JDR, a 22-year-old male college student, was referred for psychological evaluation due to obsessive behaviors around cleanliness and orderliness. Testing confirmed he has above average intelligence and obsessive compulsive disorder. Specifically, he experiences severe distress when things are not clean, organized or properly aligned. His rituals interfere with daily activities and social relationships. It is believed his OCD developed from trauma experienced from his strict father. Treatment involving exposure response prevention therapy is recommended to help reduce his compulsions and anxiety.

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PSYCHOLOGICAL REPORT
I. IDENTIFYING INFORMATION
NAME: JDR SEX: Male
AGE: 22 years old SOCIAL STATUS: Single
ADDRESS: Malolos, Bulacan NATIONALITY: Filipino
RELIGION: Roman Catholic OCCUPATION: N/A
DATE OF CONSULTATION: August 12 and 16, 2014
II. REFERRAL QUESTION
J.D.R was referred by his cousin for psychological assessment and treatment of his being
too well organized, and that he feels guilty when things are not in the proper place. He is also

2. having some uncomfortableness when he sees things that are not in their proper place or if it is
not aligned.
III. CASE BACKGROUND
T.Y. is a 22-year old boy from Malolos, Bulacan. He currently in his first year collegee,
taking up Hotel and Restaurant Management course in Bulacan State University.
He is the middle child among three siblings. His father is currently in Laguna and his
mother has her own business and. He described his parents as nice although it is sad that they
broke apart but he said that he understands.
When asked for the reason why he was referred at the center, he said that he goes into
weird distress of seeing and knowing that things are not on their proper place. He goes out of his
way just to fix them. He pray each morning before a rising because she had a terrible feeling that
if he didn't, something bad would happen to him. He also pray at certain times throughout the
day for the same reason. He also washes his hands frequently. He carried complete set of
disinfectants and disposable washcloths in his bag. When asked to elaborate further, he said that
he began to notice that he is like this already in elementary. And that his father is very strict of
them that he needs to have all things aligned. He narrated that, before, he was afraid of his father
beating them when seeing untidy things. JDR thinks it must have caught up with him. Now, he
feels uncomfortable to see unaligned things in his room or even on strangers and that he can't
stop fidgeting when he sees or know it. There was really no starting point he says, it was just
that it really is uncomfortable for him to see those things, he also says that maybe it is because of
his father's influence. As a result he experiences the feeling of comfortableness and dreadfulness
in this situation.
JDR feels very anxious and very distressed whenever he sees or stands things that are
cluttered even if it isn't his. Aside from that, He is also looked at as weird or sometimes called
gay although for him it is no longer an issue. He added that there were times he would be late
because he feels uncomfortable seeing something unaligned in his room or his clothes ha
something that is even microscopic in other's eyes. He also said that it made establishing new
friendship is hard because he is afraid they won’t understand his feelings. Furthermore, it also
makes him stay behind because once that this feelings trigger, he cannot concentrate at all.
He emphasized, that he feels really fidgety most of the time and it also cause him lack of
sleep because of the paranoia that something in his room might be unaligned.
On the positive note, JDR is aware of his behavior and also his family and some close
friends. And that they try to understand him. He also negated seeking professional help in the
past because he thought he can manage, however now he understands that these uncomfortable
feelings need to go away.
IV. PHYSICAL AND BEHAVIORAL OBSERVATION

