1

PSYCHOLOGICAL ASSESSMENT REPORT 1

Name:             Zeenat
Father’s Name: M. Iqbal
Date of Birth: 2005
Assessment Dates: 2 ,3 ,4 & 6 and 7 April 2022
nd rd th th th

Assessed By: Hasnat Abdullah

Case No: 1

IDENTIFYING INFORMATION 

Zeenat is 16 years old. She left 8th standard 4 years ago and she is the youngest in
the family and engaged with paternal aunt son. She is the youngest child of her parents and
having nine siblings including five brothers and four sisters. She belongs to middle
socioeconomic Muslim family. Her father is a landowner person, and her mother is
housewife, residing in Jaranwala district. She lives in joint family system.
 
REFERRAL SOURCE AND PRESENTING COMPLAINTS

The patient was referred by Doctor Imtiaz Dogar in the district Head Quarter
Hospital for the purpose of psychological assessment and management problem. She is
taking psychological treatment from the psychiatric Fatima Female ward District Head
Quarter Hospital Faisalabad. Her presenting complaint as reported about her family and
having physical pain in her body. Due to family issues, she has depressed feelings, easily
distracted, weeping spells, low appetite, insomnia due to fainting or unconsciousness, loud
noise which triggered the patient aggression, and she is also use in abusive language but
according to patient she didn’t remember about the aggressive event. Clients body was
also shivered all the time and complaint about his legs and muscle pain in neck.
 

INTERVIEW INFORMATION

According to client’s sister, the patients’ problem is gradually increased in last one
and half months. She also reported that she did take interest in daily living activities but
seems depressed most of the time. She feels very restlessness and fatigue all the time.
Client reported that he becomes anxious and guilt feeling over her behaviors whenever she
knows about it. She cannot walk properly. She also reported that she did not control over
his thoughts. She thinks most of the time. Client’s milestones were normal (motor &
speech).

According to previous history of client’s problem started at age 16 from one and
half month ago. Client reported that her family is insisting her to get married. According to
her, she is not ready for marriage. She thinks that her family also consider her a burden
and they want to get rid of her. According to her, Brothers also not cooperative now
because they are married now and quarrel with each other and father on different issues
that is disturbing.

Client’s elder sister had depression and anger issues and took treatment from
Dr.Imtiaz Dogar. Parents have good relationship with each other, but brothers have not
good relationship with one another. The client left school five year ago. Her education
performance remains good. She never failed in school and had good relationship with peer
and classmates but according to her, she quit studies because of her sister. Her father told
her to quit because sister was all alone in home.
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Client’s sister also explained the two days before events, such as two days before
her brother and sister talking about her marriage. She didn’t want to get married so she
objects the decision and cry all day, but no one listen to her. Next day, she worked all day
after her mother fighting with daughter-in-law. She starts complaining about her body and
legs due to work.
In one session she complains about her marriage but in last session she said she was in
love with him, so she wants to marry because according to her, he cares about me. He is
her paternal aunt son, so he visits her in hospital. She wants to spend good time with
family when everyone happy and cares about each other. According to her, she frightened
when her father and brother talking to each other in loud noise. So, she hates loud noises
and easily irritated. She said that she wishes to become her father’s son instead of her
daughter so she cannot leave her parents alone and stop her father and brother from
quarrelling. 

 BEHAVIOR DURING TESTING SESSIONS

The client appearance was age appropriate. She was cooperative and speech was
normal. The client came with her sister in DHQ Hospital. She came with me into session
room, and she stayed in the room for 30-40 minutes. She was focused during the session.
Initially, she was hesitant and refused for testing. Client was very talkative. Her dressing
also good and well mannered, also insight was not present. While drawing the HFD her
hand shivered and took 35-40 minutes for drawing a figure. I instructed her to draw one
human figure for 3 times, but she drew more than one figure. While performing TAT, on
her second last card 12F she was scared and show restlessness but complete last card in
same restlessness and go for a walk. She seems to be depressed and cried during the
procedure of RISB test and she was responding slowly and steadily.

