INTERNSHIP REPORT

University Institute of Liberal Arts and Humanities

Department of psychology

Course – BA Psychology
Semester – 6th Semester
Subject code- 21HYI-328

Submitted By- Submitted to

Uttamjot Kaur Ms. Divita
21BHP1074. Sharma
2024-25

1
 TABLE OF CONTENTS
 Certificate 3
 Acknowledgment 4
 Declaration 5
 Copy of Internship Certificate
 Executive Summary 6
 Chapter 1: Introduction 7
 Chapter 2: Overview of the Organization 8-10
 Chapter 3: Learning Outcomes 11-19
 Chapter 4: Limitation 20
 Chapter 5: Conclusion 21

 References 22

2
 CERTIFICATE
This is to certify that Ms Uttamjot Kaur, UID 21BHP1074 has completed the internship project
dated from 28/5/24 to 26/6/24 organized by the Institute of Clinical Psychology by Dayanand
Medical College and Hospital, Ludhiana, Punjab under the supervision and guidance of clinical
psychologist and allied mental health professionals. To the best of my knowledge, this project is
her original work. She is submitting this report for the partial fulfilment of BA Hons. Psychology
(Degree at University Institute of Liberal Arts and Humanities, Chandigarh University under my
supervision.

Signature of the Supervision

Name of the Supervisor

Designation of the Supervisor

3
 ACKNOWLEDGMENT

I would like to use this opportunity to thank everyone who supported me in completing this
internship. First and foremost, I want to express my profound gratitude to Mr. B.P. Mishra, HOD
clinical psychology department for accepting my request for an internship and for supporting me
the entire time I was there with fantastic advice and motivation.
I owe a great deal of gratitude to Ms. Divita Sharma, a psychology professor at Chandigarh
University, for her encouragement while I worked to finish the paper. She was there to help me at
every stage, and it possible for me to complete my assignment successfully.

In addition, I want to express my gratitude to all the friends and family who helped me finish this
report on time.

Thank you!
Uttamjot Kaur

DECLARATION

4
I, Ms Uttamjot Kaur hereby declare that this Field Project Report is the record of authentic work
carried out by me during this period from 28/5/24 to 26/6/24 at DMC, Ludhiana and has been
submitted for the partial fulfilment of my BA (Hons.) Psychology Degree at University Institute
of Liberal Arts and Humanities, Chandigarh University.

Signature
Uttamjot Kaur
21BHP1074

5
 EXECUTIVE SUMMARY

This report includes the details of the internship program and all the activities that took place
during the internship.
This internship provided exposure to diverse cases, and hands-on experience in assessment and
diagnosis taking on an interdisciplinary approach. The internship helped promote professional
growth by enhancing clinical skills, ethical understanding and the ability to work under
supervision. The internship also provides networking opportunities by connecting with
experienced psychologists and healthcare professionals.
PURPOSE
This internship aimed to provide important skills for being a successful psychologist/counsellor,
providing interns with clinical experience, skill development, personal growth and ethical
practising techniques.
THE METHODS
The methods applied during the internship included primary as well as secondary data, involving
observing clinical interviews, psychological intervention used and mental health status
examination, data collection involving collecting case history and using psychological
assessment for data collection
RESULTS
The result of becoming a part of this internship taught me professional as well as ethical skills
that are essential for becoming a psychologist/counsellor.

CHAPTER – 1

6
 INTRODUCTION OF THE REPORT

Background
During my psychology internship at DMC hospital, I had the unique opportunity to observe a
diverse range of clinical cases with a primary focus on mental health assessments under the
guidance of my dedicated supervisors, I diligently followed a structured observation schedule,
dedicating (approximately 31 hrs a week) to this important learning experience. Patients
provided informed consent for my presence during their assessments, and strict adherence to the
hospital’s confidentiality policies ensured the privacy and dignity of those under our care. My
role in documenting these observations involved using standardized assessment tools, and I
received regular feedback from my mentors to enhance the quality and accuracy of my notes.
The internship provided not only a comprehensive understanding of clinical psychology but also
an appreciation of the ethical considerations that underpin this field.

