ASSESSMENT REPORT
BIO-DATA
Name: H.R
Gender: Female
Age: 17
Referred by: Parent
Education: Secondary Education
Marital Status: Unmarried
No. of Siblings: None
Birth order: First
Father’s occupation: Business
Mother’s Occupation: Home maker
PRESENTING COMPLAINTS
The client was 17 years old female. She was referred by her mother for psychological
assessment. Her mother was concerned that she was having difficulty managing her emotions
since the start of Covid 19 pandemic and this was affecting her activities of daily living. The
client was experiencing significant levels of worry, apprehension, and panics accompanied by
generalized symptoms of restlessness, and muscle aches and specific physical symptoms such as
cold sweating, dizziness, and shortness of breath. The client reported that she was dealing with
excessive emotional liability while watching television e.g. crying over news reports of Covid 19
death rate. She was experiencing impede concentration during studies, scorching of face and
hands during listening to anybody, nervousness during conversations, feelings of chaos for being
, staying at home for so long, and confusion and unsettlement about future goals. Despite
extensive mother’s care and concern, the client revealed that she had fear of the unknown
whenever she was alone at home. When asked about her fear, she stated that she was having
obsessive thoughts about death from Corona virus and atypical funeral ceremony of Covid
patients. The client reported that, she was also experiencing poor digestion and nausea most of
the time. She revealed that lack of interest in healthy activities was so overwhelming that she left
even combing her hair, brushing her teeth and changing her clothes for long periods of time. She
revealed that whenever she had casual discussions with her mother, she started trembling and her
body started shaking. The client confessed that she was completely unaware about what was
happening with her and why she was behaving like that.
FAMILY HISTORY
The client stated that, her parents had been married for 20 years. When asked about her parent’s
relationship, the client took a long breath and remained silent. She reported that when she was
growing up, she had a close relationship with her mother. She indicated that her relationship with
her father, however, was distant. The client stated that as she was the only child, she had several
close family friends when she was a child; however, she remained close to her mother. She
revealed that there was a complex family dynamics at home, which was neither supportive nor
progressive. The client reported no family history of mental illness. However, she indicated that,
her father had diabetes. She denied that her family has any history of substance abuse problems.
MEDICAL HISTORY
The client’s mother reported that she was 29 and his father was 31 at the time of her birth. There
were serious complications of pregnancy and delivery reported and she was delivered
prematurely by Caesarean section. Her birth weight was not normal; she also experienced some
BIO-DATA
Name: H.R
Gender: Female
Age: 17
Referred by: Parent
Education: Secondary Education
Marital Status: Unmarried
No. of Siblings: None
Birth order: First
Father’s occupation: Business
Mother’s Occupation: Home maker
PRESENTING COMPLAINTS
The client was 17 years old female. She was referred by her mother for psychological
assessment. Her mother was concerned that she was having difficulty managing her emotions
since the start of Covid 19 pandemic and this was affecting her activities of daily living. The
client was experiencing significant levels of worry, apprehension, and panics accompanied by
generalized symptoms of restlessness, and muscle aches and specific physical symptoms such as
cold sweating, dizziness, and shortness of breath. The client reported that she was dealing with
excessive emotional liability while watching television e.g. crying over news reports of Covid 19
death rate. She was experiencing impede concentration during studies, scorching of face and
hands during listening to anybody, nervousness during conversations, feelings of chaos for being
, staying at home for so long, and confusion and unsettlement about future goals. Despite
extensive mother’s care and concern, the client revealed that she had fear of the unknown
whenever she was alone at home. When asked about her fear, she stated that she was having
obsessive thoughts about death from Corona virus and atypical funeral ceremony of Covid
patients. The client reported that, she was also experiencing poor digestion and nausea most of
the time. She revealed that lack of interest in healthy activities was so overwhelming that she left
even combing her hair, brushing her teeth and changing her clothes for long periods of time. She
revealed that whenever she had casual discussions with her mother, she started trembling and her
body started shaking. The client confessed that she was completely unaware about what was
happening with her and why she was behaving like that.
FAMILY HISTORY
The client stated that, her parents had been married for 20 years. When asked about her parent’s
relationship, the client took a long breath and remained silent. She reported that when she was
growing up, she had a close relationship with her mother. She indicated that her relationship with
her father, however, was distant. The client stated that as she was the only child, she had several
close family friends when she was a child; however, she remained close to her mother. She
revealed that there was a complex family dynamics at home, which was neither supportive nor
progressive. The client reported no family history of mental illness. However, she indicated that,
her father had diabetes. She denied that her family has any history of substance abuse problems.
MEDICAL HISTORY
The client’s mother reported that she was 29 and his father was 31 at the time of her birth. There
were serious complications of pregnancy and delivery reported and she was delivered
prematurely by Caesarean section. Her birth weight was not normal; she also experienced some
