Roger is a 21-year-old Hispanic American college student on academic probation who is exhibiting signs of depression like lack of appetite, sleep, and friends. Assessment tools determined he has mild depression and a personality focused on cooperation and empathy. Treatment goals include continuing therapy, maintaining a journal, focusing on past successes, and monitoring his academic and self-care. His last session showed increased motivation and confidence.

1. Shilpa Shirur
Assessment COUN 621

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.  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.  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.  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.  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.  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.  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.  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 verbal's.
 Beck’s Depression Inventory (BDI –II)
 Total score 18 – mild depression.

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.  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.  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.