Robert M. is a 14-year-old high school student admitted to the psychiatric
unit at Monte Hospital on March 10, 2000, for his second psychiatric hospitalization. He was referred for an interview and psychological testing by Harold Smith, MD, to estimate his intelligence, differential diagnosis, behavioral dynamics, and potential for adjustment. REFERRAL QUESTION Anna is a 12-year, 1-month-old bilingual, Hispanic female who is currently residing in a foster home due to parental abuse, neglect, and abandonment. Anna presents with irritability, anxiety, and poor peer relations. Additionally, Annas foster parents indicate that Anna is having problems in school because of interpersonal difficulties with her classmates and problems adjusting to their home (e.g., seeks constant attention, argues with foster siblings). Annas therapist, Mary Smith, LCSW, requested this psychological evaluation to assist in assessing her current level of cognitive and emotional functioning, clarify her diagnosis, identify her strengths, and provide suggestions that may be useful in helping her to adjust to school. REFERRAL QUESTION This 70-year-old, divorced woman was referred for psychological evaluation by Dr. M., who specified that the patient suffered from agoraphobia and requested assistance in identifying effective treatment for her condition. A. G., on the other hand, indicated that she had had agoraphobia in the past, but described her current problem as one of motivation rather than panic or fear. She asserted that she is currently not immobilized nor is she extremely anxious when she travels. She attributes her restrictive lifestyle to the absence of energy and motivation to travel and engage in social activities.
She acknowledged an underlying apprehension that arises when she is
scheduled to leave home, however, resulting in her putting off her departure as long as possible. After she actually goes out, she reported that she remains anxious until she returns home. The current evaluation was designed to clarify the nature of the problem, to develop treatment plans, and, if indicated, to initiate a treatment program.