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Health, Medicine, Nursing
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Case Study
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English (U.S.)
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Topic:
Integrated Assessment Report for a Patient with Depression and Anxiety
Case Study Instructions:
THIS IS A REVISION (the previous writer was late with the order, could not be reached).
Instructions for revision:
Hello, I am going over the revision you completed and you did not go over the comments the teacher made properly.
First, you did not include the 5 domains supported by test results (Cognitive, affective, self, interpersonal, and coping) This was marked on the feedback. It must be supported by test results when you write each of them 5 domains.
Secondly, under the DSM-V Diagnostic Impressions, it should be based off DSM-V. Anxiety-related neuroticism and the following comorbid diagnosis considerations do not fit that. So please find a DSM-V diagnosis that fits that. That was also marked on the paper.
Please revise this. Thank you. ( all files and the work of the previous writer are attached)
YOU CAN ALSO WRITE FROM SCRATCH BASED ON ORIGINAL INSTRUCTIONS
Original instructions:
Based off of the PAI Interpretive Report you last did, now we have an Integrated Assessment Report on the same client from the case study. I am attaching the outline expected of the report, and also some more background info on the client to help write this report.
Case Study Sample Content Preview:
Integrated Assessment Report Outline
Client Name:
Date of Birth:
Date(s) of Evaluation:
Date of Report:
Examiner:
Supervising Psychologist:
* Identifying Information:
TAYLOR SWIFT is a 19-year-old freshman at Folklore University. She is confused about her gender, and she/they pronouns are being confusingly used.
* Reason for Referral:
The client had reported incidences of depression and anxiousness due to her parents. She had a negative feeling towards her father, and though she is a bit close to her mother, she feels that her mother does not trust her. Moreover, the client had reported instances of using drugs and had mentioned trying to commit suicide.
* Assessment Procedures:
List all procedures used for the assessment in order of administration.
* Review of Client’s Medical Records (List source and date of each record reviewed)
* Clinical Interview with Client
* Collateral Interview with Client’s Parents/Physician/Teacher/etc.… (include Name of Interviewee and Date of Interview)
* Mental Status Examination
* Personality Assessment Inventory (NEO PI)
* Thematic Apperception Test (TAT)
* Background Information:
I am an awkward individual. I am critical of my parents. My mother is semi-normal due to her profession as a lawyer. My mother is also confined to her space. She expresses to the therapist her concern about my school. My parents do not believe me when I tell them about school troubles. I have difficulty concentrating. I have always struggled with these issues. I am easily distracted. I have struggled with these issues for as long as I can remember. My parents attempted to divert my attention to another psychologist or psychiatrist. Other symptoms include an inability to sit and complete tasks such as writing papers. I am 19 years old and admit to abusing a variety of substances. When I am around pals, I engage in drug use. I do nothing except smoke. Smoke serves no use for me at the moment. I am now only smoking blunts at night to help me fall asleep. I experience manic moments; I believe I am the most amusing person in the room. I am attempting to become an artist. Birds are cool to me. Depression is awful; all I want to do is lie in bed all day. Have you ever encountered mania? My entire group of pals is still in high school. I have no intention of meeting random strangers. They admitted me to a hospital. Those girls in the inpatient program are insane; all they do is bitch at one another. I constantly consider suicide. I attempted an overdose and awoke. The incident occurred in 2018.
To be clear, I am running on fumes at the moment. My parents have placed everything behind the lock and key. Suicide provides a greater sense of liberation than being with my parents.
All they do is exercise control over me. My parents are constantly in my room, inquiring as to who I am with. I inform them that they must vacate the premises; I evict them. I am unable to relocate due to a lack of funds. If everything goes well in eval, I may be able to move out. I was on Zoloft for a year, and the psychiatrist assumed I was fabricating events. I suffer from asthma. There was a history of sexual trauma; a friend became inebriated and had sex with me. I gave him no consent; it occurred last year. I would not say I like it when my friends take sides. He essentially stated that he did not believe there was a problem and had not taken sides. When I see him, I am enraged. As a result, you are down to your last few buddies. They are my closest companions. They reside just a few blocks away. Your parents have a low level of faith in you.
