Nicohwilliam

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Assignment: For this assignment you will use the Beck Test Results; This is an outline of what you had completed for my Hope Index assignment. However, you will only need to focus on the highlighted areas. Write in third person and not first;

Include in your write up of your results brief descriptions of the the Beck Anxiety Inventory and the Beck Depression Inventory. Include reliability and validity for assessing anxiety and depression respectively, in an individual. Then report your results and how they “fit” with information that can be linked back to your overall presentation in your self-administered clinicial interview and MSE in Week 2, to your results of the Eysenck Personality Inventory in Week 3, and even to your results of the Hope Index in Week 4. If your results on the Beck Depression Inventory and the Beck Anxiety Inventory don’t fit for some reason, explain this information briefly as well.

NEUROBEHAVIORAL STATUS EXAMINATION/INTERVIEW:

This is a self-conducted assessment and the following information is obtained through a clinical interview with Mrs. Client and a review of previous testing.

Reason for Evaluation:

Mrs. Client is a 49-year-old female of sound mind, healthy living lifestyle choices, and has Opted to take the initiative to self-refer for counseling services. The request is accepted as the individual has associated the core reason for admitting to needing assistance due to a troubling case of anxiety alongside insomniac behavior. The client pointed out that these conditions result from the grappling fear due to the onset of the global COVID-19 pandemic. This patient exhibited an overall hope index of 240 and a self-hope score of 172/200.

Current Complaints/Symptoms:

Mrs. Client pointed out that these conditions result from the grappling fear due to the onset of the global COVID-19 pandemic. The patient admits to struggling with the pandemic’s risks to those prone to the virus. The fear of being admitted to a medical facility due to contracting the virus again troubles the patient as she believes this will have a traumatic impact on her family. The condition does not seem to have an identified cure and further presents as a life-threatening medical condition. Thus, the thought of something happening to her has caused the client to experience an extensive and elevated fear, especially since she has already undergone the virus before, which shows the presence of trauma resulting from her COVID experience. Mrs. Client has been able to communicate efficiently and has stated that the cases of anxiety and insomnia developed since the first case of the global lockdown. Covid has made it difficult to relate with others without thinking of what could happen if she gets infected after the client’s prompt; further assessments will help identify a diagnosis and treatment plan.

Past Psychiatric History:

Mrs. Client has visited her clinician but has not sought any psychiatric help before. She insists that the problem has not been serious, but the thoughts have made her anxiety and insomnia remain persistent.

Medical History:

Mrs. Client states that she contracted the COVID virus three months ago, which caused her a lot of suffering from a persistent cough that tormented her and forced her to experience fatigue, resulting in her developing a high case of anxiety. She also points out that she was scared to sleep because she would not wake up the following day. She stated that she did have cases of immense chest pains that made her feel as if her heart would suddenly halt. She was under antibiotics and a mandatory inhaler as she also did have instances where she found it difficult to breathe. She recovered from the condition. However, this did not heal her mental scars and insomniac habits. According to her statement, she is somewhat scared that she may contract the virus again, and the symptoms may be worse.

Family History:

Mrs. Client has identified that she was from a Christian home in Texas with an upbringing that has allowed her to experience the love and care of both parents. Her parents had steady lines of work which ensured that they were well cared for as the mother was a Registered nurse and the father an offshore welder. However, both parents passed away in 2010 and 2017, respectively, due to lung cancer, which left her and her sister, aged 39, and brother, aged 37, orphans. However, Mrs. Client reports that none of her family members have ever suffered a psychological disorder.

Academic/Social History:

Mrs. Client attended school in Texas and was able to excel exceptionally in all subjects. She attained a bachelor’s degree in Interdisciplinary Studies and is currently working on her Master’s degree in Mental Health Counseling. Regarding her personal experiences, she had listed herself as having owned and operated a childcare facility for thirteen years before deciding that she wanted a career change in 2013-2020. Consequently, she started teaching preschool, special education/inclusion, and second grade. However, she decided to take a break from teaching to homeschool her special needs child during the Covid pandemic lockdown. This move influenced her to strive to obtain her Master’s degree in Mental Health Counseling, in which she has only six classes left, then on to practicum.

