Internship At Nimh 2q1550
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INTRODUCTION An internship offers you the chance to learn by doing in a setting where you are supervised by a work-place professional and have the opportunity to achieve your own learning goals. An internship also offers you the opportunity to work with someone who can become a mentor for you - not only in the internship but throughout your career. An Internship in Psychology involves working alongside psychology professionals in human services, business, education, or other work setting. The intern’s on-site work experience is supervised by an employee of the organization providing the Internship. An intern may or may not be paid for the on-site work by the placement. Because the Internship earns academic credit, the Internship also has an academic component. The opportunity to work in a professional setting helps students apply and expand their knowledge of Psychology, develop appropriate professional work standards, explore career options, and build mentor and other network relationships in the workplace. For many students university can be quite theoretical and an internship is their first opportunity to apply their knowledge to the real world. The experience will not only help you to develop the skills needed to work in your industry; working on real projects for a real organisation will also give you the interpersonal skills that you need to work effectively with others — and confidence in your own abilities. You may find that longer internships allow you to work on projects from start to finish and give you a more in-depth experience of an organisation. If you have the spare time then a month-long intensive internship may be a better option. Nothing ever becomes real until it is experienced. Even a proverb is not a proverb to you until your life has illustrated it.” These words spoken by British poet John Keats convey one simple yet inescapable truth; true knowledge is always born of empiricism. It is therefore not enough for psychology students (especially at the tertiary level) to merely read books and memorize theories. Mastery of the practical applications of theoretical concepts is also vital and there is no better way for students to acquire such experience than through participation in internships – work-related positions that offer them the opportunity to gain 1
professional insight into an occupational field of interest. Given the demanding and ever-changing world of employment, it is crucial that internships form a core component of all psychology degree programs at the tertiary level. Internships allow you to explore all the possibilities and come away with an experience that you will never forget. Hardly anyone would dispute the importance of practical experience in securing a desirable job in today’s society. No longer will first class honours suffice. Employers must be convinced that graduates are capable of transferring their knowledge to the workplace and of functioning effectively in it. Unfortunately, these abilities cannot be learnt in a lecture theatre. They must be developed in a real world environment. Internships offer psychology students exposure to such environments and the opportunity to gain valuable work- experience. An internship could allow you to take a look into professions and organisations that we’ve only ever dreamed of. It would be unwise however, to use the term ‘work experience’ to summarize the total value of an internship. In doing so, one would minimize the worth of the endeavour to merely a means of lengthening one’s resume, when in fact there are many other benefits to be gained. Firstly, internships help individuals to improve their level of professionalism. By immersing them in the culture of an organized institution, internships encourage individuals to develop a more realistic view of what is expected of them in the real world. They learn to communicate effectively with supervisors, co-workers and clients and improve their time management skills as well as their ability to function efficiently under pressure. Internships allow individuals to acquire new skills through training and to strengthen old ones through practice. The result will be a more confident and competent individual possessing more professional work attitudes and habits.Internships are an excellent way to branch out from your university course into the industry in which you are studying and expand your list of s, from university-based lecturers and tutors to people who are currently working in the industry. Most internships will enable you to work closely and develop professional working relationships with a specific manager and team within the organisation, as well as meet a range of people in other departments and outside the company. 2
Internships also assist students in making informed career decisions. Through daily activities and interpersonal interactions, interns are able to gather valuable information about their field. They also get a chance to evaluate their own strengths and preferences before they formally enter the job market. Such information can be helpful in deciding if they have made the right career choice and can reinforce doubts or resolves relating to their career goals. A psychology student’s likelihood of acquiring employment after graduation is increased if he/she also possesses practical knowledge of his/her field. Interns get the opportunity to meet and network with individuals, including potential employers, with whom they would not normally come in . Such ‘links’ can prove to be essential when seeking jobs. Students may also learn of job openings while working as interns and the acumen they gain will offer them a competitive edge over their less experienced competitors. There are some individuals who will discredit the value of internships on the grounds that there are disadvantages to such experiences. True, students will have to set aside time out of their busy schedules to engage in internships. So yes, there are disadvantages but these should not be overplayed.
ORGANIZATIONAL PROFILE National Institute for the Empowerment of Persons with Intellectual Disabilities (Formerly National Institute for the Mentally Handicapped) established in the year 1984 at Manovikas nagar, Secunderabad (TS) is an Autonomous Body under the istrative control of Ministry of Social Justice & Empowerment, Government of India and thus the institute is fast approaching towards its silver jubilee to celebrate its dedicated services to persons with mental retardation in the national interest. NIEPID(Formerly NIMH) has three regional centers located at New Delhi, Kolkata, & Mumbai,NIEPID(Formerly NIMH) Model Special Education Center located at New Delhi. The institute endeavours to excel in building capacities to 3
empower persons with mental retardation. Since the quality of life of every person with mental retardation is equal to other citizens in the country, in that they live independently to the maximum extent possible and through constant professional endeavours, National Institute for the Empowerment of Persons with Intellectual Disabilities (Formerly National Institute for the Mentally Handicapped) empowers the persons with mental retardation to access the state of the art rehabilitation intervention viz., educational, therapeutic, vocational, employment, leisure and social activities, sports, cultural programmes and full participation. National Institute for the Empowerment of Persons with Intellectual Disabilities (NIEPID) is distributing educational kits which helps such children to practically learn concepts such as arithmetic, using practical training and later use it in their daily life such as counting money etc. According to 2011 census, there are 15,05,264 intellectually disabled persons in the country.
Deputy director at NIEPID Major Ram Kumar said the faculty from NIEPID Hyderabad and other centres have conducted programmes in Mizoram, Arunachal, Manipur. Currently they are at Assam. An assistant professor at NIEPID, Dr Shilpa Manogna said that because of cognitive limitations, intellectually disabled children might not understand what is written in general text books. “We teach them functional arithmetic, reading and writing, which they will be able to put to use in daily life,” Dr Shilpa said. The kits contain books scientifically designed for intellectually disabled children, electronic measuring devices, measurement kits, audio visual tools, puzzles. The books are available in regional languages like Telugu, Malayalam, Tamil, and Hindi. The kits — of four kinds — are distributed free of cost. Before the distribution, identification camps are conducted to learn about the level of kit to be distributed to the children.
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The various other objectives for which NIEPID(Formerly NIMH) works are listed as under:-
OBJECTIVES:
Human Resources Development
Research and Development
Development of models of care and rehabilitation.
Documentation and dissemination.
Consultancy services to voluntary organizations
Community Based Rehabilitation
Extension and Outreach programmes
To achieve optimum results, the institute has developed and introduced innovative structured training courses like Early Intervention, Rehabilitation Psychology, Special Education and Disability Rehabilitation at Masters level. The research policy of the institute is to continuously update the research need matrix that basically covers (a) the life-cycle needs of the persons with mental retardation (b) the holistic development of the persons with mental retardation including therapeutic interventional needs, family , resource , capacity building needs, and (c) public policy and enabling society. The documentation and dissemination are important activities of the Institute which include (a) procurement of books, journals, and documents (b) publication of quarterly NIEPID(Formerly NIMH) newsletter and bimonthly Mentard Bulletin. The Institute conducts national level seminars in mental retardation in partnership with leading voluntary organizations, parent associations. Special employees 5
national meet at NIEPID(Formerly NIMH), National meet of parent organizations and National level Workshops. In order to rehabilitate the persons with mental retardation in the community, the services should be rendered at the grass root level itself. The service to be provided at these centers includes identification, screening, assessment, delivery of services, training of local resource persons and supply of training material to the needy persons.
District Disability Rehabilitation Centre (DDRC) is an initiative by the Ministry of Social Justice and Empowerment, Govt. of India, to facilitate comprehensive services to Persons with Disabilities in the rural areas. These units have a group of rehabilitation professions for providing services like identification of Persons with Disabilities, Awareness Generation, Early Detection and Intervention, Provision / Fitment, Follow-up and repairing of Assistive Devices, Therapeutic Services like Physiotherapy, Speech Therapy etc., and facilitation of Disability Certificates, Buss es and other concessions/ facilities for Persons with Disabilities.
DDRC’s is a t venture of Central and State Governments wherein Central Government will establish, initiate, implement the centre for three years involving funding for man power contingencies as well as required equipments and coordination. State Government will provide provision for rent free , well connected building, basic infrastructure, furniture, monitoring and coordination of activities through District Management Team (DMT) Chaired by the District Collector and also identification of implementing agency. NIMH had the responsibility of establishing 16 DDRC’s among 7 states. After successfully establishing and running for initiating three years, suitable implementing agencies have been identified with the help of State Government and all the 16 DDRCs have been handed over to the District istration to be run by the identified implementing agencies. 6
ACHEIVEMENTS: General Services General services & Family cottage have the following achievements mentioned below. 1. Information posters were in English language only, it is now translated in Telugu & Hindi and Displayed in GS & FC. 2. Facilitation of Services Instructions to parents in 3 languages are displayed in GS in Hindi, Telugu and English. 3. Vigilance board in 3 languages displayed in family cottages . 4. Suggestion box kept in family cottage. 5. Feed back forms developed in Hindi and Telugu.
