 Presentation of Health Psychology reports

• Subject: Health psychology

• Presented to:
• Mam Zubash Aslam
• Presented by:
• Iqra Arooj (37605)
• MSC Applied Psychology (weekend)
• GC University Faisalabad
 Heart Attack

• A heart attack occurs when the flow of blood to the heart is

blocked. The blockage is most often a buildup of fat,
cholesterol and other substances, which form a plaque in the
arteries that feed the heart (coronary arteries).
 Heart Attack Symptoms

• Symptoms of a heart attack include:

• Discomfort, pressure, heaviness, tightness, squeezing, or pain
in your chest or arm or below your breastbone
• Discomfort that goes into your back, jaw, throat, or arm
• Fullness, indigestion, or a choking feeling (it may feel like
heartburn)
• Sweating, upset stomach, vomiting, or dizziness.
• Severe weakness, anxiety, fatigue, or shortness of breath.
• Fast or uneven heartbeat. Coughing.
• Dizziness.
• Dyspnea (shortness of breath).
 Heart Conditions

• Coronary artery disease:

• Stable angina pectoris.
• Unstable angina pectoris.
• Myocardial infarction (heart attack).
• Arrhythmia (dysrhythmia).
• Congestive heart failure
 Bio Data

• Name: Muhammad Khalid

• Age: 50
• Gender: Male
• Education: F.A
• Number of Sibling: 4
• Birth order: 1st
• Marital Status: Married
• No. of Children 4
• Occupation Clerk
• Socio economic status Middle class
 Presenting complaints:

• Coughing. 1 years
• Nausea. 1 years
• Vomiting. 1 years
• Crushing chest pain. 1 years
• Dizziness. 1 years
• Dyspnea (shortness of breath) 1 years
• Restlessness. 1 years
• Body fatigue 1 years
• Muscle tensions 1 years
• Back pain 1 years
• Shoulders pain 1 years
 Background information

• Personal History
• Client is 50 years old married male. His education is F.A. Her birth order is
1st among 4 siblings.
• He had 4 children 2 daughters and 2 sons and he was lived in Faisalabad.
He belongs to a middle socio economic status and Punjabi speaking family.
• Client was a clerk in WPAD.
 Family History

• The client belongs to a middle class family. He lives in a

nuclear family system. Client’s father was a government
servant, and is by nature a strict person and the authoritarian
figure of the family.
• Over all the family environment was restrictive, and there
were so much gaps present in family communicative system.
 History of Personal Problems

• He had some personal problems and mostly he was facing lack

of money to run his routine Expenditures and
• therefore sometime it was leading a fight between husband and
wife. He also had some conflict with his children.
• He lost his job one year ago due to fight with his colleague.
 History of Medical illness:

• One year ago he had a very serious heart attack when he loses
his job.
• He was admitted in government hospital and Doctor advised
him to have angiography but there was no positive result then
again doctor recommended him angioplasty.
 Medication/ current treatment:

• Tab. Sustac
• Tab. Loprin
• Tab. Merol
• Tab. Ivagen
• Tab. Plavix
 Behavioral Observation:

• The client was an educated heighted man with average weight.

His personal hygiene was good and was wearing neat and tidy
clothes.
• He appears active, energetic, and was in good mood.
• He was maintaining good eye contact.
• His sitting posture and gesture was much relaxed
 Depression Anxiety Stress Scale (DASS-42)

• Quantitative analysis:

Score Range Depression

19 14-20 Moderate level of Depression

Score Range Anxiety

13 10-14 Moderate level of Anxiety

Score Range Stress

22 19-25 Moderate level of stress

 Quantitative analysis:

• According to DASS result, client has 19 score on depression

scale which indicates that client has moderate level of
Depression.
• Client has 13 score on anxiety scale which indicates that client
has moderate level of anxiety. Similarly client has 22 score on
stress scale which indicates that client has moderate level of
stress.
 Human figure drawing test (HFD):

• Human figure drawing test (HFD), a projective test, indicates

that client has intense anxiety, and poor self-concepts.
• She has psychosomatic complaints and guilt feelings as well.
The figure also depicts depression, less sociability and
dependency.
 Sessions Report:

• 1st session
• 2nd session
• 3rd session
 4’P Biopsychosocial Model:

Biological factor Psychological factor Social factor

Predisposing • Family history of • rejection
depression sensitivity
• unlovable

• Increase in • Inattention from • Lose of job.

Precipitating smoking. parents • Financial problems.
• not consult with • Unstable marital
proper treatment. life.

• Increase in •Poor coping skills, •Chronic discord in

Precipitating smoking. lack of insight relationship
•Unable to maintain •Poor finances
consistent Lose of job.