Purpose
The purpose of this internship was to learn history taking, psychological assessments, conduct a
mental status examination of mental disorders in presented case studies and application of
theoretical knowledge to real-life settings. It also included serving in various out-posting
departments and collecting the history as well as administering suitable psychological on the
client along with observing some of the therapeutic interventions used by our supervisors during
the out-posting.
Data Collection
The method of observation was mainly relied on for the collection of data along with the
collection of 1st hand information during the outposting.

Scope
I had the chance to observe and sometimes even participate in the assessments.
The internship provided an excellent opportunity to develop and honour practical skills.
The internship provided the opportunity to learn in collaboration with doctors and healthcare
professionals.
The departments that were attended by included OPD, Nephrology, Oncology, Gastrology and
Pediatrics.

7
 CHAPTER – 2
OVERVIEW OF THE ORGANIZATION

Dayanand Medical College and Hospital, Ludhiana, Punjab, India, is a 165-bed tertiary care
NABH-accredited teaching hospital in North India affiliated with the Baba Farid University of
Health Sciences, Faridkot, Punjab, recognised by NMC.
The institution has an imposing complex of modern buildings and is equipped with all kinds of
modern facilities for providing excellent care patience and training to undergraduate and
graduate students. All the clinical departments along with diagnostic laboratories provide round-
the-clock service at the campus.
The Department of Psychiatry was established as a subspecialty way back in 1970 by Dr. R.L.
Narang. The department shows comfortable and comprehensive psychiatric workouts under the
provision of a team comprising psychiatrists, psychologists, and psychiatric social workers. The
substations of the department include general adult psychiatry, child and adolescent psychiatry,
generic psychiatry, alcohol and drug d addiction, sexual disorders and psychotherapy.
The department has a fully equipped clinical psychology section run under the stewardship of Dr
B.P. Mishra (Ph.D). Psychometric and psychological treatments. All PG students receive training
in clinical psychology as part of MD requirements. A wide range of psychological tests and
psychometric techniques are available.
The mission of the hospital is to -:
Provide medical care with compassion and competence.
To deliver the highest tender of education and medical and allied feels.
To continuously strive for equality improvement.

MAJOR ACTIVITIES
 Case History – we were provided the opportunity to collect the case history and fill in the
MSE (Mental State Examination) for clients during our outposting.
 Out Posting - I was placed in various out-posting departments like Nephrology, Oncology,
Gastrology and Pediatrics under the supervision of MPhil students, where I was able to

8
 understand my role as a psychology student. The outposts involved collecting the case
history and performing psychological tests for assessment (eg- 16Pf in Gastrology and
drawing a person test in Pediatrics). The role also involved observing the initial interaction
between the patients and MPhil students in the Oncology department along with discussing
previous cases along with the therapeutic intervention applied.
 Observation – During my internship, I observed the process of attending to clients and their
initial interactions with the clinicians in OPD as well as different outposting departments.
 Case Discussions – MPhil students presented cases that were encountered by them, under the
supervision of a consultant clinical psychologist who pointed out their mistakes.
 Relaxation techniques - I got to observe deep diaphragmatic breathing along with guided
imagery.
 Psychological assessment - I was allowed to observe the administration of various
psychological tests in the OPD ( various intelligence tests, Columbia Suicide severity scale,
SFBT, MISIC, VSMS, DST, ADHD Rating scale for preschoolers, Inclin Diagnostic tool for
Autism, ISAA,16 PF), as well as got to know about tests such as MMPI, AIMS
comprehensive Neuropsychological battery and MCMI. I was also taught about some other
psychological tests such as MISIC, WAPIS, SFBT, VSMS, DST, 16PF, MISIC, TAT and,
Alexander pass-along test. Therapeutic Intervention - I got the opportunity to observe
supported therapy in the Oncology department as well as psych education along with the
discussion about various therapeutic interventions such as CBT and Motivation Enhancement
therapy.