3. JDR is a charming young man with a slim body and fair complexion. He stands about 5 feet
and 5 inches tall. He has his hair colored brown and he styled it the Korean way. During the
sessions, he usually wore something fancy like hoodies with piles of shirts underneath patnered
with colorful and flashy skinny jeans matched with his leather boots. Sometimes he's in his
uniform or his organization shirt.
On an initial glance, he looked a little nervous and distant but overall he responded quite well
every session. During the interview, he spoke in a high voice and he spoke very enthusiastically.
He is also very friendly with the interviewer. He seems to be very careful in everything he said.
While the interview goes on and came to the part where he has to talk about his distress about
things not being organized and when things are not clean according to his standards, he suddenly
became quiet and looked a little uneasy. Furthermore, he looked a little embarrassed and worried.
He kept moving her hands and he sweated profusely. He then fixed his shirt and then he tried to
sit with his back straight to the chair and with his palms with his lap. It is also noticeable that his
nails were so short and it has wounds around it as if it was bitten all the time. When asked about
it, he said that he cannot afford that his nails were not short because germs can go through it.
He also said that he liked it to be in uniform length so he never stop until it doesn't look okay
for his standards. The interviewer also noticed that he was very neat. He was shaved well, shirts
flattened well and most of all his shoes were squeaky clean. He said that he has been that way
since he was young. He said that whenever someone mess with his shirt or someone stepped into
his shoes, he feels very distressed, he cannot think about anything rather than to make it clean.
And sometimes when it happen in school he immediately go home even though he has class just
to fix his messed up look. When asked about his routine in keeping himself clean, he said that he
usually took bath 3 or more times a day, he washes his hands every now and then and he always
made sure that he has alcohol before he eats or else he won't eat. He also has his pair of plates
and utensils that only him can use. He thinks that he cannot entrust the cleaning of his
belongings, even to his family. He has to do it himself. When asked about what other things that
made him feel anxious and distressed, he answered that when things are not arranged and fixed
in an orderly manner, he usually got angry and he will do it his way even if it bothers other
people.
The interviewer asked him to narrate some instances, he told that he arranges things in his
room by color, size, and shape. When they got to JDR's room, the cleanliness was very evident.
Not a single dust can be found. He has shoes properly lined up by him according to classes, from
formal to casual shoes. He also has his shirts and pants arranged by colors and he has books
arranged alphabetically. Like in the library. He said that he do not let others touch his things
because they might change the order and cleanliness in his room. He said that he also sprayed air
disinfectant from time to time because he is afraid that he will get sick if the air is dirty. He also
narrated that he is also involved in maintaining their house's order, he said that every day he
scrub the floor, he checks if the displays and figurines were in place, he also checks if the mats
and curtains were color coordinated. He also said that at night he will always check the lights and
doors if it is locked, he said that it enables him to sleep properly because he thought that he did
not locked it. He was also bummed about the thought that he didn’t turn off their gas in the
kitchen, he goes back and back. Sometimes when they will go out the house and he is the last
one to leave, he makes sure that he locked their place. He said that when his anxiety and the

4. thought of that his house were left open made him want to go back to their house. And that has
been his routine ever since. He said that because of this he usually came late to his planned
activities. He said that he couldn't stand the fact that things were not perfect. He wanted
everything to be clean to the point that he will get angry to other people and even his siblings just
because they cannot stand up to his cleanliness. Sometimes it took his day just to fix his things
and arrange them accordingly. This does not only affect his life but also his relationship with his
friends and family. When he was exposed to their dirty kitchen and unarranged utensils, his face
looked pained, he cannot believe what he saw and immediately, he cleans the place. He washed
the dishes very carefully; he even used bleach when washing so that the germs will be killed. He
said that he has to do something about it or unless he will be upset and very distressed. JDR then
took his time in cleaning and arranging the utensils according to size, the material it was made,
by its use, and even color. When asked about when he will stop arranging things in his way, he
said with conviction that he liked the idea of not stopping until everything get cleaned and
arranged perfectly.
V. TESTS ADMINISTERED
Catell’s Culture Fair Intelligence Test III, Adult Behavior Checklist, Behavioral Observation,
Emotions Profile Index, Edward’s Personality Preference Schedule and Obsessive Compulsive
Inventory. These tests were administered on August 12, 2014.
Second batch of test includes projective techniques such as House Tree Person, Draw-A-
Person Test and Rotter Incomplete Sentence Blank. These were administered on August 16,
2014.
VI. TESTING BEHAVIOR
During the administration of the tests (e.g.) Catell Culture Fair Intelligence Test III, Adult
Behavior Checklist, Behavioral Observation, Emotions Profile Index, Edward’s Personality
Preference Schedule and Obsessive Compulsive Inventory, JDR was not calm, feeling irritated
and uneasy sitting on a chair and glancing over the papers and pencil which are not properly
aligned. He seems so nervous looking at the papers. He continuously and repeatedly tried to
align each paper on the table and sit up straight while answering the test. While answering each
test, he kept on biting his fingertips, aligned his chair and at times picked some microscopic
garbage underneath the floor. Consuming a lot of time because of the said distractions above, he
still finished the test and properly followed the instruction of the test well. After taking the test,
he organized each material and aligned it properly.
VII. TEST RESULTS AND INTERPRETATION
Results have shown that J.D.R has an above average intellectual ability. Generally, he is an
independent man. He would rather finish loads of work alone than to have a partner or be in a
group. Work is more efficient for him when he is not surrounded by people who are impulsive or
those who don’t pay attention to instruction.