•Medically healthy. •Good coping skills •Good interpersonal

Protective •Resliency •Good insight supports
•Financial support
 Management plan:

• Rapport Building:
• Cognitive Behavior Therapy:
• Supportive psychotherapy
• Relaxation techniques:
• Family therapy
 Case formulation:
 Limitations

• Distraction free environment wasn’t available that created

disturbance in taking session with the client.
• Family of the client wasn’t available that’s why most of the
information couldn’t cross checked.
• Time was limited, so time was required to get more effective
results
 Report 2

• Migraine headache:
• Migraine is a primary headache disorder characterized by
recurrent headaches that are moderate to severe.
• Typically, the headaches affect one-half of the head, are
pulsating in nature, and last from two to 72 hours.
 Types of migraines

• Common migraine
• Classic migraines
• A silent or acephalgic migraine
• A hemiplegic migraine
• A retinal migraine
• A chronic migraine
• Status migrainosus is a constant migraine attack that lasts more
than 72 hours.
 Bio Data

• Name A.I
• Age 23 Years
• Gender Female
• Education Graduation (16 year education)
• Siblings 4 (3 brothers, 1 sister)
• Birth Order last born
• Father’s occupation Government contractor
• Mother’s occupation House Wife
• Socio economic status Middle class
• Living area Urban
 Presenting complaints:

• Nausea, 3 years
• Vomiting 3 years
• Sensitivity to light, sound, or smell, 3 years
• Mood changes 3 years
• Food cravings, 3 years
• Neck stiffness and 3 years
• Body pains 3 years
• Muscles tensions 3 years
• Restlessness 3 years
• Distrusted sleep 3 years
 Background information

• Personal History
• Client is 24 years old unmarried female. She is doing BS in
economics. The client birth was normal. Duration of
pregnancy was 9 months.
• Type of delivery was normal. Her developmental milestones
were not delayed. She was average student, and always got
average grades.
• In her school life she had satisfactory and smoothly relation
with her teacher and friends.
 Family History:

• The participant was 24 years old female. She belongs to

nuclear family.
• She has satisfactory and pleasant relations with her family. She
belongs to educated family.
• She experienced the sense of security, warmth, love and
attention from her family.
 History of Medical illness:

• Client reported that before three years ago she suffered from
typhoid. She got complete treatment of typhoid but after this
illness, severe pain in center of her head was started and with
this pain in her head,
• she had symptoms of nausea, vomiting and muscles stiffness.
The client reported that she had complain of headache many
years ago but severity of pain was not that much higher.
• She had consulted from recommended doctor and she was
diagnosed by migraine headache
 Medication/ current treatment:

• Tab. Sumatriptan
• Tab. Rizatriptan (Maxalt, Maxalt-MLT)
• Tab. Eletriptan (Relpax)
• Tab. Naratriptan Amerge)
• Tab. Almotriptan (Axert)
• Tab. Frovatriptan (Frova)
 Behavioral Observation:

• The client was an educated heighted woman with average

weight.
• Her personal hygiene was good and was wearing neat clothes.
She seemed in low mood.
• She was maintaining eye contact. Her sitting posture and
gesture was relaxed.
 Depression Anxiety Stress Scale (DASS-42):

Score Range Depression

20 14-20 Moderate level of Depression

Score Range Anxiety

14 10-14 Moderate level of Anxiety

Score Range Stress

16 15-18 Mild level of stress

 Quantitative analysis:

• According to DASS result, client has 20 score on depression

scale which indicates that client has moderate level of
Depression.
• Client has 14 score on anxiety scale which indicates that client
has moderate level of anxiety. Similarly client has 16 score on
stress scale which indicates that client has mild level of stress.
 Human figure drawing test (HFD):

• The emotional indicator of HFD shows that the client seems to

have poor integration. She has immaturity hostility and poor
self control.
• She has poor coordination and impulsiveness, intellectual
inadequacy and migraine headaches. The client has symptoms
of uneasiness, restlessness, suspiciousness and fear or anxiety.
 Sessions Report:

• 1st session
• 2nd session
• 3rd session
  4’P Biopsychosocial Model:

Biological factor Psychological Social factor

factor
• Family history of feeling of uneasiness socially with draw.
Predisposing migraine, and insecurities.
• low confidence.

• typhoid irritation. Elder brother and sister

Inferiority marriages.
Precipitating Not take admission for
further study.

Other medical issues. •Feeling of •Household

Perpetuating inferiority. responsibilities
Insecurity.

•Medically healthy. •Good coping skills •Good interpersonal

•Resliency •Good insight supports
Protective
 Management plan:

• Cognitive Behavior Therapy:

• Mindfulness-based cognitive therapy (MBCT):
• Deep Breathing Exercises
• Develop a sleeping and eating routine.
• Drink plenty of fluids:
• Staying hydrated, particularly with water, might help.
• Keep a headache diary:
• Exercise regularly:
• Biofeedback:
 Case formulation:
 Limitations:

• Distraction free environment wasn’t available that created

disturbance in taking session with the client.
• Family of the client wasn’t available that’s why most of the
information couldn’t cross checked.
• Time was limited, so time was required to get more effective
results.