CASE CONFERENCE

Psychological Assessment and Management

Akifa Sami
Clinical Psychologist (Trainee)
 Presenting Complaints
Complaints Duration Complaints Duration
Headache 8 days Crying Spells 1 month

Muscle Tension 2 weeks Mood irritability 10 days

Lack of
Low Mood 1 month 1 month
Concentration
Body Aches 5 days Fatigue 10 days

Disturbed Sleep 8-10 days Palpitation 1 month

Fatigue 10 days
 Scores
 Clinical Interview
Informal Assessment Formal Assessment
• Beck Depression Inventory 28
 Mental Status Examination
• Beck Anxiety Inventory 32
 Dysfunctional Thought Record
• Borderline Personality Disorder Scale 5
• Yale-Brown Obsessive Compulsive Scale 13
• Standard Progressive Matrices <5
percentile
• Rotter's Incomplete Sentence Blank 143
• House-Tree-Person
Formal Assessment

Positive And Negative Syndrome Scale

(PANSS)
Positive Scale

Negative Scale

General Scale
 Diagnosis
Most Likely:

General Anxiety Disorder

Differentials:

Paranoid Personality Traits

Intellectual Impairment
Idiosyncratic Case Conceptualization (Kingdon and Turkington,
1994)
Predisposing Precipitating

Delayed Milestones, Inferiority Low appetite, Disturbed sleep, Death

complex, Asociality, Unstable home of grand father, Exam failure

environment, Domestic violence

Perpetuating Protective

Fever, Negative thoughts Adequate diet, Adequate sleep,

Exercise, Psychotherapy, Family

support
 Management Plan

The management plan was devised using the CBT.

• Rapport Building
• Psychoeducation
• Medical adherence
• Progressive muscle relaxation
• Headache Management
• Breathing Retaining
• Sleep hygiene
• Behavior Therapy
• Contingency Management
• CBT
• ABC Model
• BAP
• Behavioral Experiments
• Symptom induction