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William P. Wattles, Ph.D. 1

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Francis Marion University Good writing: Brevity, cogency and clarity are the principal virtues and the greatest of these is clarity. a (persons) style of writing is an important part of his character 2

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Francis Marion University The end product of assessment. More than merely test results Must interact with the data to make useful conclusions about Referral question Making decisions Problem solving 3

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Francis Marion University A brief description of the client general reason for conducting the evaluation 4

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Francis Marion University Orients the reader to the initial focus of the report and what follows. Clinician must clarify the referral question. 5

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Francis Marion University Referred for a psychological lacks focus and precision leads to shotgun reports A wide variety of often-fragmented descriptions in the hope that something useful can be found. 6

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Francis Marion University Example Mr. Smith is a 35-year-old, white, married male with a high school education who presents with complaints about depression and anxiety. 7

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Francis Marion University Please follow example Add Discussion (case conceptualization) section before Impressions and recommendations. 8

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Francis Marion University This is where you put it together. 9

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Francis Marion University She was attractive, well spoken, and had high mannerisms 10

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Francis Marion University Examples page 568 11

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Francis Marion University Jesse S is a 23-year-old Caucasian female who presents with having the desire to feel fully fulfilled. She wants to feel settled in her life. The current evaluation was designed for the patient to gain personal insight regarding dissatisfaction with her current daily activities. (44) 12

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Francis Marion University Jesse S is a 23-year-old Caucasian female who is dissatisfied with her daily activities and wants to feel fully fulfilled. (21) 13

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Francis Marion University The patient answered all: The inquiries presented to him my questions. 14

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Francis Marion University When this issue was further questioned, MT . Asked to elaborate, MT 15

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Francis Marion University She displayed a euthymic mood, which she described as great. 16

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Francis Marion University She was low on the Lie scale indicating that she received a normal score and appeared to answer honestly and openly. 17

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Francis Marion University People with this profile tend to be narcissistic, selfish, and self-indulgent. 18

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Francis Marion University The older sister was described as stubborn implying a strain in the relationship. 19

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Francis Marion University Her past work history consists of working on a local 20

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Francis Marion University Mrs. Ls Mother is a resigned OB/GYN nurse 21

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Francis Marion University She made no eye contact even though she was familiar with the interviewer. Her eyes focused on the hairline of the interviewer. She appeared to look over my head rather than making eye contact. 22

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Francis Marion University we werent poor but we werent well off either. 23

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Francis Marion University because the other students think [she gets] all of the questions correct but [she] still doesnt know everything [she feels] like [she needs] to know. 24

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Francis Marion University Given the behavioral observations, length and depth of clinical interview and MMPI-2 test profile, I believe this evaluation is an accurate assessment of TSs current level of functioning. 25

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Francis Marion University She admits that they sometimes overcompensate in caring for their children because neither of them received enough attention from their parents growing up 26

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Francis Marion University After high school, she felt that college was the next logical step for her. She felt that my parents were completely behind me as though it was the next natural step, but also to make sure that I did end up going to college. She repeated many times that you dont really have a choice about college in my family; they make you think you do, but you really dont. Ms. Davis went on to say that she had been brought up thinking this, and she didnt even consider any other options after high school. (95) 27

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Francis Marion University The results of CAs WAIS-III indicates that she has above average intelligence especially with regards to her phenomenal attention span and her ability to solve visual problems using her visual motor skills. Her very high scores on her WAIS-III could be contributing to her unhappiness in her present occupation. She may feel that she is not using her strengths in the best possible fashion and that she has not lived up to her expectations. 28

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Francis Marion University S.L. is currently experiencing a great deal of subjective distress. Her current difficulties with depressive and anxiety symptoms are likely related to her self-concept, which has been shaped and distorted by her long-term interpersonal relationships with her family and her ex-boyfriend. The unreasonably high demands she places on herself set the stage for what she views as failure. 29

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Francis Marion University During this time, G admitted to having been in trouble with the law. She refused to specify the type trouble. She also reported that she got into a lot of other trouble due to her sexual behavior. Again, she would specify what this other trouble was 30

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Francis Marion University Length of papers 627-1960 words Best paper was relatively long You can check length 31

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Francis Marion University Brief Guides report 32

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Francis Marion University Appearance example: wearing house slippers, relevant to psy functioning. Good use of quotes: Would keep cats until it killed her 33

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Francis Marion University One patient had strict parents Examples help identify where the blame lies Didnt want to rat on her friends 34

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Francis Marion University Proof read. One paper good content many errors in verbs etc. Avoid slang or colloquial language (I.e., blew it off) unless they are the clients words in quotes 35

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Francis Marion University She did not display irregular emotion during the interview. 36

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Francis Marion University Kim was kicked out of college her freshman year because of poor grades. The university suspended Kim her freshman year due to poor grades. 37

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Francis Marion University Ms. Heather presented, in the interview, congruent behaviors to that of someone with lower self-esteem. Ms. Heather shows signs of low self- esteem. Low self-esteem may contribute to her eating problems. 38

