SUBMITTED BY

Hina Amir

SUBMITTED TO
DR. MEHWISH MURSALEEN

B.S FINAL YEAR A2 (ASSESSEMNT PROJECT)

Course Code: 652

DATE: 26 – October – 2023

DEPATMENT OF PSYCHOLOGY, UNIVERSITY OF KARACHI

Father’s name abc

Date of Birth, Age 20 years

Date 26- Oct-2023

Examiner Hina Amir

IDENTIFYING INFORMATION:

Miss Xyz is a 20 years old female. September 2000 was her birth. She is a first-year B’s

Psychology student at the University of Karachi. Her father, who is 55 years old, recently retired

From a pharmaceutical company. He completed his master’s degree from Karachi University.

Her mother, who is 45 years old and a housewife at the moment, graduated from Karachi

university’s pharmacy program. The client is from a middle socioeconomic status. The client is

middle child of the three female siblings. Her nuclear family lives in Gulshan-e-Iqbal, close to a

disco bakery. She has been living in this location for the previous four years. She previously

lived in Gulshan-e-Iqbal Block 6.

REFERENCE SOURCE OR PRESENTING PROBLEM.

The client is volunteer for the clinical assessment for a final year project purpose. She has a

khyposis and also experiencing anxiety.

INTERVIEW INFORMATION

The client suffers from a physical condition called khyposis, which is a spinal disorder in which

excessive curvature of the spine results in an abnormal rounding of the upper back and also
fingers are not straight. She used to get therapy for her medical condition but not anymore. Her

sister is also suffering from the same disease. She said it might be due to cousin marriage as his

mother and father were cousins. Her relationship with her sister is normal but she does not tell

most of her things to her sister but shares a little with her elder sister. Her elder sister is now

married. Her relationship with his parents is normal. She said that his school life was not good

and she changed several schools only because she lives in a rented house and whenever she

changes house, she also changes her school. She gave me the names of at least four schools that

had been changed. She didn’t have many friends at school, she used to talk to all her classmates

but she only had one friend at school. She had no friends of the opposite gender, she didn’t even

talk to her male cousin. She also revealed that he has stage phobia. She said that her anxiety

during presentations is at an extreme level and she feels anxious if someone stares at her for

more than 3 seconds, accordingly she cannot handle the attention of others. Even if someone

pays attention to her, she feels awkward. Her father is diabetic and her uncle is schizophrenic.

The rest of the family does not have any mental disorders. She was very cooperative, tried to

answer every question, but was a bit nervous maybe just because of the first interaction or as she

said she can’t handle attention from others and she feels anxious if someone stares at her for

more than 3 sesecond.

TESTS ADMINISTERED

Rorschach (ROR).

Thematic Appreciation Test (TAT).

Human Figure Drawing (HFD).

Incomplete Sentence Blank (ISB).

The client was confident and relaxed during the assessments due to the repo

building Maintaining eye contact. She becomes restricted to answer related a

opposite gender. In some tests the client was little bit anxious especially in human

Figure Drawing and didn’t properly complete a single feature at a time.

PSYCHOLOGICAL EVALUATION.

The client score in intelligence scale indicates the IQ of 97 which is average IQ level according

to her 20 years of age. Her verbal IQ is 133 and performance IQ is 77 which indicates that

client perform very well in verbal test as compared to performance test.

According to Rorschach, the client has superior intellectual ability and excessively high

aspiration level since she is unable to devote enough of her own creative energy to her efforts in

order to produce a stable outcome. Additionally the client’s ability to see the environment in an

impersonal. The client is not able to use her inner resources to constructively solve day-to-day

problems since the tension is too great and the client struggles with emotional regulation. The

client’s feels anxiousness and discomfort when someone is paying attention to her. The client is

not managing her mental energy or drive in a way that would be expected of someone in a

previous chronological age. ROR also symbolizes forces most likely to engender anxiety if

permitted direct expression therefore she represet the most repressed forces in the personality

structure. ROR also shows disturbance when the environment stimulates touch in the area of

affectionate need which She disclosed in her case history that she becomes easily distracted by
her surroundings and becomes uneasy when someone is staring at her for longer than three

seconds. Furthermore Rorschach shows that the client is genuinely concerned about her physique

and raises suspicions about the richness of her inner life and acceptance of who she is.

The client's HFD reports show's anxiety, emotional dependency and discomfort which is also

supported by case history and other tests. HFD is also indicating sexual conflict which is

supported by case history that according to the client she doesn’t have any friends of the opposite

Gender and She doesn’t even speak to her male relatives. HFD results also indicating that Client

is facing difficulty in social contact and unable to perform infront of others which also

supporting from case history that the client is unable to bear the attention from someone for more

than 3 seconds . Also the results shows aggressiveness which is also shown in the results of

ROR.

TAT indicates the client’s desire to develop a strong and close relationship with others. The

environment was Perceived as mostly rejecting, uncongenial, and aggressive. The client’s

relationship with others are unsupportive, restrictive and rejecting. TAT also indicates client’s

high need of succorance and seems anxious.

The ISB indicates that the client is strongly attached to her parents but she is unable to do

Something for them and she has considerable conflicts over her inability to perform her

responsibilities. ISB also shows that She is unsatisfied from environment and unhappy from way

the people perceive and not giving space to each other and express more negative attitude

towards them. The client seems introvert and her traits show social anxiety and she had a fear to

speak in social situations and also the client is struggling with antisocial tendencies . ISB also

gives an indication that the client is seriously maladjusted in family, social & sexual area.
TENTATIVE DIAGNOSIS.

F40.10 Social Anxiety Disorder. The client is facing difficulty in social contact and unable to

perform infront of others. She is unsatisfied from environment and unhappy from way the people

perceive and not giving space to each other and express more negative attitude towards them.

The client’s feels anxiousness and discomfort when someone is paying attention to her especially

for more than 3 seconds that’s she avoid to interact with other’s. These all are the symptoms that

supports the diagnosis of social anxiety disorder.

PROGNOSIS.

Assessment done for assignment purposes only.

RECOMMENDATIONS.

she need a counselling and , I advise her whenever client feels anxious close her eyes and take

long deep breaths and make an anchoring point in her thumb and whenever she feels uneasy or

anxious press the thumb and recall any positive event before it.

SUMMARY.

On abc subject, ROR, TAT,HFD, and ISB test were administered and recommendations were

given.

Mehwish Mursaleen . Hina Amir

(Supervisor ). B.S Final Year

University of Karachi.