Observational Study
Supervised by – DR SAKSHI MEHROTRA
Submitted by – Ananya Bhattacharjee
Year
2015-2018
B.A HONS IN APPLIED PSYCHOLOGY
AMITY UNIVERSITY UTTAR PRADESH
ROLL NO. A1506915105
SECTION-B
INTERNSHIP DURATION : 27th MAY- 4th JUNE
UNDER GUIDANCE OF – DR Mohit Goel
MBBS (AFMC),
MD (Med, AFMC),DM(Neurology)
HOSPITAL- 1, Tughlakabad Institutional Area, Mehrauli Badarpur Road,
New Delhi-110 062 (Near Saket Metro Station)
CERTIFICATE
This is to certify that this is a report on the observational study submitted
by: Ananya Bhattacharjee Enrollment No: A1506915105 of B.A. (Hons.)
Applied Psychology, Semester III, batch 2015-2018 which has been
conducted under my supervision and it constitutes her original work and
has not been submitted to any other institute or organization for the task of
completion of the degree.
Dr. Sakshi Mehrotra
AIPS
ACKNOWLEDGEMENT
I owe my special thanks to people who helped and supported me during the
duration of the observational study. I extend my gratitude to Dr. Mohit
Goel(external guide) for guiding me with attention and care and also Dr
Sakshi Mehrotra(internal guide) . I express my gratitude to HOD Prof.
(Dr.) Abha Singh, for extending her support. I also thank AIPS and Batra
hospital, for providing unconditional support.
Ananya Bhattacharjee
A1506915105
B.A (Hons) Applied Psychology
INTRODUCTION
Batra Hospital & Medical Research Centre established in 1987 by Ch. Aishi Ram Batra
Public Charitable Trust with an infrastructure comprising of 495 beds, 14 Operation Theatres,
112 ICU Beds, 24x7 Emergency facilities, full range of state-of-the-art diagnostic
laboratories and a comprehensive rehabilitation facilities.
Batra Hospital is the capital’s first multi-specialty private hospital of Delhi. Our aim has
always been to bring world-class medical care within the reach of common man. Over the
years it has progressed bringing in the latest and the most modern medical care in critical and
life threatening areas like Oncology, Cardiac, Orthopaedics, Nephrology and Neuro Surgery.
Today the hospital offers a tertiary level care in 42 specialities and has assembled the finest
medical talent – Physicians, Surgeons, Nursing Professionals and Technicians. The skills of
our Medical Professionals are enriched with international experience. This is line with the
continuing ethos of the hospital to combine the best medical care with warmth and tenderness
which is essential to the healing process.
Batra Hospital & Medical Research Centre commits itself to provide efficient, effective,
timely and userfriendly healthcare to its patients, through best medicare practices in a clean,
healthy and rejuvenating environment.
Our Quality Objectives
Best quality patient care
Judicious use of drugs and appropriate interventions
Compliance with the highest standard of medical ethics
Continued skills upgradation and keeping abreast of latest developments
To carry out all processes Right the First Time, on Time and Every Tim
Our Quality Values
Care, Compassion and Courtesy
Community Health Provider - patient centric care with value for money to all sections
of society
Timely intervention
Effectiveness - Sharing knowledge and best practices
Efficiency - Never ending improvements
Maintainence of highest standard of hygiene and cleanliness
Their Services-
Pharmacy
Ambulance
Blood Bank
Guest House
Cafeteria
Labour compliances
Their Specialities-
Anaesthesiology
Psychiatry and Clinical Psychology
Paediatrics
Dermatology
Dental Science
ENT
Orthopaedics
Physiotherapy
Radiology and Imaging
Health Check Department
DESCRIPTION OF TASK UNDERTAKEN
I have done my observational study under the guidance of Dr. Mohit Goel. Since it was an
observational study my role was only to observe the interactions taking place between the
counsellor and the patient and also observing the patients in their natural, daily environment
and routine.
I started with my internship on 27th May, 2016 till 4th June, 2016. Since I had to complete 60
hours of observation, I worked for 5 hours each day. From morning till their lunch time.
During these days of internship I observed and learned about counselling and case history
taking.
Case History taking in general means the evaluation of the patient prior to treatment. It is a
detailed account of the facts affecting the development or condition of a person under
treatment or study, especially in medicine, psychiatry or psychology.
During this period of internship, I learned about counselling and its importance for patients
and at times for their family members and relatives.
• Understanding of the daily routine of patients from morning to evening.
• Participating in group based activities in the morning like playing board
games, newspaper reading, yoga, dancing, interacting on general day to day
conversations, music etc.
• Evening included one to one session with their therapists.
• Interacted and observed them in their daily activities to build a rapport so that they get
to know me as I was a new face for them.
• Post they got comfortable, I continued to interact with them on a one to one basis
spending two days at the least with each patient. This enabled me to get to know their
illness.