DEPARTMENT OF MEDICAL SCIENCES
Department of medical sciences have the following achievements mentioned below. 1. MSc DS(EI) course with two years duration has started in December 2009. 2. Started Endocrinology services from 04th August 2010, and very soon Homeopathy and Ophthalmologist services will start. Provision of Dental services is in process. 3. Procurement of Equipment required for alternative medicine and other specialty services is in process 4. In Pharmacy room computer Drug Inventory software is installed for transparency of stock available and daily entry of drug distribution. 5. Started First aid unit (Emergency medicines Kit) 6. Proposed and Approved research projects A. Invivo dynamics of neurogenesis in brain of children with down’s syndromes: - correlation with proliferation & structural integrity. B. An etiological study of Children with global developmental delay.
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DEPARTMENT OF REHABILITATION PSYCHOLOGY
Achievements of department from the inception of the institute: 1. Completed Research projects A model of services for preschool handicapped children in rural areas. Application of behavior modification techniques in children with mental retardation Delivery of services through itinerant service model Strengthening families having children with mental retardation: identifying and meeting information needs. Effect of cognitive behavioral intervention among parents of person with mental retardation for managing depression Development of Assessment tool for persons with Autism. (ISAA)
2. Ongoing Research Projects. Cognitive Training for persons with mental retardation. Emotion recognition training for persons with mental retardation. Simplification of intellectual assessment.
3. Research work carried out by M.Phil students So far students have completed 39 research projects at M.Phil level in various subjects within the field of disability rehabilitation. 4. Human Resource Development a. The department has started M.Phil in Rehabilitation Psychology in the year
2003. So far 5 batches have completed their course. Presently VI batch and VII batch is in progress b. Short term training programs The department has been conducting various training programs such as one month certificate course in psychological assessment, 5 day program on behaviour modification and 5 day program in counselling in rehabilitation, 5 day programme
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on Psycho Social management of families having adolescent adults with mental retardation.
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OBJECTIVES OF THE INTERNSHIP
Interns will develop intermediate to advanced knowledge and skill in the provision of individual therapy. The following objectives are being tried to be achieved through the help of this internship by the student.
Demonstration of clinical intervention and relationship skills
To demonstrate the skills in gathering pertinent and relevant data to inform clinical decision-making
Application of concepts of normal/abnormal behaviour to case formulation and diagnosis in the context of human development and diversity
To integrate scholarly literature into their clinical work
To formulate and conceptualize cases based on theoretical orientation
Demonstrate the ability to formulate appropriate treatment goals in collaboration with the client and modify these goals when needed
Demonstrate the ability to apply useful and effective evidence-based interventions
Exhibit sensitivity and skills in working with diverse clients.
Evaluation of the progress of their provision of therapy and use this information to improve their own effectiveness.
Gathering of document relevant data during telephone or in-person sessions.
Achievement of the ability to effectively tolerate clients intense feelings, attitudes, or wishes.
Learning skills in accurately selecting, istering, scoring, and interpreting self-report and personality assessment instruments.
Exhibiting and also lerning skills in writing psychological reports and communicating findings in written and oral form to client.
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Consideration of cultural factors in selection and interpretation of assessment materials
Develop skills in integrating the clinical intake, behavioral observations, and assessment data into a comprehensive report
Developing and demonstrating knowledge of the empirical basis of assessment measures
Exhibiting the ability to utilize assessment data to inform their treatment goals and interventions
Competence in applying professional skills in clinical work, supervision, and outreach activities in accordance with the profession-wide competencies.
Articulating your theoretical understanding about problems in human behavior and their treatment.
Respect and appreciation for individual and group differences.
Understanding and integration of ethical principles into practice.
Your interactions with and impact on professional colleagues.
Use of your internal and external resources to deal with the personal and professional stresses inherent in the provision of services.
The developmental transitions of the internship experience with a balance of and challenge.
The transition from student to independently practicing health services psychologist.
COMPREHENSIVE INTERN REPORT
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I started my internship on 3rd April'2019 which was continued till 3rd May'2019 at NATIONAL INSTITUTE FOR EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (NIMH), Hyderabad. As this was the second time I'm interning with this institution, I knew most of the people and the staff there and so got used to the environment very soon compared to the initial experience. Dr. Sri Krishna was the Coordinator and Head of the Department who deals with the internships at NIMH, who helped me getting into the internship and then later every day I had to sit with Mr.Naveen Kumar, Psychologist,NIMH who indeed was friendly and was of great help in my internship. He helped me revise all the basics that were necessary and were explained during the earlier internship and were of great help for this internship. As it was an Out Patient department at a government instituition, there were many patients rushing in from all around the state. Just like the First internship the first few days I was just assisting Dr.Naveen Kumar and he helped me revise about how a patient has to be assessed and on what bases.
I was given an outlook of the basic disorders at a glance, like cognitive disorders, schizophrenic and related disorders. Later, in the next few days I was being explained about some mood disorders, child psychology. I should say that child psychology was being quite focused at the institution as most of the patients at the institution were children suffering from Mental Retardation, ADHD, learning disability etc. But as child psychology cases are quite sensitive compared to adult cases I was not given a chance to deal with cases on child psychology rather, I got an outlook to various patients with the above disorders which was indeed a disturbing experience. The first week I was given an opportunity to assist Dr.Naveen Kumar with few of the above mentioned cases. I was given the task to collect the information from the subject as well as the person accompanying the subject and had to take the case history and note it down completely and maintain a record of all the cases I was assisting the Doctor. In the second week I was given an outlook about various other personality disorders. In this week I was given much more opportunity to deal few cases with personality disorders. Also behavioural disorders were being focused 12
by me during this week. There were many PhD students there in the institution who helped me a lot to know the in and outs of the subject. We also had a session everyday during lunch where we discussed about various cases that were being assessed that particular day and the process of assessment being followed by the Pschologists and the Psychiatrists at the institution. This was of a great help to me through which I've got a greater outlook about what happens when Psychologists deal with the patients and how is the assessment being done and treatment of the patient.
Later, in the third week I was exposed to cases from the rehabilitation department, where I dealt with addiction cases, people who were addicted to smoking, alcohol and also marijuana. I really liked the rehabilitation Department as it was not as depressing compared to the other departments of Psychology because in this department we can clearly see the negative side of a patient changing to positive due to the treatment. Also, most of the rehabilitation cases that I've dealt with were very interesting and mostly all of them were with a mindset to get rid of the Substance abuse they've been addicted to from quite a long time.
In the fourth and final week I focused mostly on cases suffering from depression. I always wanted to deal such kind of sensitive cases. These cases of depression, I was really given a chance by Dr.Naveen Kumar to assess, but he was always by my back to which helped me very much. I completed my internship on 3rd May'2019,
and I must say this was really a great experience and I have learnt good skills and knowledge from my internship at NIEPID. I got an outlook about various sensitive topics in psychology that really needs to be focused on and also this internship helped me change my perspective regarding the seriousness of Psychology internship.
