Clinical Report Sidra

8/6/2019 Clinical Report Sidra

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International Islamic university Islamabad

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IDENTIFYING DATA:

Name: ABC

Age: 43

Gender: Female

Education: Primary

Marital status: Married

Husbands Name: XYZ

Husbands Occupation: OGDC Employee

No. of Children: 8, 2 daughters and 6 sons

No. of Siblings: 6

Birth order: 3rd one

Father: Dead

Mother: Alive

Mothers Occupation: House Wife

Family Monthly Income: 35,000

Religion: Islam

REASON FOR REFERRAL:-

The client has been brought into the psychiatry ward of shifa international hospital by her

husband for showing complaints such as i-e headache, back pain, loss of appetite, lack of

sleep, losing control, fear of heart attack, fatigue or loss of energy, lack of interest in all

pleasurable activities, low mood.

Presenting complaints:

The client has been suffering from these complaints for last 4 months.


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According to the client:

Following symptoms has been observed according to the DSM-4 TR (2000).

y Losing controly Having a heart attacky Going crazyy Insomniay Low moody Fatigue or loss of energyy Restlessnessy Lack of interest in all activities

FAMILY HISTORY

Client belongs to a middle class family a having a nuclear family system. It has

been reported by the client that she has 3 brothers and 3 sisters and she is on 3rd

number.

Her father was died when she was 35 years old and her mother is still alive. Her parents

were very caring and loving and her relation with her siblings was quite good.

Client reported that no one in her family suffering from this problem. She is the only one

who suffers from this problem.


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Client gets married 24 years ago with her first cousin. Her marriage was an

arrange marriage. She is living with her husband and children. Her husband is working in

OGDC and they belong to a middle socio-economic status.

Client reported that currently her relation with her husband and children is notmuch good. Before this problem her relation with her husband and child was quite good.

PAST PERSONAL HISTORY

It has been informed by the client that her birth was normal. Her relation with her parents

was caring and loveable especially she was quite attached with her mother. It has been

reported by client that in her childhood, she was so quiet person, she made friend but

rarely. She didnt like to play with everyone.

Client reported that her mother told her when she was 1 year old, she had some

problem in her leg and due to this reason she cant walk easily (she started walk at the

age of 1 but suddenly she suffered with that problem). Her parent didnt take her to

doctor, they show her to baba and after 6 months she started walk normally. After that

she had never suffer from this kind of problem.

She studied at primary level, she told that she was good in her study and get good marks

in exams. She had not enough friends because she remain quiet in her class, she dont like

to talk to others or made friends. She also told that she wanted to study further but her

parents didnt allow her because there was no concept of education for girls in her family

thats why she couldnt study further.

HISTORY OF PRESENT ILLNESS

Client was in complete state of health 4 months back when her problem started becauseof weakness in her body, headache, lack of sleep, loss of appetite and lack of interest in

all activities.

Client reported that 4 months before she attend the event of muharam, when she was

listening the lecture of ALIM, during the lecture she feel uncomfortable and started

sweating. She suddenly losing control on herself and become faint within 10 minutes.


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Then her family took her to shifa hospital in emergency after 3 days she had been

discharged. Her reports were cleared there was no any medical illness.

After that day she started fear to go outside or to meet any one.

she reported that she had a fear that if she go outside, again this will happen with her, so

she try to avoid to go outside in gathering or public place. She further told that now she

dont like any one not even her husband and children. She said that she was quite

religious, but now she cant properly offer prayer.

Premorbid personality:

Before the onset of the problem, the client was quite social and interactive, has much

interest in different activities like stitching, and cooking, and she also stitched clothes

professionally.

PSYCHOLOGICAL ASSESSMENT

Client appearance was quite normal and looking neat and clean. She was very

communicative and talkative. She was also very co-operative in giving her life history,

but she was not interested in administering the test. Its quite difficult to convince her for

administering the test. She also takes time to giving the tests.

Client was given by some formal tests which she done properly. These tests and scales

are:

y Case history interview.y Clock Drawing Test (CDT).y Beck Depression Inventory (BDI).

Intellectual Functioning:

To measure the client intellectual functioning, CDT is used to determining the mental

ability of client and it has been measure that client intellectual level is very low and

below average. Another problem was that client was not agreeing to administer the test,

so its difficult to judge her in some manner.


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Personality Assessment:

As client depressed about herself and her problem, so when Beck Depression Inventory

(BDI), of the client was administered, she score 34 in the range of 31-40 which depicts

strong evidence of severe depression.

