CLINICAL CASE STUDIES

Internship Report

By

Aqsa Tariq
Roll No:
M Phil Clinical Psychology

DEPARTMENT OF Clinical Psychology

Ripah International University, Faisalabad
Session: 2016-2018

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 CERTIFICATE
It is certified that Aqsa Tariq Roll No# has completed her Internship report under the Supervision of
Dr Naveed Shibli According to prescribed format of Ripah International University, Faisalabad.

External Supervisor Internal Supervisor

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 ACKNOWLEDGEMENTS
All praise to ALMIGHTY ALLAH, THE MOST MERCIFUL AND THE MOST
COMPASSIONATE AND HIS HOLLY PROPHET ‘MUHAMMAD’(Peace) BE UPON
HIM) the most perfect and exalted among and even born on the surface of earth, who is,
forever a torch of guidance and knowledge for the humanity as a whole.
The work presented in this manuscript was accomplished under the inspiring guidance,
gorgeous assistance, constructive criticism and enlightened supervision of Dr Naveed Shibli
of Psychology Ripah International University, Faisalabad for his skillful guidance,
constructive criticism, masterly advice, valuable suggestions and sympathetic behavior for
the completion of this manuscript.
I feel highly privileged to take this opportunity to express my heartiest gratitude and deep
sense of indebt to my worthy supervisory committee, Dr. Muhammad Saleem and Miss
Samreen under whose kind and scholastic guidance, keen interest and constant
encouragement.
Words are very important to convey thoughts and thanks; the words are impossible to find to
thank families for their prayers and encouragement for us and for our work.
Finally, I apologize if we have caused anger of offence to anybody and the errors that remain
in the manuscript are mine alone.
Aqsa Tariq
2016-GCUF-07301

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 INTERNSHIP CERTIFICATE
It is stated that Miss Aqsa Tariq D/O Muhammad Tariq, Session 2016-2018 student of
M.Phil.
Clinical Psychology Ripah International University, Faisalabad had worked in BHU
Gujranwala District, Gujranwala for the period of 3 months in partial fulfillment of the
degree of M.Phil. Clinical psychology.
It is certified that cases reported by the internee were completed during this period. Practical
technological issues of Psychology, diagnosis and therapeutic work have been supervised by
out Trained Team Members.

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 DEDICATION
The work is dedicated to

The Holy Prophet (PBUH)

Whom I Disciplined and

Who is the mercy of universe;

And to my respected parents (A.R) and brothers (A.R)

Whose utmost Love, Care and Struggle

Against all odds brought me to this fight of knowledge

With the blessings of Allah Almighty

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 TABLE OF CONTENTS
CASE NO 1 ........................................................................................................................................ 14
CASE NO 2 ........................................................................................................................................ 18
CASE NO 3 ........................................................................................................................................ 19
CASE NO 4 ........................................................................................................................................ 19
CASE NO 5 ........................................................................................................................................ 20
CASE NO 6 ........................................................................................................................................ 21
CASE NO 7 ........................................................................................................................................ 27
CASE NO 8 ........................................................................................................................................ 30
CASE NO 9 ........................................................................................................................................ 31

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 Psycho Diagnostic Report

Bio Data

Name: Sajjad Bhatti

Father’s Name: Zawar Hussain

Age: 22

Sex: Male

Sibling: 7

Birth Order: Sajjad Bhatti

Religion: Islam

Address: Shujabad

Father Alive/Dead: Alive

Father’s Education: Matric

Father’s Occupation: Shopkeeper

Mother Alive/Dead: Alive

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Identifying Information
The patient is 20 years old. He is current living in Faisalabad. He has completed his study form
Government Special Education Ghulam Muhammad abad Faisalabad. He has a very small family
including 1 brother and 1 Sister. His father is a Shopkeeper by profession. His mother is a House Wife.
They belong to a Lower-Class family. His birth Order is fist. He is Muslim.
Source of Referral
He had come there with the symptom of aggressive behavior. He SAW several things which were in
reality not present there. lie was al. suspicious that somebody recorded his voice and used it in a wrong
way. Hs brought to the hospital by his father and younger brother. He was admitted to the hospital and
had been there for the last seven months.
History of Present Illness
The Behavior of client is excessively aggressive. He is suspicious that someone recorded his voice and
he viewed things which were not present there. His condition was weird when he." hospitalized.
Presently, has is no change in his attitude. There is much hyperactivity and suspiciousness in him.
History of past psychiatric illness
The patient has no past psychiatric illness.
Family History
The father of the client was a farmer. His mother was a house wife. He had two sisters and three
brothers. His both sisters and one of his brothers was married. O was a happy family. His father was a
cultivator as he also used to join his father in work. His brothers were engaged in some other work.
Their monthly income was about I5,000/-. He loved his father but sometime he used to quarrel with him
when he did not give money. He was closer to his mother. His mother was a nice woman. According to
him, home atmosphere was amicable. All the members of the family lived together happily. He often
quarreled with his father over the property. They lacked a respectful relation between them. Every one
cared his own routine. Relative mostly came to home at Islamic festivals. All the members of his family
were too much concerned about his illness and they were also fed up of his misbehavior and aggressive
nature.
Personal History
According to the client his birth was normal. His family was very happy over his birth. He told that he
was a very good boy in his childhood. He liked to play cricket and loved all and sundry. Chicken was his
favorite dish and he loved to write poetry. He liked outing with his friends. He was much religious. He

