PSYCHOMETRIC ASSESSMENT
CRF : 19-5-18748
Name: Pius kumar Age : 14 years
Sex : Male Education : 8th class
Occupation: Student Language spoken: Hindi
Residence : Rural Date of testing : 16/06/2019
Religion : Hindu
Date of admission : 13/06/2019
Under section: 89
CHIEF COMPLAINTS :
Poor comprehension * last 6 months
Poor social interaction * since childhood
Aggressive behavior * for last 2-3 months
Compulsive behavior * for last 2-3 months’
Poor academic record * for last 2-3 months
Decrease in interaction with playmates * for last 2-3 months
BACKGROUND INFORMATION ( Including Milestones):
Information was collected by means of interview with parents. Birth delivery was normal .
Immediate birth cry was present . He had no infection , epilepsy history during infancy. His
neurodiagnostic report reflecting that there was no abnormality . There are bilateral high voltage
bursts of slow and sharp waves with spikes and phase reversal . Developmental milestones were
achieved within normal limits . The patient was dull in childhood . He had poor social interaction
with family as well as friends. He studied up to class 8th but was average in comprehension and
has average academic record. There is no history of mental illness in family .
GENERAL BEHAVIORAL OBSERVATION:
Cooperation : Cooperative
Attention – arousal : Aroused
Concentration : Intact
Interest / Motivation : Present
Comprehension : adequate
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Psychomotor activity : Normal
Behavioral problems : Present , Aggressive behavior , average academics
Emotional problems : Present , Poor social interaction
Needs Reinforcement : Yes
Vision : Normal
Hearing : Normal
Motor weakness : No
Other handicaps : No
SEGUN FORM BOARD (SFB) :
Observation : Trial and error method/ Correct discrimination
Form perception : adequate/ poor
Visuo-motor coordination – adequate/poor
Capacity to learn from previous experience good/fair/poor
Trial I …50 seconds……..
Trial II …45 seconds ……….
Trial III …30 seconds……….
Total time taken : 125 seconds
MA for shortest time ……13….
MA for total time …13……..
IQ :…75 …….
Impression : No mental retardation
DEVELOP MENTAL SCREENING TEST :
Developmental Age : 12 years
Developmental quotient : 46
DEVELOPMENTAL SCREENING TEST
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LEVEL 0-1 YEAR
1. Cries/laughs
2. Balances head
3. Grasps object within reach
4. Reaches for familiar persons
5. Rolls over(unassisted)
6. Reaches for nearby objects
7. Occupies self unattended
8. Sits unsupported
9. Pulls self upright
10. Talks/imitates sounds
11. Drinks from cup or glass assisted
12. Moves about on floor(creeping/crawling)
13. Grasps with thumb and finger
14. Demands personal attention
15. Stands alone
16. Does not drool
17. Follows simple instructions
AGE LEVEL I-II YEAR
18. Walks about unattended
19. Marks with pencil or crayon
20. Masticates (chews)solid or semi-solid food
21. Removes shoes or sandals, pulls off socks
22. Transfers objects
23. Overcomes simple obstacles
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24. Fetches or carries familiar objects
25. Drinks from cup or glass unassisted
26. Walks or uses go-cart for walking
27. Plays with own hands
28. Eats with own hands
29. Goes about house or yard
30. Discriminates edible substances from non-edibles
31. Uses names of familiar objects
32. Walks up-stairs unassisted
33. Unwraps sweets, chocolates
34. Talks in short sentences
AGE LEVEL II-III YEAR
35. Asks to go to toilet
36. Initiates own play activities
37. Removes shirt or frock
38. Eats with spoon
39. Drinks (Water) unassisted
40. Dries own hands
41. Avoids simple hazards
42. Puts on shirt or frock unassisted (need not button)
43. Can do paper folding
44. Relates experiences
AGE LEVEL III-IV YEAR
45. Walks downstairs, one step at a time
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46. Plays cooperatively at kindergarten level
47. Buttons shirt or frock
48. Helps at little household tasks
49. ‘Performs’ for others
50. Washes hands unaided
AGE LEVEL IV-V YEAR
51. Cares for self at toilet
52. Washes face unassisted
53. Goes about neighborhood unattended
54. Dresses self except for tying or buttoning
55. Uses pencil or crayon for drawing
56. Plays competitive exercises, games
AGE LEVEL V-VI YEAR
57. Uses hoops, flies kites, rides tricycles
58. Prints(writes) simple words
59. Plays simple table games
60. Is trusted with money
61. Goes to school unattended
AGE LEVEL VI –VII YEAR
62. Mixes rice “properly” unassisted
63. Uses pencil for writing
64. Bathes self assisted
65. Goes to bed unassisted
AGE LEVEL VII –VIII YEAR
66. Tells time to quarter hour Page | 5
67. Helps himself during meals
68. Refuses to believe any magic and fairy tale
69. Participates in pre-adolescent play ×
70. Coombs or brushes hair
AGE LEVEL VIII –IX YEAR
71. Uses tools or utensils
72. Does routine household tasks
73. Reads on own initiative
74. Bathes self unaided
AGE LEVEL IX-X YEAR
75. Cares for self at table(Meals)
76. Makes minor purchases
77. Goes about home freely
AGE LEVEL X-XI YEAR
78. Distinguishes between friends and play mates
79. Makes independent choice of shops
80. Does small remunerative work, makes articles
81. Follows local current events ×
AGE LEVEL XI-XII YEAR
82. Does simple creative work
83. Is left to care for self or others ×
84. Enjoys reading books, newspapers and magazines
AGE LEVEL XII- XV YEAR
85. Play difficult games
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86. Exercise complete care of dress
87. Buys own clothing accessories
88. Engages in adolescent group activities
89. Performs responsible routine chores
VINELAND MATURITY SCALE :
Social age : 11 years Social quotient : 44
Self help general : 42
Self help eating : 64
Self help dressing : 44
Self direction: 70
Occupation : 56
Communication : 56
Locomotion : 67
Socialization : 35
Y-BOCS Symptom Checklist
Instructions: Generate a Target Symptoms List from the attached Y-BOCS Symptom Checklist
by asking the patient about specific obsessions and compulsions. Chock all that apply.
Distinguish between current and past symptoms. Mark principal symptoms with a "p". These
will form the basisof the Target Symptoms List. Items marked may “*” or may not be an OCD
phenomena.
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IMPRESSION : The overall tests findings indicates mild level of impact in developmental and
socio adaptative functioning . He has mild level of hyperkinetic features and poor interaction in
the society . The patient has fear of losing self. The patient has feelings of rewriting and
rereading . He has habit of rechecking that he has not forgot something.
Suggestions : Page | 8
The reason for socioadaptative functioning may be lack of exposure
Parental counselling regarding about compulsive behavior
Behavior modification program in coordination with skill training . This might help to
improve socio adaptative functioning
