PSYCHOLOGICAL REPORT

I. Identifying Information Name:

Name: "Michelle"
Age: 19 years old
Sex: Female
Address: Calinan, Davao City
Birthdate: May 19, 1991
Civil Status: Single
Educational Attainment: 4th year Nursing student

II. Presenting Complaint

"Michelle" has been presenting maladaptive eating behavior for almost a year.
She keeps her weight in control by restricting on foods, counting calories and running 5
times a week for 1 hour. She secretly engages herself with bingeing, vomiting and
excessive exercise.

III. Case Background

"Michelle" is a 19-year old female presenting with maladaptive eating behavior.

She is 5 feet 7 inches tall and weighs 123 lbs. with a small to medium frame size.
"Michelle" was born in Digos City. She is the only daughter of three children and has two
brothers, ages 21 and 15. According to the client, she rarely eats a normal meal and
mostly will consume a small amount of food during social gatherings. However,
whenever she feels stressed or frustrated from her duty at the hospital, she would
consume large amount of foods secretly, which she says is not normal for her daily intake
to release stress. But following her overeating, she would feel anxious and guilty over her
behavior and lack of control . She would then stick her finger down her throat to be able
to vomit. Her preoccupation with weight and body image started way back in high school
in large part of her mother's consistent concern. It then elevated when she was 18 years
old and a 3rd year college student in John Paul II College when she gained almost 130
lbs.

According to her, weight, appearance and overall self-worth was an issue that
troubled her mother most of her life and was determined to prevent that from happening
to her. Whenever they go shopping for clothes or during family dinner, her mother would
say harsh criticisms about her body and weight and at other times, making her weigh
herself in front of her mother when she says that she doesn't think that she had gained any
weight. In addition, her relatives would also say jokes about the amount of food that her
mother serves to her during occasions. The client recalled an instance of July of 2009
wherein she lost some weight and was down to about 110 lbs because of her restriction
with eating. But she admits that she finds herself craving cakes and cookies, and other
"forbidden" foods. But the moment that this forbidden foods passed through her mouth,
she would start to feel guilty and would criticize herself. Following this, she would
secretly engage herself in vomiting.

At present, "Michelle" has been doing some modeling job and photo shoots for
freelance photographers since her boyfriend is a part-time model himself. Her present
Body Mass Index is 19.1, which is considered to be normal for her age. And she has
never been diagnosed nor hospitalized for her maladaptive eating behavior.
IV. Progress of the Case

July 24, 2010. Before the first session was conducted at the client’s house in
Calinan, the interviewer first gathered relevant information about the client’s condition
through her boyfriend Boyet and her close friend Nico. The interviewer was already
familiar with these people even before the session began. Rapport was already
established and data regarding the client’s case were easily given and noted. It was
revealed in the interview that "Michelle" (the client) was open about her behavior and
would confide this issues with her boyfriend and her friends as well. She is aware that she
has a problem and in fact wants to ask for help but humiliation stops her to do so.

According to Nico (her friend), even though "Michelle" seems as a happy-go-

lucky person she lacks self-esteem when it comes to presenting herself to people. She
dreams of becoming a model and she is very thankful that Boyet (her boyfriend) helped
her to be a part-time model.

July 31, 2010. Initial interview was conducted at the Center for Educational
Measurement in Davao City. Since the interviewer and the client know each other even
before the session, it wasn’t difficult to establish rapport. The interviewer first assured
that all information given by the client will be confidential and that data gathered will be
used for research purposes only. When the interview started, the client was properly
groomed and was able to maintain her personal hygiene. She was completely at ease and
was able to make good social contact with the interviewer. She showed interest and
cooperation during the interview. She speaks both Bisaya, Tagalog and English with a
medium volume of voice which the interviewer can understand her clearly. When asked
about her condition, she readily admits that she knows that her eating behavior is not
normal because she had taken up Psychiatric Nursing, so she knows what is Bulimia
Nervosa. After the observation and interview, the interviewer decided to end the session
since all relevant information were already gathered. The interviewer scheduled a battery
of psychological tests for "Michelle". She agreed right away and decided to meet the
interviewer on August 21, 2010.
 August 21, 2010. The background of the client’s case was completed based on the
gathered information from the client and people close to her. A battery of psychological
test was utilized for further assessment of the client’s case. Draw-A-Person Test and
Sachs Sentence Completion Test last August 21, 2010.

In summary, test results showed that the client clearly rejects and depreciates her
mother while also feeling rejected by her family. Based on the interview, the client's
family especially her mother is very critical with her weight and appearance. They would
make criticisms and jokes about her weight during dinner or family gatherings. It also
showed that she is able to establish meaningful relationship with friends and the opposite
sex. Based on the interview from the client and her friends, she is honest about her eating
behavior and wants to ask for help especially from her friends. In addition, she is thankful
of having Boyet (her boyfriend) in her life and made her fulfill her dreams of becoming a
part-time model.

