Diagnostic Assessment

Topics: The Card, Minnesota Multiphasic Personality Inventory, Wechsler Adult Intelligence Scale Pages: 9 (1817 words) Published: May 13, 2013
Walden University
Denise White
Final Project
February 17, 2013

Name of Examinee: LuisDate of examination: 2/11/13
Date of Birth: 5/20/77Date of report: 2/17/13
Chronological Age: 32yearsName of examiner: D. White

Luis is a 32-year-old male who immigrated to the U.S. when he was 14. He later became a US citizen. Although, Spanish is his native language, he speaks English extremely well. He recently returned to living with his parents after being laid off from being a semi-skilled auto worker 6 months ago. Luis is the middle of three children. He has a younger sister and older brother, his brother is away at college. Just prior to being laid off, he became involved with a young woman he claims is “the woman I’m going to marry.” He lives with his parents after being laid-off 6 months ago when he was living with friends. He was able to find a job where he works as a pizza delivery person. His mother was diagnosed with depression following the family’s move from Puerto Rico. Luis completed high school and one year of vocational training. REFERRAL SOURCE AND QUESTIONS

Luis is self-referral and has concerns about his anger and impulsivity. These issues have surfaced since his returning home. Luis also wanted to know why he isn’t himself anymore. LUIS’ REPORT
Luis stated that, “I just don’t feel like I am doing well but I don’t know why”. He reported feeling that there is really nothing bad going on in his life, yet he just feels like everything is bad. He reports that his parents are on his case because he don’t do anything other than sit around the house. His parents tell him that he needs to get himself under control. He feels like he really is not motivated to do things anymore. HOME LIFE

Luis reports that his home life finds him being harsh to his parents, especially when they make a request of him and he becomes angry over little issues. This is the same pattern he had growing up with them. He left home when he was 22-year-old to live with buddies. He frequently argues with his girlfriend. His parents attend Christian church weekly; yet, Luis only goes on some of the major holidays like Christmas and Easter. ACADEMICS AND VOCATIONAL

Luis reported that he was a “C” student in high school and received a certificate for skilled machinist. Luis reported that he was an okay school student but had a hard time adjusting when he first started in the States. He stated he likes what he works at and has been successful there as people tell him he does well. SOCIAL

Luis reported that he has many friends, yet he has not been hanging out with them as much as he was before, and he don’t feel like being with his girlfriend, because he get too angry with her. He reported that he likes to watch sports on television. Luis describes himself as a good person, but don’t think he was when he was younger. REVELANT HISTORY

Met all milestones; at time of assessment he reported his health to be within normal limits. Luis stated that he is not on any medication. His mother was diagnosed with depression following the family’s move from Puerto Rico. No history of psychiatric admissions or behavioral disorders. CLINICAL OBSERVATIONS OF BEHAVIOR/MENTAL STATUS

Luis is neatly dressed; wearing jeans and a t-shirt; he is of average height and weight. He was alert and oriented to person, place, and time. He was soft-spoken and his speech was at normal rate. Luis was very cooperative and rapport was easily established. He came to the testing session willingly to participate but reported he had one of those nights where he had trouble getting and staying asleep. On several occasions, he slumped back in his chair. He followed directions and were observed to have times of being somewhat sluggish in his responses. TESTS ADMINISTERED

In addition to clinical and interviews, and review of records the following tests were chosen as appropriate for the referral question. Wechler Adult Intelligence Scale, 4th...
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