Name: ……. Age:17yrs Sex: Male
Education: 10th Handedness: Right
Religion: Hindu Family Type: Nuclear
Domicile: Urban
Languages Known: Hindi, and English
Informants: Parents
Reason for Referral: For the assessment of current level of intellectual functioning and behavioral problems.
Referred by: …….
Chief Complaints:
• Forgetfulness
• Poor academic performance since childhood
• Easily get irritated
• Social withdrawal since 10 years
• Apprehension
Brief History:
History of Presenting Illness:
Parents reported that the symptoms gradually started when his elder brother left for job in United States of America. He was very much attached to his elder brother, who was able to cater to
It was also reported that father was very restrictive towards the client and didn’t allow him to spend much time in playing. It was reported that at the age of 4, one of his testicles was surgically removed as it was not developing properly; hence the father fears that playing sports can cause injury to his other testicle also, so he restricts him to go out and play with his playmates.
Parents stated that the client has poor academic performance. He barely passes in all the subjects, teachers have to give him extra grace marks to pass and parents are frequently called to school regarding his poor performance in exams. He is not able to solve complicated mathematical problems; he commits many spelling mistakes as well as faces problems in pronunciation.
Client easily gets irritated whenever someone interrupts him while playing games or points out his problems. He prefers to stay alone and doesn’t have many friends. He is quiet by nature and does not approach others or initiates talk. He gets upset very easily and is unable to take criticism. If he gets irritated he will stop talking to others. He is emotionally and socially withdrawn.
The parents were referred to
Past medical history
Family History:
The child lives in a nuclear family with his parents, his elder brother stays abroad.
Any history of psychiatric illness was not found in the family.
Personal History:
Birth and early development:
The child had a normal delivery and birth cry present. As reported by the mother, his developmental milestones were reached on time. The child started sitting at the age of 6 months, started speaking between the ages of 9-10 months and started to walk by the age of 13-14 months.
Scholastic history and extracurricular activities:
According to the parents Client has difficulty in memorizing study material. The child studies in
The parents said that the home environment is congenial. The child reported that he has strained relation with his father. The parents are worried about the child’s progress and are taking many efforts to be aware of and manage the child’s problems with professional help. The child reported that he is emotionally closer to his mother as compared to
Tests Administered:
1. Binet Kamath Test Of Intelligence (BKT)
2. Child Behavior Checklist (CBCL)
3. Depression
Tested on: 8th September 2016
Tested in: English and Hindi
Behavioral Observation:
Test Findings:
Binet Kamath Test of Intelligence:-
On the Binet Kamath Test of intelligence, his basal age was found to be 8 years, terminal age was found to be 16 years; Mental age was found to be 13 years; his IQ was calculated to be 76, which corresponds to the criteria of borderline. On pattern analysis, he has attained an age level of 14 years on language,
Child Behavior Checklist (CBCL):
On CBCL, his clinical range, his score was
Depression
Summary of the findings:
On Binet Kamath Test of Intelligence his IQ was calculated to be 76, which corresponds to the criteria of borderline.
On CBCL, his score was
Impression:
The Client’s IQ
Suggestions:
•
• Parental counseling
• Provide frequent feedback
• Harsh criticism and punishment is to be avoided.
• Anger management
• Cognitive behavior therapy
POST COUNSELLING
Tests Administered:
1. Binet Kamath Test Of Intelligence (BKT)
2. NIMHANS specific Learning Disability Test
Tested on: 7th May 2017
Tested in: English and Hindi
Behavioral Observation:
Test Findings:
Binet Kamat Test of Intelligence:-
On Binet Kamat Test for Intelligence, his basal age was found to be 9 years and terminal age was found to be 19 years. His Intelligence quotient came out to be 89, i.e. borderline level of intellectual functioning.
NIMHANS assessment battery for Specific Learning Disability
On NIMHANS Assessment Battery for Specific Learning Disability, he had been tested for Reading, Comprehension, Writing, Mathematics, Spellings.
Reading and Comprehension
Assessment of reading ability was done by asking the child to read out a given passage. There was confusion in pronunciation of words. He was unable to properly read many words like mere, quenching, merrily, frolicking, deadening, dispersed. Some of the words were reversed; ‘spotted’ was read as ‘stopped’ and ‘attracted’ was read as ‘attached’. His reading ability was found to be adequate at grade 6, indicating disability in reading. Skills for comprehension were assessed by asking questions about the read passage. He could easily answer questions adequately till grade 8, indicating difficulty in comprehension.
Writing
Writing skills include expressive writing and an evaluation of handwriting. In written expression, he was asked to write 10 lines on ‘My Favourite Sports’. He took 15 minutes to write 5 sentences and his handwriting was messy and difficult to read. Client was given permission to write in whatever language was comfortable with; still he found it difficult to articulate sentences. Instead of trying to make small sentences, he was trying to make big ones, to fit in a lot of ideas in one statement. He made various spelling errors and some grammatical errors. Punctuation errors were also present. When asked to copy a 10 line passage, he made a lot of errors. He did not put Punctuation marks such as full stop or coma and hence did not start new sentences with capital letters. There were spelling mistakes also, ‘returned’ was written as ‘rereen’, ‘evening’ was written as ‘eveig’, ‘riding’ as ‘ridig’, ‘frightened’ as ‘fritent’. Client was given 3 words with which he had to construct a sentence, sentences constructed were not age appropriate had spelling, and grammatical errors. His writing ability was found to be adequate at grade 5 level.
Spelling
A list of 30 words was dictated to the client and he was asked to write the same. For Grade 6 and 7 he corrected 3/15 words. For grade 5 he corrected 7/15 words. He struggled to write simple sight words and to use phonetic cues to write unknown words. Errors of Ommision was present, he wrote “robers’ for ‘robbers’’, ‘adress’ for ‘address’ ‘distres’ for ‘distrss’ ‘truble’ for ‘trouble’. There were phonetic errors, as client was trying to write the words as we speak, like- ‘fritent’ for ‘frightened’, ‘unforchunate’ for ‘unfortunate’. His spelling ability was found adequate at grade 5 level.
Arithmetic
In Arithmetic, he has a well formed concept of simple addition, subtraction, multiplication and division. He can do graded addition but does errors in graded subtraction, multiplication and division. He finds it particularly difficult to do word problems and is unable to understand which mathematical operation is to be applied. His level of performance was found adequate at grade 6 level.
Impression
Client has disability in Reading, Writing, Comprehension and Mathematics.
Examined By: Supervised By:
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