SCHOOL OF SOCIAL SCIENCE AND
HUMANITIES
M.Sc Psychology (Clinical)
CREATE
THE
FUTURE
INTERNSHIP PRESENTATION
Students Name:Tanuj Varghese Zachariah
Register No:20CMSPC077
Course:MSCP-CLINICAL
Guide’s Name:PROF. Dhiksha . J
Date:22/04/21
Introduction
Area of interest- . Clinicians are prepared in a scope of procedures and
hypothetical methodologies. Some represent considerable authority in
treating certain mental issues while others work with customers
encountering a wide assortment of issues.
Organisation details-COUNSEL INDIA -Counsel India is India’s fastest
growing Counsellors and Psychologists network. It’s a first-ever
organization that aims to simplify counselling and bring counselling to
every home across the globe.
Counsel India focuses on Simplicity, Creativity, Innovation and
Technology to change the way counselling services are offered and
taken. It is also working hard to give counsellors and psychologists a
stage they deserve and glamorize its outlook and image worldwide.
Case Report
Summary for A:
A 14 year old male student FB of 7th standard coming from upper
middle socio-economic status with the informant who was the father
who is reliable and adequate with the information.
Presenting chief complaints were aggressive and destructive
behaviour, no interest in studies since 4 months and school refusal.The
precipitating factor of the illness was unknown.
The mode of onset was insidious, course of illness was continuous and
progress of illness was deteriorating.
Had a delayed term birth delivery, minimal social interaction. His
dressing was proper. Eye contact not maintained.
Very fidgety and restless. Cooperative but easily distracted.
Mood was irritable. Passionate thought process. Average level
of intelligence. Recent and remote memory intact. Social
judgenment intact and insight 5.
Diagnosis: Diagnosis can be: Attention Deficit Hyperactivity
Disorder
Treatment can be: • Behavior therapy, including training for
parents; and • Medications
Summary for B:
A 57 years old married male DK , 8th class passed out, coming from an
urban background.
Hindu by religion, speaking Marathi, came here by himself with the
following chief complaints, decreased sleep, and increased appetite,
loss of interest in work, occasional forgetfulness, He was feeling that
people were talking about him, Sadness of mood, minimal communication,
irritability.
Precipitating factors were not identified, these happening for 3 years. His
appearance was well dressed, eye contact was initiated but could not be
maintained for long time, he was aroused and sustained.
Mood is sad and anxious. Affect is appropriate to mood, speech in
continuous, and decreased in amount, patient had ideas of hopelessness,
worthlessness, and helplessness, he was feeling that life is not worth, no
perceptual abnormalities was present, recent and remote memory intact,
judgment: social judgment is satisfactory, and test was poor, insight was 6.
Diagnosis: Diagnosis can be: • Double depression • Major depressive
disorder with psychotic features • Early features of dementia
Treatment can be: I.Family psychoeducation: family members were
educated regarding illness, their role in treatment and correct approach
with the patient II.Individual approach: patient was made aware of his
illness. He was taught relaxation techniques. to cope up the stress. And
then CBT supposed to be introduced.
Assessment Report
1-Diagnostic formulation Index patient, Mr. L L 20 years old, unmarried, male,
educated upto B. Tech (2nd year), student, Hindu, speaking hailing from a rural area of
(CG), brought by his father, with chief complaints of ideas of worthlessness,
fearfulness, thinks that others talk about him, feels that snakes and scorpions will
come out of his body, aggressive and assaultive behaviour, decreased sleep, with
unknown precipitating factor, with insidious mode of onset, continuous course of
illness and deteriorating progress of illness, with no treatment history, with no
significant past illness, with family history of mother complaining of fearfulness and
aggressive and violent behaviour in 1997 with successful treatment from with no
significant personal history. In mental status examination, positive findings were
circumstantial speech, sad and depressed affect, ideas of reference and tactile
hallucinations (zoopathy). Provisional diagnosis F 20.0 - Paranoid schizophrenia Areas
to be assessed • Cognitive functions • To rule out organicity • Personality •
Psychopathology Tests Rorchach was administered.
Rorschach inkblot testThe Rorschach inkblot test is a kind of projective mental test made in
1921 by a Swiss clinician named Hermann Rorschach. Regularly used to evaluate character and
passionate working, it is the second most ordinarily utilized measurable test after the MMPI-2.