HIERARCHY
1. Board of Directors

9
2. Hospital Administration and Management
• Chief Executive Officer (CEO)
• Medical Director
• Chief Operating Officer (COO)
3. Clinical Departments
• Department Head (e.g., Department of Clinical Psychology): Dr. B.P. Mishra
• Consultant Clinical Psychologist and assistant professor Ms. Palak Upadhyaya and Ms.
Gursabeen Kaur
• 2nd-year Residents (5) – 2nd yr MPhil students
• 1st-year Residents (5) – 1st yr MPhil students
• Interns

CHAPTER – 3
Learning Outcomes

10
During the internship at CMC Hospital, my basic responsibilities included
1. Assessment – I had the opportunity to conduct a few psychological tests, including
interviews and observation.
2. Supervision and consultation – we regularly meet and check in with the internship
supervisor to discuss the cases and receive feedback.
3. Case Management – we had to maintain patient records for the cases that we observed in
Out posting at Nephrology where we were required to gather data from a research
questionnaire developed by the Department of Clinical Psychology for identifying the
precipitating and other associating factors related to the patients admitted in Nephrology
ward. , maintain confidentiality and comply with legal and ethical guidelines.

I was placed in Out Patient department where my basic role involved observation of cases
and assisting in assessments.

DURATION
1 month (28/5/24- 26/6/24)

DEPARTMENTS ASSIGNED
 Out patient Clinical psychology – My basic role in the department included case
observation and assisting in psychological assessment. Here I got to learn about a few
psychological tests and was able to discuss cases with my supervisor.
 Oncology – The role assigned to me included observation of an initial psychological
interview and additional psychotherapy/Supportive therapy followed by a discussion on
the cases observed with the supervisor, where I was also able to discuss other ongoing
cases in the department. The basic role of our department of Clinical psychology included
interacting with every patient present in the ward and looking out for their mental health
if anything significant was discovered the supervisor would collaborate psychological
interventions for the overall well-being of the client.
 Gastrology – My role in the department included history taking and administration of
16Pf on the patients admitted to the Gastrology ward. The department was required to
collect history for every patient and if anything along the lines of mental health condition
was suspected by the medical doctors, they would call up the department of clinical
psychology which then administered tests on the client and required therapeutic
intervention was later administered in a controlled setting.
 Nephrology – My basic role involved collecting case history and administering the
research questionnaire developed by the Department of Clinical psychology, DMC on the

11
 patients admitted in the Nephrology ward. I also got to observe relaxation techniques for
sleep hygiene in the department along with the discussion on MET with my supervisor.
 Paediatrics – I was informed about the basic tests that are used in the Department of
Pediatrics and mostly got to observe IQ testing through the course.

LIST OF ACTIVITIES PERFORMED

 Case History – Got to collect the case history of patients in the Nephrology ward.
 Test administration – Got to administer 16PF in the Gastrology ward, Research
questionnaire in Nephrology and MISIC in OPD.
 Observation – of history taking and administration of psychological test in OPD along
with the observation of a few psychological interventions during my out posting.

CONCLUSION
The entire experience at DMC, Ludhiana has been enriching and transformative. Throughout my
internship, I had the opportunity to engage in diverse activities, including client assessment, case
discussion, observation of therapeutic intervention, and assisting in research projects. These
experiences allowed me to apply theoretical knowledge in real-world settings, enhancing my
understanding of psychological principles and practices.
I developed essential skills in communication, empathy, and critical thinking which are crucial
for a career in psychology. Working closely with experienced professionals provided me with
valuable inside into various therapeutic approaches and intervention strategies.
The Internship has significantly influenced my career aspirations. I now have a clear vision of
pursuing a career in clinical psychology. This experience has not only solidified my passion for
psychology but also equipped me with the confidence and skills to pursue advanced studies and
professional opportunities in this field.
Moving forward, I am eager to apply the knowledge and skills gained from the internship to my
future academic endeavours and career.

