1. Shilpa ShirurAssessment COUN 621

2. Roger is a 21 year old male; 3rd generation HispanicAmerican. University of Mississippi student-Senior in business. Low academic performance hence on academicprobation - mandated for EDHE Signs of depression. Reported lack of appetite, weight loss, lack of sleep. No friends and doesnt feel like making friends. Mentioned highlight of his week as EDHE group as hecan have some social contact only then. Roger admitted that I feel like a loser! Like there isnothing left for me! 3. Becks Depression Inventory (BDI II) To determine the presence, severity and depth of depression. The root cause of depression as Roger exhibits pessimism andsense of failure in his talks and confirmed being a loner anddepressed since 2009. Basis A (Kern) Understand the way client perceives himself. Client Contradicticts himself in his talks and actions. Explore problem solving strategies 4. Basis A (Kern) 2nd Meeting Purpose explained to client 65 questions Self scored Dual scale (Life-style Themes & supporting scale - HELPS) Discussed the relevance of results Becks Depression Inventory (BDI II) Roger was in my group after 2 months he requested to meetindividually 4th Meeting 21 questions Explained the purpose and relevance to client 5. No medical/developmental or family psychiatric historyfound. Both parents and most family (extended) obese. Has reported depression and low self esteem admits beinga loner and sad most of the times. Due to cultural differences has never approached anyoneto talk. 6. Roger was the captain and a star player of his high schoolfootball team. He came to Ole Miss dreaming of getting into the footballteam but has not been contacted by the coach in spite ofbeing promised. Grades deteriorated in Ole Miss due to feelings of failure. Feels less motivated and admits lack of focus. Believes can do well but not motivated enough and apessimist. 7. Rogers family has many financial problems. Older brother (22 years) is a drug addict and jobless and lives withparents. Roger was in a serious relationship but girl friend cheated on him. The first week at Ole Miss (2009) was asked to leave a fraternityparty because of his ethnicity. Since then has been a loner has nofriends in Oxford. Low self esteem, very defensive about self and family andsuspicious of others. Very worried about losing parents as bothparents are over-weight. Dreams of being rich and buying parents a new home and new carsand giving them a good life at the same time scared might turn likebrother or uncles who are addicts/jobless. 8. Basis A (Kern) understand how childhood experiences influence currentfunctioning and increases awareness and problem solvingskills. Reliability and Validity has been established. Internalconsistency on the five major scales yield alphacoefficients ranging from .82 to .87. BecksDepression Inventory (BDI II) Highly reliable (Test retest) and valid (construct, content). Total of 21 items which correspond to give a single score. 9. Basis A (Kern) Belonging social Interest (BSI) - perceives himself asco-operative and empathetic. Going Along (GA) - individualistic and independentand may be aggressive when stressed. Taking Charge (TC) - Focused and task-oriented, assertive and forceful. Wanting Recognition (WR) comfortable when peoplerespect and recognise success Being Cautious (BC) very cautious and sensitive tocues from others and good at reading non verbals. Becks Depression Inventory (BDI II) Total score 18 mild depression. 10. Axis I:None Axis II: V71.09 No Diagnosis Axis III: None Axis IV: Financial issues Graduation delayed due to low academic performance Dreams of being in the football team seem unachievable Trust issues with friends. Axis V: GAF score 65 (current) 11. Continue individual meetings but also encourage to come to group as that is the only social contact Grooming (haircut & shave) Maintain journal thoughts and feelings. Home work: Do two things that makes client happy, note down things client is grateful for in his life. Look back on past success (popular in high school) Discuss and monitor academic performance Confront irrational fears and contradictory thoughts and actions. Reflect feelings, meaning and unconditional positive regard, empathy and be multicultural sensitive. Encourage client to continue therapy.**Roger reported being motivated, positive and more confident in the last session, has had a haircut and shaved and has successfully done most of the home work given. 12. Beck, A. T., Steer, R. A. & Brown, G. K. (1996). BeckDepression Inventory-II. San Antonio, TX: Harcourt Brace. Beck, A.T., Ward, C., & Mendelson, M. (1961). Beckdepression inventory (BDI). Arch Gen Psychiatry 4: 561571. Kern, R. (1998). BASIS-A interpretive key and guide forclinicians. Highlands, NC: TRT Associates, Inc. American Psychiatric Association. (2000). Diagnostic andstatistical manual of mental disorders: DSM-IVTR.Washington, DC: American Psychiatric Association Curlette, W. L., Kern, R. M., & Wheeler, M. S. (1996). Usesand interpretations of scores on the BASIS-A Inventory.Individual Psychology, 52(2), 95-103.