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offered Has times prayer and kept fasting. He said that his family was financially well off when he was
born. He was enrolled in a school when he was only 4 years old. He was a shining student and blue eyed
of teachers. After he completed his studies, he got married. His wife was one of his close relatives. He
had two children and loved them very much. His children read in a school. He was not happy with his
life warned to go it, when he was completely disappointed, he tried to commit suicide favored somebody
rescued him.
Premorbid Personality
Before his illness, he was responsible person in his family. He had good relations with his
wife and in-laws, relatives, children and friends.
Psychological Assessment
(i) Clinical Interview
(ii) Test Administration
Clinical Interview
The patient belongs to middle class family and living with his family. The patient was not
in usual state of health about continuously from 7 to 8 months. The behavior of Client is
excessively aggressive. He is suspicious that someone recorded his voice and he viewed things
which were not present there? There is much hyperactivity and suspiciousness in him. His
manner and mind set were very good while talking. His pattern of thinking was distressed during
attack. He had the symptoms of auditory hallucination and delusions.
Behavioral Observation
The behavior of the Client was tranquil and he extended full cooperation. He asked for
information about himself for a long time, He was sitting in a contented manner, He was very
much active, was grinning like a Cheshire cat and was speaking fluently.
Mental State Examination
• General appearance and behavior
His manner and mind set were very good while talking. He talked to everyone in a decent
Comportment.
• Mood
His temper was normal.
• Effect
There appeared no side effect of the therapy while he was speaking.

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• Emotional Response
He was somewhat emotional.
• Motor behavior
He was sitting on the bench and looking at the doctor again and again. He was in his full senses. He was
moving his hand and repeatedly called the doctor.
Thinking and perception
• Thought form
His pattern of thinking was distressed during attack. He was out of senses. He did not have logical ideas.
Unconstructive contemplation ruled his mind. He felt that all the people were jealous to him. But now he
has improved and there seemed a sequence in his logical thoughts.
Slosson Coordination Drawing Test (SCOT)
SCDT was administrated to measure the eye hand coordination. The subject’s eye hand coordination
does not seem to be intact.
Slosson Intelligence Test
The score of Slosson Intelligence Test shows the IQ level of the Patient lies in the range of (36-51).
Patient Seems to lies in the following given range.
Human Figure Drawing
The result shows that patient seems to have immaturity, poor integrated personality, neurological
impairment, extreme insecurity, instability and withdrawal. Furthermore, patient seems to be very shy,
helpless and impulsive and seems to have poor inner contact. The patient seems to have poor
coordination.
Child Apperception Test
Client used the reaction formation because in picture description.
Diagnostics

Prognosis

Summary

Recommendation

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Session 1
The first Session was based on report building with the patient.
I as a therapist introduced myself to the client and his family members including his mother and brother.
Daily routine activities were discussed. Client’s appearance was not so much good.
But he was expressing her feelings and talking about many things.
Session 2:
After greeting the patient her mother asked to describe the problem. She reported history of client’s
problem. The client was asked to describe his complaints. He was also asked about the visit to clinic.
how has he been feeling since coming in hospital. By that time the client meditation was also being
started.
Session 3
It was observed that report was developed. The client discussed his problem with family.
He told that he was feeling depressed. When he thought about his past when people hurt him. He also
told about his only friend and her company. He was sad that he could not meet her because of her
hospitalization.
Session 4
The client’s mother was asked to describe the client’s early life history. his childhood, adolescence and
adulthood. He was also asked to describe his relationship with peers and his friend’s community. He was
also asked about client’s educational history. That’s why he left the education. The client’s mother also
reported the medical history and previous treatments of client for his problems.
Session 5
In the 5th session the client was interviewed and his mental state was assessed. That assessment was
proved useful for the clarification of his problem. It was observed that the client had insight of her
problem.
Session 6:
A comprehensive and well standardized test was administrated in 6th session. But the client was tried to
complete the testing and wanted to write a story after a break. So, the cytometric testing will be
continued till next session.
Session 7:
The comprehensive and well standardized test was completed in 7th session
Session 8:

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8th session was consisted on conflict resolution. The actual work was to change the client’s disturbing
and international thoughts. Cognitive and behavioral techniques were applied on clients.

Session 9:
In session 9 the assertiveness training was administrated to client as the client was withdrawn from his
social life before and could not express his feelings. It enhanced his interests in social life by the time his
pain symptoms is reduced. Psycho education was given to the client’s family that how they would able
cope and manage his problems to ignore him while the relapse accord.
The signal of relapse was also described.
Session 10:
In session 10 comprehensive discussion was held among the therapist and the client and his family to
find out improvements that had shown by the client’s
Follow up Session:
The follow up session was also discussed and advised that if the patient ever had the same problem or
any problem regarding social maladjustment, he can again visit clinic and receive treatment for it.

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