This is why I despise them. My parents are the reason I have a lot of mental health issues. I am enraged that your parents do not trust you and enraged that my friends are not on your side. I am more apprehensive than angry. I awaken tense. My bed also causes me anxiety, as I am depressed. My folks are not fond of my friends. I am not a millennial; I did not enjoy the way I felt on drugs, even though they made me feel better.
My friends and I purchased them from an unidentified dealer on their campus. We defraud our parents of money. We enter other structures. We break in because it is cool to do so. It is simply enjoyable to do so while avoiding detection. Other things could be caught that are not systemically detected outside of your internet infrastructure. You are constantly anxious and tense. It is not anxiousness; it is more like fidgety, whether or not I am anxious. Identified as female and now still questioning what pronoun to use – and have done so since youth. Being female appears to be a waste of time. It is not me; I do not conform to heteronormative and beauty norms.
* Behavioral Observations and Mental Status:
I am easily distracted. I have struggled with these issues for as long as I can remember. My parents attempted to divert my attention to another psychologist or psychiatrist. Other symptoms include an inability to sit and complete tasks such as writing papers. I am 19 years old and admit to abusing a variety of substances. When I am around pals, I engage in drug use. I do nothing except smoke. Smoke serves no use for me at the moment. I am now only smoking blunts at night to help me fall asleep. I experience manic moments; I believe I am the most amusing person in the room. I'm attempting to become an artist. Birds are cool to me. Depression is awful; all I want to do is lie in bed all day. Have you ever encountered mania? My entire group of pals is still in high school. I have no intention of meeting random strangers. They admitted me to a hospital. Those girls in the inpatient program are insane; all they do is bitch at one another. I constantly consider suicide. I attempted an overdose and awoke. This occurred in 2018.
To be clear, I am running on fumes at the moment. My parents have placed everything behind the lock and key. Suicide provides a greater sense of liberation than being with my parents.
All they do is exercise control over me. My parents are constantly in my room, inquiring as to who I am with. I inform them that they must vacate the premises; I evict them. I am unable to relocate due to a lack of funds. If everything goes well in eval, I may be able to move out. I was on Zoloft for a year, and the psychiatrist assumed I was fabricating events. I suffer from asthma. There was a history of sexual trauma; a friend became inebriated and had sex with me. I gave him no consent; it occurred last year. I would not say I like it when my friends take sides. He essentially stated that he did not believe there was a problem and had not taken sides. When I see him, I am enraged. As a result, you are down to your last few buddies. They are my closest companions. They reside just a few blocks away. Your parents have a low level of faith in you.
This is why I despise them. My parents are the reason I have so many mental health issues. I am enraged that your parents do not trust you and enraged that my friends are not on your side. I am more apprehensive than angry. I awaken tense. My bed also causes me anxiety, as I am depressed. My folks are not fond of my friends. I am not a millennial; I did not enjoy the way I felt on drugs, even though they made me feel better.
My friends and I purchased them from an unidentified dealer on their campus. We defraud our parents of money. We enter other structures. We break in because it is cool to do so. It is simply enjoyable to do so while avoiding detection. Other things could be caught that are not systemically detected outside of your internet infrastructure. You are constantly anxious and tense. It is not anxiousness; it is more like fidgety, whether or not I am anxious. Identified as female and now questioning she/they – and have done so since youth. This is not something I identify with. Being female appears to be a waste of time. It is not me; I do not conform to heteronormative and beauty norms.
* Current Test Results (can also be presented as appendices): In this section, present tables that list the quantitative data collected in your assessment.