CASE OBSERVATION (OPD)

SOCIO-DEMOGRAPHIC DETAILS

12
 • Name- S.S
Age – 5 year and 25 days
• Sex -Male
 Education – pre-nursery
 Family type – Nuclear
CHIEF COMPLAINT – As per the information reported by the informant Mr. I.S, 35 year
old, Male, MBA self employed tailor-:
• “Bolne mai dikkat aati hai”
Koi Baat bolte bai smghta nhi hai
• Onset – Since birth
Course- Continuous
Precipitating Factor – Unknown
HOPI
The index child, S.S., 5 year 25 days old, currently in Pre-nursery, CBSE board was refered
to DMC by civil hospital, Ludhiana for IQ assessment
The child was full term and born out of normal delivery. The immediate birth was reported to
be delayed.
The developmental milestones were reported to be-:
 Neck holding – 3months
 Sitting without support – 5 to 6 months
 Walking – 13 months
 Monosyllabic speech – 15 years
Negative history
N/H/O head injury
N/H/O Epileptic seizures
N/H/O high grade fever
Past History – N/H/O any medical history report
• Speech therapy for 2 months (2023)

Family History

13
N/H/O any medical or psychological condition

Educational History
The index patient S.S. Started going to playway at the age of 3 years for 1.5 year but was not
able to cope with the environment following which a one year break was taken and started
attending school in the last month prior to which therapy was taken for three months.

CURRENT LEVEL OF FUNCTIONING

Communication – the index patient is able to communicate his needs and wants but only two
gestures
Self – care —The client is able to eat, drink, and bath without assistance and bladder control is
present.
Social skills – the client is able to greet when told to.
Health and safety —The client is aware about the concept of health and safety
Functional Academics – the client was able to replicate shapes but unable to identify colors and
tell time.
BEHAVIOR ORIENTATION
The clients attention and alertness seem to be shifting.

TESTS ADMINISTERED
 VSMS (0-15)
 Seguin Form board test (2-12 years)
 Indian Scale for assessment of Autism (3-12 years)
IMPRESSION- On the basis of the Above findings the index client S.S. Age and 25 days was
placed under the category of borderline Intelligence and mild Autism

DISCUSSION

14
A score of 91 on the ISAA indicates that the individual falls within the “Mild Autism” range.
This suggests that the individual has mild symptoms of autism and may require some support,
but generally has a higher level of functioning compared to those with moderate or severe
autism.
Mild autism, often referred to as high-functioning autism or Level 1 Autism Spectrum Disorder
(ASD), indicates that an individual shows some characteristics of autism but has relatively fewer
challenges compared to those with moderate or severe autism.
Mild intellectual disability sometimes referred to as mild mental retardation or mild intellectual
developmental disorder, is characterized by an IQ range typically between 50-69 (or sometimes
55-70 depending on the specific diagnostic criteria used).
Children in this range may face several challenges and difficulties, but they often have the
potential to learn academic skills up to the elementary school level and can usually achieve a
reasonable degree of independence.

SYMPTOMS REPORTED DURING EVALUATION

Deficits in social-emotional reciprocity, ranging, for example, from abnormal social approach
and failure of normal back-and-forth conversation; to reduced sharing of interests, and emotions,
and failure to initiate or respond to social interactions.
Deficits in nonverbal communicative behaviours used for social interaction, ranging, for
example, from poorly integrated verbal and nonverbal communication; to abnormalities in eye
contact and body language or deficits in understanding and use of gestures; to a total lack of
facial expressions and nonverbal communication.
Deficits in developing, maintaining, and understanding relationships, ranging, for example, from
difficulties adjusting behaviour to suit various social contexts; to difficulties in sharing
imaginative play or in making friends; to absence of interest in peers
Insistence on sameness, inflexible adherence to routines, ritualized patterns or verbal nonverbal
behaviour (e.g., extreme distress at small changes, difficulties with transitions, rigid thinking
patterns, greeting rituals, need to take the same route or eating food every day).
Highly restricted, fixated interests that are abnormal in intensity or focus (e.g., strong attachment
to or preoccupation with unusual objects, excessively circumscribed or perseverative interest).