MULTIAXIAL DAIGNOSIS

Axis : 300.21 Panic disorder with Agoraphobia

296. Xx Major Depressive Disorder.

Axis 2: Avoidant Personality features.

Axis 3: None

Axis 4: None

Axis 5: GAF= 60 (current)

CASE FORMULATION:-

The client is 43 years old married women. This was her 4rth appointment with Dr. and

she come with her husband to a clinic having complaints of bodily pain and insomnia,

low mood, lack of interest in all activities and headache.

A behavioral therapy approach focuses on how your behaviors are contributing

to and maintaining your symptoms and difficulties. It is believed that maladaptive

behaviors are learned through a conditioning process and that bad, or unwanted,behaviors may be unlearned. As client has fear of going outside in public places that

brought her into uncomfortable situation so she avoids going outside. But this avoidance

behavior doesnt help, it does, unfortunately, serve to reinforce the behavior.

A cognitive therapy approach focuses on how your thoughts perceive and give

meaning to your world. Distorted and unrealistic thoughts result in misinterpretations that


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are believed to contribute to and maintain your symptoms. As client was in the majlis and

she had a panic attack.

A person feels immediate danger or experiencing a life-threatening event. As client

became faint, so she learned that negative behavior, that whenever she goes outside she

will face this dangerous situation.

This line of thinking has not helped your situation. Unfortunately, it is laying the ground

work for reinforcement of an illogical fear.

THERAPUTIC SUGGESTIONS:-

As the client was suffering from panic disorder and depression. To overcome this problem

some therapies are:

Systematic desensitization can also be effective. This approach involves

gradual exposure to real-life feared situations.

Cognitive-behavioral therapy reflects the importance of both behavioral and

thought processes in understanding and controlling anxiety and panic attacks. The focus of

treatment is on inadequate, obstructive, and damaging behaviors and irrational thought

processes that contribute to the continuation of symptoms. For example, uncontrolled

worrying (thoughts) about what may or may not happen if you have a panic attack may

lead to avoiding (behavior) certain situations.

PROGNOSIS:-

As the client has an insight of her problem and she was also motivated to take the proper

treatment and wanted to recover as soon as possible so that she can happily live with her

family and continue her all activities normally. So the prognosis or the chances of

recovery /betterment is good.

SESSIONS REPORT:-


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1st Session:

During first session, I have developed rapport with my client and take some initial

information e.g. identifying data.

2nd Session:

During second session, the main problem and its causes were asked from the client and

also take some history of her family and her illness too.

3rd Session:

During third session, some tests e.g. clock drawing test (CDT) and Beck Depression

Inventory (BDI) were administered from the client.

4th Session:

The fourth session is the termination session. So it was informed to the client that to take

medicines regularly and also give some suggestions and instructions that how to improve

your health and what possible steps should be taken her to live a stable life with her

family. Furthermore, ask her try to interact with others family members for few moments

and try to remember good memories which you spend with her family, feel relaxed. Also

suggests her that if you follow these instructions, you herself feel a great improvement in

your health and you can live a happy life.

LIMITATIONS:-

All the information was taken from the client, there was no informant. As the client has

well oriented towards time, place and person and has an insight of her problem and the

client was also co-operative in giving information about her problem.


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IDENTIFYING DATA:

Name: ABC

Age: 11

Gender: Male

Education: one class

Fathers Name: XYZ

Mothers Name: XYZ

Marital status: Single

No. of Siblings: 6

Birth order: 6th

one

Father: Alive

Mother: Alive

Fathers Occupation:



Religion: Islam


The client has been brought into the special education school for mentally retarded

children by his parents for showing complaints, lack of facial expression, impairment in

eye contact, slow learner, lack of interest, and nail biting, Show repetitive patterns of

behavior, concentrating on single object for long time period.


The client has been suffering from these complaints by birth.

According to the Informant:


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y Lack of social interaction.y Lack of facial expression.y No eye contact.y Inability to initiate a conversation to others.y Stereotyped and restricted pattern of interest.y Persistent preoccupation with parts of objects.

FAMILY HISTORY

Client belongs to middle class family a having a nuclear family system.

It has been reported by clients informant that he has 3 brothers and 3 sisters and he is on

last number. His father is alive and working in a private company. Their monthly income

is 25000.

Clients mother reported that her others children are normal and they have never

complain such time of problems, there is no any such type of illness in their family

except him. His relation with his parents and siblings are quite good. Clients mother told

that before her delivery time, she felt fever but her delivery was normal.