Scale
Raw Score
T Score
Range
Rank
Factors
(N) Neuroticism
---
79
Very High
1
(E) Extraversion
---
49
Average
3
(O) Openness
---
69
Very High
2
(A) Agreeableness
---
29
Very Low
5
(C) Conscientiousness
---
35
Low
4
Neuroticism Facets
(N1) Anxiety
26
76
Very High
(N2) Angry Hostility
26
78
Very High
(N3) Depression
28
80
Very High
(N4) Self-Consciousness
25
78
Very High
(N5) Impulsiveness
25
75
Very High
(N6) Vulnerability
21
78
Very High
Extraversion Facets
(E1) Warmth
18
43
Low
(E2) Gregariousness
22
63
High
(E3) Assertiveness
14
44
Low
(E4) Activity
16
46
Average
(E5) Excitement-Seeking
26
66
Very High
(E6) Positive Emotions
14
40
Low
Openness Facets
(O1) Fantasy
23
65
High
(O2) Aesthetics
16
53
<...
Client Name:
Date of Birth:
Date(s) of Evaluation:
Date of Report:
Examiner:
Supervising Psychologist:
* Identifying Information:
TAYLOR SWIFT is a 19-year-old freshman at Folklore University. She is confused about her gender, and she/they pronouns are being confusingly used.
* Reason for Referral:
The client had reported incidences of depression and anxiousness due to her parents. She had a negative feeling towards her father, and though she is a bit close to her mother, she feels that her mother does not trust her. Moreover, the client had reported instances of using drugs and had mentioned trying to commit suicide.
* Assessment Procedures:
List all procedures used for the assessment in order of administration.
* Review of Client’s Medical Records (List source and date of each record reviewed)
* Clinical Interview with Client
* Collateral Interview with Client’s Parents/Physician/Teacher/etc.… (include Name of Interviewee and Date of Interview)
* Mental Status Examination
* Personality Assessment Inventory (NEO PI)
* Thematic Apperception Test (TAT)
* Background Information:
I am an awkward individual. I am critical of my parents. My mother is semi-normal due to her profession as a lawyer. My mother is also confined to her space. She expresses to the therapist her concern about my school. My parents do not believe me when I tell them about school troubles. I have difficulty concentrating. I have always struggled with these issues. I am easily distracted. I have struggled with these issues for as long as I can remember. My parents attempted to divert my attention to another psychologist or psychiatrist. Other symptoms include an inability to sit and complete tasks such as writing papers. I am 19 years old and admit to abusing a variety of substances. When I am around pals, I engage in drug use. I do nothing except smoke. Smoke serves no use for me at the moment. I am now only smoking blunts at night to help me fall asleep. I experience manic moments; I believe I am the most amusing person in the room. I am attempting to become an artist. Birds are cool to me. Depression is awful; all I want to do is lie in bed all day. Have you ever encountered mania? My entire group of pals is still in high school. I have no intention of meeting random strangers. They admitted me to a hospital. Those girls in the inpatient program are insane; all they do is bitch at one another. I constantly consider suicide. I attempted an overdose and awoke. The incident occurred in 2018.
To be clear, I am running on fumes at the moment. My parents have placed everything behind the lock and key. Suicide provides a greater sense of liberation than being with my parents.
All they do is exercise control over me. My parents are constantly in my room, inquiring as to who I am with. I inform them that they must vacate the premises; I evict them. I am unable to relocate due to a lack of funds. If everything goes well in eval, I may be able to move out. I was on Zoloft for a year, and the psychiatrist assumed I was fabricating events. I suffer from asthma. There was a history of sexual trauma; a friend became inebriated and had sex with me. I gave him no consent; it occurred last year. I would not say I like it when my friends take sides. He essentially stated that he did not believe there was a problem and had not taken sides. When I see him, I am enraged. As a result, you are down to your last few buddies. They are my closest companions. They reside just a few blocks away. Your parents have a low level of faith in you.
This is why I despise them. My parents are the reason I have a lot of mental health issues. I am enraged that your parents do not trust you and enraged that my friends are not on your side. I am more apprehensive than angry. I awaken tense. My bed also causes me anxiety, as I am depressed. My folks are not fond of my friends. I am not a millennial; I did not enjoy the way I felt on drugs, even though they made me feel better.
