PSYCHOLOGICAL ASSESSMENT REPORT
Name:
A.B
Father’s Name:
M.H
Date of Birth:
8th Novermber, 2011
Dates of Assessment:
22,23,26,27 February, 2024
Examiner:
Javeria Burhan
Identifying Information
A.B was a 12 years old boys belonging to an intact family, living in Islamabad. He Had
4 siblings, 2 brothers and 2 sisters. He was the second born among his siblings.
Referral Source and Presenting Problem
A.B was brought to Kreative Kinder Haus by his parents for psychological evaluation.
He was presented with the problems of running, bad touch, not focusing, he socialize sometimes
and cannot remain seated in one place and walk around the house everytime, has difficulty
organizing his tasks and avoid difficult taks.
Clinical interview/information
The client was presented with the problem of, running, not focusing, always walk and
run around the house, could not pay attention to one task at a time. Whenever he needs something
he make sounds or point that thing. He also had problems maintaining his hygiene,. He does
socialize but less. When he play with his siblings he hit them. His birth was through normal
delivery. His developmental milestones were delayed. He had no speech He could not babble.
He also had epilepsy and taking medications for epilepsy.
Tests Administered
Clinical Interview
Behavioral
Assessment
Vineland Adaptive Behavior Scales (II)…………… (VABS II)
Behavioral Assessment
AB was brought to the testing sessions by his both parents. He was appropriately dressed
and looked his stated age. He complied with the commands that he was told. He seemed to be
struggling with concentrating on the task that he was given. His fine motor skills were poor.
Whenever he held anything, his hands started shaking. When given a task he could not completed
it and move towards another task. Whenever he needed something he pointed towards that thing
and made a sound. He was unable to stay at one place.
Result of Assessment
Vineland Adaptive Behavior Scales, Second Edition was administered to assess adaptive
behavior of the client. The client’s Adaptive Behavior Composite standard score was 37 which is
Low. This summarizes his overall adaptive functioning. His sub-domain standard scores along
with age equivalent and adaptive levels are as follows:
Sub-Domains
v-Scale Score
Age Equivalents
Adaptive Levels
Communication
8
Low
Receptive
3
1:3
Low
Expressive
1
0:3
Low
Written
4
1:10
Low
Personal
6
3:7
Low
Domestic
5
2:6
Low
Community
3
Below 0:1
Low
Interpersonal Relationship 2
0:5
Low
Play & Leisure time
2
0:2
Low
Coping skills
5
0:1
Low
Gross
_
0:8
Fine
_
0:10
Daily Living Skills
Socialization
Motor skills
Subdomain analysis of Communication domain indicate that there is ‘Low’ functioning in
this domain. Receptive which assesses how the individual listens and pays attention, and what he
understands. In this sub-domain child lies in the ‘Low’ range. The child does not know about the
body parts. And could not listen to a long stories. In Expressive domain which assesses how the
individual says, how he uses words and sentences to gather and provide information, the client
score lies in ‘Low’ range and the score of last sub-domain of written, which assesses what the
individual understands about how letters make words, and what he reads and writes lies in ‘Low’
range.
Daily Living Skills demonstrate an ‘Low’ functioning, in the Personal subdomain which
assesses how the individual eats, dresses, and practices personal hygiene the client’s score lies
within the Low range, in Domestic subdomain which assesses what household tasks the individual
performs the score lies in the ‘Low’ category. In the Community subdomain which assesses how
the individual uses time, money, the telephone, the computer and the job skills the child falls into
‘Low’ range.
Subdomain analysis of Socialization shows that he falls in ‘Low’ range. Upon further
analysis it can be seen that client’s Interpersonal Relationships domain which assesses how the
individuals interact with others lies in the ‘Low’, in Play and Leisure Time that assesses how the
individual plays and uses leisure time and in Coping skills that indicates how the individual
demonstrates responsibility and sensitivity to others both domains fall into Low range.
His Maladaptive Behavior Index standard scores along with adaptive levels are as follows:
Domain
v Scale score
Adaptive Levels
Maladaptive Behavior Index
15
Average
Internalizing
13
Average
Externalizing
16
Average
The client has ‘Adequate’ level of Maladaptive Behavior Index. Maladaptive behaviors are
undesirable behaviors that may interfere with an individual’s adaptive behavior fall in Average,
also internalizing and externalizing fall in Average range.
Conclusion
The tentative diagnosis of Attention deficit hyperactivity disorder was given. Based on his
symptoms of not giving attention, cannot stay seated at one place, walking and running around the
house or room, could not pay attention to the task. Overall observation, formal and informal
assessment indicated that the child had Low adaptive functioning. He had low scores in written.
And had poor fine motor skills.
Recommendations
• Small, closely supervised, cooperative activity-based learning should be encouraged.
• Behavior Modification Techniques are recommended to work on his behavioral difficulties.
• Using the method of Applied Behavioral Analysis (ABA) where a person is rewarded for making
a correct choice can prove helpful for the child..
• One strategy is to break down learning tasks into small steps through discrete trial training.
• Behavioral work to develop basic personal care and hygiene also socialization skills i.e. sharing
toys, making friends etc.
• Implementation of contingency management and token economy in order to shape his nondesirable behavior to desirable behavior.
• Give positive reinforcement (verbal appreciation, encouragement or reward) when he shows
flexibility or cooperation.
• Physical activity is recommended to develop fine and gross motor skills.