Previous Neuropsychological Testing:

No records of previous neuropsychological testing can be found.

NEUROPSYCHOLOGICAL TESTING:

The following psychological tests were administered according to standardized procedures: Clinical Interview, Eysenck’s Personality Inventory (EPI) (Extroversion/Introversion), and Hope Index measurement test.

Behavioral Observation

When first introduced, Mrs. Client did appear to be healthy and was well dressed in a respectable manner, showcasing a high sense of coordination and organization. She also seemed to be an individual who had an eye for fashion and a perfect understanding of dressing. Also, she did not overdo it with her outfit, which had a less is more presentation. In the interview, Mrs. Client was distant at first, indicating that she was finding it difficult to admit that she, too, had faults and weaknesses. However, after sharing with her my personal experiences, she warmed up to the interview, and she was open to seeking assistance. Her corporation was reliable as it made it possible to conduct the assessment with utmost ease.

Mrs. Client’s speech was gentle and soft. However, a slight pitch fluctuation could be identified when she was narrating her past events, and this did also appear to be troubling to her as the thoughts ended up hindering her thought process.

Test Results: Use Beck Test Results

According to the hope index test administered, Mrs. Client scored an overall hope index of 240. Mrs. Client had a score of 172/200 on the hope self-test, 46/80 on her expectation score, other hope score was 68/200, and her wish test score was 76/80.

Reliability and Validity of the Test: Use Beck Test results and Include reliability and validity for assessing anxiety and depression respectively, in an individual.

Conducting the hope test requires honesty because any contradiction is detectable, and the person will not achieve the results. For example, all the questions require honesty when filling them, and as long as the person remains honest in answering the questions, they are likely to get similar results. The test-retest measure can be applied on the Hope Index to determine whether when the questions are presented using different words, they will still offer similar answers because the questions are strongly tied to a person’s personality, which is static and will be manifested by the answers to the question. For example, when it comes to relationships with other people, the answers will manifest whether a person is an introvert, extrovert, or neuroticism.

Why the Information Is Fit With the Other Clinical Measurements:
give specific examples of the differences in your Beck Inventory test results, Hope Index responses, and your clinical interview/MSE.

Most clinical and psychological test results are in tandem with the Hope index because they are centralized in the person’s way of life. The test is unique, but the questions asked are related to the other tests and, therefore, likely to offer similar results in the discourse. As the other tests evaluate how a person can lead his life without the aid of other people in society, they can offer answers based on their personality. In the EPI test, most of the answers on relationships with others proved that I could be happy without the help of others, and when I go to a dull party, I can enjoy it and be lively since I don’t need people to instill happiness in me.

Further, the Hope test also asks questions based on whether I can maintain happiness with or without the help of other people . The hope may be higher, such as how to make friends and expect them to help me attain joy and happiness. The expectations are the ones in tandem with my personality. Although I wished friends would be available to help me out, I expect a lower scale because it is expected of the introverted nature of my personality.

Emotional/Personality Functioning

Mrs. Client’s effect was mildly sad during the assessment as she opened up her inner feelings. When asked to elaborate more on her moods, she complained of low and depressing moods. She could not get the idea of dying out of her mind even when she could survive her first encounter with the virus, considering that it is claiming millions of lives across the world. Nonetheless, she doesn’t have thoughts about self-harming herself, but she identifies that she was undergoing a perceptual problem that was hindering her day-to-day life. She did admit that she had a lot on her mind and was not able to function in a normal and her usual manner and was not sure she could be able to do so if she was not assisted. Thus, her insight and judgment have been identified as cognitive and positive.

Summary/Impressions:

Mrs. Client is a 49-year old right-handed Black woman self-referred due to troubling case of anxiety alongside insomniac behavior was seen for persistent cough and chest pain due to contracted the Covid virus. This test was requested to assess Mrs. Client’s positive motivational state that aligns with hope for achieving her goals, expectations, and wishes.

The results of Mrs. Client’s cognitive functions proved that she’s an introvert that has an positive outlook of life.