TEST ADMINISTERED 

Human Figure Drawing (HFD)

Thematic Apperception Test (TAT)

PSYCHOLOGICAL EVALUATION 

Human Figure Drawing Test (HFD), a projective test, indicates that the client has
psychosomatic complains and also aggressive behavior. She expressed strain and stress.
Also inhibit her impulses. She has poor school achievements.

In addition, a Projective test Thematic Apperception Test (TAT) indicated that

client has needs such as understanding, Affiliation, Nurturance, Succorance, Harm,
Avoidance, Passivity. And inner state has conflict and dejection. The press includes Lack,
Uncongenial environment, Affiliation, Nurturance and Succorance.
          
TENTATIVE DIAGNOSIS 

300.11(F44.4) Conversion Disorder with weakness and with abnormal movement  

PROGNOSIS 

The client suffered with psychological illness, she needs family attention and
support. Prognosis is made good with on patient’s motivation level, family support and
proper treatment. with the mutual cooperation of the patient with the therapist as well as
the patient’s insight of his problem.

CONCLUSION 
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The client is 16 years old girl lives in Jaranwala. He belongs to middle class
Muslim family. Her presenting complaints as reported by her and her sister are headache,
muscle stiffness, walking difficulty, insomnia, noise irritation, weeping spells, abusive
language, fainting and body pain.
According to her, everyone is insisting her, and everyone want to get rid for her SDCT, a
neurological test and HFD, projective tests are administered on patient. Some other test
like TAT also administered on some other sessions

RECOMMENDATION

 In family therapy, the goal of treatment is to meet the needs of all family members.
Family therapy addresses the interdependent nature of family relationships and
how these relationships serve family members for good or ill.
 Relaxation exercise including deep breathing and progressive Muscle Relaxation
(PMR)
 Physical therapy such as Physiotherapists help with movement symptoms, such
as muscle spasms  and weakness.

 Supervisor Internee
  
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PSYCHOLOGICAL ASSESSMENT REPORT 2

Name: Kinza tahir

Father’s Name: M.Tahir
Date of Birth: July 10, 2002
Assessment Dates: 20 , 22 24 , 25 & 26 May
th nd, th th th

Assessed By: Hasnat Abdullah

Case No: 2

IDENTIFYING INFORMATION 

She was 20 years old girl. She belongs to a middle-class family. She was suffering
from generalized anxiety disorder GAD [300.02 (F41.1)]. She was a student of M.com at
University of Faisalabad. She was first born child in her family

REFERRAL SOURCE AND PRESENTING COMPLAINTS

The patient was referred by Doctor Imtiaz Dogar in the district Head Quarter
Hospital for the purpose of psychological assessment and management problem. She is
taking psychological treatment from the psychiatric Fatima Female ward District Head
Quarter Hospital Faisalabad
She has symptoms of Excessive anxiety, Overthinking, Difficulty concentrating on
studies, Restlessness, Muscle tension, Sleep disturbance, Fatigue, Feeling of
worthlessness.

INTERVIEW INFORMATION

She was 20 years old innocent girl. Her hygienic condition was fine. Her hair
seems fine, she was wearing uniform and overall, her looks were pretty normal. She didn’t
maintain eye contact properly. Her behaviour was cooperative as she was answering my
question, but she was too anxious at that time. She was a quite girl but answer what I ask.
Her speech was low, but she took pauses at emotional points. She doesn’t have any
problem like hallucinations. Her orientation of time, place and person was appropriate.
She was shivering when she is telling me these and even at a moment she starts crying
because she thought that I shouldn’t think more than what a normal person thinks.
She has no psychic history. She completed her developmental miles stones on time.
She doesn’t face any kind of complications during the time of birth.  She was a social girl.
She was a centre of attention for all of her relatives. She has no past psychological history.
She was suffering from anxiety for more than a year.
She was very intelligent and position holder student till 8 grade in school. She was
th

loved by all her teachers, her relationship with teachers and class fellows was friendly but
in 9 grade board examination she failed in two subjects which was quite shocking for her.
th

