BIO DATA

Name: ABC Age: 13year

Father Name: Zulfiqar Gender: Child

Date of Birth: 1, Jun, Examiner: laraib Tahir

Assessment Date: 25, feb,2023 Case no: 4

IDENTIFY INFORMATION

Education: 5th Religion: Islam

Family structure: Nuclear Current Adress: Sargodha Road

FSD

Income: N/A Sibling: Six

Occupation: Student Language: Punjabi

Birth Order: five Social Economical Status: Poor

family

Referral Source:

The client was self-approach for child self-assessment.

Presenting complaints in verbal term by patient:

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PRESENTING COMPLAINTS:

According his mothers, he finds it very difficult to read and often speaks Urdu words and when
nothing is spoken to him, he turns to me and talks to others. She faces a lot of difficulties. She
can sit with her special education children and talk to others normally, but as she goes out into
society, she finds it very difficult to explain herself. Even Tas is not able to perform well, she
reads her Favorite books with passion, but whenever her turn comes to Urdu, she runs away
from it.

ACCORDING TO INFORMATION:

According to my client’s mother her daughter facing following issues:

 Inattention

 Fails to give close attention

 Difficulty sustaining attention to tasks

 Often does not seem to listen

 Often does not follow instructions

 Difficulty organizing tasks

 Avoids tasks that require attention

 Leaves the seat in class

 Runs and climbs excessively

 Has difficulty awaiting turn

 Interrupts others conversations

DEVELOPMENT HISTORY OF PROBLEM:

Her mother reported that my daughter birth was on time. No complication or prenatal
developmental issue occur during her birth. Her mile stones were on proper time
BACKGROUND INFORMATION:

PERSONAL HISTORY:
According to client, She has told that her name is Sonia. Her father's name is Zulfikar, 13 years
old. She is studying in class 5. Her heart is Islam and she lives on Sargodha Road. She has six
siblings including two sisters and four brothers. She is a brother. She studies in a special
government school. She tries hard to study but she doesn't study. She watches other children
growing up and writes but she can't. It has to come for a few days.

FAMILY HISTORY:
His father's name is Zulfiqar, he lives in a rented house, his mother has jaundice, due to which
she often falls ill, his elder sister works as a pallbearer, and his brother works in a hotel. His
father's salary is 25000 out of which 11000 goes to house rent and house ration, which often
leads to arguments between mother and father. His father is a slow-tempered person.

PREMORBID PERSONALITY:
It was reported by her mother that she has no premorbid personality issues.

PREVIOUS PHYSICAL, PSYCHIATRIC ILLNESS:

Client has family no history of psychiatric illness. Client has no physical illness except she is
restless, stubborn. She cannot maintain eye contact. She jumps in to others conversation

PSYCHOLOGICAL ASSESSMENT:

BEHVIOURAL OBESERVATION:
MENTAL STATE EXAMINATION:

Appearance: The client was wearing clean clothes, self-care was good, her manner was
cooperative, posture and movement were not relaxed, and eye contact and rapport was not
good.

Speech: She is very talkative.

Mood: Mood is subjective.

Thought: Her thoughts were not normal.

Perception: Her perception was not good

COGNATIVE FUNCTION:

Time, place and person orientation was somewhat present.

Attention and concentration were not present.

Memory: her registration memory was not good, as well as short-term memory. Her long-
term memory was not good.

Abstract thinking: abstract thinking was absent..

Psychological Testing:

I have done psychological assessment of patient by applying following tests:

 Color progressive matrices (CPM)

 Human figure drawing (HFD)

 Slosson drawing coordination Test (SDCT)

Interpretation of Psychological Test:

Color progressive matrices (CPM):

Qualitative analysis

A Ab B
4 1 2
5 5 6
1 4 1
2 6 2
6 2 1
2 1 3
6 3 1
2 4 4
1 6 4
3 3 3
4 3 4
5 6 1
8 total 9 total 11 total

Result

Age 13 year

Total score 28

Percentile 50%

Grade Medium

Qualitative analysis

The individual live in Grade medium is comes test is valid.

Human figure drawing (HFD):
Quantitative Analysis:

Total Score 33

Age Level 11-3

Mental Age 135

Chronological Age 13

mental age
I . Q= × 100
choronlogical age

135
I.Q ×100=86
13

I.Q=86

Qualitative analysis:
The aim of test was known about I. Q level. Her individual is below average.

The Slosson Drawing Coordination Test (SDCT)

Interpretation of Psychological Test

Quantitative Interpretation

Drawn Figures 36
Correct Figure 30
Errors 6

Qualitative Interpretation:

The aim of this test was knowing eye hand coordination of subject. client has below average
hand eye coordination
Case Formulation:

Being a student far behind his class age. In childhood he had fever which caused his body parts
to stop working. Due to which I had to teach in Special Education. In all my subjects. She
proves herself in a very good way, but Urdu words are not pronounced correctly on her tongue.
She cannot understand her words while talking to people. Because of this, many of them start
crying. She thinks that maybe I am much shorter than other children. She can't focus on many
things and even if she is asked something, she has a habit of moving from one thing to another.
It runs away from its education

Diagnosis:

She diagnoses the specific learning disorder

Prognosis:

The prognosis of the client is poor as she is suffering from the learning disorder.
Recommendations:

o Medication

o Contingency Management

o Individualized educational plan

o Time Out

o Extinction

o Family Counseling

o Social Skills Training