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According to clients mother before her child delivery she felt fever but her delivery was

normal. After 14 days he suffered from measles but after treatment he was fine.

Clients informant told that he started walk at the age of 1 year and start talking at theage of 3 year. Further clients informant reported that at the age of 3 year of her child

they came to know that their child having the problem, she said that doctors told her that

her child situation always remain same.

Clients mother also told that, when he was 7 years old he had tonsils in his neck and he

had operation at age of 7 year. After operation he was totally fine, he didnt even

complain about neck pain and no problem in speech and no effect on voice. But he was

still unable to cope with his problem. At the age of 9 they admit him in special education

for mentally retarded children school (MRC).


Client was not in complete State of health by birth, two years before he was admitted to

special school for children (MRC).

According to clients mother he is not socially interactive. Client show repetitive pattern

of behavior like persistently focus on one object. He also is doing nail biting. He was

moving his body all the time while giving interview. Asking again and again same

question, what time is it now?

Client also showing such kind of problems i-e lack of interest and attention (client was

not paying attention to whatever asked from him), and not initiative to anything (if asked

from him then he answered otherwise he didnt talk to anybody). No eye contact and lack

of facial expression (his eye contact was not good and flattened expression).


Client appearance was quite normal and looking neat and clean. He was not

communicative and also not initiative to communicate with others. Client was not

interested in administering a test, his main focus on writing tables. Client has lack of


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concentration. Client was too young to give history of their family. Family and past

history was taken from his mother.

Client was given by some formal tests which he has done. These tests and scales are:

y Case history interview.y House Tree Person (HTP)y Draw A Person (DAP)


Client can now recognized some objects, he can only write tables up to 20 but not having

logical concept and having inability in other areas.


Client keeps himself all the neat and clean. Try to make everything proper and perfect

and dont like untidy things.


Axis : 299.0Autistic Spectrum Disorder

Axis 2: 318.0 Moderate Mental Retardation

Axis 3: None

Axis 4: Educational problem

Axis 5: GAF= 51 (current)

CASE FORMULATION:-

The client is 11 years old boy, living with his parents. He was studying in special

education school for children (MRC) for last two years and he is still there with such

complaints, slow learner, lack of attention and interest in all activities, lack of speech,

flattened expression and no eye contact.

According to Applied Behavioral Analysis:

A 2007 clinical report of the American Academy of Pediatrics concluded that the


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benefit of ABA-based interventions in autism spectrum disorders (opinion that one ABA-

based approach (theLovaas technique created by Ole IvarLovaas) is "well-established"

for improving intellectual performance of young children with ASD.

Different techniques are used to change the behavior of autistic child that are:

ASDs) "has been well documented" and that "children who receive early intensive

behavioral treatment have been shown to make substantial, sustained gains in IQ,

language, academic performance, and adaptive behavior as well as some measures of

social behavior.

Researchers from the MIND Institute published an evidence-based review of

comprehensive treatment approaches in 2008. On the basis of "the strength of the

findings from the four best-designed, controlled studies," they were of the

task analysis, chaining, promoting, fading, shaping, and video modeling.

THERAPUTIC SUGGESTIONS

Behavioral therapy and other therapeutic options:

Behavior management therapy helps to reinforce wanted behaviors, and reduce unwanted

behaviors. It is often based on Applied Behavior Analysis (ABA).

Speech-language therapy can help people with autism improve their ability to

communicate and interact with others.

Occupational therapy can help people find ways to adjust tasks to match their needs and

abilities.

Physical therapy design activities and exercise to build motor control and improve

posture and balance.

Educational and/or school-based options:

Public schools are required to provide free, appropriate public education from age 3

through high school or age 21, whichever comes first.

Typically, a team of people, including the parents, teachers, caregivers, school

psychologists, and other child development specialists work together to design an

Individualized Education Plan (IEP) to help guide the childs school experiences.


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Medication options:

Currently there are no medications that can cure autism spectrum disorders or all of the

symptoms. The U.S. Food and Drug Administration has not approved any medications

specifically for the treatment of autism, but in many cases medication can treat some of the

symptoms associated with autism.

Selective serotonin reuptake inhibitors (SSRIs), tricyclics, psychoactive/anti-psychotics,

stimulants, and anti-anxiety drugs are among the medications that a health care provider

might use to treat symptoms of autism spectrum disorders.

Secretina hormone that helps digestionis not recommended as a treatment for autism.