5. J.D.R also obtained above average scores for obsessions, checking and ordering. This is
supported by results showing that he has a high preoccupation with orderliness, perfectionism
and mental and environmental control. J.D.R is observed as very strict in details, rules and
schedules to the extent that the major point of the activity is lost. J.D.R also exhibits high level of
paranoia, claiming that if he does not go into his rituals, something bad might occur. In line with
this, results have shown that he is low on facets such as change, openness and adjustment. In this
regard, J.D.R usually just settles with what he has already known, dismissing new ideas in fear
that he might not be able to cope up with this. For him, transitions are very challenging. Since,
J.D.R is currently on his first year of college, changes in physical surroundings, social life, and
academic routines triggered new obsessions on him. Based on the discussion, he was not into
hoarding before, but since his current months in college, he reported that he is into acquiring too
many materials for his school projects that often did not end up being used. Also, leaving
familiar people, places, and things while trying to get used to new things are stressful for him.
Due to this, J.D.R also shows significant level of anxiety.
Furthermore, J.D.R’s anxiety and behavior is rooted within the family. Results support what
he has stated above, that he doesn’t have healthy relation with the family members. He sees his
father as dominant who is trying to manipulate him when he was young. And although, his father
then separated to the family, he has acquired his obsessions for control.
With integrating his reported complaints, observed behaviors and test results, J.D.R shows
clinically significant for obsessions and compulsions.
VIII. SUMMARY FORMULATION
Based on the above evidences, J.D.R is a person who suffers from severe stereotyped and
repetitive behavior after experiencing a traumatic situation from his father, which in turn, leads
him from having a psychological illness. Specifically, from Obsessive Compulsive Disorder
(OCD). Because of these, he experiences unwanted, even somewhat bizarre or disgusting
thoughts, images and impulses from time to time. Most of the time he feels driven to perform the
compulsive ritual even though he tries to resist it. J.D.R has several attempts to suppress the
obsession or cancel out its negative effects, it continues to reoccur in an uncontrollable fashion.
J.D.R also feels uncomfortable and uneasy most of the time, wherein he came to the point
that it interferes in his daily life activities, socialization and emotional well-being.
IX. DIAGNOSTIC IMPRESSION
Obsessive Compulsive Disorder. JDR suffers from severe stereotyped and repetitive
behavior after experiencing a traumatic situation from his father that leads him from
psychological disorder. He feels weird distress every time he looks at the things on his room are
not in proper places. His situation also affects his life because he feels uncomfortable when he
saw unarranged and dirty things, he will repeat to arrange and align things in order for him to
feel comfortable. He is also paranoid about things around him that is the reason why he cannot
sleep at night. JDR feels irritable when there is a disruption of his scheduled works. These
symptoms have already been a pervasive concern for him.

