in the last session you said you have work stress
due to virtual classes and there is pressure from authorities for full attendance of students.
Client: Yes mam
Counselor: So how motivated you are to come out of this work stress?
Client: 100% mam
Counselor gave activity of pizza diagram to the client. Client was asked, whom does she think
are responsible for her work stress. Client was asked to give percentage to each one whom she
thinks are responsible. Client gave 50% to COVID-19Pandemic, 25% to authorities and 25% to
self.
Client was asked if she had any control on either COVID -19 or her higher authorities. Client said
she didn’t have. Client was made to understand that only client could control her emotions,
feelings and stress.
Counselor: We shall do a small acitivity now.
Client: OK mam
Client was asked to hold an empty glass. Counselor asked if she could feel any weight. Client
denied and holded the glass comfortably. But after sometime, client complained of strain on
her elbow and shoulder. As the time passed, client couldn’t hold the glass. Counselor said” PUT
THE GLASS DOWN”
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Client was made to understand that holding any stressful situation or event for long will cause
harm both physically and mentally.
Client could feel relax a bit.
Client was also told to meet a physiotherapist for her neck, for some neck exercises.
With this , time was up and on mutual agreement , next session was scheduled after 3days.
Summary/My Observation: Client has work stress, which has effected her personal life as well.
Client could identify the responsible persons for her issue through pizza diagram. Client
identified, Covid 19 pandemic, her higher officials and herself as responsible for her work
stress. Client was given coping card “PUT THE GLASS DOWN” and made her to do the activity.
After which client realized how her work stress has effected her. Client was asked to meet a
physiotherapist for her neck pain.
Progress Notes: Client was uncomfortable initially but as the session progressed she could
involve herself in the session.
Interventions: Pizza diagram was given. Coping card for stress is given and activity for stress is
done.
Plan of Action: Mental health checklist has to be given to understand about any other issues
bothering her. Mindfulness techniques also will help the help.
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Interview Session
Rapport building and working towards solution
Client was invited into the session. Both of them exchanged greetings.
Client looked better than last session. Client had a beautiful smile on her face.
Counselor: Hi Mrs. Bhumika, hope you are feeling better.
Client: Yes mam
Counselor: Mrs. Bhumika, now I read general mental health checklist. In this list, you may have
some issues, my friends/colleagues may have some issues, your family members may also have
some issues. So don’t worry.
Client : Ok mam
Client was given general mental health issues. Client could identify Time management,
Distraction by mobile and internet, Negative thinking are other most bothering issues.
Client was given coping card for Time Management. PLAN BETTER AND MANAGE BETTER. 4 D’s
-Do it, Deligate it, Delay it or Don’t do it. Client was asked to put down on paper her daily
routine/day plan.
Client was asked to prioritize her work and was asked to give numbering according to the most
priority one as 1st.
Client was asked to segregate her works in 4 sections as- has to do it, can deligate, can delay, no
need to do.
Now client was in a comfortable position, as she could identify few works which she can
deligate and delay. Few works are with least importance.
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Client was told to switch off her internet, whenever there is no need of internet.
Client was also asked to keep her mobile away before sleeping.
Client was told to practice these along with breathing exercises and to write thought log till ext
session.
Summary/My Observation: Client was feeling better than last session. She cam e with a
beautiful smile on her face. Client was given General mental health checklist. And client could
identify Time management, Distraction of mobile and internet, Negative thinking are other
most bothering issues. Day planning and prioritizing the work are made to do with the client.
Client could understand that few works, she can deligate and delay and few, she can omit.
Client was also asked to keep her mobile away whenever there is no need of it, switch off the
internet, and keeping away phone before sleeping. Client was asked to continue with breathing
exercises and also to write thought log.
Progress Notes: Client was looking better at the end of the session than start of the session.
Interventions: General mental health checklist was given, 4D’s for better time management is
done along with day planning. Client was asked to practice switching off internet and keeping
away mobile whenever there is no need.
Plan of Action: thought log has to be reviewed and reframing would help the client to get more
insight into herself. For further session case has been transferred to Sr. counselor.
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16. Behavioural Issues
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Behavioral disorders involve a pattern of disruptive behaviors in children that last for at least 6 months
and cause problems in school, at home and in social situations. Behavioral disorders involve a pattern of
disruptive behaviors in children that last for at least 6 months and cause problems in school, at home
and in social situations. Nearly everyone shows some of these behaviors at times, but behavior disorders
are more serious.
Behavioral disorders include:
 Attention Deficit Hyperactivity Disorder (ADHD)
 Oppositional Defiant Disorder (ODD)
 Conduct Disorder
Behavioural disorders: Treatment with psychotherapy and medications
Behavioural treatment through parent management training or individual and family therapy can be
very effective for managing behavioural disorders.
Medication may be helpful in treating underlying or co-occurring disorders.
17. Low motivation
What is Lack of Motivation?
• Lack of motivation is a symptom of depression, but it may be caused by something else. For
example, you may lack motivation if you're having difficulties coping with an issue in your life or
experiencing something that affects your self-confidence.
• Generally speaking, if you feel a lack of motivation it is because you have not associated the
task as being pleasurable. Or, you have defined it as being more painful. Until you change