NOTE – Psychoeducation was provided to the parents along with explaining their child’s
condition to them with behavioural and communication skills that can be used, along with
recommending speech and occupational therapy.

15
 CASE ENCOUNTERED IN GASTROLOGY
SOCIO DEMOGRAPHICS
 NAME – R.K.
 AGE- 35
 SEX- M
 EDUCATION- Graduate
 MARITAL STATUS – Single
 FAMILY TYPE - Nuclear
 OCCUPATION – Farmer
CHIEF COMPLAIN – according to the client 35 year old male, single, graduate, working at a
farm Field.
“ Need nhi aati”
“beechani hottie hai”
(Information was reliable and valid )

NATURE OF ILLNESS
 Onset – Past 4-5 years
 Course - Continues
 Precipitating factor – Not being able to secure a match and internal disputes with
the family regarding the same.
HISTORY OF PRESENT ILLNESS
The Index Patient Mr S.K., a 35-year-old male, graduate, Farmer was recommended to the
Clinical Psychology Department by Gastrology for a psychological evaluation. Mr S.K. has been
consuming alcohol 25 ml a day for the past 4-5 years.
HISTORY OF ALCOHOL USE
 SUBSTANCE – Alcohol
 DURATION – 4 -5 years
 PROGRESSION - Gradual
 QUANTITY – 250 ml a day

No history of absence or any other substance consumed during the above time and the quantity
of intake has been the same.
EFFECTS
 SLEEP - Delayed
 APPETITE- Loss of Appetite
 GENERAL MOOD – Sad

16
MEDICAL HISTORY
 Acute Liver Disorder (Diagnosed a year ago)
NEGATIVE HISTORY
 N/H/O head injury, high-grade fever, Seizures, or delirium
 N/H/O hearing or seeing things that others can't in conscious awareness
 N/H/O persistent sadness of mood, Andonia, disturbed sleep, significant weight change,
suicidal thoughts and excessive feelings of guilt.
 N/H/O excessive worry, restlessness, irritability, difficulty concentrating, sleep
disturbance, increased heart rate, sweating, and trembling.
 N/H/O preoccupation with body weight, restrictive eating, purging behaviour, excessive
exercise, and weight fluctuations.
 N/H/O pervasive or inflexible thinking patterns, feeling and behaving in ways that are
deviated from cultural expectations leading to significant distress or impairment.
FAMILY HISTORY
N/H/O any psychological or medical conditions within the family.
PERSONAL HISTORY
 Birth and developmental history - the index patient was born out of normal delivery
and all the developmental milestones were achieved at an appropriate age
 Educational History – The index patient is a graduate of the Arts
 Occupational history – the index patient has been a farmer for the past 15 years.
 Psychosexual, Marital and Interpersonal History
The index patient identifies as a male who is attracted to females and is currently single.

PREMORBID PERSONALITY
Partially adjusted

TEST ADMINISTERED
1. 16PF Andy subject was reported to have obsessive tendencies along with an increase in
stress, reactivity, and impulsivity.

INTERVENTION USED (MET)