__________________________________

Therapist

For study purposes
Scores

Beck Anxiety Inventory 1

Beck Anxiety Inventory

Below is a list of common symptoms of anxiety. Please carefully read each item in the list. Indicate how much you
have been bothered by that symptom during the past month, including today, by circling the number in the
corresponding space in the column next to each symptom.

Not At All Mildly but it

didn’t bother me
much.

Moderately – it
wasn’t pleasant at
times

Severely – it
bothered me a lot

Numbness or tingling

0 1 2 3

Feeling hot 0 1 2 3
Wobbliness in legs 0 1 2 3
Unable to relax 0 1 2 3
Fear of worst
happening

0 1 2 3

Dizzy or lightheaded 0 1 2 3
Heart pounding/racing 0 1 2 3
Unsteady 0 1 2 3
Terrified or afraid 0 1 2 3
Nervous 0 1 2 3
Feeling of choking 0 1 2 3
Hands trembling 0 1 2 3
Shaky / unsteady 0 1 2 3
Fear of losing control 0 1 2 3
Difficulty in breathing 0 1 2 3
Fear of dying 0 1 2 3
Scared 0 1 2 3
Indigestion 0 1 2 3
Faint / lightheaded 0 1 2 3
Face flushed 0 1 2 3
Hot/cold sweats 0 1 2 3

Column Sum

Scoring – Sum each column. Then sum the column totals to achieve a grand score. Write that
score here ____________ .

Interpretation

A grand sum between 0 – 21 indicates very low anxiety. That is usually a good thing. However, it is
possible that you might be unrealistic in either your assessment which would be denial or that you have
learned to “mask” the symptoms commonly associated with anxiety. Too little “anxiety” could indicate that
you are detached from yourself, others, or your environment.

A grand sum between 22 – 35 indicates moderate anxiety. Your body is trying to tell you something. Look
for patterns as to when and why you experience the symptoms described above. For example, if it occurs
prior to public speaking and your job requires a lot of presentations you may want to find ways to calm
yourself before speaking or let others do some of the presentations. You may have some conflict issues that
need to be resolved. Clearly, it is not “panic” time but you want to find ways to manage the stress you feel.

A grand sum that exceeds 36 is a potential cause for concern. Again, look for patterns or times when you
tend to feel the symptoms you have circled. Persistent and high anxiety is not a sign of personal weakness or
failure. It is, however, something that needs to be proactively treated or there could be significant impacts to
you mentally and physically. You may want to consult a physician or counselor if the feelings persist.

For Study Puposes

Highlight

1

2

18

21

Highlight

For Study Puposes

Highlight

Total Score= 8
Considered minimal range; normal

Highlight

2

Clinical Interview

This is a self-conducted assessment and evaluation where I will be conducting a self-clinical interview to familiarize myself with the process and what it entails. It will also make it possible to understand how a section of the assessment aligns to offer information relating to a patient and can utilize all this to tailor a treatment protocol.

a) Demographic Background

Name: Mrs. Client

DOB:

Age: 49

Ethnicity: Black

Address:

Sex: Female

Marital Status: Married

Phone:

E-mail:

Name of Interviewer: (self-conducted)

Date of Interview: 03/12/2022

b) Presenting Problem or Reason for Referral

Mrs. Client is a 49-year-old female of sound mind healthy living lifestyle choices and has opted to take the initiative to self-refer for counseling services. The request is accepted as the individual has associated the core reason for admitting to needing assistance due to a troubling case of anxiety alongside insomniac behavior. The client pointed out that these conditions result from the grappling fear due to the onset of the global COVID-19 pandemic. The patient admits to struggling with the pandemic’s risks to those prone to the virus.

The fear of being admitted to a medical facility due to contracting the virus again troubles the patient as she believes this will have a traumatic impact on her family. The condition does not seem to have an identified cure further presents itself as a life-threatening medical condition. Thus, the thought of something happening to her has caused the client to experience an extensive and elevated case of fear, especially since she has already undergone the virus before, which shows the presence of trauma resulting from her COVID experience (Silver, 2020). Mrs. Client has been able to communicate efficiently and has stated that the cases of anxiety and insomnia developed since the first case of the global lockdown. Covid has made it difficult to relate with others without thinking of what could happen if she gets infected after the client’s prompt; further assessments will help identify a diagnosis and treatment plan.