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CASE RECORD PROFORMA DEMOGRAPHIC DATA 1.1 NAME: A.K 1.2 AGE:25 1.3 D.O.B: nil
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1.4 GENDER: Female 1.5 ADDRESS:Rangareddy district, Telangana. 1.6 MOTHER TOUNGE: Telugu 1.7 HABITAT STATUS: Hyderabad,Telangana 1.8 EDUCATION: 10th 1.9 MARITAL STATUS: Married 1.10 OCCUPATION:nill 1.11 REFERENCE: Husband
CHIEF COMPLAINTS: 2.0 Major reason for visit:
Anger
Suspicious about husband Not taking care of children Loneliness Depressed
2.1 Progress of illness:
Few medical issues Deteriorating
2.2 Biological Functioning:
Appetite: increasing Sleep: difficult in falling asleep bladder: normal Sexual: Normal
2.3 SOCIAL FUNCTIONING
Dressing and taking care of herself: yes Goes to work: no Doing household work: no Getting along with neighbors and colleagues: no
2.4 OTHER IMPORTANT DETAILS
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Consanguinity in parents relationship: absent Family history of mental illness: absent Interpersonal relationship if trained, specify: cordial
2.5 PERSONAL HISTORY:
Development: nothing significant Academic: nil Occupational: nil Habits: smoking Sexual: normal (not interested) Marital status: married Past history: physical
FAMILY HISTORY:-
HISTORY OF THE PATIENT: Informant: Husband Marital disputes Patient was married in 2009. Since then she had disputes with her husband regarding his loyalty and infidelity. She suspected him if having an illegal relationship band affair with his brother's wife. She never takes responsibility of the house nor maintains proper relations with in-laws. Repeated quarrelling over trivial matters. She doesn't take care of the children. She is stubborn. She is 16
doubtful and suspicious over various issues. During her pregnancy she did not take any medicine afraid that something might happen to her. In 2013 she developed deep fearfulness that she might die and she wouldn't even know the reason for her death. She was in that period of intense fear for 10 days. Later she claimed that she developed this problem due to various medications for acne, irregular mensuration. She was later taken from one doctor to another for about a period of six months because of her delusions. She was medicated and was fine for a particular period of time. She went to her mother's place and discontinued the medication and the same problem reverted back before two months. She had a fight with her mother and also attempted suicide by trying to hang herself. All through the period she expressed that her problems are due to the medications and doctors and she was in a state of depression associated with crying.
MENTAL STATUS EXAMINATION:
Appearance and behavior: abnormal Psychomotor activity: increased Conscious: drowsy Thoughts and speech : delayed Content of thought: ideas if reference- absent Ideas of suicide - present Delusions: present Mood: anxious and irritable Perception: abnormalities
COGNITIVE FUNCTIONS
Attention and concentration: impaired Memory: impaired Intelligence: below average Judgement: impaired Insight: partial
SUMMARY: Bipolar disorder 17
Provisional diagnosis: MPQ, TAT, MCMI3
CASE RECORD PROFORMA 1.1 NAME: K.N.A 1.2 AGE: 25 1.3 D.O.B: 12-8-1991 1.4 GENDER:Male 1.5 ADDRESS: Nizampet, Hyderabad, Telangana. 1.6 MOTHER TOUNGE: Telugu 1.7 HABITAT STATUS: Hyderabad. 1.8 EDUCATION: B-tech Computer Science 1.9 MARITAL STATUS: Single 1.10 OCCUPATION: Software engineer 1.11 REFERENCE:Father
CHIEF COMPLAINTS: 2.0 Major reason for visit:The patient is is addicted to Substance abuse - cannabis, and wants to get rid of the habit. Psychological in nature and activities have become slow and is facing a problem to get rid of the addiction. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: Initially this habit started with talking about cannabis with his friends during college- in his final year. Later he started doing the drug in weekend parties with his friends which later turned out to be a habit and he also started doing cannabis when he was alone and had no company around.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: Few major symptoms that he's been noticing due to this Substance abuse are slow movement of body and slow actions and activities in his daily life. Also he claims there are signs of less concentration and he is not able to concentrate on anything else that is important in his everyday life. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He started doing cannabis during his final year and it's been two years that he is doing cannabis. He also tried quitting it when he was working in Bangalore but would revert back to the habit in just a few days.
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2.4 RELAPSE OF THE ILLNESS: After he returned back from Bangalore,he says that he's been doing cannabis even more than the normal from the past 4 months due to examination stress and other family stress reasons.
2.5 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT: He was always calm, silent and reserved but not slow in movement and activities. He was regular in doing all his daily routine. He had a much higher rate of concentration. He used to play guitar and videogames to manage stress before the addiction. 2.6 MEDICAL HISTORY: No history of psychiatric illness.
FAMILY HISTORY:-
3.1 FATHER’S NAME:- K.N. Harilal 3.2 AGE:-55 3.3 EDUCATION:- IIM Bangalore 3.4 OCCUPATION:- KBMG Co-founder 3.5 MOTHER’S NAME:- Pa Harilal 3.6 AGE:- 47 3.7 EDUCATION: M.Phil 3.8 OCCUPATION:- Principal of a School
3.9 SIBLINGS:- NONE GENDER: AGE: -
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OCCUPATION: 3.10 RELATIONSHIP WITH SIBLING: -
3.11 RELATIONSHIP WITH FAMILY:- Good relationship with family both mother and father. He is obidient and his parents have been very co-operative and helped him the hospital for de-addiction. 3.12 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- NO.
PERSONAL DETAILS:-
4.1 TYPE OF BIRTH:- Normal 4.2 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.3 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD:No 4 4 EDUCATION HISTORY:- COMPLAINTS:- He is an above average student and had no complaints at school, college and has completed education till BTech. 4.5 ANY GAP IN EDUCATION:There was 1 years of gap after intermediate; as he was preparing to get into IIT. 4.6 OCCUPATIONAL DISTURBANCES IF ANY:In Bangalore during 2015-16 he was working at a software company and he couldn't adjust to the corporate climate which led to physical disturbances and so he resigned his job. 4.7 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour. He was not as calm and melo as now and was faster compared to his present situation. 4.8 SOCIAL ISSUES:He never had much issues with friends and others outsiders.
ASSESSMENTS 4.1. MOTOR : The Motor Activities of the patient are functionally adequate. He is slow in his walk and gestures.
4.2. SELF HELP: Normal
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4.3. COMMUNICATION: The patient comprehends in a slow and calm way but responds to every conversation and is active.
4.4. ACADEMICS: -
He is an above average student and had no complaints at school, college and has
completed education till BTech
4.5. SOCIALIZATION: He recognises and mingles well with all other family . He is more of a reserved and calm person and also an introverted person regarding his feelings and thoughts.
PSYCHOLOGICAL ASSESSMENT
A .GENERAL BEHAVIOUR DURING ASSESSMENT: The patient is physically age appropriate and the body is well built. He communicates in a very slow and calm manner. His gestures are slow compared to that of normal. He was cooperative during the assessment.
B .ATTENTION AND CONCENTRATION: The attention of the patient could be aroused and sustained on a task.
C .ACTIVITY LEVEL: The activity level of the patient is age appropriate. He is slow calm and melo.
D .COMPREHENSION: The patient comprehends in a slow and calm way but responds to every conversation and is active.
E . EMOTIONALITY AND BEHAVIOUR: He is very attached to his parents.
F . RELATIONSHIP WITH OUTSIDE FAMILY: The parents of the patient are proactive and have a very favourable attitude towards the patient. 21
TESTS PERFORMED: BPRS
CASE RECORD PROFORMA
1.1 NAME: S.S 1.2 AGE:23 1.3 D.O.B:FEB-22 1.4 GENDER:Female 1.5 ADDRESS: Nalgonda district, Telangana 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS:With famiy,Nalgonda 1.9 EDUCATION: MBA 1.10 STATUS: Single 1.11 OCCUPATION:MBA Student 1.12 REFERENCE:Family.
CHIEF COMPLAINTS:
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2.0 Major reason for visit:She doesn’t the reason why she is brought here. She was forced by parents to get married and she locked herself inside which led to this condition of her. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: She was forced for getting married and they had an argument at home 15 days back.Since then she started behaving in a different way and forgot everything about that incident.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: She doesn’t anything about the argument and about the discussion of her marriage.Lack of appetite,oversleep are the major symptoms. 2.3 FREQUENCY,DURATION AND COMPLAINTS: Since 10-15 days,this has happened and she is behaving in a different and dull way. 2.4 RELAPSE OF THE ILLNESS: From past 5 days she is here. Now, she is feeling fine ‘Epinodic’course of illness. 2.5 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT: She was calm but not as calm as now. She spent time with her family and friends. 2.6 MEDICAL HISTORY:
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FAMILY HISTORY:-
3.1FATHER’S NAME:- Panduranga Rao 3.2AGE:-54 3.3 EDUCATION:- Degree 3.4 OCCUPATION:- Worker in Mill 3.5 MOTHER’S NAME:-Shobha 3.6 AGE:- 48 3.7 EDUCATION: 5th Class 3.8 OCCUPATION:- House-wife 3.9SIBLINGS:GENDER: Female AGE: 26 OCCUPATION: Housewife 3.10 RELATIONSHIP WITH SIBLING: Good relationship with Sister. 3.11 RELATIONSHIP WITH FAMILY:-
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Intially she had a very good relation ship with family, but because of the marriage proposals she is disturbed as she dosen’t want to get married yet. Parents forced her. 3.12 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- NO.
