Paper
DIAGNOSTIC EVALUATION REPORT
PATIENT: Melvin Udall DATE OF BIRTH: April 29, 1941 135 West 12th Street Apt. 10 Manhattan, New York 10019 AGE: 56
EDUCATIONAL LEVEL: Master’s College Graduate MARITAL STATUS: Single
DATE OF TESTING: June 17, 1997 REPORT DATE: December 20, 1997
EVALUATOR: Jeremy Wilson REFERRED BY: Dr. Robert Green
REASON FOR REFERRAL
Reexamination was requested by the patient, Melvin Udall, on June 10, 1997 to determine his psychological dynamics and functioning, and confirm the previous diagnosis of Obsessive-Compulsive Disorder. Melvin was first diagnosed in his early to mid-twenties and the effects have been dynamic on his personal, social, and professional life. The psychiatric and psychological reevaluation was requested by Melvin to decrease his obsessions and compulsions. He also requested assistance for irritable and aggressive behaviors attributed to his narcissism. The disorder was affecting almost all aspects of his life. Melvin’s romantic relationship with Carol Connelly was indicated as the motivation for treatment. He was concerned that his newly found happiness might be compromised by his obsessions, compulsions, and deficient social and emotional skills. Melvin Udall “wants to be a better man” for Carol and is worried that without confronting his anxieties and social awkwardness that had taken control of his life, he will end up a lonely and sad old man.
PROCEDURES ADMINISTERED
Clinical Interview
Mini Mental Status Examination
Yale-Brown Obsessive Compulsive Scale
Modified Global Assessment of Functioning Scale
BEHAVIORAL OBSERVATIONS
Melvin Udall was cooperative and developed a friendly rapport with the psychiatric and psychological evaluators during testing. Melvin’s affect was normal throughout the interview. He was dressed appropriately for the evaluation. His concentration was focused intently on topics of personal concern and at times his obsessions and
PATIENT: Melvin Udall DATE OF BIRTH: April 29, 1941 135 West 12th Street Apt. 10 Manhattan, New York 10019 AGE: 56
EDUCATIONAL LEVEL: Master’s College Graduate MARITAL STATUS: Single
DATE OF TESTING: June 17, 1997 REPORT DATE: December 20, 1997
EVALUATOR: Jeremy Wilson REFERRED BY: Dr. Robert Green
REASON FOR REFERRAL
Reexamination was requested by the patient, Melvin Udall, on June 10, 1997 to determine his psychological dynamics and functioning, and confirm the previous diagnosis of Obsessive-Compulsive Disorder. Melvin was first diagnosed in his early to mid-twenties and the effects have been dynamic on his personal, social, and professional life. The psychiatric and psychological reevaluation was requested by Melvin to decrease his obsessions and compulsions. He also requested assistance for irritable and aggressive behaviors attributed to his narcissism. The disorder was affecting almost all aspects of his life. Melvin’s romantic relationship with Carol Connelly was indicated as the motivation for treatment. He was concerned that his newly found happiness might be compromised by his obsessions, compulsions, and deficient social and emotional skills. Melvin Udall “wants to be a better man” for Carol and is worried that without confronting his anxieties and social awkwardness that had taken control of his life, he will end up a lonely and sad old man.
PROCEDURES ADMINISTERED
Clinical Interview
Mini Mental Status Examination
Yale-Brown Obsessive Compulsive Scale
Modified Global Assessment of Functioning Scale
BEHAVIORAL OBSERVATIONS
Melvin Udall was cooperative and developed a friendly rapport with the psychiatric and psychological evaluators during testing. Melvin’s affect was normal throughout the interview. He was dressed appropriately for the evaluation. His concentration was focused intently on topics of personal concern and at times his obsessions and