My friends and I purchased them from an unidentified dealer on their campus. We defraud our parents of money. We enter other structures. We break in because it is cool to do so. It is simply enjoyable to do so while avoiding detection. Other things could be caught that are not systemically detected outside of your internet infrastructure. You are constantly anxious and tense. It is not anxiousness; it is more like fidgety, whether or not I am anxious. Identified as female and now still questioning what pronoun to use – and have done so since youth. Being female appears to be a waste of time. It is not me; I do not conform to heteronormative and beauty norms.
* Behavioral Observations and Mental Status:
I am easily distracted. I have struggled with these issues for as long as I can remember. My parents attempted to divert my attention to another psychologist or psychiatrist. Other symptoms include an inability to sit and complete tasks such as writing papers. I am 19 years old and admit to abusing a variety of substances. When I am around pals, I engage in drug use. I do nothing except smoke. Smoke serves no use for me at the moment. I am now only smoking blunts at night to help me fall asleep. I experience manic moments; I believe I am the most amusing person in the room. I'm attempting to become an artist. Birds are cool to me. Depression is awful; all I want to do is lie in bed all day. Have you ever encountered mania? My entire group of pals is still in high school. I have no intention of meeting random strangers. They admitted me to a hospital. Those girls in the inpatient program are insane; all they do is bitch at one another. I constantly consider suicide. I attempted an overdose and awoke. This occurred in 2018.
To be clear, I am running on fumes at the moment. My parents have placed everything behind the lock and key. Suicide provides a greater sense of liberation than being with my parents.
All they do is exercise control over me. My parents are constantly in my room, inquiring as to who I am with. I inform them that they must vacate the premises; I evict them. I am unable to relocate due to a lack of funds. If everything goes well in eval, I may be able to move out. I was on Zoloft for a year, and the psychiatrist assumed I was fabricating events. I suffer from asthma. There was a history of sexual trauma; a friend became inebriated and had sex with me. I gave him no consent; it occurred last year. I would not say I like it when my friends take sides. He essentially stated that he did not believe there was a problem and had not taken sides. When I see him, I am enraged. As a result, you are down to your last few buddies. They are my closest companions. They reside just a few blocks away. Your parents have a low level of faith in you.
This is why I despise them. My parents are the reason I have so many mental health issues. I am enraged that your parents do not trust you and enraged that my friends are not on your side. I am more apprehensive than angry. I awaken tense. My bed also causes me anxiety, as I am depressed. My folks are not fond of my friends. I am not a millennial; I did not enjoy the way I felt on drugs, even though they made me feel better.
My friends and I purchased them from an unidentified dealer on their campus. We defraud our parents of money. We enter other structures. We break in because it is cool to do so. It is simply enjoyable to do so while avoiding detection. Other things could be caught that are not systemically detected outside of your internet infrastructure. You are constantly anxious and tense. It is not anxiousness; it is more like fidgety, whether or not I am anxious. Identified as female and now questioning she/they – and have done so since youth. This is not something I identify with. Being female appears to be a waste of time. It is not me; I do not conform to heteronormative and beauty norms.
* Current Test Results (can also be presented as appendices): In this section, present tables that list the quantitative data collected in your assessment.
Scale
Raw Score
T Score
Range
Rank
Factors
(N) Neuroticism
---
79
Very High
1
(E) Extraversion
---
49
Average
3
(O) Openness
---
69
Very High
2
(A) Agreeableness
---
29
Very Low
5
(C) Conscientiousness
---
35
Low
4
Neuroticism Facets
(N1) Anxiety
26
76
Very High
(N2) Angry Hostility
26
78
Very High
(N3) Depression
28
80
Very High
(N4) Self-Consciousness
25
78
Very High
(N5) Impulsiveness
25
75
Very High
(N6) Vulnerability
21
78
Very High
Extraversion Facets
(E1) Warmth
18
43
Low
(E2) Gregariousness
22
63
High
(E3) Assertiveness
14
44
Low
(E4) Activity
16
46
Average
(E5) Excitement-Seeking
26
66
Very High
(E6) Positive Emotions
14
40
Low
Openness Facets
(O1) Fantasy
23
65
High
(O2) Aesthetics
16
53
<...
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