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.

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Therapist