2024

Women university
Multan

Asima Naseem
Bs Applied psycholog
7th semester

[
clinical psychology internship repo
This document include the cases of psychiatry patients whom we deal in our internship. This report
include symptoms, diagnostic evaluation, and treatment of patients.
Contents
Certificate....................................................................................................................................................3
Acknowledgment.........................................................................................................................................4
Introduction.................................................................................................................................................5
Objective of internship................................................................................................................................5
Purpose of internship in psychology............................................................................................................6
Case study-I (obsessive compulsive disorder)..........................................................................................7
Case study –II (bipolar disorder).............................................................................................................10
Case study-III (schizopherenia)...............................................................................................................13
Case study-IV (major depressive disorder)..............................................................................................16
Certificate
Acknowledgment
With grateful heart I would like to remember the person who have helped me during the course of my
internship program. I wish to place my word of gratitude to dr. Sadia Musharaf and madam Maham for
their guidance and support.

I am thankful to clinical psychologist Dr.Eman for her valuable guidance at all stages of the study, their
advice ,positive and supportive attitude and continuous encouragement.

I owe my wholehearted thanks and appreciation to the entire staff of the psychology department for
their cooperation and assistance during the course of my internship.

I hope that I can build upon the experience and knowledge that I have gained and make a valuable
contribution towards this industry in future.

Thank you to all my teachers in Women University Multan for their direction and support.
Introduction
An internship is trained and supervise experience in a professional setting in which the student is
learning and gaining essential experience. Internship meant for introducing candidates to real world
experience related to their career goals and interests. Internship is done according to academic
curriculum. Internship are of several types some are paid , some are not and some offer credit towards
graduation.

Internship are a great way to gain practical experience and expand knowledge. an internship is a way to
determine if the industry and the profession is the best career option to purse. Interns not gain practical
work experience in a field that students intend to purse also build experience in local, national and
international platforms.

It also assists students in making in form career decisions. Through daily activities and interpersonal
interactions, interns are able together valuable information about their field. They also get a chance to
evaluate their own strengths and preferences before they formally enter the job market. such
information can be helpful in deciding if they have made the right career choice and can reinforce
doubts or resolves relating to their goals.

Internship may present a potential for an offer of full time employment. Professional work experience is
the most beneficial advantage that can be acquire by completing an internship for students or fresh
graduates, having this work experience own their resume can be the best way to get the foot in the
door. This can result in more job offers as compared to individuals who lake such work experience.

Objective of internship
The main objective of the internship course is to facilitate reflection of an experiences obtain in the
internship and to enhance understanding of academic by application in the internship setting.
Internships will provide students the opportunity to test their interests in a particular career before
permanent commitments are made. Apart from it is more important because :

1. Internship students will develop employment records or reference that will enhance
employment opportunities.
2. Internship will provide students with an in-depth knowledge of the formal functional activities of
a participating organization.
3. Internship program will enhance advancement possibilities of graduates.
 4. Internship will help the trainees to develop skills and techniques directly applicable to their
careers .

Purpose of internship in psychology

1. To develop facility with the range of diagnostic skills, including: interviews , case history-taking,
risk assessment, child protective issues, diagnostic formulation, triage, disposition, and referral.
2. To develop further skills in psychological intervention, including: environmental interventions,
crisis intervention, short-term, goal-oriented individual, group, and family psychotherapy,
exposure to long-term individual psychotherapy, behavioral medicine technique, and exposure
to psychopharmacology, case management, and advocacy.
3. To develop facility with the range of assessment techniques, including: developmental testing,
cognitive testing, achievement testing, assessment of behavior, emotional functioning,
assessment of parent-child relationship and family systems, neuropsychological evaluation.
Case study-I (obsessive compulsive disorder)

Summary

This clinical report outlines the assessment of Mr.Azlaan khan a 23-year-old male presenting
with symptoms indicative of Obsessive-Compulsive Disorder (OCD). The report includes a
diagnostic evaluation, diagnosis, and proposed treatment strategies.

Identifying information

Name Azlaan khan

Age 23

Gender male

Birth of order 1st

Education Bs math

Martial status single

Occupation nill

No.of siblings 1brother 1sister

Demographic data

Parents Alive

Mother’s occupation Teacher

Father’s occupation Accountant

Residence Multan

Socio-economic class Rich

Place of interview Nishter Hospital Multan

Informants:

A patient came with name Azlaan came to clinic due to distressing and time consuming
obsessions and compulsions. We are informed by his distressing thoughts and repetitive behavior
from previous 6 months.

Reason for referral:

The patient was self referred.

Background information

nill

History of iillness:

Nill

Family history:

Grand father had repititive behavior of hand washing and obsession of cleanliness.