After that incident her morale got down and she started overthinking and getting anxious
all time. All memoires of past educational levels were unforgettable for her either good
ones or bad ones. She had no medical and drug history. She has no accidental history. She
was suffering from severe Anxiety since 1.5 years as she failed in 9 grade boardth

examination, she was very intelligent and position holder student till 8 grade in school.
th

After that incident her morale got down and she started overthinking and getting anxious
all time.
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BEHAVIOR DURING TESTING SESSIONS

She is hygienic condition was fine. Her hair seems fine, dress was clean. She was
wearing a uniform. Overall, she was not much groomed but normal. She didn’t maintain
eye contact properly. Her behaviour was cooperative. She was less talkative girl and has
less urge to share her moments of life. Her speech was low and slow, but she took pauses
at emotional points. She doesn’t have any problem like hallucinations. Her orientation of
time, place and person was appropriate.
             Her personality functioning seems fine. HFD shows her anxious and aggressive
personality. Anxiety is the most dominant reason that has disturbed her life.

TEST ADMINISTERED 

Slosson Drawing Coordination Test (SDCT)

Human Figure Drawing (HFD)

  
PSYCHOLOGICAL EVALUATION 

         Slosson drawing coordination test (SDCT) is neuropsychological screening use to

identify individuals with brain dysfunction or perceptual disorders involving hand and eye
coordination. The cut of score of SDCT is 85% and accuracy score obtained by the client
is 97% indicates that client eye hand coordination seems to be intact.
Human Figure Drawing Test (HFD), a projective test, indicates that the client has
large hand associated with aggressive and acting out behaviour. Big head associated with
intellectual striving, intellectual inadequacy and mentally retarded.

TENTATIVE DIAGNOSIS 

Generalized Anxiety Disorder 300.02 (F41.1)

PROGNOSIS 

Prognosis seems to be favorable if proper treatment and session are taken on

prescribed days. There are chances of gradual improvement.
CONCLUSION 

She was 20 years old girl. She belongs to a middle-class family. She was suffering
from generalized anxiety disorder GAD [300.02 (F41.1)]. She was a student of M.com at
University of Sargodha. She was first born child in her family. In the past 1 years she has
lost interest in activities of daily life, she could not concentrate on her studies properly.
She failed in two subjects in mid-term exams in 1 semester of M.com, and in finals too
st

she had so much difficulty. She thought too much about her worries. These two reasons
triggered her Anxiety. Her Anxiety has become generalized because of her family cold
attitude towards her condition. She often has emotional outburst. She often thinks that she
has no aim in her life. She said that I can’t trust people because of my worries that they
might be bad. She had thoughts like I can’t do anything, and I can’t perform well under
my thoughts. She was unable to perform daily routine task as she feels fatigue all the time.
One of the major problems which evoke her tension was her lack of interest in studies and
lack of concentration during study. The restricted environment of her family was the
maintaining factor. Her supporting figure was her mother. For diagnosis about her
problems cross cutting measure were measured.
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RECOMMENDATION

 Practice relaxation technique

 Think positive about own self.
 Socialize with positive people.
 Use the techniques which she learned when in future she feels anxiety
 Use them as she told. 

 
             Supervisor Internee
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PSYCHOLOGICAL ASSESSMENT REPORT 3

Name: Sehar kazmi

Father’s Name: Hussan riaz
Date of Birth: March 23, 1995
Assessment Dates: 16 , 17 , 18 , 19 and 21 May 2022
th th th th st

Assessed by: Hasnat Abdullah

Case No: 3

IDENTIFYING INFORMATION 

Sehar is 26 years old unmarried female. Her education is B.A. She has 4 siblings (2
sisters and 2 brothers). Her birth order is 5 among siblings. She belongs to a lower middle
th

socioeconomic Punjabi/Urdu-speaking Sunni family in Chiniot, Jhang. Her father is a

worker and mother is a housewife. She lives in a nuclear family system.