PERSONAL DETAILS:-
4.1 TYPE OF BIRTH:- C-section 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Nill 4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:She wanted to become a CA, but failed in IPCC and so was disturbed at that time. 4.6 ANY GAP IN EDUCATION:-No 4.7 OCCUPATIONAL DISTURBANCES , IF ANY:- No 4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour initially until the past 2-3 years.He was very co-operative and responsible towards the family.He was a very intelligent student at school and never had major issues with peers. 4.9 SOCIAL ISSUES:He never had much issues with friends and others outsides.He always faced adjustmental issues and anger management issues with family.Close-friends and especially his father. 25
ASSESSMENTS 4.1. MOTOR : The Motor Activities of the patient are functionally adequate. She is normal in her walk and activities.
4.2. SELF HELP: Normal
4.3. COMMUNICATION: The patient comprehends in a sad and calm way but responds to every conversation and is participating in the conversation.
4.4. ACADEMICS: -
She's an average student and had no complaints at school, college and has
completed education till MBA.
4.5. SOCIALIZATION: She recognises and mingles well with all other family . He is more of calm and an introverted person.
PSYCHOLOGICAL ASSESSMENT A .GENERAL BEHAVIOUR DURING ASSESSMENT: The patient is physically age appropriate and the body is well built. She communicates in a very calm and sad way. Her gestures are normal. She was cooperative during the assessment.
B .ATTENTION AND CONCENTRATION: The attention of the patient could be aroused and sustained on a task. C .ACTIVITY LEVEL: The activity level of the patient is age appropriate. She is slow calm and sad. 26
D .COMPREHENSION: The patient comprehends in a sad and calm way but responds to every conversation and is active. E . EMOTIONALITY AND BEHAVIOUR: She is very attached to her sister.
TESTS PERFORMED: BPRS
CASE STUDY PROFORMA:4 1.1 NAME: M.P.R 1.2 AGE:32 1.3 D.O.B:23/5/1986 1.4 GENDER: Male 1.5ADDRESS: Room no:305 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS: living with parents, peramcheru 1.9 EDUCATION: Btech IIT Kharagpur 1.10 MARITAL STATUS: Single 1.11 OCCUPATION: Currently not working. 1.12 REFERENCE: Father
CHIEF COMPLAINTS:
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2.0 Major reason for visit:Addicted to smoking and drinking and is unable to communicate and concentrate. He is also unable to most of the things. He is also easily distracted. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: He had a love failure during engineering which was when the whole problem started. At the age of 21, he started smoking.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: He is not able to , not able to concentrate and is also facing lag in his movements and activities. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He had been addicted to smoking and drinking since past 11 years. Loss of sleep and loss of appetite. 2.4 RELAPSE OF THE ILLNESS: He stopped many time in the middle, but them again got back to the habit. 2.5 BEFORE ONSET OF PRESENT COMPLAINT: Intially, he was fast and was able to concentrate and things he had a large group of friends. 2.6MEDICAL HISTORY: 2007 psychiatrist at kharagpur Axon hospital-Hyderabad-psychiatrist
FAMILY HISTORY:-
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3.1 FATHER’S NAME:- M.Ramakrishna 3.2 AGE:-66 3.3 EDUCATION:- Diploma in EE 3.4 OCCUPATION:- Retired govt employee 3.5 MOTHER’S NAME:- M.Shobha 3.6AGE:- 62 3.7 EDUCATION: Bsc 3.8 OCCUPATION:- House-wife 3.9 SIBLINGS:GENDER: Male AGE:-36 OCCUPATION:- Civil Engg Scotland RELATIONSHIP:- Good 29
GENDER:- Male AGE:-35 OCCUPATION:- Ford Company London RELATIONSHIP:- Good
3.10RELATIONSHIP WITH FAMILY:Good relationship with family. Both mother and father take good care, but now he wants to get married and get settled in life. 3.11 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- No one
PERSONAL DETAILS:4.1 TYPE OF BIRTH:- Normal 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Normal 4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:Everything normal during school IIT kharagpur. 4.6 ANY GAP IN EDUCATION:No gap in the middle of education. 4.7 OCCUPATIONAL DISTURBANCES , IF ANY:-Changed many jobs and was removed from last job due to his addiction and psychiatric issues. 30
4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour initially until the past 2-3 years.He was very co-operative and responsible towards the family.He was a very intelligent student at school and never had major issues with peers. 4.9 SOCIAL ISSUES:He never had much issues with friends and others outsides.He always faced adjustmental issues and anger management issues with family.Close-friends and especially his father. TESTS CONDUCTED: BPRS
CASE RECORD PROFORMA:5
1.1 NAME: Bhoomi Raghavendra 1.2 AGE:29 1.3 D.O.B:8/6/1988 1.4 GENDER:Male 1.5 ADDRESS: Inpatient Room no-302 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS: With family, L.B Nagar 1.9 EDUCATION: Mtech Secondyear 1.10 MARITAL STATUS: Single 31
1.11 OCCUPATION: Student and Working. 1.12 REFERENCE: Uncle CHIEF COMPLAINTS: 2.0 Major reason for visit:He has got into depression due to the rejection from his lover’s family. Because of this love failure, he tried suicide once and was itted here 2 and half weeks back. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: Rejected by lover’s family, for their marriage due to intercaste a month ago. Since then he is facing this problem.
2.2MAJOR SYMPTOMS AND COMPLAINTS: Being dull and suicidal thoughts and also tried suicide once and was itted here loss of sleep, appetite and low energy levels. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He attempted suicide 12 days ago and was facing suicidal thoughts since a month. 2.4 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT:
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He had a good relationship with family, others. He was also good to himself initially.He likes travelling ,dancing and watching movies. 2.5 MEDICAL HISTORY: Nill FAMILY HISTORY:3.1 FATHER’S NAME:- Shankaraiah 3.2 AGE:- Died in 2010 cause of sugar level. 3.3 EDUCATION:- 10th std 3.4 OCCUPATION:- Attender. 3.5 MOTHER’S NAME:-Devamma 3.6 AGE:- 50 above 3.7 EDUCATION: --3.8 OCCUPATION:- House-wife 3.9 SIBLINGS:GENDER: Female AGE: 40 OCCUPATION: Aaya primary school 33
RELATIONSHIP: Good GENDER: Male AGE: 38 OCCUPATION: Driver RELATIONSHIP: Good GENDER: Male AGE:33 OCCUPATION: Attender in court(Pursuing LLB) RELATIONSHIP: Good 3.10 RELATIONSHIP WITH FAMILY:Good relationship with all the in the family. 3.11 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:NO. PERSONAL DETAILS:4.1 TYPE OF BIRTH:- Normal 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Nill 34
4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:No complaints educated upto Mtech 2nd year 4.6 ANY GAP IN EDUCATION:Gap-2010 -5 years searching job Mtech -2016 2011 GATE coaching 4.7 DISTURBANCES , IF ANY:-Started working 2012 No disturbances at job. Changed 2 jobs. 4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Normal and not calm like present 4.9 SOCIAL ISSUES:No difference with anyone or no social issues TESTS CONDUCTED: BPRS
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DECLARATION (BY THE STUDENT)
I hereby declare that the internship work entitled “Internship Report” submitted to the School of Social Sciences and Humanities, Department of Psychology, CMR University, Bangalore, is a record of an original work done by me under the guidance of Deepthi Jose, CMR University and this project work is submitted in the partial fulfilment of the requirements of for the award of Master’s Degree in Psychology by CMR University.
36
I also declare that this project is the outcome of my own efforts and that it has not been submitted to any other university or Institute for the award of any other degree or Diploma or Certificate.
Place: Bengaluru
Date: 19th August'2019
Name: Keerthana Raj
Number:17MSPC044
DECLARATION (BY THE STUDENT)
I hereby declare that the internship work entitled “Internship Report” submitted to the School of Social Sciences and Humanities, Department of Psychology, CMR University, Bangalore, is a record of an original work done by me under the guidance of Deepthi Jose, CMR University and this project work is submitted in the partial fulfilment of the requirements of for the award of Master’s Degree in Psychology by CMR University.
37
I also declare that this project is the outcome of my own efforts and that it has not been submitted to any other university or Institute for the award of any other degree or Diploma or Certificate.
Place: Bengaluru
Name: Keerthana Raj
Date: 19th August '2019
Number: 17MSPC044
CERTIFICATE OF ORIGINALITY
Date: 19th August'2019
This is to certify that the internship titled “Internship Report” is an original work of Ms. Keerthana Raj; bearing University Number 17MSPC044 and is being submitted in partial fulfillment for the award of the Master’s Degree in Psychology, CMR University. The
38
report has not been submitted earlier either to this university / Institution for the fulfillment of the requirement of a course of study.
SIGNATURE OF GUIDE
SIGNATURE OF SCHOOL HEAD
DATE: 19th August'2019
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TABLE OF CONTENTS
CHAPTER
PAGE INDEX
NO.
NO.
