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6-2 Final Project Milestone 3: Draft of Conclusions, Recommendations and Reflection Jill Bennett PSY335 Assessment and Testing Dr. Lovell Southern New Hampshire University October 5, 2023

Conclusion Barbara initially presented as a self-referral for complaints of fatigue, loss of interest in daily activities and questioning her career choice. At that point she consented to additional testing to determine the underlying cause and to develop a plan of treatment if necessary. During this time, the client underwent a series of self-reporting assessments including sentence completion, a Myers Brigg Type indicator (MBTI) a patient health questionnaire (PHQ9) and a Clinical Assessment of Depression. She also completed the House-Tree-Person assessment. The MBTI depicts Barbara as someone who is outgoing and focuses on people and activity. Additionally, she focuses on the here and now, is spontaneous and flexible and makes decisions based on values and subjective consideration. However, her other self-reporting tests do not support that profile. Both the PHQ9 and the CAD results show symptoms of mild clinical depression. The American Psychiatric Association (2023), explains depression as common medical illness that effects the way you fee, think, and act. It causes feelings of sadness, loss of interest in activities and can decrease one’s ability to function at work and home. The DSM5 reports that there must be at least five symptoms present for a minimum of 2 weeks to be diagnosed with major depressive order. Barbara displays four. Her symptoms include feeling sad, loss of interest fatigue and difficulty concentrating for a 4-week period. Based on Barbara’s verbalized concerns, her test results and the clinical definition of depression, there is a high confidence level that while it may be mild at this point, Barbara is clinically depressed. Regarding validity and reliability, the self-reporting factor is not a concern. The client was accepting and willing to participate in all testing and honest throughout the process. Her intelligence scores were above average so there is no concern that the client is unable to understand or complete the assessments. Additionally, the client came in freely on there on will

in hopes of getting help. Therefore, all self-reporting test results should be considered reliable. With that, there are some limitations to the sentence completion and House-Tree-Person test. These limitations are not a concern from the patient’s standpoint. While these two tests are helpful in assessing and diagnosing Barbara, it is important to remember that results are subjective, and interpretations can vary between clinicians. Overall, all testing was administered by industry guidelines and followed the APA code of ethics. Recommendations Based on the information obtained through the assessments done, there is enough evidence to support a diagnosis of depression and additional treatment is warranted. However, because Barbara’s assessments suggest mild depression and her behavior suggests a more severe level of depression, I would suggest the Beck Depression Inventory or BDI. The American Psychological Association (2023) explains the BDI as a depression screening tool used to measure behavioral manifestations and severity of depression. Through 21 self-reporting questions. Validity and reliability have been tested across populations worldwide. Additionally, it would be beneficial to utilize the Hamilton Depression Rating Scale (HAM-D). According to the APA (2023) this test measures the level of depression before, during and after treatment. This test can be used to determine the effectiveness of treatment and assist with adapting Barbara’s specific treatment plan to produce the best results. Upon completing the additional assessments, I would add two additional recommendations for treatment. The first step would be to set up an appointment with her primary care provider to determine that there are no underlying causes for her symptoms. Additionally, the PCP can start conversations with Barabara to determine if pharmaceutical therapy such as antidepressants would be appropriate to start at this time.

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