REFERRAL SOURCE AND PRESENTING COMPLAINTS

The client was referred by the hospital for the assessment. Her presenting
complaints as reported by her include aggressive behavior, elevated mood, decreased
sleep, decreased appetite, weeping spells, suspiciousness, self-harm, beating others, self-
talk, self-laugh, abusive language, disorganized speech, auditory hallucinations, visual
hallucinations and persecutory delusions.  

INTERVIEW INFORMATION

According to the client herself, her problem was gradually increased. She was in
usual state of health four years back. She was doing B.A. from Degree College Chiniot.
She reported that she heard voices. It’s like someone blows in the ears. I feel afraid voices
won’t leave me anywhere. And I see things like shadows and people, they scare me in the
shape of my aunt. She talked to herself and laugh without any reason. When her family
saw her talking to herself, they stopped her. When they stop her she become aggressive
and started fighting with family and use abusive language. When voices didn’t leave her
she would get a headache and she hit her head on the wall to avoid it, and she did this so
many times. Her sleep was disturbed because she feels scared from voices and thinking
that why this is happening with me. She thinks that her family is against her, her parents
didn’t love her. She thought that her sister also met with her aunt and wanted to harm her.
She heard voices of her aunt that she wanted to destroy her and to separate from family.
My aunt comes to my house and threatens me that I will destroy you I will kill you.
Her problem was started when her sister and aunt fighting and she was sleeping,
when heard their voices she got up and tried to rescue them but they started fighting with
her. Then her sister started fighting with her that you are the reason of fighting. She started
blaming her and fighting every day. She reported that she became very depressed and
began to feel guilty. But she didn’t know the reason why they fought because of her. She
feels that everything happens because of me. She started weeping started to remain alone.
When she went to college and talked to herself there and laugh without any reason, her
friends started teasing her that she is insane. She gets angry and beat them. Then her
teachers talked with her parents that your daughter’s behavior is unbearable you have to
take her to doctor. Then her parents stopped her from studying. At home, she sits alone all
day talking to herself, laughing and fighting with her siblings. When her aunt come to her
house she starts fighting with her and use abusive language that she wanted to kill me. She
beats her aunt that why you come to my house, you destroyed my life, I left my studies
because of you. She also beats her sister saying that you are met with aunt. She was
suspicious of her family.
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Her mother reported that her birth was normal and she was normal in her
childhood. She achieved her developmental milestones on time. She was neglected child
due to the fights of financial issues. She was introvert from her childhood. When she
started school she was bright student. But her class fellows tease by taking opposite
names. That’s why she didn’t mix with anyone and remain alone. Her sibling didn’t pay
attention to her. So, she started remaining alone. She never made friends. She was afraid
of making friends. But when she started her college, she made one friend. Her relationship
with that friend is very good. But four years ago, all of a sudden, her attitude started to
change, she started talking to herself and laughing sitting alone. She started fighting with
her sister and beating girls in the college. Her teachers advised us to take her to doctor for
treatment. Then we took her to Civil Hospital Chiniot. Doctors gave her medicine and she
became better. 
Her mother also reported that her father also having same issues from last ten years
and taking medicine. He never admitted in the hospital. Her mother told that after 2
months she stopped taking medications and then she returned to the previous condition.
She again started the same behavior like before. Then we took her to Army hospital
Multan and checked her to psychiatrist. Then doctor gave her medicine and strongly
insisted that now the medicine must be taken continuously or else you will be admitted to
the hospital. She started taking medicines regularly and gets better. Then she started home
tuition to cover her household expenses and to remain busy. Six months before she started
teaching in the private hospital. Despite the medicines, she sometimes had problems, but
recovered. She was engaged two months ago, but when they found out about her illness,
they broke up. After that her condition began to deteriorate again. Four or five days ago
her aunt come to our house, her condition started deteriorating again she beat her badly
and also harmed herself. She was blaming her that this is happened due to her aunt. We
took her to the Civil Hospital they didn’t admitted her and gave her medicine but her
condition was not stable. Then we took her to DHQ Hospital Faisalabad and admitted her
in the Fatima Ward.