Past psychiatric history:

Nill

Medical history:

Nill

Personal history:

The client as born with normal delivery brought normally

Psychological Assessment

Presenting complaints:
Mr.Azlaan reported persistent and distressing intrusive thoughts about contamination and harm
befalling loved ones. These obsessions were accompanied by compulsive rituals involving
excessive hand washing and checking behaviors.

Diagnostic evaluation:

Physical assessments were conducted to find out medical condition. Structured clinical interview
and Yale Bron Obsession-Compulsion Scale ere used for assesments.

Diagnosis:

According to the DSM-5 criteria, Mr.Azlaan diagnosd Obsessive-Compulsive Disorder,

characterized by the presence of obsessions and compulsions that s disturbing his daily life
functioning.

Treatment plan:

• Cognitive-Behavioral Therapy (CBT): Implement exposure and response prevention

(ERP) to gradually expose Mr. Thompson to feared situations while preventing compulsive
behaviors.

• Medication: Consider selective serotonin reuptake inhibitors (SSRIs) to alleviate

obsessive thoughts and reduce compulsive behaviors.

• Psychoeducation: Provide information about the nature of OCD and strategies for
managing symptoms.
Case study –II (bipolar disorder)
Summary
This clinical report presents an assessment of Miss Asma Abbas, a 18-year-old female, seeking
evaluation for mood swings and related symptoms. The report outlines the diagnostic evaluation,
diagnosis of bipolar disorder, and provides treatment recommendations.

Identifying information

Name Asma Abbas

Age 18

Gender Fe

Birth order 2nd

Education middle

Marital status married

Occupation house wife

No. of siblings 3 brothers 2 sisters

Demographic data

Parents alive

Mother’s occupation house wife

Father’s occupation shopkeeper

Husband’s occupation shopkeeper

Residence khanewal

Socio-economic class middle class

Place of interview Nishter Hospital Multan

Informants:
 A patient name Asma Abbas came with her two family members’ mother and sister. They
provided information that she had got married for 7 months and became sick after a week of his
marriage. She wanders every time and also had sleep deprivation, self laughing and poor health
care.

Reason for referral:

The patient was referred by family.

Presenting complaints:

Prevalence mood

Self laughing

Poor self care

Aggression

Disturbed sleep patterns

Fluctuating energy levels

Wandering in ward

Mood swings

Background information

History of illness:

According to parents:

After a week of marriage, they were informed that their daughter is not in well condition. Her
behavior is not bearable. She has alternating mood sometimes became very aggressive.

Family History:

Family history reveals increase of mood disorder

Past psychiatric history:

Nill

Medical history:

No significant medical history

Personal history:
Mood swings

Psychological Assessments

Presenting problem:

Patient reported experiencing alternating episodes of mood, increased energy , and decreased
need for sleep, followed by periods of profound sadness, low and high energy , disturpted sleep.
She highlighted significant difficulties in maintaining stable relationships and job performance
during these episodes.

Diagnostic evaluation:

To measure the severity Hamilton Depression Rating Scale and Young Mania Rating Scale were
used. Clinical interviews and Mood Disorder Questionnaire were used.

Diagnosis:

Accordding to the DSM-5 criteria, Mis Asma was diagnosed with Bipolar I Disorder and
characterized by the presence of manic and depressive episodes.

Treatment plan:

• Medication: Initiate pharmacotherapy with mood stabilizers such as lithium, along with
adjunctive therapy based on symptom presentation.

• Psychotherapy: Recommend cognitive-behavioral therapy (CBT) to address mood

regulation, interpersonal issues, and stress management.

• Lifestyle Recommendations: Emphasize the importance of maintaining a stable daily

routine, regular sleep patterns, and stress reduction techniques.

Follow-up plan:

Scheduled follow-up appointments every two weeks for the first month, followed by monthly
appointments for medication management and therapy sessions. Regular assessments using
standardized scales to track mood changes and treatment response.

Conclusion:

This clinical report provides a comprehensive assessment of Miss Asma abbas's condition,
highlighting the diagnosis of Bipolar I Disorder. The proposed treatment plan integrates
pharmacotherapy, psychotherapy, and lifestyle recommendations, aiming to enhance Ms.
Johnson's overall well-being.
Case study-III (schizopherenia)

Summary

This clinical report is the assessment of Mr. Ali , a 26 yr old male and presenting of
schizophrenia. Including diagnosis ,evaluation and treatment strategies.

