REFERRAL: To meet requirements for Evaluation and Assessment-PSY 6645.
BACKGROUND: There is no prior history of a problem. The client stated that giving birth to two sons were significant events experienced. There is no history of accidents and one gallbladder surgery in 2002. The client currently suffers form depression and hypertension. Medications that the client is currently taking include Lexapro (.20 mg), Exforge (.325mg), and Ambien. The client has a history of diabetes in the family. The client has experienced several traumatic events in life that include sexual abuse at the age of 5 by a male cousin and physical and mental abuse by both spouses. ...view middle of the document...
I really couldn’t get a feel if the client was being sincere in her answers or not. The client was given the opportunity to do the interview at a later date, but declined.
RECOMMENDATIONS: Client needs to enter some form of counseling as soon as possible.
TEST AND PROCEDURES:
NAME OF TEST: WRAT-III DATE OF TEST: 19 Jan 2009
The client was initially excited to participate in the testing, but once it was explained that the test would consist of reading, spelling and arithmetic the client started to withdraw and become hesitant. The client was really concerned with the arithmetic portion and wanted to know what types of problems that would have to be solved. The client didn’t feel the skills were up to par on anything past basic arithmetic which she felt should not exceed adding, subtracting, multiplication and division. The client was reassured that everything would be fine and to relax. On January 11, 2009, the client sat down at the kitchen table to begin the testing. The client appeared to be extremely hyper. The spelling portion of the test was administered first. The client was doing well until the words started to become difficult. The client started blurting out unnecessary comments.
Next, the mathematics portion of the test was administered. Once the directions were read and the clock started, the client went right into answering the questions. The client was not even half way through before the blurting out of comments and laughing. The client started to get frustrated with the test and put the pencil down. Once the client realized that there was not a reaction from the administrator, the client started breathing heavily and attempted to finish. Needless to say, it was obvious that the client was jotting down answers without trying,...