the definition and belief around it, you will not be motivated to do the task.
• What are the reasons ?
1. You lack a strong reason WHY. ...
2. Your goal is overwhelming you. ...
3. You don't believe in yourself. ...
4. You are simply exhausted. ...
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5. Fear is holding you back. ...
6. Your unhealthy lifestyle is taking a toll. ...
7. You set your goals too small or too big.
• How it effects
1. Low motivation
2. Low self esteem
3. Low energy and low morale
4. Decrease in productivity
5. Low or Under performance
Cognitive behavioral therapy offers an effective treatment for low motivation. It involves a
combination of changing thinking patterns that result in the aforementioned cycle, and changing
behavioral patterns. These changes result in both increased motivation and increased
accomplishment.
18.Mood Disorders
These disorders, also called affective disorders, may involve:
 Feeling sad all the time
 Losing interest in important parts of life
 Fluctuating between extreme happiness and extreme sadness
The most common mood disorders are:
 Depression
 Bipolar Disorder
 Seasonal Affective Disorder (SAD)
 Self-Harm
Mood disorders can often be treated with success. Treatment may include: Antidepressant and
mood stabilizing medicines—especially when combined with psychotherapy have shown to
work very well in the treatment of depression. Psychotherapy—most often cognitive-behavioral
and/or interpersonal therapy.
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18 No goal in life
A life without a purpose is a life without a destination. It’s been said that a ” Life without a goal is like
a race without a finish line, you’re running nowhere” Life without a goal means nothing, having no
special ambitions is what makes life worthless.
Goal setting acts as a roadmap for you to follow when it comes to overcoming challenges and achieving
things in life. goals means you haven’t figured out the meaning of life,You see goals are very important.
Goal setting is important for those who want to improve their life. Setting goals helps you remain
accountable for the things you want to achieve. Goal setting acts as a roadmap for you to follow when it
comes to overcoming challenges and achieving things in life.
19. Attention and Concentration
Concentration is an attention process that involves the ability to focus on the task at hand while
ignoring distractions.
Concentration problems are a common occurrence for most people, at different times throughout their
lives. Experiencing trouble with your ability to hold attention on a task, or lacking the ability to maintain
proper focus, can be caused by dietary, environmental, hereditary, chemical or hormonal factors.
Medication, regular exercise, and sleep will help a person to overcome issues of Attention &
concentration.
20. Issues of Love affair
Love affair problem is the biggest problem in today's couple. This problem occurs when a person gets
married to someone, whom he/she doesn't love. ... If the affair exists between two people after
marriage it'll be clearer as an extramarital affair but if two people are not married then it's called love
affair
21. Attraction towards Opposite sex
People who are heterosexual are romantically and physically attracted to members of the opposite sex:
Heterosexual males are attracted to females, and heterosexual females are attracted to males.
Heterosexuals are sometimes called "straight." Homosexual.
“Obsessive love disorder” (OLD) refers to a condition where you become obsessed with one person you
think you may be in love with. You might feel the need to protect your loved one obsessively, or even
become controlling of them as if they were a possession.
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22. Day dreaming & fantasy
This can be referred as maladaptive day dreaming. It’s a psychiatric condition.
This condition causes intense daydreaming that distracts a person from their real life. Many times, real-
life events trigger day dreams. These events can include:
 topics of conversation
 sensory stimuli such as noises or smells
 physical experiences
There is no official treatment for maladaptive daydreaming. In one study Trusted Source, researchers
found fluvoxamine (Luvox) was effective in helping a maladaptive daydreamer control daydreams.
This drug is a common treatment for OCD.
23. Low academic standards
Here are some hidden signs that child made be struggling at school:
• Making excuses not to go to school such as faking being sick.
• Skipping school or cutting classes without your knowledge.
• Losing interest in school and in extracurricular activities.
• Developing low self-esteem, comparing self to other children.
• Frequently getting detention or being disciplined at school.
Refusing to do homework and/or getting poor grades in school
Causes of poor academic performance in children
1. Permissive atmosphere at home
2. Problems at home
3. Post-traumatic stress and emotional distress
4. Attention deficit and hyperactivity disorder
5. Specific learning difficulties
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6. Poor nutrition and feeding habits
Children with low academic standards can overcome with psychotherapy, medication, family cousnelling
and support of parents
24. Memory
Whether it's occasional forgetfulness or loss of short-term memory that interferes with daily life, there
are many causes of memory loss.
Causes of Memory Loss:
Medications, Alcohol, drugs, tobacco, smoking, sleep deprivation , depression and stress, head injury,
nutritional deficiency and stroke could be a cause for memory loss.
Memory Loss Treatment
Treatment for memory loss depends on the cause. In many cases, it may be reversible with treatment.
For example, memory loss from medications may resolve with a change in medication.
Nutritional supplements can be useful against memory loss caused by a nutritional deficiency.
And treating depression may be helpful for memory when depression is a factor. In some cases -- such
as following a stroke -- therapy may help people remember how to do certain tasks such as walking or
tying shoes. In others, memory may improve over time.
25.Food Habits
Many people use food as a coping mechanism to deal with such feelings as stress, boredom or anxiety,
or even to prolong feelings of joy. While this may help in the short term, eating to soothe and ease your
feelings often leads to regret and guilt, and can even increase the negative feelings.
Treatment:
 Behavior: Treatment involves identifying the person’s eating patterns and finding ways to
change eating behaviors.
 Cognition (thinking): Therapy focuses on identifying self-defeating thinking patterns that