Identifying information

Name Ali

Age 26

Gender male

Birth of order only child

Education MA

Martial status single

Occupation student

No.of siblings nill

Demographic data

Parents Alive

Mother’s occupation housewife

Father’s occupation teacher

Residence vehari

Socio-economic status middle class

Place of interview nishter

Informant:

A patient Ali came to hospital due to hallusination and convulsion. We were informed that he he
may hear voices that others cannot hear, leading to the feeling of confusion that as affecting his
daily life.

Reason for referral:

The patient was referred by a dr.Eman.

Background information:

Having trauma of his best friend’s death.

History of illness:

nill

Family history:

No significant medical history

Past psychiatric history:

nill

Medical history:

No significant medical history

Personal history:

Ali was born ith normal delivery and having no complaints in past and brought normally.

Psychological Assessment

Presenting compliants:

Auditory Hallusination

Paranoid Delusion

Increasing Social withdrawl

Disorganied thoughts

Diagnostic evaluation:

Physical health assessment conducted to evaluate medical conditions. Clinical interviews were
taken for DSM5 criteria. Positive and negative syndrome scale was used.

Diagnosis:

Ali received a diagnosis of schiophrenia by the presence of auditory hallucination and delusion.

Treatment plan:

• Antipsychotic Medication: Initiate antipsychotic medication to manage positive

symptoms and stabilize mood.
• Individual Therapy: Implement cognitive-behavioral therapy (CBT) to address cognitive
distortions and enhance coping strategies.

• Family Involvement: Encourage family support and education to facilitate a supportive

environment.

Follow-up plan:

Weekly therapy sessions ,medications and regular assessments of symptoms by using PANSS.

And encourage the health care providers for essential care.

Conclusion:

This report provides the comprehensive assessmets of Mr.Ali’s condition and diagnoed
schiophrenia. Anti-psychotic medicatin,individual therapy and family involvement were used to
improve the over all well-being.
Case study-IV (major depressive disorder)
Summary:

The client as diagnosed with major depressive disorder. The client was assessesd , diagnosed and
treatment plan as developed. CBT and BDI-I scale were used and result seemed in declined in
symptoms.

Identifying information

Name rabia

Age 29

Gender fe

Birth of order 2nd

Education BBA

Martial status married

Occupation Cashier

No.of children 3

Demographic data

Parents alive

Mother’s occupation house wife

Father’s occupation teacher

Residence lahore

Socio-economic status high class

Place of interview CMH

Informants:

The client with major depressive disorder was presented for the treatment at a community mental
health facility. She stated that she had daily crying spells, felt sad all the time, had trouble
sleeping at night, and was overeating.

Reason for referral:

Client was self referred.

Background information:

Rabia reported that she sought help for post partum depression six months ago following the
birth of her third child, Zonia. She became depressed when she found that she was pregnant,
depreesion continued and effecting her after birth. During initial months of pregnancy she felt no
energy and could not sleep. She felt lost of control to life and exhausted. Her doctor prescribed
her medicine that she discontinued to take medicine after a few weeks because that was not
helping her.

History of illness:

Nill

Family history:

unsatisfactory relationship with her mother

Past psychiatric history:

Nill

Medical history:

Nill

Psychological assessment

Present complaints:

Daily crying spells, felt sad all the time, had trouble sleeping night, overeating. She reported that
she slept for a few hours and spent most of her time in thinking and worrying. she had a thought
that she was not a good mother . during the initial of interview she reported ‘all right ‘ after a
pause she added “always down”. She stated depression was affecting her socially . she was
unable to work outside and having bad financial impact. she stated that depression was
destroying her life.

Diagnostic evaluation:

Diagnosis:

According to DSM criteria client have symptoms matching with major depressive disorder. Lost
of interest in most activities is evident. Changes in sleep habits, weight appetite and energy level
are seen as well as level of psychomotor activity . she is experiencing feelings of worthless and
guilt.

Treatment plan:
Antidepressant medications are used to treat depression:

These medication have mood elevating actions and reduce the anxiety , calm a person down and
improve a quality of sleep.

Psychotherapy :

*CBT

Interpersonal therapy

ITP with medications

Combined Treatment-Psychotherapy and medication:

Conclusion:

The Beck Depression Inventory was used during 1st session and score showed severe range of
depression. During her fifth session , score was in borderline range.

The client was offered cognitive behavioral therapy and medication that would meet the
provisions of best practice for the treatment of Major Depressive Disorder . She showed
improvement within a few sessions as indicated on her Beck Depression Inventory scores and
her self-reports. More specifically, she reported feeling better, being more active, having more
energy, sleeping better, and making decisions she was happier with. Although she discontinued
treatment after starting antidepressant medications, she indicated that she felt that therapy was
successful. This optimistic reaction could be helpful in the future if she feels the need to return to
psychotherapy. She will view it as something beneficial and worthwhile. In short, therapy
seemed to be a positive experience for her.