1
INTRODUCTION
1-3
2
ORGANIZATION PROFILE
4-11
4
COMPREHENSIVE INTERN REPORT
12-13
4
WEEKLY REPORT
14-16
5
CASE ANALYSIS
17-40
6
SELF REFLECTION
41-43
7
APPENDICES
44
40
professional insight into an occupational field of interest. Given the demanding and ever-changing world of employment, it is crucial that internships form a core component of all psychology degree programs at the tertiary level. Internships allow you to explore all the possibilities and come away with an experience that you will never forget. Hardly anyone would dispute the importance of practical experience in securing a desirable job in today’s society. No longer will first class honours suffice. Employers must be convinced that graduates are capable of transferring their knowledge to the workplace and of functioning effectively in it. Unfortunately, these abilities cannot be learnt in a lecture theatre. They must be developed in a real world environment. Internships offer psychology students exposure to such environments and the opportunity to gain valuable work- experience. An internship could allow you to take a look into professions and organisations that we’ve only ever dreamed of. It would be unwise however, to use the term ‘work experience’ to summarize the total value of an internship. In doing so, one would minimize the worth of the endeavour to merely a means of lengthening one’s resume, when in fact there are many other benefits to be gained. Firstly, internships help individuals to improve their level of professionalism. By immersing them in the culture of an organized institution, internships encourage individuals to develop a more realistic view of what is expected of them in the real world. They learn to communicate effectively with supervisors, co-workers and clients and improve their time management skills as well as their ability to function efficiently under pressure. Internships allow individuals to acquire new skills through training and to strengthen old ones through practice. The result will be a more confident and competent individual possessing more professional work attitudes and habits.Internships are an excellent way to branch out from your university course into the industry in which you are studying and expand your list of s, from university-based lecturers and tutors to people who are currently working in the industry. Most internships will enable you to work closely and develop professional working relationships with a specific manager and team within the organisation, as well as meet a range of people in other departments and outside the company. 2
Internships also assist students in making informed career decisions. Through daily activities and interpersonal interactions, interns are able to gather valuable information about their field. They also get a chance to evaluate their own strengths and preferences before they formally enter the job market. Such information can be helpful in deciding if they have made the right career choice and can reinforce doubts or resolves relating to their career goals. A psychology student’s likelihood of acquiring employment after graduation is increased if he/she also possesses practical knowledge of his/her field. Interns get the opportunity to meet and network with individuals, including potential employers, with whom they would not normally come in . Such ‘links’ can prove to be essential when seeking jobs. Students may also learn of job openings while working as interns and the acumen they gain will offer them a competitive edge over their less experienced competitors. There are some individuals who will discredit the value of internships on the grounds that there are disadvantages to such experiences. True, students will have to set aside time out of their busy schedules to engage in internships. So yes, there are disadvantages but these should not be overplayed.
ORGANIZATIONAL PROFILE National Institute for the Empowerment of Persons with Intellectual Disabilities (Formerly National Institute for the Mentally Handicapped) established in the year 1984 at Manovikas nagar, Secunderabad (TS) is an Autonomous Body under the istrative control of Ministry of Social Justice & Empowerment, Government of India and thus the institute is fast approaching towards its silver jubilee to celebrate its dedicated services to persons with mental retardation in the national interest. NIEPID(Formerly NIMH) has three regional centers located at New Delhi, Kolkata, & Mumbai,NIEPID(Formerly NIMH) Model Special Education Center located at New Delhi. The institute endeavours to excel in building capacities to 3
empower persons with mental retardation. Since the quality of life of every person with mental retardation is equal to other citizens in the country, in that they live independently to the maximum extent possible and through constant professional endeavours, National Institute for the Empowerment of Persons with Intellectual Disabilities (Formerly National Institute for the Mentally Handicapped) empowers the persons with mental retardation to access the state of the art rehabilitation intervention viz., educational, therapeutic, vocational, employment, leisure and social activities, sports, cultural programmes and full participation. National Institute for the Empowerment of Persons with Intellectual Disabilities (NIEPID) is distributing educational kits which helps such children to practically learn concepts such as arithmetic, using practical training and later use it in their daily life such as counting money etc. According to 2011 census, there are 15,05,264 intellectually disabled persons in the country.
Deputy director at NIEPID Major Ram Kumar said the faculty from NIEPID Hyderabad and other centres have conducted programmes in Mizoram, Arunachal, Manipur. Currently they are at Assam. An assistant professor at NIEPID, Dr Shilpa Manogna said that because of cognitive limitations, intellectually disabled children might not understand what is written in general text books. “We teach them functional arithmetic, reading and writing, which they will be able to put to use in daily life,” Dr Shilpa said. The kits contain books scientifically designed for intellectually disabled children, electronic measuring devices, measurement kits, audio visual tools, puzzles. The books are available in regional languages like Telugu, Malayalam, Tamil, and Hindi. The kits — of four kinds — are distributed free of cost. Before the distribution, identification camps are conducted to learn about the level of kit to be distributed to the children.
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The various other objectives for which NIEPID(Formerly NIMH) works are listed as under:-
OBJECTIVES:
Human Resources Development
Research and Development
Development of models of care and rehabilitation.
Documentation and dissemination.
Consultancy services to voluntary organizations
Community Based Rehabilitation
Extension and Outreach programmes
To achieve optimum results, the institute has developed and introduced innovative structured training courses like Early Intervention, Rehabilitation Psychology, Special Education and Disability Rehabilitation at Masters level. The research policy of the institute is to continuously update the research need matrix that basically covers (a) the life-cycle needs of the persons with mental retardation (b) the holistic development of the persons with mental retardation including therapeutic interventional needs, family , resource , capacity building needs, and (c) public policy and enabling society. The documentation and dissemination are important activities of the Institute which include (a) procurement of books, journals, and documents (b) publication of quarterly NIEPID(Formerly NIMH) newsletter and bimonthly Mentard Bulletin. The Institute conducts national level seminars in mental retardation in partnership with leading voluntary organizations, parent associations. Special employees 5
national meet at NIEPID(Formerly NIMH), National meet of parent organizations and National level Workshops. In order to rehabilitate the persons with mental retardation in the community, the services should be rendered at the grass root level itself. The service to be provided at these centers includes identification, screening, assessment, delivery of services, training of local resource persons and supply of training material to the needy persons.
District Disability Rehabilitation Centre (DDRC) is an initiative by the Ministry of Social Justice and Empowerment, Govt. of India, to facilitate comprehensive services to Persons with Disabilities in the rural areas. These units have a group of rehabilitation professions for providing services like identification of Persons with Disabilities, Awareness Generation, Early Detection and Intervention, Provision / Fitment, Follow-up and repairing of Assistive Devices, Therapeutic Services like Physiotherapy, Speech Therapy etc., and facilitation of Disability Certificates, Buss es and other concessions/ facilities for Persons with Disabilities.
DDRC’s is a t venture of Central and State Governments wherein Central Government will establish, initiate, implement the centre for three years involving funding for man power contingencies as well as required equipments and coordination. State Government will provide provision for rent free , well connected building, basic infrastructure, furniture, monitoring and coordination of activities through District Management Team (DMT) Chaired by the District Collector and also identification of implementing agency. NIMH had the responsibility of establishing 16 DDRC’s among 7 states. After successfully establishing and running for initiating three years, suitable implementing agencies have been identified with the help of State Government and all the 16 DDRCs have been handed over to the District istration to be run by the identified implementing agencies. 6
ACHEIVEMENTS: General Services General services & Family cottage have the following achievements mentioned below. 1. Information posters were in English language only, it is now translated in Telugu & Hindi and Displayed in GS & FC. 2. Facilitation of Services Instructions to parents in 3 languages are displayed in GS in Hindi, Telugu and English. 3. Vigilance board in 3 languages displayed in family cottages . 4. Suggestion box kept in family cottage. 5. Feed back forms developed in Hindi and Telugu.
DEPARTMENT OF MEDICAL SCIENCES
Department of medical sciences have the following achievements mentioned below. 1. MSc DS(EI) course with two years duration has started in December 2009. 2. Started Endocrinology services from 04th August 2010, and very soon Homeopathy and Ophthalmologist services will start. Provision of Dental services is in process. 3. Procurement of Equipment required for alternative medicine and other specialty services is in process 4. In Pharmacy room computer Drug Inventory software is installed for transparency of stock available and daily entry of drug distribution. 5. Started First aid unit (Emergency medicines Kit) 6. Proposed and Approved research projects A. Invivo dynamics of neurogenesis in brain of children with down’s syndromes: - correlation with proliferation & structural integrity. B. An etiological study of Children with global developmental delay.