contribute to weight management problems.
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26. Friendship
Friendship problems arise when you start doubting your friend's honesty, integrity, and sincerity – the
suspicions create a general feeling of mistrust. You might mistrust your friend based on his or her
actions or words, which you think are not in your best interests.
Therapy can be used to help a person with friendship issues.
27.Accident , Severe Health problems, Deformity in any body part and death of family member
Post-traumatic stress disorder (PTSD) is a real illness. You can get PTSD after living through or seeing a
traumatic event, such as war, a hurricane, rape, physical abuse or a bad accident. PTSD makes you feel
stressed and afraid after the danger is over. It affects your life and the people around you.
PTSD can cause problems like:
 Flashbacks, or feeling like the event is happening again
 Trouble sleeping or nightmares
 Feeling alone
 Angry outbursts
 Feeling worried, guilty or sad
PTSD starts at different times for different people. Signs of PTSD may start soon after a frightening event
and then continue. Other people develop new or more severe signs months or even years later. PTSD
can happen to anyone, even children.
Medicines can help you feel less afraid and tense. It might take a few weeks for them to work. Talking to
a specially trained doctor or counselor also helps many people with PTSD. This is called talk therapy.
28. Strange spiritual beliefs
Everyone deals with issues such as identity, suffering and hope. What makes such issues spiritual is that
they raise questions about the meaning of life, life in general and your life in particular.
There is a complex interplay between religion and mental health. Religion can influence how we think,
feel and behave in both positive and negative ways. For many people, religion and spirituality is a source
of strength and wellbeing. It can help provide a framework that brings meaning, purpose and
connectedness to life. Additionally, religion can help people to cope better with life stressors.
171
some face a unique set of challenges in society as a result of their religious beliefs. Some may experience
discrimination or internal conflict because of their beliefs. This can cause distress and, for some, the
experience of mental health symptoms.
Participating in therapy with a mental health practitioner who has knowledge and experience in
religious issues can help, whether or not your concerns are specifically related to your religious beliefs.
29.Stage fear
Stage fright or performance anxiety is the anxiety, fear, or persistent phobia which may be aroused in
an individual by the requirement to perform in front of an audience, whether actually or potentially (for
example, when performing before a camera).
Preparing thoroughly before speaking or performing in front of others may help calm fears. Treatment
for stage fright often includes relaxation techniques. Deep-breathing and meditation can calm a person
down immediately before a performance. A person in therapy may also learn mental strategies to
reduce stage fright in the moment.
30.Habit of Smoking, Tobacco , Alcohol
Studies have found that people who smoke are much more likely to drink, and people who drink are
much more likely to smoke . Dependence on alcohol and tobacco also is correlated: People who are
dependent on alcohol are three times more likely then those in the general population to be smokers,
and people who are dependent on tobacco are four times more likely than the general population to be
dependent on alcohol .
The link between alcohol and tobacco has important implications for those in the alcohol treatment
field. Many alcoholics smoke, putting them at high risk for tobacco-related complications including
multiple cancers, lung disease, and heart disease (i.e., cardiovascular disease) . In fact, statistics suggest
that more alcoholics die of tobacco-related illness than die of alcohol-related problems (5). Also,
questions remain as to the best way to treat these co-occurring addictions; some programs target
alcoholism first and then address tobacco addiction, whereas others emphasize abstinence from
drinking and smoking simultaneously. Effective treatment hinges on a better understanding of how
these substances—and their addictions—interact.
Treatment consists of therapy and sedatives
 What are the four ways a session can be concluded. Explain?
Four ways of Concluding a session:
1. Ending the session: Initially ending the session is little scary or sad.
 Its like pilot landing the flight with a sense of safety