c) Family Background

Mrs. Client has identified she was from a Christian home in Texas with an upbringing that has allowed her to experience the love and care of both parents. Her parents had steady lines of work which ensured that they were well cared for as the mother was a Registered nurse and the father an offshore welder. However, both parents passed away in 2010 and 2017, respectively, due to lung cancer, which left her and her sister, aged 39, and brother, aged 37, orphans. Nonetheless, they all have stable and sustainable lives thanks to their loving parents, who had been together for 37 years. Her parent’s loving marriage has made it possible for her to find similar happiness in her marriage. The client states this and identifies their union as fruitful and enjoyable, especially since they have three children, a 30-year-old daughter, a 28-year-old son, and a 26-year-old daughter. They also have four beautiful grandchildren, an 8-year-old granddaughter, a 6-year-old granddaughter, a 5-year-old grandson, and a 1-month-old granddaughter.

d) Significant Medical/Counseling History

Mrs. Client states that she contracted the COVID virus three months ago, which caused her a lot of suffering from a persistent cough that tormented her and forced her to experience fatigue, resulting in her developing a high case of anxiety. She also points out that she was scared to sleep because she would not wake up the following day. She stated that she did have cases of immense chest pains that made her feel as if her heart would suddenly halt. She was under antibiotics and a mandatory inhaler as she also did have instances where she found it difficult to breathe. She recovered from the condition. However, this did not heal her mental scars and insomniac habits. According to her statement, she is somewhat scared that she may contract the virus again, and the symptoms may be worse. These thoughts have made her anxiety and insomnia remain persistent. She also does say that she has taken the initiative to see her primary doctor but not seek counseling for these conditions.

e) Substance Use and Abuse

Mrs. Client states that she does not smoke nor has used drugs aside from any medically prescribed medications that she takes. However, she does identify herself as taking a glass of wine occasionally.

f) Educational and Vocational History

Mrs. Client attended school in Texas and was able to excel exceptionally in all subjects. She attained a bachelor’s degree in Interdisciplinary Studies and is currently working on her Master’s degree in Mental Health Counseling. Regarding her personal experiences, she had listed herself as having owned and operated a childcare facility for thirteen years before deciding that she wanted a career change in 2013-2020. Consequently, she started teaching preschool, special education/inclusion, and second grade. However, she decided to take a break from teaching to homeschool her special needs child during the Covid pandemic lockdown. This move influenced her to strive to obtain her Master’s degree in Mental Health Counseling, in which she has only six classes left, then on to practicum.

g) Other Pertinent Information

Mrs. Client did not list any information on this section.

Mental Status Examination

Mrs. Client is a 49-year-old Master’s student who has opted to herself to the institution to seek counseling services. She has noted that she is undergoing conditions that can only be resolved by assisting individual counseling and therapy services instead of avoiding the issue.

When first introduced, Mrs. Client did appear to be healthy and was well dressed in a respectable manner, showcasing a high sense of coordination and organization. She also seemed to be an individual who has an eye for fashion and a perfect understanding of dressing. Also, she did not overdo it with her outfit, which had a less is more presentation. In the interview, Mrs. Client was distant at first, indicating that she was finding it difficult to admit that she, too, had faults and weaknesses. However, after sharing with her my personal experiences, she warmed up to the interview, and she was open to seeking assistance. Her corporation was reliable as it made it possible to conduct the assessment with utmost ease.

Mrs. Client’s speech was gentle and soft. However, a slight pitch fluctuation could be identified when she was narrating her past events, and this did also appear to be troubling to her as the thoughts ended up hindering her thought process. Her feelings are content due to her experiences with the COVID-19 pandemic that instilled fear in her mindset. She ended up admitting that her train of thoughts has constantly been rather negative off late, and this is very troubling for her. This was not uncommon, as many people feared losing their lives due to the virus, especially since it was highly probable to be infected more than once (Baker, Peckham & Seixas, 2020).