PROGNOSIS:-

Clients mental age is too weak then its chronological age, he is intellectually disable but

according to clients informant he is being improving himself since he come, according to

informant he can improve himself, some behavior pattern cannot be change but his

recovery chances are good in some manners.

SESSIONS REPORT:-

1st Session:During first session, I have developed rapport with my client and take some initial

information e.g. identifying data. As the clients was not much able to give history about

his problem so further family and past history was taken from his mother.

2nd Session:

During second session, the main problem and its causes were asked from the clients

mother and also take some history of his family and his illness too.

3rd Session:

During third session, some tests e.g. draw a person (DAP) test and House Tree Person

(HTP) was administered from the client, but client was not interested in making drawing,

he was focusing on writing tables all the time in session.

4th Session:

The fourth session was the termination session. So it was informed to the clients mother


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that how she will improve performance of her child. Involve him in different mental and

physical activities so that there should be improvement in his sensory processing and

movement.

LIMITATIONS:-

All the information was taken from the clients informant. Client has no insight of his

problem. Client behavior was under analysis.


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IDENTIFYING DATA:

Name: ABC

Age: 30

Gender: Male

Education: F.SC

Fathers Name: XYZ

Mothers Name: XYZ

Marital status: Single

No. of Siblings: 6, 5 brothers 1 sister

Birth order: 3rd

Father: Alive

Mother: Alive

Fathers Occupation: Businessman



Religion: Islam


The client has been brought into WADAH Clinic by his elder brother. The client has been

taken drugs and for having complaints such as lack of sleep, feeling of restlessness and

fatigue, lack of appetite, lack of interest in daily life activities and weight loss.


The client has been suffering from these complaints from last one month.



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y Dysphoric moody Nausea or vomitingy Muscle achesy Diarrheay Yawningy Fevery Insomniay Pupillary dilation, piloerection, or sweating

FAMILY HISTORY

Client belongs to an upper middle class family a having a nuclear family

system. It has been reported by the client that he has 3 brothers and 1 sisters and he is on

3rd

number. His father and mother are alive. His parents relation was good before they

know about his drug addiction, after that his relation with his parents and family was not

as good as before the problem.

Client reported that no one in his family suffering from this problem. He is the only one

who suffers from this problem.


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of sleep, loss of appetite, weakness and restlessness.

Now client is taking treatment from WADAH clinic and he is in withdrawal situation.

Client reported that when he stopped taking drug (chars) he suffered from these

complaints such as restlessness, weakness, fatigue, and feeling of fever and lack of sleep.

client also reported that he didnt like this place and he wanted to leave that place as soon

as possible he become fine. He wanted to continue his life normally and wanted to study

further. Client said that he never take drugs again in his entire life.

Premorbid personality:

before the onset of the problem, the client was healthy and very joyful person. He was

very social but after having bad company and taking drug his family avoid him and

nobody like to talk with him.


Client appearance was not good and he was not properly dressed. He was not

communicative, slow voice and giving pauses during speech. Client was interested in

administering a test,

Client was given by some formal tests which he has done. These tests and scales are:

y Case history interview.y HTPy DAPy RISBThe client on RISB scored 127 which indicate a little difficulty in adjusting to his

environment as he now lifted his addiction of 9 years so sees word as new. His most

responses reveal hisguiltand regret on his addiction.


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His response reveals the other factor of his continuous addiction otherthan peerpressure.

His responses show hisself motivation and willingness to leave the addiction which

was due to his friends.

On HTP the client draws all three things very alternatively. He draw house and tree with

heavy pressure and indicate his tension, as he reported that he was worried about his

treatment, the tremors of line shows that he was in the withdrawals phase. The house

drawing shows his social personality, he wanted to hide himself or his feelings from

others as he didnt draw the windows. The tree was drawn more or less countered on the

page, which indicate clients well balanced personality and he was receptive to both

masculine and feminine influences and able to create both man and women. The person

drawing reveals that his guilt feelings as he okay tiny eyes. The unusual treatment may

indicate hisfeeling of inferiority and impotency. His emphasis on the mouth suggests his

oral conflicts that in his addiction. Omission of the arm and legs reveal the client

inadequate and guilt feelings. Emphasis at waist show his tension conversing his bodilyimpulse that his urge to continue with addiction.

On DAP the client score 31 and his IQ level is 103.33% thats mean client IQ is

above average and he seems to be good in mental health.


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clients intellectual functioning was good, he give all information which is needed. He

was good in administering the test. He easily and quickly did the test. Is IQ level is above

average that means he is intellectually good.


