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CASE STUDY

REFERRAL: To meet requirements for Evaluation and Assessment-PSY 6645.

BACKGROUND: There is no prior history of a problem. The client stated that giving birth to two sons were significant events experienced. There is no history of accidents and one gallbladder surgery in 2002. The client currently suffers form depression and hypertension. Medications that the client is currently taking include Lexapro (.20 mg), Exforge (.325mg), and Ambien. The client has a history of diabetes in the family. The client has experienced several traumatic events in life that include sexual abuse at the age of 5 by a male cousin and physical and mental abuse by both spouses. Psychological problems experienced by this client are depression, anxiety attacks, and a nervous breakdown in 2000. The client has never received counseling and has only been prescribed medicines from the family doctor. The client also stated that depression is a current problem and it has been going on for the past 8 months due to the sudden suicide of ex-husband. Client is not seeking any counseling.

TESTING AND PROCEDURES:
NAME OF TEST: Adult Interview Report DATE OF TEST:
BEHAVIORAL OBSERVATION: On the day the interview was administered, the client appeared to be very irritated and tired. The client was given the opportunity to reschedule to but refused. The client kept blowing heavily and twisting in the chair as if the test was a burden. The client finished the interview and got up from the table and went and watched television.

SCORES: N/A

SUMMARY: My impression of the client on the day the test was administered was the client seemed frustrated and tired. Some of the questions asked, she gave unusual responses then asked me to change the answers. For example, when the client was asked if she was an especially gifted person, she

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