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PSY 550 Final Project Vignette Two

Ms. Z is a 35-year-old African American woman and the mother of two children. She was previously admitted to a psychiatric hospital after a suicide attempt. She is prescribed antidepressant medication; however, her depressed mood continues.

Ms. Z has received mental health services since she was 18 years old due to reported “mood swings.” However, her depression became more severe over the past three years. She received electroconvulsive therapy (ECT), which provided temporary relief, allowing her to return to work after treatment.

Ms. Z completed high school and two years of college. She is employed as an office manager at a local insurance company. Her husband also works for the same company. He is reportedly very supportive and assumes most of the home responsibilities during her depression.

Ms. Z is looking for recommendations on whether she should return to school to complete a four-year degree and wants to gain diagnostic insight given her history of mental health concerns. She was administered the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) and Minnesota Multiphasic Personality Inventory – 2 (MMPI-2). Her scores are below:

WAIS-IV

FSIQ 102

VCI 105

PRI 107

WMI 92

PSI 100

MMPI-2 Clinical

HS 86

D 112

HY 87

PD 66

MF 55

PA 67

PT 86

SC 90

MA 41

SI 74

MMPI-2 Content

ANX 79

FRS 41

OBS 63

DEP 82

HEA 81

BIZ 39

ANG 50

CYN 35

ASP 39

TPA 43

LSE 73

SOD 84

FAM 42

WRK 73

TRT 79

You can use these resources to help you review the data from the WAIS-IV and MMPI-2 clinical and content scores:

 MMPI-2 MMPI Training Slides: Review the following resources at this website:

o MMPI Clinical Scales o MMPI Content Supplement

 WAIS-IV

Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) a) Scroll down and find the “Resources” tab. b) Click on “Presentation: Wechsler Adult Intelligence Scale 4th Edition (WAIS-IV).

PSY 550 Final Project Vignette One

Ms. G is a 33-year-old single, Caucasian female who was referred for an evaluation to clarify diagnostic issues and establish educational and vocational goals. Ms. G was born with spina bifida, but otherwise had no notable developmental concerns. She requires a manual wheelchair for ambulation due to her spina bifida.

Ms. G never received special education or had an individualized education program (IEP). She completed two years of college but then took a leave of absence. She would like some guidance as to whether she should continue to pursue her bachelor’s degree, as the first two years of college were extremely challenging for her. Sh e reports struggling academically and just “not fitting in” with her peers. From a mental health perspective, she has a history of being in and out of counseling. She is currently prescribed Zoloft and Xanax for depression and anxiety, respectively. She reported a fear of vomiting, and also reported generally being anxious and depressed at times. She estimated that she has been severely depressed on at least three occasions.

The client reports concerns related to her inability to secure a job and not “knowing what to do.” She has noticed that she has been losing friends and is not sure why. She is hoping to gain further input around her psychological status as it relates to her anxiety, depression, and social concerns. Below are her scores from the Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV) and Millon Clinical Multiaxial Inventory – III (MCMI-III).

WAIS-IV

FSIQ 94

VCI 107

PRI 82

WMI 108

PSI 81

GAI 95

MCMI-III

Disclosure 71

Desirability 75

Debasement 42

Schizoid 81

Avoidant 66

Depressive 75

Dependent 81

Histrionic 63

Narcissistic 54

Antisocial 62

Sadistic 36

Compulsive 69

Negativistic 64

Masochistic 80

Schizotypal 65

Borderline 34

Paranoid 60

Anxiety 85

Somatoform 15

Bipolar: Manic 60

Dysthymia 24

Alcohol Dependence 40

Drug Dependence 60

PTSD 60

Thought Disorder 15

Major Depressive 79

Delusional Disorder 62

You can use these resources to help you review the data from Ms. G’s WAIS-IV and MCMI-III scores:

WAIS-IV 1. Wechsler Adult Intelligence Scale – Fourth Edition (WAIS-IV)

a) Scroll down and find the “Resources” tab. b) Click on “Presentation: Wechsler Adult Intelligence Scale 4th Edition (WAIS-IV).

MCMI-III 1. C512 MCMI

a) Bacon, S. F. Millon Clinical Multiaxial Inventory III (MCMI-III) [PPT document]. Retrieved from California State University’s website: http://www.csub.edu/~sbacon/C512_MCMI.ppt

b) The Millon Personality Group Website c) Millon Clinical Multiaxial Inventory-III (MCMI-III)

o Scroll down and find the “Product Details” tab.

o There are sample interpretive and annotated interpretative reports, as well as a

sample profile report in PDF format.