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DEPARTMENT OF REHABILITATION PSYCHOLOGY
Achievements of department from the inception of the institute: 1. Completed Research projects A model of services for preschool handicapped children in rural areas. Application of behavior modification techniques in children with mental retardation Delivery of services through itinerant service model Strengthening families having children with mental retardation: identifying and meeting information needs. Effect of cognitive behavioral intervention among parents of person with mental retardation for managing depression Development of Assessment tool for persons with Autism. (ISAA)
2. Ongoing Research Projects. Cognitive Training for persons with mental retardation. Emotion recognition training for persons with mental retardation. Simplification of intellectual assessment.
3. Research work carried out by M.Phil students So far students have completed 39 research projects at M.Phil level in various subjects within the field of disability rehabilitation. 4. Human Resource Development a. The department has started M.Phil in Rehabilitation Psychology in the year
2003. So far 5 batches have completed their course. Presently VI batch and VII batch is in progress b. Short term training programs The department has been conducting various training programs such as one month certificate course in psychological assessment, 5 day program on behaviour modification and 5 day program in counselling in rehabilitation, 5 day programme
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on Psycho Social management of families having adolescent adults with mental retardation.
9
OBJECTIVES OF THE INTERNSHIP
Interns will develop intermediate to advanced knowledge and skill in the provision of individual therapy. The following objectives are being tried to be achieved through the help of this internship by the student.
Demonstration of clinical intervention and relationship skills
To demonstrate the skills in gathering pertinent and relevant data to inform clinical decision-making
Application of concepts of normal/abnormal behaviour to case formulation and diagnosis in the context of human development and diversity
To integrate scholarly literature into their clinical work
To formulate and conceptualize cases based on theoretical orientation
Demonstrate the ability to formulate appropriate treatment goals in collaboration with the client and modify these goals when needed
Demonstrate the ability to apply useful and effective evidence-based interventions
Exhibit sensitivity and skills in working with diverse clients.
Evaluation of the progress of their provision of therapy and use this information to improve their own effectiveness.
Gathering of document relevant data during telephone or in-person sessions.
Achievement of the ability to effectively tolerate clients intense feelings, attitudes, or wishes.
Learning skills in accurately selecting, istering, scoring, and interpreting self-report and personality assessment instruments.
Exhibiting and also lerning skills in writing psychological reports and communicating findings in written and oral form to client.
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Consideration of cultural factors in selection and interpretation of assessment materials
Develop skills in integrating the clinical intake, behavioral observations, and assessment data into a comprehensive report
Developing and demonstrating knowledge of the empirical basis of assessment measures
Exhibiting the ability to utilize assessment data to inform their treatment goals and interventions
Competence in applying professional skills in clinical work, supervision, and outreach activities in accordance with the profession-wide competencies.
Articulating your theoretical understanding about problems in human behavior and their treatment.
Respect and appreciation for individual and group differences.
Understanding and integration of ethical principles into practice.
Your interactions with and impact on professional colleagues.
Use of your internal and external resources to deal with the personal and professional stresses inherent in the provision of services.
The developmental transitions of the internship experience with a balance of and challenge.
The transition from student to independently practicing health services psychologist.
COMPREHENSIVE INTERN REPORT
11
I started my internship on 3rd April'2019 which was continued till 3rd May'2019 at NATIONAL INSTITUTE FOR EMPOWERMENT OF PERSONS WITH INTELLECTUAL DISABILITIES (NIMH), Hyderabad. As this was the second time I'm interning with this institution, I knew most of the people and the staff there and so got used to the environment very soon compared to the initial experience. Dr. Sri Krishna was the Coordinator and Head of the Department who deals with the internships at NIMH, who helped me getting into the internship and then later every day I had to sit with Mr.Naveen Kumar, Psychologist,NIMH who indeed was friendly and was of great help in my internship. He helped me revise all the basics that were necessary and were explained during the earlier internship and were of great help for this internship. As it was an Out Patient department at a government instituition, there were many patients rushing in from all around the state. Just like the First internship the first few days I was just assisting Dr.Naveen Kumar and he helped me revise about how a patient has to be assessed and on what bases.
I was given an outlook of the basic disorders at a glance, like cognitive disorders, schizophrenic and related disorders. Later, in the next few days I was being explained about some mood disorders, child psychology. I should say that child psychology was being quite focused at the institution as most of the patients at the institution were children suffering from Mental Retardation, ADHD, learning disability etc. But as child psychology cases are quite sensitive compared to adult cases I was not given a chance to deal with cases on child psychology rather, I got an outlook to various patients with the above disorders which was indeed a disturbing experience. The first week I was given an opportunity to assist Dr.Naveen Kumar with few of the above mentioned cases. I was given the task to collect the information from the subject as well as the person accompanying the subject and had to take the case history and note it down completely and maintain a record of all the cases I was assisting the Doctor. In the second week I was given an outlook about various other personality disorders. In this week I was given much more opportunity to deal few cases with personality disorders. Also behavioural disorders were being focused 12
by me during this week. There were many PhD students there in the institution who helped me a lot to know the in and outs of the subject. We also had a session everyday during lunch where we discussed about various cases that were being assessed that particular day and the process of assessment being followed by the Pschologists and the Psychiatrists at the institution. This was of a great help to me through which I've got a greater outlook about what happens when Psychologists deal with the patients and how is the assessment being done and treatment of the patient.
Later, in the third week I was exposed to cases from the rehabilitation department, where I dealt with addiction cases, people who were addicted to smoking, alcohol and also marijuana. I really liked the rehabilitation Department as it was not as depressing compared to the other departments of Psychology because in this department we can clearly see the negative side of a patient changing to positive due to the treatment. Also, most of the rehabilitation cases that I've dealt with were very interesting and mostly all of them were with a mindset to get rid of the Substance abuse they've been addicted to from quite a long time.
In the fourth and final week I focused mostly on cases suffering from depression. I always wanted to deal such kind of sensitive cases. These cases of depression, I was really given a chance by Dr.Naveen Kumar to assess, but he was always by my back to which helped me very much. I completed my internship on 3rd May'2019,
and I must say this was really a great experience and I have learnt good skills and knowledge from my internship at NIEPID. I got an outlook about various sensitive topics in psychology that really needs to be focused on and also this internship helped me change my perspective regarding the seriousness of Psychology internship.
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CASE RECORD PROFORMA DEMOGRAPHIC DATA 1.1 NAME: A.K 1.2 AGE:25 1.3 D.O.B: nil
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1.4 GENDER: Female 1.5 ADDRESS:Rangareddy district, Telangana. 1.6 MOTHER TOUNGE: Telugu 1.7 HABITAT STATUS: Hyderabad,Telangana 1.8 EDUCATION: 10th 1.9 MARITAL STATUS: Married 1.10 OCCUPATION:nill 1.11 REFERENCE: Husband
CHIEF COMPLAINTS: 2.0 Major reason for visit:
Anger
Suspicious about husband Not taking care of children Loneliness Depressed
2.1 Progress of illness:
Few medical issues Deteriorating
2.2 Biological Functioning:
Appetite: increasing Sleep: difficult in falling asleep bladder: normal Sexual: Normal
2.3 SOCIAL FUNCTIONING
Dressing and taking care of herself: yes Goes to work: no Doing household work: no Getting along with neighbors and colleagues: no
2.4 OTHER IMPORTANT DETAILS
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Consanguinity in parents relationship: absent Family history of mental illness: absent Interpersonal relationship if trained, specify: cordial
2.5 PERSONAL HISTORY:
Development: nothing significant Academic: nil Occupational: nil Habits: smoking Sexual: normal (not interested) Marital status: married Past history: physical
FAMILY HISTORY:-
HISTORY OF THE PATIENT: Informant: Husband Marital disputes Patient was married in 2009. Since then she had disputes with her husband regarding his loyalty and infidelity. She suspected him if having an illegal relationship band affair with his brother's wife. She never takes responsibility of the house nor maintains proper relations with in-laws. Repeated quarrelling over trivial matters. She doesn't take care of the children. She is stubborn. She is 16
doubtful and suspicious over various issues. During her pregnancy she did not take any medicine afraid that something might happen to her. In 2013 she developed deep fearfulness that she might die and she wouldn't even know the reason for her death. She was in that period of intense fear for 10 days. Later she claimed that she developed this problem due to various medications for acne, irregular mensuration. She was later taken from one doctor to another for about a period of six months because of her delusions. She was medicated and was fine for a particular period of time. She went to her mother's place and discontinued the medication and the same problem reverted back before two months. She had a fight with her mother and also attempted suicide by trying to hang herself. All through the period she expressed that her problems are due to the medications and doctors and she was in a state of depression associated with crying.