Mrs. Client’s effect was rather sad and mellow and seemed only to get lower as the interview progressed as she was getting even more in touch with her inner feelings and dark thoughts. When asked to elaborate more on her moods, she identified her attitudes as relatively low and somewhat depressing. She could not get the idea of dying out of her mind even when she could survive her first encounter with the virus, considering that it is claiming millions of lives across the world. Nonetheless, she doesn’t have thoughts about self-harming herself but she identifies that she was undergoing a perceptual problem that was hindering her day-to-day life. She did admit that she had a lot on her mind and was not able to function in a normal and her usual manner and was not sure she could be able to do so if she was not assisted. Thus, her insight and judgement have been identified as cognitive and positive.

The results of Mrs. Client’s cognitive functions proved that she is fully oriented and could register four, even more, items and recall the things in an average of two and a half minutes. She was also able to remember the interviewer’s name. Still, She did find it difficult to remember her exam schedule or any event that took place before the virus infected her. So, her long-term memory can be considered as being impaired. On the other hand, she could not maintain a consistent attention span, and it was even worse when she was in a backward position. Still, she showcased a strong abstraction level that was compatible with her knowledge base, proving that she is well educated. This has not changed as her intelligence levels were presented after taking part in the serial subtractions and a bold enumeration of similarities and differences.

References

Baker, M. G., Peckham, T. K., & Seixas, N. S. (2020). Estimating the burden of United States workers exposed to infection or disease: a key factor in containing the risk of COVID-19 infection. PloS one, 15(4), e0232452.

https://doi.org/10.1371/journal.pone.0232452

Silver, R. C. (2020). Surviving the trauma of COVID-19. Science, 369(6499), 11-11.

https://doi.org/10.1126/science.abd5396

MEASUREMENT SCALES

Eysenck’s Personality Inventory (EPI) (Extroversion/Introversion

)

When you fill out Eysenck’s Personality Inventory (EPI) you get three scores.
• The ‘lie score’ is out of 9. It measures how socially desirable you are trying to be in your answers.

Those who score 5 or more on this scale are probably trying to make themselves look good and are
not being totally honest in their responses.

• The ‘E score’ is out of 24 and measures how much of an extrovert you are.
• The ‘N score’ is out of 24 and measures how neurotic you are.

To interpret the scores, your E score and your N score are plotted on a graph from which you can read
your personality characteristics. The nearer the outside of the circle you are, the more marked are the
personality traits.

Please note that the EPI is a very simplistic type of personality measurement scale, so if you have come
out as a personality that does not match what you thought before you took the test, you are probably
right and the test is probably wrong!

Organisations © Heinemann Educational Publishers 2004

EXTROVERT
active

optimistic

impulsive

changeable

exciteable

aggressive

restless

touchy

NEUROTIC

moody

anxious

rigid

sober

pessimistic

reserved

unsociable

quiet

INTROVERT

sociable

outgoing

talkative

responsive

easygoing

lively

carefree

leadership

calm

even-tempered

reliable

controlled

peaceful

thoughtful

careful

passive

STABLE

0

24

12

(PH
LEG

M
ATIC) (MEL

AN

CH
O

LI
C

)

(CHOLERIC
)(S

A
N

GU
IN

E)

The E P I Instructions
Here are some questions regarding the way you behave, feel and act. After each question is a space for
answering YES or NO.

Try to decide whether YES or NO represents your usual way of acting or feeling. Then put a tick in the
box under the column headed YES or NO. Work quickly, and don’t spend too much time over any
question, we want your first reaction, not a long drawn-out thought process. The whole questionnaire
shouldn’t take more than a few minutes. Be sure not to omit any questions.

Start now, work quickly and remember to answer every question. There are no right or wrong answers,
and this isn’t a test of intelligence or ability, but simply a measure of the way you behave.