BEHAVIOR DURING TESTING SESSIONS

The client’s appearance was age appropriate. She was cooperative and talkative
during sessions. She was not hesitating during assessment. She followed the instructions
carefully. She was dressed properly and maintain eye contact. During administration of
TAT she was hesitating but after instructions she performed well.

TEST ADMINISTERED 

Human Figure Drawing (HFD)

Thematic Apperception Test (TAT)  

PSYCHOLOGICAL EVALUATION 

Human Figure Drawing Test (HFD), a projective test, indicates that client has poor
coordination and impulsiveness, no balance in life, aggression, having difficulty in
reaching out into world and towards others, shy, overt aggressiveness, immaturity,
impulsivity and poor inner control, fantasy no clear sense of reality.

In addition to another Projective test which is Thematic Apperception Test (TAT)

that uncovers the unconscious aspects of the personality. Results of TAT indicated that
client has somehow feelings of dejection. Clients significant needs are Acquisition, Harm
Avoidance Nurturance, Succorance, affiliation, dominance, and understanding and to
avoid harm. Client’s significant conflicts are autonomy vs. compliance. To deal with
conflicts, she uses defense mechanism of projection. Client stories indicate lack, loss,
physical danger, aggression, dominance and uncongenial environment.
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TENTATIVE DIAGNOSIS 
295.90 (F20.9) Schizophrenia, multiple episodes, currently in acute episode.

PROGNOSIS 

Prognosis is made good with the mutual cooperation of the client with the therapist
as well as the client’s insight of her problem and motivation.

CONCLUSION 

The client is 26 years old unmarried female who has symptoms of aggressive
behavior, elevated mood, decreased sleep, decreased appetite, weeping spells,
suspiciousness, self-harm, beating others, self-talk, self-laugh, abusive language,
disorganized speech, auditory hallucinations, visual hallucinations and persecutory
delusions. In order to concrete the symptoms, few tests were administered. Result of HFD
shows client has poor coordination and impulsiveness, no balance in life, aggression,
having difficulty in reaching out into world and towards others, shy, overt aggressiveness,
immaturity, impulsivity and poor inner control, fantasy no clear sense of reality. Results of
RISB and SDCT indicate that the client is socially maladjusted and her eye-hand
coordination is not intact. She is aware of her problem. She is ready to take part in the
treatment sessions with the desire to be completely fine in order to be more productive in
life. 

RECOMMENDATION

 Relaxation exercises including deep breathing and progressive Muscle Relaxation

(PMR)
 Cognitive behavior therapy plays a productive role. It will   help client how to cope
with his behaviors.
 Psychoeducation of client about problem 
 By using bio-psycho-social model the client was educated regarding the treatment, and
the course of it. The client was also educated about the point which were in the favor
of prognosis and points against it.
 In ABC Model, client is told that how his negative and irrational beliefs (IBs) or
behaviors are causing disturbance in her life. The rational was explained to help client
to understand his believes or behaviors, and to replace the dysfunctional believes or
behaviors with functional ones.
 ABC model was explained in which the client was told that there can be any stressful
event, that can become the antecedent of poor consequence, and the thing that actually
leads to a poor consequence is a faulty belief or behavior.
 Relapse prevention approach is used with the client to develop coping skills to manage
high risk situations, to make life style change to decrease the need for drug, to prepare
for interrupting lapses so that they do not lead to relapse and to prepare the client for
managing relapse so that potential harms may be minimized.
 In family therapy, the goal of treatment is to meet the needs of all family members.
Family therapy addresses the interdependent nature of family relationships and how
these relationships serve family members for good or ill.
 Anger management therapy to manage her anger.
 Motivational enhancement therapy
 