In terms of personality, she has no control over her impulsive behavior with
regards of her binge-eating and vomiting. According to her, whenever she feels stressed
or frustrated from her duty at the hospital, she would consume large amount of foods high
in fat and carbohydrates to release stress. Following her overeating, she would feel
anxious and guilty over her behavior and lack of control. She would then secretly engage
herself to vomit because she feels afraid that all those calories would make her gain
weight.

In addition, it also showed that she is overly concerned with her appearance
especially with her body shape. According to her, she is concerned with her shape and
weight as aspects of looking good and always worries about how others see her.

August 25, 2010. The interviewer met with the client. The interviewer discussed
the results of the psychological test taken by the client and asked further questions or
confirmations about it. The client wasn't surprised with the results of her test. She
admitted that she has problems with her eating patterns but she is willing to ask for help
especially from her friends. She showed a tendency of blaming her mother for being so
critical with her weight. Before the session ended, the interviewer asked the client to
answer a quiz as part of their activity entitled The Eating Attitudes Test (EAT-26). The
client scored a total of 56 on the EAT-26. Based upon her responses to this eating attitude
test, her scores are similar to others who have an eating disorder or at risk for developing
an eating disorder. Based from the client's responses on the interview and the test, it
shows that she is actively dieting and have an active preoccupation with food that is often
associated with bulimia nervosa. She also has difficulty with self-control over eating and
vomiting.

V. Analysis

The client (Michelle), was assessed using two (2) Projective Test such as Draw-
A-Person Test and Sachs Sentence Completion Test and an activity entitled the Eating
Attitude Test. After the interpretation of the tests and analysis of the case through
interviews and observations with the client and her friends, it was confirmed that the
diagnostic criteria in the DSM IV-TR for Bulimia Nervosa was met. Evidences from the
client's personal background influenced the cause and onset of Bulimia Nervosa. Her
mother and relatives persistent criticisms and jokes about her weight and shape greatly
affected and influenced the client's view of herself at present. Her preoccupation with
shape and weight as aspects of looking good is in fact her defense because she has low
self-esteem that rooted from the criticisms of significant others. She is afraid of gaining
weight and judges herself largely in terms of her shape and weight and her ability to
control them.
VI. Diagnostic Impression

Axis I : 307.51 Bulimia Nervosa

Axis II : None
Axis III : None
Axis IV : Psychosocial problem: problems with primary support group
(family); criticisms from her mother about her body shape and
weight; jokes from her relatives
Axis V : Current Global Assessment of Functioning: 70 (Has occasional
impulsive behavior with binge-eating, vomiting and excessive
exercise but is generally functioning well in other areas e.g school;
is able to establish meaningful relationship with her friends and the
opposite sex)

VII. Prognosis

Good Prognosis.
The client is aware of her maladaptive eating behavior (ego dystonic) and is
willing to ask for help. There is a good chance of partial recovery of Michelle’s
condition. If the client can learn how to deal with her problems of self-image and body
weight, she can go on to lead a normal and productive life. But they should give attention
to the mother-daughter relationship of the client and her mother which can influence the
recovery of "Michelle”.
VIII. Recommendation

The purpose of this psychological testing was to provide assistance for "Michelle" as well
as to her parents on what they can do to help her.

Recommendation for "Michelle" future plans are as follows:

• "Michelle" should get professional help coming from a clinical psychologist, dietician
or nutritionist to facilitate and address her current condition and give proper attention for
her treatment.
• "Michelle" should seek therapy especially family therapy to address her feeling towards
her mother and relatives.
• "Michelle" family should avoid making harsh criticisms and jokes regarding her weight
and body shape. They should instead make her feel loved and cared for by her family.

______________________________________________________________________________________

This psychological report is based on data coming from psychological tests administered by the Davao
Psychological and Testing Center. The graduate student did not have access to the actual psychological
report. In keeping with ethical standards, confidential information (i.e, names of persons involved) was
made not known to this student.
ATENEO de DAVAO UNIVERSITY
GRADUATE SCHOOL

In Partial Fulfillment of the Requirements

In
C207, PSY 609

Psychological Report

And

An Epistemological Report

Submitted to:

Mr. Ericson D. Batican, MSPsych

Submitted by:

Roy Cresencio R. Linao Jr., RN.

Date Submitted:

October 28, 2010

 EPISTEMOLOGICAL REPORT ON PSYCHOLOGICAL TESTING
AND ASSESSMENT

The course introduced to the students the nature, problems and potentials of

psychological testing. It was presented with the three basic components of the course

namely; a (re)introduction to the basics of psychometrics, an exploration of the

psychological idea of what “intelligence” is, and a survey of personality assessment.

The topics first started with an the basic principles in testing and assessment that

includes a refresher on elements of statistics.

Historical aspect as well as cultural, legal and ethical considerations were also

discussed within the scope of the course. Topics such as the reliability and validity of a

test were also accounted for to ensure the accuracy of the results.

How a certain test is conceptualized/constructed were also a part of the course.

As the course moved on through the semester, many teaching strategies were used mainly

reporting on the different topics assigned per student. We were also tasked to give a

report on the different testing centers in Davao City. Several battery of test were also

presented to us students, for us to know and familiarize ourselves with the different

Psychological tests.

To have a broader perspective of the course, several reading materials were also

provided by the instructor.