The Rorschach test comprises of 10 inkblot pictures, some of which are dark, white, or dim,
and some of which are shading. A therapist or specialist who has been prepared in the
utilization, scoring, and translation of the test shows every one of the ten cards to the
respondent. During the test, the subject is furnished with every one of the ten cards,
individually. The subject is then approached to portray what the individual in question thinks
the card resembles. Testtakers are permitted to stand firm on the cards in any footing they
may need, regardless of whether it is topsy turvy or sideways. The respondents are allowed to
decipher the vague picture anyway they want.They may likewise react in any capacity that
they need. They may say that they see a certain something, a few unique things, or in any
event, nothing by any stretch of the imagination. Test-takers can zero in on the picture overall,
on specific parts of the picture, or even on the void area that encompasses the picture. When
the subject has given a reaction, the therapist will at that point pose extra inquiries to get the
subject to additional expound on their underlying feelings.
2-Diagnostic Formulation The index patient Master JJK, a 7 year old boy, was brought
to Manopchar by his parents for the following chief complaints; cannot sit at one
place for a long time, disturbed sleep, hits and fights with others, irritability,
demanding, breaks house hold items, delayed speech, with the duration of 4 years.
Mode of Onset as Chronic, Continuous Course of Illness and Deteriorating Progress of
illness, with the history of jaundice, developed second day after the delivery and was
kept in an incubator for 3 days, with a weight of two and a half kg at the time of birth.
When he was brought to Manopchar it was observed that the patient was not able to
sit quietly at one place for a long time. His attention was getting diverted easily and
was hitting his parents and sisters. He had delayed milestones – walking, eating and
speech. Provisional Diagnosis Disturbance of activity and attention (F90.0) – Attention
Deficit Hyperactivity Disorder (ADHD) with Borderline level of Intellectual
Functioning.Areas to be Assessed • Intelligence. Tests Administered
Vineland Social Maturity ScaleVineland Social Maturity Scale (VSMS) has been one of
the principle psychometric assessment tests for the assessment of social and versatile
capacities for quite a few years all around the world just as in India. As well as
evaluating social capability, VSMS is additionally utilized as a substitute test to survey
knowledge when other certain intelligence tests can't be utilized because of different
reasons, like helpless discourse capacity and in conditions where the youngster isn't
agreeable. The first form (Doll, 1953) was adjusted to the Indian setting by A.J. Malin
(1965) and later it saw further adjustment by Bharat Raj (1992).
Experiential Learning
The objective of the internship was to do a whole month of internship while
learning something new and it was achieved.
Learnt about the symptoms and causes of certain mental health disorders in
great detail under the guidance of the external supervisor.
Supervisor explained the steps on how to do certain psychometric tests with
roleplay sessions and assignment work.
The importance of consent taking was very well taught and errors of
misdiagnosis and ethical reasons for client patient confidentiality was very
well briefed.
Summary
Over the course of the 1 month of online internship, which I had decided to do
because of the covid pandemic, I’m thankful for the Psychoshiksha organization for
providing a wonderful supervisor Ms. Irish Sheikh who made it very interactive and
lively.
Over the course of the internship, we covered the basics of case history and mental
status examination and explained very well on how it should be taken.
Learnt about the importance of consent before anything.
Discussed about neurotic and psychotic disorders.
Covered depression and causes.
Learnt about psychometric scales.
Learnt about the role of mental health professionals in various fields.
Multiple assignments were helpful in understanding the concepts better.
Covered bipolar disorders, childhood disorders like Autism.
Learnt about Cognitive behavioral therapy, Dialectical behavior therapy,
Family therapy and Solution Focused Based Therapy.
Being an online internship, there was no live case observation which is not
very helpful for clinical psychologist in training.
Objective was achieved of doing an internship in such short notice.
REFERENCES:
-Rorschach – reliability and validity. (n.d.). Retrieved April 10, 2021, from
https://stresstherapysolutions.com/2012/08/rorschach-reliabilityandvalidity/#:~:text=The%20Rorschach%20is%20a%20psychometric,asks%20question
s%20and %20records%20answers
-Cherry, K. (2020, March 12). Clinical psychology careers training, salary, andoutlook.
Retrieved April 10, 2021, from https://www.verywellmind.com/careers-inclinicalpsychology-2795646
-Roopesh, B. (2020, January 28). (PDF) Vineland social Maturity SCALE: An update on
administration and scoring. Retrieved April 10, 2021, from
https://www.researchgate.net/publication/338853793_Vineland_Social_Maturity_Sc
ale_An_ Update_on_Administration_and_Scoring