YES NO

1 Do you often long for excitement?

2 Do you often need understanding friends to cheer you up?

3 Are you usually carefree?

4 Do you find it very hard to take no for an answer?

5 Do you stop and think things over before doing anything?

6 If you say you will do something do you always keep your promise,
no matter how inconvenient it might be to do so?

7 Do your moods go up and down?

8 Do you generally do and say things quickly without stopping to think?

9 Do you ever feel ‘just miserable’ for no good reason?

10 Would you do almost anything for a dare?

11 Do you suddenly feel shy when you want to talk to an attractive stranger?

12 Once in a while do you lose your temper and get angry?

13 Do you often do things on the spur of the moment?

14 Do you often worry about things you should have done or said?

15 Generally do you prefer reading to meeting people?

16 Are your feelings rather easily hurt?

17 Do you like going out a lot?

18 Do you occasionally have thoughts and ideas that you would not like other
people to know about?

19 Are you sometimes bubbling over with energy and sometimes very sluggish?

20 Do you prefer to have few but special friends?

21 Do you daydream a lot?

Organisations © Heinemann Educational Publishers 2004

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

E

N

YES NO

22 When people shout at you do you shout back?

23 Are you often troubled about feelings of guilt?

24 Are all your habits good and desirable ones?

25 Can you usually let yourself go and enjoy yourself a lot at a lively party?

26 Would you call yourself tense or ‘highly strung’?

27 Do other people think of you as being very lively?

28 After you have done something important, do you come away feeling
you could have done better?

29 Are you mostly quiet when you are with other people?

30 Do you sometimes gossip?

31 Do ideas run through your head so that you cannot sleep?

32 If there is something you want to know about, would you rather look it up
in a book than talk to someone about it?

33 Do you get palpitations or thumping in your hear?

34 Do you like the kind of work that you need to pay close attention to?

35 Do you get attacks of shaking or trembling?

36 Would you always declare everything at customs, even if you knew
you could never be found out?

37 Do you hate being with a crowd who play jokes on one another?

38 Are you an irritable person?

39 Do you like doing things in which you have to act quickly?

40 Do you worry about awful things that might happen?

41 Are you slow and unhurried in the way you move?

42 Have you ever been late for an appointment or work?

43 Do you have many nightmares?

44 Do you like talking to people so much that you never miss a chance of talking to
a stranger?

45 Are you troubled by aches and pains?

46 Would you be very unhappy if you could not see lots of people most of the time?

Organisations © Heinemann Educational Publishers 2004

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

E

N

YES NO

47 Would you call yourself a nervous person?

48 Of all the people you know, are there some whom you definitely do not like?

49 Would you say that you were fairly self-confident?

50 Are you easily hurt when people find fault with you or your work?

51 Do you find it hard to really enjoy yourself at a lively party?

52 Are you troubled by feelings of inferiority?

53 Can you easily get some life into a dull party?

54 Do you sometimes talk about things you know nothing about?

55 Do you worry about your health?

56 Do you like playing pranks on others?

57 Do you suffer from sleeplessness?

Scoring for Form A of the E.P.I.
Check through your answers to Form A and place an E by the side of any answers which match those
given in the E score table below. If your answer does not match that in the table write nothing. For
example, if you have answered YES to question 1, place an E beside your answer. If, however, you
answered NO, write nothing and move on to score the next question.

E Score Table for Form A
Question: Question:
1 Yes 29 No
3 Yes 32 No
5 No 34 No
8 Yes 37 No
10 Yes 39 Yes
13 Yes 41 No
15 No 44 Yes
17 Yes 46 Yes
20 No 49 Yes
22 Yes 51 No
25 Yes 53 Yes
27 Yes 56 Yes

Count up the number of E’s that you have and this gives you your E scale score for Form A of the E.P.I.

Now score the N scale in the same way but this time put an N next to any question which matches those
in the N score table below:

NO

YES

NO

YES

NO

E

9 TOTAL

N Score Table for Form A
Question: Question:
2 Yes 31 Yes
4 Yes 33 Yes
7 Yes 35 Yes
9 Yes 38 Yes
11 Yes 40 Yes
14 Yes 43 Yes
16 Yes 45 Yes
19 Yes 47 Yes
21 Yes 50 Yes
23 Yes 52 Yes
26 Yes 55 Yes
28 Yes 57 Yes

Again, count the number of N’s you have and this gives you your N scale score for Form A of the E.P.I.

Lie Scale
Question
6 Yes
12 No
18 No
24 Yes
30 No
36 Yes
42 No
48 No
54 No

7 TOTAL

5 TOTAL

Highlight

Test Results:
Wish = 76/80
Expect=46/80
hope self= 172/200
hope other=68/200
Overall hope index score= 240

Highlight

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