Client appearance was not much good and his dressing was also not proper. His behavior

was normal. He sit properly and listening carefully whatever asked by him.


Axis : 292.0 Opioid Withdrawl

Axis 2: v71.09 No Diagnosis

Axis 3: None

Axis 4: Occupational problem

Axis 5: GAF 51(current)

CASE FORMULATION:-

The client is 30 years of age, resident of Rawalpindi and belongs to the middle class

family. He has been a opioid (chars) user for 9 years. Due to the peer pressure and

continued in order to get pleasure and calmness, at that time he was too young. After 2

years his parents came to know about his addiction which was shocking for them and this

situation cause some disturbance in relations with his family. He took his last dose 3 days

back of admission in clinic. He has presented with withdrawal symptoms.

According to the reinforcement theory reduction of tension, rising of spirit, a

sense of well being produced by a drug has a reinforcing effect and increases the

likelihood that user will seek this reaction again (Cappell & Greely, 1987). In this case

the client used chars which gives him an analgesic effect and that provoke him to


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continue this substance. As reported by client that when he wanted peace he was urged

toward, chars addiction.

The cognitive factors also play important role in addiction. According to Kandel

modeling of drug taking behavior by peers is also quite important in the development of

drug problems. Seeing other using any substance including chars and dealing with their

problem of entertaining themselves will encourage the observer to use drug for similar

purpose (Kandel, 1994), the client started his addiction as his friends used chars and

reported him that it had soothing & pleasant effects, so his cognition changed and he

wanted to try the chars like his friends.

According to social perspective exposure to psychoactive substances serves as a

necessary prerequisite to their use and possible abuse (Pierce & Gilpin, 1995). The client

is exposed to chars by his friends and with the passage of time it became the necessary

part of his life.


Aversive therapy can be effective for the client. The theory is aimed at creating negative

association with drug use. This therapy can provide prevention against restraining ofheroin addiction by the client.

Peer-Pressure Resistance Training can help the client to learn skill that will help him

in avoiding or resisting peer pressure.

PROGNOSIS:-

As client shown relax 3 times. As this is 3rd admission of client, although he has insight

of the problem but he is not willing to leave the drug as he said he wanted to but cant.

Attitude of family was also not good so the prognosis of client is not better or good.

SESSIONS REPORT:-


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1st Session:



2nd Session:


also take some history of his family and his problem too.

3rd Session:

During third session, some tests e.g. HTP, DAP and RISBE were administered from the

client.

4th Session:



your health and what possible steps should be taken him to live a stable life with his

family. Furthermore, ask him try to interact with others family members for few moments

and try to remember good memories which you spend with his family, feel relaxed. Also

suggests him that if you follow these instructions, you himself feel a great improvement

in your health and you can live a happy life.

LIMITATIONS:-


well oriented towards time, place and person and has an insight of his problem and the

client was also co-operative in giving information about his problem.


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IDENTIFYING DATA:

Name: ABC

Age: 40

Gender: Male

Education: FSC

Marital status: Married

Wife Name: XYZ

Wifes Occupation: house wife

No. of Children: 4 sons

No. of Siblings: 3 brothers and 1 sister

Birth order: 2nd one

Father: Alive

Mother: Alive

Fathers occupation: Retired Officer



Religion: Islam


The client has been brought into the psychiatry ward of poly clinic hospital by his wife

for showing complaints such as i-e headache, back pain, loss of appetite, lack of sleep,

low mood, , fatigue or loss of energy, lack of interest in all pleasurable activities, always

worried and right hand and right leg was not working.


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The client has been suffering from these complaints for last 3 weeks.



y Weight lossy Feeling of guilty Psychomotor agitationy Insomniay Low moody Fatigue or loss of energyy Restlessnessy Lack of interest in all activities

FAMILY HISTORY

Client belongs to a lower middle class family and having a nuclear family

system. It has been reported by the client that he has 2 brothers and 1 sister and he is on

2nd

number. His father and mother are alive. His relation with his parents and other

family members was good.

Client reported that his younger brother is also suffering from this problem.


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Client is 40 year old married person and working in PM house as an electrician.

His marriage was an arrange marriage, his wife is his first cousin. He is living with his

wife and his 4 children. Their monthly income is 15000 in which their survival is quite

difficult.

Client reported that currently his relation with his wife and children is good.

Client said that he love his children a lot.


It has been informed by the client that his birth was normal. Her relation with his parents

was caring and loveable. Client told that his upbringing was normal. It has been reported

by client that in his childhood, he was so active and fun loving child. Every one loves

him.