MENTAL STATUS EXAMINATION:
Appearance and behavior: abnormal Psychomotor activity: increased Conscious: drowsy Thoughts and speech : delayed Content of thought: ideas if reference- absent Ideas of suicide - present Delusions: present Mood: anxious and irritable Perception: abnormalities
COGNITIVE FUNCTIONS
Attention and concentration: impaired Memory: impaired Intelligence: below average Judgement: impaired Insight: partial
SUMMARY: Bipolar disorder 17
Provisional diagnosis: MPQ, TAT, MCMI3
CASE RECORD PROFORMA 1.1 NAME: K.N.A 1.2 AGE: 25 1.3 D.O.B: 12-8-1991 1.4 GENDER:Male 1.5 ADDRESS: Nizampet, Hyderabad, Telangana. 1.6 MOTHER TOUNGE: Telugu 1.7 HABITAT STATUS: Hyderabad. 1.8 EDUCATION: B-tech Computer Science 1.9 MARITAL STATUS: Single 1.10 OCCUPATION: Software engineer 1.11 REFERENCE:Father
CHIEF COMPLAINTS: 2.0 Major reason for visit:The patient is is addicted to Substance abuse - cannabis, and wants to get rid of the habit. Psychological in nature and activities have become slow and is facing a problem to get rid of the addiction. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: Initially this habit started with talking about cannabis with his friends during college- in his final year. Later he started doing the drug in weekend parties with his friends which later turned out to be a habit and he also started doing cannabis when he was alone and had no company around.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: Few major symptoms that he's been noticing due to this Substance abuse are slow movement of body and slow actions and activities in his daily life. Also he claims there are signs of less concentration and he is not able to concentrate on anything else that is important in his everyday life. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He started doing cannabis during his final year and it's been two years that he is doing cannabis. He also tried quitting it when he was working in Bangalore but would revert back to the habit in just a few days.
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2.4 RELAPSE OF THE ILLNESS: After he returned back from Bangalore,he says that he's been doing cannabis even more than the normal from the past 4 months due to examination stress and other family stress reasons.
2.5 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT: He was always calm, silent and reserved but not slow in movement and activities. He was regular in doing all his daily routine. He had a much higher rate of concentration. He used to play guitar and videogames to manage stress before the addiction. 2.6 MEDICAL HISTORY: No history of psychiatric illness.
FAMILY HISTORY:-
3.1 FATHER’S NAME:- K.N. Harilal 3.2 AGE:-55 3.3 EDUCATION:- IIM Bangalore 3.4 OCCUPATION:- KBMG Co-founder 3.5 MOTHER’S NAME:- Pa Harilal 3.6 AGE:- 47 3.7 EDUCATION: M.Phil 3.8 OCCUPATION:- Principal of a School
3.9 SIBLINGS:- NONE GENDER: AGE: -
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OCCUPATION: 3.10 RELATIONSHIP WITH SIBLING: -
3.11 RELATIONSHIP WITH FAMILY:- Good relationship with family both mother and father. He is obidient and his parents have been very co-operative and helped him the hospital for de-addiction. 3.12 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- NO.
PERSONAL DETAILS:-
4.1 TYPE OF BIRTH:- Normal 4.2 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.3 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD:No 4 4 EDUCATION HISTORY:- COMPLAINTS:- He is an above average student and had no complaints at school, college and has completed education till BTech. 4.5 ANY GAP IN EDUCATION:There was 1 years of gap after intermediate; as he was preparing to get into IIT. 4.6 OCCUPATIONAL DISTURBANCES IF ANY:In Bangalore during 2015-16 he was working at a software company and he couldn't adjust to the corporate climate which led to physical disturbances and so he resigned his job. 4.7 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour. He was not as calm and melo as now and was faster compared to his present situation. 4.8 SOCIAL ISSUES:He never had much issues with friends and others outsiders.
ASSESSMENTS 4.1. MOTOR : The Motor Activities of the patient are functionally adequate. He is slow in his walk and gestures.
4.2. SELF HELP: Normal
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4.3. COMMUNICATION: The patient comprehends in a slow and calm way but responds to every conversation and is active.
4.4. ACADEMICS: -
He is an above average student and had no complaints at school, college and has
completed education till BTech
4.5. SOCIALIZATION: He recognises and mingles well with all other family . He is more of a reserved and calm person and also an introverted person regarding his feelings and thoughts.
PSYCHOLOGICAL ASSESSMENT
A .GENERAL BEHAVIOUR DURING ASSESSMENT: The patient is physically age appropriate and the body is well built. He communicates in a very slow and calm manner. His gestures are slow compared to that of normal. He was cooperative during the assessment.
B .ATTENTION AND CONCENTRATION: The attention of the patient could be aroused and sustained on a task.
C .ACTIVITY LEVEL: The activity level of the patient is age appropriate. He is slow calm and melo.
D .COMPREHENSION: The patient comprehends in a slow and calm way but responds to every conversation and is active.
E . EMOTIONALITY AND BEHAVIOUR: He is very attached to his parents.
F . RELATIONSHIP WITH OUTSIDE FAMILY: The parents of the patient are proactive and have a very favourable attitude towards the patient. 21
TESTS PERFORMED: BPRS
CASE RECORD PROFORMA
1.1 NAME: S.S 1.2 AGE:23 1.3 D.O.B:FEB-22 1.4 GENDER:Female 1.5 ADDRESS: Nalgonda district, Telangana 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS:With famiy,Nalgonda 1.9 EDUCATION: MBA 1.10 STATUS: Single 1.11 OCCUPATION:MBA Student 1.12 REFERENCE:Family.
CHIEF COMPLAINTS:
22
2.0 Major reason for visit:She doesn’t the reason why she is brought here. She was forced by parents to get married and she locked herself inside which led to this condition of her. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: She was forced for getting married and they had an argument at home 15 days back.Since then she started behaving in a different way and forgot everything about that incident.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: She doesn’t anything about the argument and about the discussion of her marriage.Lack of appetite,oversleep are the major symptoms. 2.3 FREQUENCY,DURATION AND COMPLAINTS: Since 10-15 days,this has happened and she is behaving in a different and dull way. 2.4 RELAPSE OF THE ILLNESS: From past 5 days she is here. Now, she is feeling fine ‘Epinodic’course of illness. 2.5 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT: She was calm but not as calm as now. She spent time with her family and friends. 2.6 MEDICAL HISTORY:
23
FAMILY HISTORY:-
3.1FATHER’S NAME:- Panduranga Rao 3.2AGE:-54 3.3 EDUCATION:- Degree 3.4 OCCUPATION:- Worker in Mill 3.5 MOTHER’S NAME:-Shobha 3.6 AGE:- 48 3.7 EDUCATION: 5th Class 3.8 OCCUPATION:- House-wife 3.9SIBLINGS:GENDER: Female AGE: 26 OCCUPATION: Housewife 3.10 RELATIONSHIP WITH SIBLING: Good relationship with Sister. 3.11 RELATIONSHIP WITH FAMILY:-
24
Intially she had a very good relation ship with family, but because of the marriage proposals she is disturbed as she dosen’t want to get married yet. Parents forced her. 3.12 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- NO.
PERSONAL DETAILS:-
4.1 TYPE OF BIRTH:- C-section 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Nill 4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:She wanted to become a CA, but failed in IPCC and so was disturbed at that time. 4.6 ANY GAP IN EDUCATION:-No 4.7 OCCUPATIONAL DISTURBANCES , IF ANY:- No 4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour initially until the past 2-3 years.He was very co-operative and responsible towards the family.He was a very intelligent student at school and never had major issues with peers. 4.9 SOCIAL ISSUES:He never had much issues with friends and others outsides.He always faced adjustmental issues and anger management issues with family.Close-friends and especially his father. 25
ASSESSMENTS 4.1. MOTOR : The Motor Activities of the patient are functionally adequate. She is normal in her walk and activities.
4.2. SELF HELP: Normal
4.3. COMMUNICATION: The patient comprehends in a sad and calm way but responds to every conversation and is participating in the conversation.
4.4. ACADEMICS: -
She's an average student and had no complaints at school, college and has
completed education till MBA.
4.5. SOCIALIZATION: She recognises and mingles well with all other family . He is more of calm and an introverted person.
PSYCHOLOGICAL ASSESSMENT A .GENERAL BEHAVIOUR DURING ASSESSMENT: The patient is physically age appropriate and the body is well built. She communicates in a very calm and sad way. Her gestures are normal. She was cooperative during the assessment.