• Since some were unaware of their illness (I had to maintain sensitivity), getting to
know them in general was enough.
Case Study
1) Patient-1
Name- ABC
Age-23
Status- single
Gender-male
Symptoms- Aggressive behaviour, Restlessness, Poor social behaviour, verbal abuse
Case History – The patient was apparently well till 2007, as he moved to 10th standard.
Maintained daily routine in social life very well. During high school parents observed him
trying to keep himself isolated, not interested in talking to anyone, washing hands frequently
and if interrupted the patient would get irritated and aggressive. Patient completed 10th with
below average performance and refused to study further. When his mother tried to convince
him, he became aggressive and started throwing household things. Gradually behaviour
towards family got worse. He started quarrelling with them for small issues. So the family
tried some spiritual practices and showed to a baba. According to mother, patient had
stopped washing hands frequently with spiritual practices. However other mentioned
behaviour remained same as earlier. In addition he began to go and sleep in the park, took his
shirt off and roamed in the house at night. Behaviour got unmanageable so he got admitted to
VIMHANS for 10 days and got partially improved. He began skipping medicines after
discharge and his behaviour reoccurred. He again started keeping himself aloof, talking and
laughing to self, blaming parents on every issue and beating them badly.
Diagnosis- Paranoid Schizophrenia, Undifferential Schizophrenia
Therapy/treatment- Positive Counselling, Insight learning, Medication
2) Patient-2
Name- DEF
Age-25
Gender- Female
Symptoms- Suspiciousness, Mood fluctuations, Disturbed biodrives
Status-single
Case History- She had some indications of emotional difficulty at an earlier age. Her parents
were divorced in 1997. She is suffering from last 13 years. Problems started after 4 years of
her parents divorce. At that time she was observed with inappropriate behaviour. Family
consulted neurologist and started treatment. After that she got some improvement.but she got
a seizure some weeks later. She started shouting and crying without any reason and also
began to laugh inappropriately. So her mother showed her to a psychiatrist and started
medication. Condition got more worse, mood started fluctuating and showed some trouble
towards adapting to stressful events. Her hygiene got poor and she started becoming
suspicious towards family and friends.
Diagnosis- Schizoaffective disorder, mixed type
Therapy/Treatment- Mood charting, CBT, interpersonal social therapy, medication
3) Patient-3
Name- RST
Age- 28
Gender- Female
Symptoms- Aggressiveness, Violent Behaviour, Suspiciousness, over talkative,
argumentative
Status- Single
Case History- Patient was apparently asymptomatic 8 years ago. But her illness got worse
due to stopping of medication. Patient became suspicious towards her family members. She
didn’t eat food cooked by them. She used to say “Khane mein kuch milaya hai, mein nahi
khaungi”. She got suspicious towards her father, didn’t allow him to enter her room. She got
violent and aggressive when her family members checked her. Gradually she got more
aggressive towards her father. Once she called up cops arrest her father, accusing him of rape.
She used to say that she is a goddess and has powers. She became more talkative than usual,
she got more friendly with strangers, chatted with them the whole day. Her need for sleep
decreased, only slept for 2-3 hours. She threatened her father that she would commit suicide.
Therefore they decided to hospitalise her.
Diagnosis- Schizoaffective disorder, manic type
Therapy- Cognitive Behavioural therapy, token economy, Ventilation, Relaxation
4) Patient-4
Name- GHI
Age-33
Status- single
Gender- Male
Symptoms- Irritable, elated mood, increased psychomotor activity, disturbed behaviour
Case History- Patient started consuming alcohol in 12th standard, on and off with his friends.
He would skip school and go for drinking. He would often steal money from home to go out
and have a few drinks. He was not interested in studies so he decided to quit school and stay
at home else he went out roaming with friends. After his parents death he started drinking
more alcohol to drown his sorrows. He drank heavily on his sisters wedding and injured
himself thereafter. Showed no interest in work, blamed his brother for all problems. He spent
time in an ashram but after release he started drinking again. He even stole 2 lakh rupees
from brother and stayed in a hotel and gambled till his money finished.
Diagnosis- Alcohol Dependence
Therapy/treatment- Occupational therapy, Meditation/Yoga and medicines
Analysis/Discussion of skills
This internship has taught me more than I could have imagined. I was doing my internship at
Batra Hospital . During these days of my internship it was a very good experience.
The skills I learnt are:
• Communication and Inter-personal skills
• Organizational/Time Management Skills
• Understanding of physiological, emotional, cognitive and social determinants of
behavior
• Patience
• Basic understanding of the various disciplines in psychology
• Problem solving
This internship made me learn about disorders which I was not aware. This also taught that
one should not lose hope.
Sharing problems with other or someone we love can help to deal the situation we don’t want
face/problem in.
