Assessment case study of roger


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Assessment case study of roger

  1. 1. Shilpa ShirurAssessment COUN 621
  2. 2.  Roger is a 21 year old male; 3rd generation Hispanic American. University of Mississippi student-Senior in business. Low academic performance hence on academic probation - mandated for EDHE Signs of depression. Reported lack of appetite, weight loss, lack of sleep. No friends and doesn’t feel like making friends. Mentioned highlight of his week as EDHE group as he can have some social contact only then. Roger admitted that “I feel like a loser! Like there is nothing left for me!”
  3. 3.  Beck’s Depression Inventory (BDI –II) To determine the presence, severity and depth of depression. The root cause of depression as Roger exhibits pessimism and sense of failure in his talks and confirmed being a loner and depressed since 2009. Basis –A (Kern) Understand the way client perceives himself. Client Contradicticts himself in his talks and actions. Explore problem solving strategies
  4. 4.  Basis – A (Kern) 2nd Meeting Purpose explained to client 65 questions Self scored Dual scale (Life-style Themes & supporting scale - HELPS) Discussed the relevance of results Beck’s Depression Inventory (BDI –II) Roger was in my group after 2 months he requested to meet individually 4th Meeting 21 questions Explained the purpose and relevance to client
  5. 5.  No medical/developmental or family psychiatric history found. Both parents and most family (extended) obese. Has reported depression and low self esteem admits being a loner and sad most of the times. Due to cultural differences has never approached anyone to talk.
  6. 6.  Roger was the captain and a star player of his high school football team. He came to Ole Miss dreaming of getting into the football team but has not been contacted by the coach in spite of being promised. Grades deteriorated in Ole Miss due to feelings of failure. Feels less motivated and admits lack of focus. Believes can do well but not motivated enough and a pessimist.
  7. 7.  Roger’s family has many financial problems. Older brother (22 years) is a drug addict and jobless and lives with parents. Roger was in a serious relationship but girl friend cheated on him. The first week at Ole Miss (2009) was asked to leave a fraternity party because of his ethnicity. Since then has been a loner has no friends in Oxford. Low –self esteem, very defensive about self and family and suspicious of others. Very worried about losing parents as both parents are over-weight. Dreams of being rich and buying parents a new home and new cars and giving them a good life at the same time scared might turn like brother or uncles who are addicts/jobless.
  8. 8.  Basis – A (Kern) understand how childhood experiences influence current functioning and increases awareness and problem solving skills. Reliability and Validity has been established. Internal consistency on the five major scales yield alpha coefficients ranging from .82 to .87. Beck’s Depression Inventory (BDI –II) Highly reliable (Test retest) and valid (construct, content). Total of 21 items which correspond to give a single score.
  9. 9.  Basis – A (Kern) Belonging social Interest (BSI) - perceives himself as co-operative and empathetic. Going Along (GA) - individualistic and independent and may be aggressive when stressed. Taking Charge (TC) - Focused and task- oriented, assertive and forceful. Wanting Recognition (WR)– comfortable when people respect and recognise success Being Cautious (BC)– very cautious and sensitive to cues from others and good at reading non verbals. Beck’s Depression Inventory (BDI –II) Total score 18 – mild depression.
  10. 10.  Axis I:None Axis II: V71.09 – No Diagnosis Axis III: None Axis IV: Financial issues Graduation delayed due to low academic performance Dreams of being in the football team seem unachievable Trust issues with friends. Axis V: GAF score 65 (current)
  11. 11.  Continue individual meetings but also encourage to come to group as that is the only social contact Grooming (haircut & shave) Maintain journal thoughts and feelings. Home work: Do two things that makes client happy, note down things client is grateful for in his life. Look back on past success’ (popular in high school) Discuss and monitor academic performance Confront irrational fears and contradictory thoughts and actions. Reflect feelings, meaning and unconditional positive regard, empathy and be multicultural sensitive. Encourage client to continue therapy.**Roger reported being motivated, positive and more confident in the last session, has had a haircut and shaved and has successfully done most of the home work given.
  12. 12.  Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Beck Depression Inventory-II. San Antonio, TX: Harcourt Brace. Beck, A.T., Ward, C., & Mendelson, M. (1961). Beck depression inventory (BDI). Arch Gen Psychiatry 4: 561– 571. Kern, R. (1998). BASIS-A interpretive key and guide for clinicians. Highlands, NC: TRT Associates, Inc. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IVTR. Washington, DC: American Psychiatric Association Curlette, W. L., Kern, R. M., & Wheeler, M. S. (1996). Uses and interpretations of scores on the BASIS-A Inventory. Individual Psychology, 52(2), 95-103.