17
Motivational enhancement therapy is a structured intervention approach designed to motivate
individuals to change problematic behaviours.
The client was assisted in the following way.
1. A connection between the mind and body was explained to the client.
2. Short-term as well as long-term effects and benefits of alcohol use were discussed
with the client.
3. At what stage of change was the client, was identified using the UIRCA university
of Road Island change assessment test.
4. 3D technique was used to help with cravings, involving Delay, Distract and Deep
breathing (to manage the physiological aspect of substance use)
o Another technique that was used to help with craving was, riding the wave
technique. Which involves four stages awareness, acceptance, mindful
observation, and nonreactivity. The approach involves recognising and accepting
the cravings without judgement, accepting the thoughts and physiological senses
rather than denying the presence of the craving. Recognising that cravings are like
waves, building in intensity that would crest and subside involves learning how to
ride out peak intensity without feeling overwhelmed. The technique also involves
responding with attention and awareness involving practising relaxation
techniques.
5. The client was helped to identify specific situations emotions and social cues that
prompt the desire to drink within them, these triggers were identified. The client
was told to avoid environments or events where alcohol was readily available or
where others might be drinking heavily.
6. The client was advised to modify his environment and change his surroundings
while reducing temptations, such as keeping the alcohol out of the house and
refraining from visiting bars or clubs.
7. The client was encouraged to invest in exercise and hobbies that could act as a
mechanism for dealing with stress or boredom.
8. The client was also motivated to build a strong support system that he could rely
upon along with maintaining a predictable schedule which could help in reducing
impulsivity. The client was also taught to practice assertiveness, learning to
assertively decline offers of alcohol or invitations to drink without feeling
pressured or uncomfortable.

18
 OVERALL EXPERIENCE
DMC Hospital provides an educational experience for one's training to become a mental health
professional. The internship provided me with an opportunity to observe the work of experienced
mental health professionals, including observing therapy sessions. The experience also provided
me with the opportunity to learn about various psychological assessments and observe how they
are to be administrated. The experience also provided me with the opportunity to come across
my role as a mental health professional in other departments during which I had the opportunity
to interact with different patients with a range of medical histories. I also got an opportunity to
collect their histories along with being able to perform a personality assessment test on them.
My time at DMC has been a memorable experience that I would like to relive. The experience
has in rich to me with various prospectus on mental health and how one can experience a decline
in it, which has helped me to develop an empathetic and positive attitude towards humankind.

19
 Chapter – 04
Limitations

1. Time Restraints: The internship's four-week duration turned out to be both a benefit and
a drawback. It was occasionally insufficient to go completely into all facets of the work
and explore a larger range of activities that could benefit the patients, even while it
provided for a genuine immersion into the organization's activities.

2. Availability of Resources: On occasion, there were restrictions on the supplies available,

such as materials for work-related tasks and specialised equipment for specific therapies.
The range and diversity of activities we could provide the patients with were impacted by
this limitation.

20
 Chapter – 05
Conclusion
In conclusion, my internship at DMC, Ludhiana has provided me with a profound understanding
of the organization's operations, undertaking case histories, several therapies, community
outreaches etc.
 STRENGTHS
 Case Discussions: We were asked to discuss each case and offer both a
provisional and a conformational diagnosis, using the previous instances as
guidance.
 Therapies: Studied and learnt about several therapies like CBT, and art therapy
and how are they used in clinical setups.
 Out-posting - during my internship I got the opportunity to work in different
departments under the guidance of my supervisor, which allowed me to observe
various therapeutic interventions that could be used and how I am supposed to
Converse with patients with different medical histories.

 WEAKNESS
 Time Restraints: The internship's four-week duration turned out to be both a
benefit and a drawback. It was occasionally insufficient to go completely into all
facets of the work and explore a larger range of activities that could benefit the
patients, even while it provided for a genuine immersion into the organization's
activities.
 Availability of Resources: On occasion, there were restrictions on the supplies
available, such as materials for work-related tasks and specialised equipment for
specific therapies. The range and diversity of activities we could provide the
patients with were impacted by this limitation.

 OPPORTUNITIES
 Prolonged Internship: Lengthening the internship term may enable a more
thorough comprehension of patient requirements.
 Resource Allocation: Allocating more resources to activities and therapies would
increase the variety of services available.
 Feedback Mechanism: Establishing consistent feedback systems for employees
and interns may promote ongoing development.

 THREATS
 Resource Scarcity: Limited funding and resources may impede the expansion of
programs and services.

21
 REFERENCES

 World Health Organisation. (2023, March 29). Autism. www.who.int

 American Psychiatry Association. (2013, May 18).

https://www.psychiatry.org/psychiatrists/practice/dsm

22