my very FIRST PATIENT....

I. Personal Data

Name: (confidential)
Area of Confinement: WCPU, Pavilion 2
Age / Civil Status: 35 years old/Single
Birth-date: September 02, 1975
Birthplace: Tanay, Rizal
Educ. Attainment: Elementary level (grade 1)
Referred by: Clinical Instructor
Referred For: Psychological Test
Date Examined: November 23, 2010


II. General Observation

The client is an adult female, stands approximately 4’9” with a thin body build and has a dark complexion. The subject was wearing a white and blue stripe t-shirt and a maong pants. She was wearing sandals which she kept on removing while answering the given exams. The client has a dark, short, and wavy hair, she has lots of scars and open wounds in her arms and feet.

The client was with her aunt and since she doesn’t have the ability to talk, the interviewer chose to talk to her aunt. As the patient’s aunt asked if what would be the reason why they came at NCMH, she just claimed, “eh kasi requirement ito ng fiscal para sa kanyang kaso.” The patient’s aunt refused when asked if the patient, she thinks is suffering from mental illness and claimed that the only problem is that, the patient talk to herself very often and murmuring which can’t understand by anyone. The patient’s aunt stated that the patient’s fear became excessive after what happened to her. “Iniwan ko sya noon sa bahay na mag-isa dahil may bibihilhin ako sa labas, napadaan ako sa kapitbahay at napasarap ang kwentuhan namin, pag balik ko naabutan ko sa bahay namin yung lalaki na dali-daling nag bihis at tumakbo, yung pamangkin ko naman ay naginginig sa sobrang takot,” the patient’s aunt claimed as queried if what actually happened to the patient.

About the patient’s family background, her aunt stated that the patient is living with her already, she became her guardian since the client’s mother died. According to her, the patient has two siblings, when queried, she just claimed “tatlo silang magkakapatid, sya ang pangalawa, yung bunso namatay at yung panganay naman ay nakakulong.” Her oldest brother was accused of being thief and was in jail since last year. Their father left them since then.

While the patient is having her psychological tests, she was easily get distracted by any sounds or noise she will hear, her eyes kept on moving, very observant and very suspicious.

III. Test Administered

Bender Visual Motor Gestalt Test
Draw A Person Test



IV. Test Results and Evaluation


Bender Visual Motor Gestalt Test

As an outcome to the given examination, the patient indicates mental retardation which firstly reflects her inability to complete a task due to her limited understanding and capacity to express herself. The subject also shows hesitancy, self doubt and nervousness as a result of her unexpected sexual experience.

Draw a Person Test

As a result to the exam given, the patient shows low self esteem and timidity and has depressive tendencies by the fact that she has traumatic sexual experience. The patient also indicates a feeling of inferiority, with poor manual skill due to her unresponsiveness and incapability to talk.



V. General summary

The patient indicates mental retardation, inability to complete a task due to her incapability to talk which also lessen good communication with others. She also shows low self esteem, timid, shy and has a depressive tendencies and designates traumatic psychosis that caused by her unexpected sexual experience.



Test Administered and Evaluated by:

Ma. Carla Q. Escalante
Rizal Technological University


-it was really a memorable one for me, first reason is because, she is the very first patient i handled.. second, admitted ako na medyo nahirapan ako sakanya kasi sobrang hirap nya makausap kasi lagi syang walang reaction and di talaga sya nagsasalita... but i really enjoyed the experience.. very challenging.. worthwhile and very appropriate and suitable sa kung anu talaga ang gusto ko!! :)