Client also reported that he was good student in his class and take average marks in

exams. He further told that he has a lot of friends in his child hood. He likes to play and

he mostly plays in street with his friend.

Client reported that when he was 8 years old he had a fracture on his arm for 1 month

he cant move his hand properly for one month but after that till now he never feels pain

in his arm.

Client told that before 5 years, he and his parents live together but because of some

financial crisis his parents and his elder brother separated and take another house.

Client informed that some he feels quite alone he miss his parents a lot.


Client was in complete state of health 3 weeks back when his problem started because ofweakness in his body, headache, lack of sleep, loss of appetite and lack of interest in all

activities, low mood, and cant move his arm and leg.

Client reported that 3 weeks before when he was at home he wake up in the morning and

then he suddenly unstable and fall down, he feels that his right arm and right leg is not

working. He couldnt stand up properly. His wife took him to the hospital and there he


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Axis : 296.2x Major Depressive Disorder

Axis 2: v79.01 No diagnosis

Axis 3: None

Axis 4: Financial problem

Axis 5: GAF= 61(current)

CASE FORMULATION:-

The client is 40 years old married man. This was his first admission in poly clinic

hospital, and he comes with having complaints of fatigue restlessness and insomnia, low

mood, lack of interest in all activities and headache.

From a Behavioral Perspective, learning theorists assume that depression and lack of

reinforcement are related. Behaviorists have theorized that once a person becomes

depressed, they become less likable, thus getting less reinforcement because more friends

and acquaintances avoid a depressed person and as a result the depressed person may

become more depressed.

According to Lewinsohn, depressed people are precisely those people who do not know

how to cope with the fact that they are no longer receiving positive reinforcements like

they were before.

From a Cognitive Perspective, the theory is that depression is a result of faulty thinking

about oneself, one's current life situation, or the future. Cognitive theorists assume that

the cognitions of depressed people differ from people with an anxiety disorder. Those

with an anxiety disorder have thoughts that focus on uncertainty and worry about the

future. The thoughts of depressed people focus on the negative aspects of past events and

project a negative outlook on what the future might bring. (Sarason & Sarason, 1989).


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From a Humanistic - existential perspective the view of depression is as a result of a

loss. The loss does not have to be the loss of a loved one, it can also be the loss of status,

power, social rank or even money. The nature of the loss itself is not important, it is the

effect on the individual's self-esteem as a result of the loss. "As Kierkegaard pointed out,

depression is likely to result when the difference between the ideal and the real becomes

too great for the individual to tolerate." (Sarason & Sarason, 1989)


As the client was suffering from depression. To overcome this problem some therapies

are:

Cognitive-behavioral therapy (CBT) is one form of psychotherapy that has been shown

to be successful in treating major depression. CBT combines the fundamental concepts of

behavioral therapy and cognitive therapy. The term cognitive refers to our thought

process and reflects what we think, believe and perceive. Put together, CBT focuses on

the behaviors and thoughts and how they are contributing to our current symptoms and

difficulties.

Psychodynamic therapy, which are sometimes used to treat depressed persons, focus on

resolving the patient's conflicted feelings. These therapies are often reserved until thedepressive symptoms are significantly improved.

Behavioral therapy help patients learn how to obtain more satisfaction and rewards

through their own actions and how to unlearn the behavioral patterns that contribute to or

result from their depression. Short Term Psychotherapy Two of the short-term

psychotherapies that research has shown helpful for some forms of depression are

interpersonal and cognitive/behavioral therapies.

Interpersonal therapy focus on the patient's disturbed personal relationships that cause

and increase the depression.


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PROGNOSIS:-

As the client has an insight of his problem and he was also motivated to take the proper

treatment and wanted to recover as soon as possible so that he can continue his life

normally with his family. So the prognosis or the chances of recovery /betterment is

good.

SESSIONS REPORT:-

1st Session:



2nd Session:


also take some history of her family and his illness too.

3rd Session:

During third session, some tests e.g. BGT, DAP and Beck Depression Inventory (BDI)

was administered from the client.

4th Session:



your health and what possible steps should be taken her to live a stable life with her

family. Furthermore, ask him try to interact with others family members for few moments

and try to remember good memories which you spend with his family, feel relaxed. Alsosuggests him that if you follow these instructions, you himself feel a great improvement

in your health and you can live a happy life.


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LIMITATIONS:-


well oriented towards time, place and person and has an insight of his problem and the

client was also co-operative in giving information about his problem.


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Clinical Report Sidra

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