B .ATTENTION AND CONCENTRATION: The attention of the patient could be aroused and sustained on a task. C .ACTIVITY LEVEL: The activity level of the patient is age appropriate. She is slow calm and sad. 26
D .COMPREHENSION: The patient comprehends in a sad and calm way but responds to every conversation and is active. E . EMOTIONALITY AND BEHAVIOUR: She is very attached to her sister.
TESTS PERFORMED: BPRS
CASE STUDY PROFORMA:4 1.1 NAME: M.P.R 1.2 AGE:32 1.3 D.O.B:23/5/1986 1.4 GENDER: Male 1.5ADDRESS: Room no:305 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS: living with parents, peramcheru 1.9 EDUCATION: Btech IIT Kharagpur 1.10 MARITAL STATUS: Single 1.11 OCCUPATION: Currently not working. 1.12 REFERENCE: Father
CHIEF COMPLAINTS:
27
2.0 Major reason for visit:Addicted to smoking and drinking and is unable to communicate and concentrate. He is also unable to most of the things. He is also easily distracted. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: He had a love failure during engineering which was when the whole problem started. At the age of 21, he started smoking.
2.2 MAJOR SYMPTOMS AND COMPLAINTS: He is not able to , not able to concentrate and is also facing lag in his movements and activities. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He had been addicted to smoking and drinking since past 11 years. Loss of sleep and loss of appetite. 2.4 RELAPSE OF THE ILLNESS: He stopped many time in the middle, but them again got back to the habit. 2.5 BEFORE ONSET OF PRESENT COMPLAINT: Intially, he was fast and was able to concentrate and things he had a large group of friends. 2.6MEDICAL HISTORY: 2007 psychiatrist at kharagpur Axon hospital-Hyderabad-psychiatrist
FAMILY HISTORY:-
28
3.1 FATHER’S NAME:- M.Ramakrishna 3.2 AGE:-66 3.3 EDUCATION:- Diploma in EE 3.4 OCCUPATION:- Retired govt employee 3.5 MOTHER’S NAME:- M.Shobha 3.6AGE:- 62 3.7 EDUCATION: Bsc 3.8 OCCUPATION:- House-wife 3.9 SIBLINGS:GENDER: Male AGE:-36 OCCUPATION:- Civil Engg Scotland RELATIONSHIP:- Good 29
GENDER:- Male AGE:-35 OCCUPATION:- Ford Company London RELATIONSHIP:- Good
3.10RELATIONSHIP WITH FAMILY:Good relationship with family. Both mother and father take good care, but now he wants to get married and get settled in life. 3.11 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:- No one
PERSONAL DETAILS:4.1 TYPE OF BIRTH:- Normal 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Normal 4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:-Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:Everything normal during school IIT kharagpur. 4.6 ANY GAP IN EDUCATION:No gap in the middle of education. 4.7 OCCUPATIONAL DISTURBANCES , IF ANY:-Changed many jobs and was removed from last job due to his addiction and psychiatric issues. 30
4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Very normal behaviour initially until the past 2-3 years.He was very co-operative and responsible towards the family.He was a very intelligent student at school and never had major issues with peers. 4.9 SOCIAL ISSUES:He never had much issues with friends and others outsides.He always faced adjustmental issues and anger management issues with family.Close-friends and especially his father. TESTS CONDUCTED: BPRS
CASE RECORD PROFORMA:5
1.1 NAME: Bhoomi Raghavendra 1.2 AGE:29 1.3 D.O.B:8/6/1988 1.4 GENDER:Male 1.5 ADDRESS: Inpatient Room no-302 1.6 RELIGION: Hindu 1.7 MOTHER TOUNGE: Telugu 1.8 HABITAT STATUS: With family, L.B Nagar 1.9 EDUCATION: Mtech Secondyear 1.10 MARITAL STATUS: Single 31
1.11 OCCUPATION: Student and Working. 1.12 REFERENCE: Uncle CHIEF COMPLAINTS: 2.0 Major reason for visit:He has got into depression due to the rejection from his lover’s family. Because of this love failure, he tried suicide once and was itted here 2 and half weeks back. HISTORY OF PRESENT ILLNESS: 2.1 ONSET OF THE ILLNESS: Rejected by lover’s family, for their marriage due to intercaste a month ago. Since then he is facing this problem.
2.2MAJOR SYMPTOMS AND COMPLAINTS: Being dull and suicidal thoughts and also tried suicide once and was itted here loss of sleep, appetite and low energy levels. 2.3 FREQUENCY,DURATION AND COMPLAINTS: He attempted suicide 12 days ago and was facing suicidal thoughts since a month. 2.4 BEHAVIOUR BEFORE ONSET OF PRESENT COMPLAINT:
32
He had a good relationship with family, others. He was also good to himself initially.He likes travelling ,dancing and watching movies. 2.5 MEDICAL HISTORY: Nill FAMILY HISTORY:3.1 FATHER’S NAME:- Shankaraiah 3.2 AGE:- Died in 2010 cause of sugar level. 3.3 EDUCATION:- 10th std 3.4 OCCUPATION:- Attender. 3.5 MOTHER’S NAME:-Devamma 3.6 AGE:- 50 above 3.7 EDUCATION: --3.8 OCCUPATION:- House-wife 3.9 SIBLINGS:GENDER: Female AGE: 40 OCCUPATION: Aaya primary school 33
RELATIONSHIP: Good GENDER: Male AGE: 38 OCCUPATION: Driver RELATIONSHIP: Good GENDER: Male AGE:33 OCCUPATION: Attender in court(Pursuing LLB) RELATIONSHIP: Good 3.10 RELATIONSHIP WITH FAMILY:Good relationship with all the in the family. 3.11 FAMILY HISTORY OF MENTAL ILLNESS ,IF ANY:NO. PERSONAL DETAILS:4.1 TYPE OF BIRTH:- Normal 4.2 DIFFERENT MILESTONES SINCE BIRTH:-Nill 34
4.3 NEUROTIC CONDITIONS DURING CHILDHOOD:Normal 4.4 PRESENCE Of SEIZURES OR INJURIES DURING CHILDHOOD: Normal 4.5 EDUCATION HISTORY:- COMPLAINTS:No complaints educated upto Mtech 2nd year 4.6 ANY GAP IN EDUCATION:Gap-2010 -5 years searching job Mtech -2016 2011 GATE coaching 4.7 DISTURBANCES , IF ANY:-Started working 2012 No disturbances at job. Changed 2 jobs. 4.8 PERSONALITY/ADJUSTMENT PRIOR TO ILLNESS:Normal and not calm like present 4.9 SOCIAL ISSUES:No difference with anyone or no social issues TESTS CONDUCTED: BPRS
35
DECLARATION (BY THE STUDENT)
I hereby declare that the internship work entitled “Internship Report” submitted to the School of Social Sciences and Humanities, Department of Psychology, CMR University, Bangalore, is a record of an original work done by me under the guidance of Deepthi Jose, CMR University and this project work is submitted in the partial fulfilment of the requirements of for the award of Master’s Degree in Psychology by CMR University.
36
I also declare that this project is the outcome of my own efforts and that it has not been submitted to any other university or Institute for the award of any other degree or Diploma or Certificate.
Place: Bengaluru
Date: 19th August'2019
Name: Keerthana Raj
Number:17MSPC044
DECLARATION (BY THE STUDENT)
I hereby declare that the internship work entitled “Internship Report” submitted to the School of Social Sciences and Humanities, Department of Psychology, CMR University, Bangalore, is a record of an original work done by me under the guidance of Deepthi Jose, CMR University and this project work is submitted in the partial fulfilment of the requirements of for the award of Master’s Degree in Psychology by CMR University.
37
I also declare that this project is the outcome of my own efforts and that it has not been submitted to any other university or Institute for the award of any other degree or Diploma or Certificate.
Place: Bengaluru
Name: Keerthana Raj
Date: 19th August '2019
Number: 17MSPC044
CERTIFICATE OF ORIGINALITY
Date: 19th August'2019
This is to certify that the internship titled “Internship Report” is an original work of Ms. Keerthana Raj; bearing University Number 17MSPC044 and is being submitted in partial fulfillment for the award of the Master’s Degree in Psychology, CMR University. The
38
report has not been submitted earlier either to this university / Institution for the fulfillment of the requirement of a course of study.
SIGNATURE OF GUIDE
SIGNATURE OF SCHOOL HEAD
DATE: 19th August'2019
39
TABLE OF CONTENTS
CHAPTER
PAGE INDEX
NO.
NO.
1
INTRODUCTION
1-3
2
ORGANIZATION PROFILE
4-11
4
COMPREHENSIVE INTERN REPORT
12-13
4
WEEKLY REPORT
14-16
5
CASE ANALYSIS
17-40
6
SELF REFLECTION
41-43
7
APPENDICES
44
40
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