 

 Supervisor Internee
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PSYCHOLOGICAL ASSESSMENT REPORT 4

Name: Tahir Shakoor

Father’s Name: Shakoor Ahmed
Date of Birth: March 24, 2006
Assessment Dates: 16 , 17 , 18 , 19 and 21 June 2022
th th th th st

Assessed by: Hasnat Abdullah

Case No: 4

IDENTIFYING INFORMATION 

A child name Tahir Shakoor with delayed motor skills evolving into later
intellectual disability and also speech problem that is reading skills that impacted
academic progress and functioning in school.

REFERRAL SOURCE AND PRESENTING COMPLAINTS

The client was referred by the institute for the assessment. The history reported by
his mother, reveals that the child was a case of normal delivery. The child's first cry was
present, and his birth weight was 3kg. The color of the child was white. His mother
reported that he faces problems in reading and writing.

DEVELOPMENTAL HISTORY:
1st cry present
Neck holding in 3months
Sitting in 7 months
Crawling 4 month
Walking in 1 year
Speech that is monosyllables in 3 years
Doing anything without help except pronouncing.
OTHER HISTORIES
A child enters into teenage concerning this he doesn’t have any psychological
illness concerning developmental delays from childhood except speech, on other side child
don’t have any kind of medical issues in childhood.There is no evidence of any
psychological history.The child has a good relationship with siblings and peer group as he
is entering into teenage, he interacts well with other children’s as well, he often interacts
with others, Good eye-contact, he is very active follow the instructions, can accept change
in routine able wait for his turn and behave softly. He said that he had a friend, but history
shows he is unable to maintain friendship due to a deficit in adaptive functioning,He was
getting an education in Tenzeem ul lisan DANISH center special education school
Faisalabad from the last 6 years. The past information is not present in the institute's
record.
INTERVIEW INFORMATION

The child has a problem in describing the information in both academic and
general discussion .He has speech issues also such as difficulty in describing long
sentences. He has below intelligence level than a normal child. He was mentally lying in
the age of 10 that is below than actual age. Build rapport and Demographic detail, like
name, age, parents, sibling detail, etc.I noticed that he was too attentive and listened to my
command I administered different work on the child and gave him instructions. He was
easily answered without any hesitation even it is wrong . I administered SPM and asked
him to recall the table that he was learned in the class, counting, and different academic-
 11

related work. And I took errors from the teacher and analysis on it.I administered PGEE
and conduct recalling activities and home assessments such as I told him to ask a question
about the game name and different things in the previous session. But he did not remember
to ask. In the next session, he remembers to ask but does not recall the name of games,
etc.I administered CABS because the result of PGEE was clear. CABS was conducted in
two sessions and didn’t burden the child so he was not exhausted with testing. The normal
conversation also performs when a child didn’t want to perform on tests.

BEHAVIOR DURING TESTING SESSIONS

Initially, he was too shy and less talkative, Answer my question only. He was not
comfortable in the first sitting. But I can easily build a repo with a child because he has
shown interest in it.Academic functioning was also not satisfactory. He was maintaining
eye contact and show cooperation in sessions.Recalling was poor in academics. During
behavioral observation, it was observed that the child has speech problems, and his
attention was shifted to external stimulus. His task behavior was satisfactory. He also has
the recognition of colors name. body parts, and fruit name. He has satisfactory
performance in reading and writing skills according to his academic grade level. Other life
activities such as extracurricular activities were normal.
TEST ADMINISTERED 

SPM
PGT
CABS

PSYCHOLOGICAL EVALUATION 

SPM is a intelligence test, indicates that The child obtain score is 14 at the grade
7th and the discrepancy is +3 which indicate that the child intelligence was not intact

The score on Portage Guide shows that child adaptive functioning is not disturb.
Portage Guide was administered to get his developmental profile The score on The
developmental profile in self-help area is 6 year, he does know how to wear shoes. His
developmental profile in cognitive area is 5 year and 8 months. It depicts that he is not
slow from his age groups he does able to tell the similar colors. His developmental profile
in language area is 6 year. He does speak properly; he just says some words which are
familiar to him.