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Francis Marion University Conceptualize Collect facts and observations Dont stop there Synthesize those observations and data into a picture of psychological functioning 39

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Francis Marion University Important to identify strengths to use and encourage 40

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Francis Marion University The client was alert and oriented to all spheres. Her affect was full range, and her mood was euphoric. Her speech rate, quality, and content were within normal limits. 41

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Francis Marion University Her calm demeanor while discussing her anxiety about graduate school, and her boyfriend suggested that this client keeps her emotional reactions to herself and maintains an intellectual stance on her personal issues. 42

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Francis Marion University Mrs. H is a 57-year-old, Caucasian, married female who presents with concerns regarding a specific goal, her future retirement in order to spend time with her grandchildren. 43

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Francis Marion University Also, should his emotional situation persist or worsen, it is recommended that Andrew seeks the help of a counselor. 44

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Francis Marion University C.S. states this is not what I imagined doing with my life. This dissatisfaction results in physical, emotional and social problems whose effects she seeks to minimize. 45

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Francis Marion University The client was very articulate and well educated, but her appearance was incongruent. She was dressed in very sloppy and causal attire. 46

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Francis Marion University Articulate Expressing oneself easily in clear and effective language. Redundant Needlessly repetitive; verbose 47

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Francis Marion University When describing her family background, however, the possible use of reaction formation became evident. 48

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Francis Marion University She also stated that she felt inferior and lacked confidence in herself as a teacher, but offered no substantial reason why. 49

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Francis Marion University his mood changed from enthymic to closed and quiet 50

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Francis Marion University Andrew is a 24-year-old man referred because of his current unemployment and because he has been unable to find a job. Due to this situation, Andrew is going into a state of depression 51

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Francis Marion University Kim is a 23-year-old white female who presents with difficulties coping with stress brought upon her by school. Better: 52

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Francis Marion University Kim is a 23-year-old white female college student complaining of stress related to school. 53

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Francis Marion University Kim approached the interview very willingly and appeared to be excited to do the interview. She wore sweatpants and a tee shirt. Her hair was pulled back into a clip. She was very talkative and maintained appropriate eye contact. She was very cooperative and answered all questions willingly, many times volunteering information beyond what had been asked of her but still remaining on the subject. She willingly expanded on all of her answers, many times without being prompted. 54

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Francis Marion University He is the only child of John and Vickie Xxxxxx. He has an older brother that his mother gave birth to out of wedlock prior to marrying Eric's father. 55

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Francis Marion University She wore coordinating accessories and seemed very contentious of her attire and posture. 56

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Francis Marion University At age ten his father became a member of AA, 57

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Francis Marion University Laura C. is a 23 year old woman who is self-referred because she not happy with her current living situation. She says that she feels so alone. She reportedly has gained weight over the last several months. She claims it is due to her unhappiness about being alone. 58

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Francis Marion University Laura also reports that her weight gain has not affected her relationship with her boyfriend. 59

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Francis Marion University Her problems stem from her current occupation as a teacher. She has undergone significant life events in the last year. 60

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Francis Marion University She reports that she makes friends easily 61

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Francis Marion University In addition to confronting his wifes mortality, Harold is being forced by her illness to recognize his own vulnerabilities 62

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Francis Marion University quit her job as a registration representative at _______ because of the unfair working conditions. 63

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Francis Marion University His affect was full range, although his mood was quite dysphoric. 64

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Francis Marion University In an effort to alleviate her frustration and anger, and to come to a compromise with Mr. Oranda about their differences in their expected roles, Mrs. Oranda states that she has made a conscious effort to talk to, rather than argue with, Mr. Oranda. 65

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Francis Marion University Her affect was full range, however her mood was agitated. 66

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Francis Marion University Within normal limits. 67

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Francis Marion University She states she has many friends, and socializes with them on a weekly basis. 68

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Francis Marion University Ms. A described her high school academic performance as above average, stating that she never studied 69

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Francis Marion University Brittany was explicit during the interview when discussing her home environment in reference to how physically violent it is. Brittany explicitly described the violence in her home. 70

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Francis Marion University Brittanys academic and behavior problems began when her parents started drinking and fighting 2 years ago. 71

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Francis Marion University In order to improve her sleep schedule, she could be given information on sleep principles. For example, some principles are going to bed at the same time each night and not doing anything in the bed but sleeping. To help with fatigue she could be given information on sleep such as going to bed that same time each night and not doing anything in bed but sleeping. 72

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Francis Marion University Personal opinion versus observation and hypothesis Sort through the abundant information 73

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Francis Marion University reported that she wished to be thinner She reports 9-10 year struggle with anorexia. As a result of this, she has had to seek medical treatment to pass four kidney stones and treat multiple stomach ulcers. Ms. Heather has had difficulty in maintaining a regular menstrual cycle and has experienced fainting spells due to low blood sugar a few times per month. 74

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Francis Marion University She is approximately 5 foot tall, 100 pounds She appears She reported that she is 75

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Francis Marion University BMI Categories: Underweight =