Assessment

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Assessment

  1. 1. Case Study of MH BY BRENDA WIMBERLY NOVEMBER 2011 ASSESSMENT COUN 621
  2. 2. Client Description Caucasian male University of Mississippi student Academic problems Diagnosed with ADHD Repeat EDHE student Previous issues with depression
  3. 3. Purpose of Assessments BASIS-A  Determine purpose of behavior  Identify ways of perceiving self and others  Help client with problem solving Beck Depression Inventory (BDI-II)  Previous counselor reported depression  Determine if depression still exists  Client presents with sense of failure and lack of self-satisfaction
  4. 4. Assessment Procedures and Protocol Discuss testing protocol with site supervisor Identify ethically appropriate instruments BASIS-A  3rd meeting  Self scored instrument  65 questions  Two dimensions:  Life Style Themes (BASIS-A)  General Approach to Life (HELPS) Beck Depression Inventory (BDI-II)  6th meeting  21 questions
  5. 5. Medical/Developmental/Psychiatric History Diagnosed with ADHD in high school – Sees local Family Practice physician for medication Does not like having to take Adderall – only takes it when he feels it is necessary Father also has ADHD Previously identified as depressed by EDHE counselor No other medical history reported
  6. 6. Familial Psychiatric History No reported history of psychiatric issues in family
  7. 7. School/Academic History Client reports having focus issues since high school Prescribed Adderall to help with focus problems – took it daily for years, but only takes it now when he needs to study for a test or has a big project Average to low grades in college. Passed EDHE 202 in the spring of 2011 Had to re-enroll in EDHE 202 because of grade point average Failed a MIS class because of a “problem with group project”
  8. 8. Home Behavior/Social Oldest child – has one sister Very close to his sister – she gives him moral support Has very few friends at Ole Miss because most of them have already graduated Socializes with his room mates – watching sports on television Does not like to party – finds it difficult to make new friends Does not report being in a romantic relationship
  9. 9. Assessments & Appropriate Interpretations BASIS-A  Used to help clients recognize the interaction of personality dynamics developed as a child and current problem solving strategies  Measures five personality styles  Internal consistency est. (Coefficients ranging from .82 to .87)  Validity of the structure of the scales (supported when correlated with other instruments) Beck Depression Inventory (BDI-II)  Reliability (Coefficient Alpha = .92)  21 items that assess the force of depression in clinical and normal patients  Increased content validity  Factorial validity
  10. 10. Summary of Findings BDI-II  Total score = 8 (minimal range) – no longer depressed BASIS-A  Belonging (BSI)– Sees himself as supportive and cooperative, but may be assertive  Going Along (GA)– Tends to be an independent thinker but may be viewed as aggressive when stressed  Taking Charge (TC)– May be viewed as assertive  Wanting Recognition (WR)– May not be concerned about approval of others (Incongruity: HELP Scale of Entitlement indicates he may enjoy special attention from others  Being Cautious (BC)– May avoid conflict
  11. 11. DSM Diagnosis Axis I  314.01 Attention-Deficit/Hyperactivity Disorder, Combined Type Axis II  V71.09 (No Diagnosis) Axis III  None Axis IV  Father recently underwent heart surgery  Graduation from college delayed  Academic Problems  Previous issues with depression Axis V  GAF = 71 (current)
  12. 12. Treatment plan and Recommendations Monitor ADHD medication  Follow up with Family Practitioner  Possibly adjust level of medication Monitor depression  Determine triggers of past depression  Help client learn approaches to deal with depression Help client recognize incongruities  Use unconditional positive regard and empathy to continue to build therapeutic relationship with the client  Use reflection to assist the client’s growth  Review the results of BASIS-A assessment
  13. 13. References Beck, A. T., Steer, R. A. & Brown, G. K. (1996). Beck Depression Inventory-II. San Antonio, TX: Harcourt Brace. Kern, R. (1998). BASIS-A interpretive key and guide for clinicians. Highlands, NC: TRT Associates, Inc. Kern, R., Rasmussen, P., Byrd, S., & Wittschen, L. (1999). Lifestyle, personality, and attention deficit hyperactivity disorder in young adults. The Journal of Individual Psychology, 55(2), 186-199.

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