The age equivalent for CABS composite is 10 years. In language development and
socialization, the child lies in 10years.His independent function and family role
performance and economical vocational activity lies in 9 years.

TENTATIVE DIAGNOSIS 
According to DSM V, the child seems to have (F71) moderate intellectual
developmental disorder

PROGNOSIS 

The teacher and parents gave attention that can change the environmental and
social communication in child, and they have to cooperative with child as well.

CONCLUSION 

Build rapport and Demographic detail, like name, age, parents, sibling detail, etc.I
noticed that he was too attentive and listened to my command I administered different
 12

work on the child and gave him instructions. He was easily answered without any
hesitation even it is wrong . I administered SPM And asked him to recall the table that he
was learned in the class, counting, and different academic-related work. And I took errors
from the teacher and analysis on it.I administered PGEE and conduct recalling activities
and home assessments such as I told him to ask a question about the game name and
different things in the previous session. But he did not remember to ask. In the next
session, he remembers to ask but does not recall the name of games, etc.I administered
CABS because the result of PGEE was clear. CABS was conducted in two sessions and
didn’t burden the child so he was not exhausted with testing. The normal conversation also
performs when a child didn’t want to perform on tests.

RECOMMENDATION

 Institute should conduct a parent and internee meeting for further investigation
 Need to interact child with parents
 Family counseling is important.
 Should attend the classes properly and remove the absenteeism.
 

 Supervisor Internee
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PSYCHOLOGICAL ASSESSMENT REPORT 5

Name: Aqeel
Father’s Name: M.Ahmed
Date of Birth: Oct 28, 1998
Assessment Dates: 14 , 15 , 16 , 17 and 18 June 2022
th th th th st

Assessed by: Hasnat Abdullah

Case No: 5

IDENTIFYING INFORMATION 

A child name Aqeel Ahmed with psychotic features, hyperactivity, and self-talk.
He is also with delayed motor skills evolving into later intellectual disability and also
speech problem that is reading skills that impacted academic progress and functioning in
school. He was also arguing with others and show shyness.

REFERRAL SOURCE AND PRESENTING COMPLAINTS

The client was referred by the institute for the assessment. The history reported
by his mother, reveals that the child was a case of normal delivery. The child's first
cry was present and his birth weight was 5kg. The color of the child was pink. His
father reported that he face problem in attention, follow instructions and throwing the
objects when loss of impulsivity.
Developmental history:
1st cry present
Neck holding in 6months
Sitting in 8 months Crawling 9 month
Walking was delayed that is in 3 years and 1 month
Speech that is monosyllables is delayed
He was eating without help and also taking bath easily.
OTHER HISTORIES

The child has a psychological illness concerning delays from childhood on the
other side child has medical issues is not delayed in childhood.There is no evidence of
any psychological history.The child has no good relationship with siblings and peer
group. He was also not maintaining eye contact, he was not actively following the
instructions, can not accept change in routine, and not able to wait for his turn and
behave impatiently. He said that he had a friend but history shows he is unable to
maintain friendship due to a deficit in adaptive functioning. He has no control on
impulses and fights with other and argument with others too. Lack of confidence in
every life activity and not responding with the new one.He is getting an education in
Tenzeem ul lisan DANISH center special education school Faisalabad for the last 2
years. His mother reported that at the age of 4 he was admitted to another school but
the changing behavior of the child doesn’t seem good and normal.
 14

INTERVIEW INFORMATION

The child has a problem in describing the information in both academic and
general discussion. He has speech issues also such as not pronouncing short or long
sentences. He has below intelligence level than a normal child.