172
 Its like another stage or transition
 It starts the new beginning of the client’s life
2. Referral: Helping the client to find needed expert assistance.
Example:
 Special Educator
 Psychiatrist
 Clinical Psychologist
 NGO/Organization
3. Transfer (Changing Therapist)
These are the situations to transfer
 If counselor or client is uncomfortable
 Language barrier
4. Termination
If the client is :
 Unable to show any further progress
 Not co-operating with the counselor
 Argumentative
 Misbehaving
 Taking advantage of the counselor
 Don’t refer, don’t postpone
173

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INTERNSHIP REPORT

MASTER OF ARTS DEGREE IN PSYCHOLOGY (MAPC)

ORGANISATION: SUDISHA COUNSELLING CENTRE

SUBMITTED BY: SUBMITTED TO: ONLINE SUBMISSION

NAME: Ms./Mrs. P SOWJANYA KUMARI IGNOU Regional Centre

ENROLLMENT NO: 180017454 M-5 Block, 1st Floor

STUDY CENTER NAME: NIZAM COLLEGE Manoranjan Complex

STUDY CENTER CODE: 01152 Telangana State Housing Board Complex

(Adjacent to Gandhi Bhavan Metro Station)

I Ms.P.Sowjanya Kumari hereby declare that I am a Learner of M.A.

Signature of the Learner Date:9/12/2020

Name of the Learner: P.Sowjanya Kumari Place: Hyderabad

Name of the Agency Supervisor: Dr. Geetha Challa

Name of the Organization: Sudisha Counseling Centre

Address: Sri Laxmi Narasimlu Nivas, Plot No.346/A,

C-Block, Raghavendra Colony, Kondapur, Hyderabad-500084

This is to certify that Ms./Mr. P.Sowjanya Kumari of MA

Name: P. Sowjanya Kumari

Enrollment No.: 180017454

Name of the Study Centre: Nizam College

Regional Centre: Hyderabad

Signature of Agency Supervisor

Name of the Agency Supervisor: Dr. Geetha Challa

Name of the Organization: Sudisha Counseling Centre

Address: Sri Laxmi Narasimlu Nivas, Plot No.346/A,

C-Block, Raghavendra Colony, Kondapur, Hyderabad-500084

EVALUATION SCHEME FOR INTERNSHIP— (AGENCY SUPERVISOR)

Name of the Programme: MA PSYCHOLOGY (MAPC) Course Code: MPCE-025

Study Centre: NIZAM COLLEGE Regional Centre: HYDERABAD

Name of the Learner: P.SOWJANYA KUMARI

Enrollment No.: 180017454

Internal Marks by Agency Supervisor

Details Maximum Marks Marks Obtained

Comments, if any: ____________________________________________________________ _________

Name of Agency Supervisor

EVALUATION SCHEME FOR INTERNSHIP— (ACADEMIC COUNSELLOR)

Name of the Programme: MA PSYCHOLOGY (MAPC) Course Code: MPCE-025

Study Centre: NIZAM COLLEGE Regional Centre: HYDERABAD

Name of the Learner: P.SOWJANYA KUMARI

Enrollment No.: 180017454

Internal Marks by Agency Supervisor

Details Maximum Marks Marks Obtained

Comments, if any: ____________________________________________________________

Name of Academic Counsellor

EVALUATION SCHEME FOR INTERNSHIP— (EXTERNAL EXAMINER)

Name of the Programme: MA PSYCHOLOGY-MAPC Course Code: 025

Study Centre: NIZAM COLLEGE Regional Centre: HYDERABAD

Name of the Learner: P.SOWJANYA KUMARI

Enrollment No.: 180017454

External Marks by Agency Supervisor

Details Maximum Marks Marks Obtained

Comments, if any: ____________________________________________________________

Name & Address of External Examiner

some of them were so outstanding, who deserve special consideration here.

I am extremely grateful to Mrs. Geetha Challa, Founder of Sudisha Counseling Centre

source of motivation, support and encouragement throughout the completion of my

DR GEETHA CHALLA Counseling Psychologist, MA, M.SC, MSW, PhD

RCI CRR NO: A45275

Her Contribution to Books

Print & Electronic Media

19/9/2020 3pm-5pm Zoom Session Introduction to

21/9/2020 12pm-2pm Zoom Session Role Play

22/9/2020 3pm-5pm Zoom Session Do’s & Don’ts

Comments, if any: ____________________________________________________ _