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    Outline of Psychological Report

    Uploaded by

    klasoldevilla
    An outline for making psychological report

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    © All Rights Reserved
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    Outline of Psychological Report

    Uploaded by

    klasoldevilla
    11 views2 pages
    An outline for making psychological report

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    © © All Rights Reserved

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    DOCX, PDF, TXT or read online from Scribd

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    An outline for making psychological report

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    Outline of Psychological Report

    Uploaded by

    klasoldevilla
    An outline for making psychological report

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Outline of Individual Activity for Psychological Report

    I. Identifying data of client


    - Alias/Codified Name of Client: Violet
    - Age: 15
    - Sex: Female
    - Marital Status: Single
    - Grade Level: 10

    II. Name of Examiner: Kyle Louie A. Soldevilla


    III. Referred Source: Tomas del Rosario College
    IV. Referral Question: Assess the current psychosocial functioning of the student. In what
    ways does it impact their academic functioning?
    - Negative psychosocial functioning is evident in Violet. She lacks social
    support resulting in low motivation. She identifies herself as a shy person and
    having difficulties engaging in a conversation with people around her.
    V. Evaluation Procedures: (Summary table of the evaluation process conducted according
    to date/s of visit)
    VI. Behavioral Observations
    ● Attitude toward examiner and test situation – Excellent attitude and not guarded.
    ● Habits – Tends to play with pencil and touch her bracelet.
    ● Reaction to antecedents (i.e, failure; praise, questions) – Normal
    ● Speech and language – Normal
    ● Visual-motor – Normal

    VII. Background Information: (Extensive interview from the client and secondary sources)
    ● Family background:
    - Her father is a chief engineer overseas.
    - Her mother oversees the family’s business.
    - She has a 17-year-old brother.

    ● History of medical condition (if any)


    - None

    ● Current life situation (at home and school)


    - Not open to family, describes their family relationship as casual to “stranger like”.
    - Always sleeps at school.

    ● Personal history (probe on any encountered problems among peers, school and family;
    adjustment and coping styles)

    - History of bullying (physical)


    - Having difficulty engaging with peers
    - Eating problems. Signs of bulimia nervosa
    - Low self-esteem and motivation due to lack of social support
    - Record of suicidal ideation and self-harm
    - Record of sleeping difficulties resulting in hallucinations

    NOTE: You can use their shared information from the life story activity to describe your client.

    VIII. Mental Status: (Comprehensive and objective narrative using the MSE; make sure you
    describe each domain)
    IX. Test Results: (Comprehensive report of scores and interpretations)
    X. Summary and Recommendations: (Synthesis of the answer to the referral question)
    ● Recommended Psychosocial Intervention (if any)
    ● Specific (objective recommendations that can benefit the student in case difficulties were
    prominent from the assessment result)

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