BEHAVIOR DURING TESTING SESSIONS

Initially, he doesn’t seem focused on activities. His attention span is short. The
child was good in cooperation because he does follow orders. He does focus on
instructions that the teacher is asking for. He was not shy and talkative, Answer my
question and the conversation was normal. He was not comfortable in the first sitting. But
I can easily build a repo with a child. He did also not conduct any tests because he didn’t
show any interest in the test. Academic functioning was also not satisfactory. Build rapport
and Demographic detail, like name, age, parents, sibling detail, etc.I noticed that he was
not attentive and listened to my command. He was showing interest in other than
academics conversation.I administered SPM And asked him to recall the table that he was
learned in the class, counting, and different academic-related work. He was not easily
answered without any hesitation even if he was not knowing the objects.In this session, I
administered different work on the child and gave him instructions. And I took errors of
PGEE from the teacher and analysis on it. I conduct recalling activities and home
assessments such as I told him to ask a question about the name and different things in the
previous session. But he did remember to ask. He was interested in conversation, so he
talks irrelevant and has no focus on the question of mine. I administered CABS because
the result of PGEE was clear. CABS was conducted in three sessions and didn’t burden the
child so he was not exhausted with testing. The normal conversation also performs when
the child didn’t want to perform on tests.

TEST ADMINISTERED 

SDCT
PGEE
CABS

PSYCHOLOGICAL EVALUATION 

SDCT is eye hand coordination test, indicates that the test consist of 12
geometrical designs from simple to complex one. The child's Accuracy score on SDCT is
58% which depicts that child's eye-hand coordination is not intact.

The score on Portage Guide shows that child adaptive functioning is not
disturb.Portage Guide was administered to get his developmental profile The score on.The
developmental profile in self-help area is 5- and 7-months year, he does know how to wear
shoes. His developmental profile in cognitive area is 5 year and 1 month. It depicts that he
is not slow from his age groups he does able to tell the similar colors. His developmental
profile in language area is 5 years and 1 months. He does speak properly, he just says
some words which are familiar to him. His developmental profile in socialization is 5
years and 7 months and motor is 4 years and 9 months. This shows the lower score in
motor and academics.
The age equivalent for CABS composite is 9 years. In language development the
child lies in 8 years. His independent function and family role performance and
economical vocational activity and socialization lies in 9 years.
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TENTATIVE DIAGNOSIS 
According to DSM V, the child seems to have (F71) moderate intellectual
developmental disorder

PROGNOSIS 

The teacher and parents gave attention that can change the environmental and
social communication in child and they have to cooperative with child as well. The parents
should check that he was /was not gather with bad habit person/friends.

CONCLUSION 

Build rapport and Demographic detail, like name, age, parents, sibling detail, etc.I
noticed that he was not attentive and listened to my command. He was showing interest in
other than academics conversation.I administered SPM And asked him to recall the table
that he was learned in the class, counting, and different academic-related work. He was not
easily answered without any hesitation even if he was not knowing the objects.In this
session, I administered different work on the child and gave him instructions. And I took
errors of PGEE from the teacher and analysis on it. I conduct recalling activities and home
assessments such as I told him to ask a question about the name and different things in the
previous session. But he did remember to ask. He was interested in conversation, so he
talks irrelevant and has no focus on the question of mine. I administered CABS because
the result of PGEE was clear. CABS was conducted in three sessions and didn’t burden the
child so he was not exhausted with testing. The normal conversation also performs when
the child didn’t want to perform on tests.

RECOMMENDATION

 Parents guidance is very important for the development of the child because they
easily allow to move outside at the night and fight with others,
 There should be a working on relationships of a child how they can manage them.

 Supervisor Internee
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