6. X. RECOMMENDATION
In the case of J.R.D, it is recommended that he receives treatment from practitioners who
had proper training in Cognitive Behavior Therapy particularly the Exposure Response
Prevention Therapy (ERP therapy). ERP Therapy which is a very effective treatment for OCD. In
a nutshell, this therapy involves the person with OCD facing his or her fears and then refraining
from ritualizing. This is extremely anxiety-provoking initially, but eventually the anxiety starts to
wane and can sometimes even disappear. An example for this, since has issues with cleanliness
and contamination has he might be asked to touch a toilet seat and then refrain from washing his
hands. ERP therapy is difficult, but with hard work the OCD sufferer can improve dramatically.
For those who do not feel qualified to treat OCD such as parents, it is important to realize
that CBT is an effective treatment that can be provided to patients even if they do not live close
to a treatment facility. In these cases, appropriate referral is vital and locating qualified
practitioners is essential.
Practitioners skilled in ERP for OCD are encouraged to disseminate their knowledge to
colleagues who may not feel comfortable with the procedures. In addition, it is recommended
that these practitioners consider providing intensive interventions when they are planning
treatment for people who are experiencing acute symptoms and dysfunction or for whom weekly
or biweekly sessions are not feasible. However, when follow-up care will not be possible, it is
suggested that more concerted efforts with both patient and parent be made to plan for
maintenance of gains. Training parents to continue use of ERP procedures with their children at
home through in session training may be an effective method for increasing generalization of
treatment gains. Finally, practitioners are encouraged to thoroughly address all of their patients’
sources of OCD anxiety and not allow the patient’s, or the therapist’s, discomfort to interfere
with optimal treatment.
PREPARED BY:
AGSAMUSAM, ROJIELON R.
CERVANTES, MARY GELEECKA D.
LEONCIO, JEMILLE N.

7. LOPEZ, JELLAIZA REY C.
SALVADOR, ROLIZ MAE D.
VIRAY, MARIA JOHN PAULIN D.S.
BSP 4A
SUBMITTED TO:
CHRISTIAN V. CRUZ
Instructor in Pschotherapy
RUBRIC FOR ASSESSMENT
CRITERIA Very Good
15 pts
Fair
10 pts
Poor
5 pts
RATING
Case
Background
Collected and
recorded salient
information
helpful to the
development of a
case: personal,
family,
developmental
profile, academic
There are some
missing
information,
insufficiencies
and
inconsistencies
are fairly
noticeable but
the correct
Several
information
are missing,
insufficient
and
inconsistent
The
information
mislead in the

8. (if applicable),
medical (if
applicable), and
other significant
events that
happened related
to the case.
information
may still lead
to understand
the case
understanding
of the case
Physical and
Behavioral
Observation
and Testing
Behavior
Adequately
identified and
recorded
significant
samples of odd
behaviors
relevant to the
case. errors of
over-
simplification and
over-
pathologizing
were completely
avoided
There minor
inadequacy in
the recorded
samples of odd
behaviors and
the colled data
were either
oversimplified
and over-
pathologized.
Data may be
difficult to help
in the
understanding
of the case.
Samples of
behavior
collected and
recorded are
inadequate
and
insufficient;
these were
also
oversimplified
or overly
pathologized.
Data may not
help in the
understanding
of the case.
Test Results
and
Interpretation
Integration of test
results and
interpretation
from various tests
was observed.
Free from errors
in clinical
interpretation
Comparable with
the behavioral
observation
Errors are
fairly
observable.
Neither
comparable
nor not
comparable
with the
behavioral
observation.
There is lack
of integration;
errors in
clinical
interpretation
are obvious.
Incomparable
with the
behavioral
observation.
Summary of
Formulation
Consistent with
case background,
behavioral
observation and
tests results and
interpretation.
Information from
mentioned
sources were
integrated and
briefly written.
The summary
Inconsistencies
with the
sources of
information are
fairly
noticeable and
hardly could
lead to the
diagnostic
impression.
There are
major
inconsistencie
s with the
sources of
information.
Lack of
integration
was very
evident.

9. clearly leads to
the diagnostic
impression
Diagnostic
Impression
Consistent with
the sources of
information.
Appropriately and
correctly
supported by
DSM-5
With major
inconsistencies
and application
of DSM-5
criteria is just
arbitrary.
Inconsistent
with the
sources of
information;
incorrect and
inappropriate
application of
DSM-5
criteria
Recommendati
on
The
recommendation
addresses the
issues presented
based on the
diagnostic
criteria. The
proposed
intervention was
explained with
adequate and
clear theoretical
support
There are
issues and
areas of
concerned that
has/have not
been addressed
The proposed
intervention
was explained
but there were
not adequately
supported
The
recommendati
on cannot
address or far
from
addressing the
issues.
Justification is
just arbitrary
TOTAL: /90
RUBRIC FOR ASSESSMENT
CRITERIA Very Good
15 pts
Fair
10 pts
Poor
5 pts
RATING
Case
Background
Collected and
recorded salient
information
helpful to the
development of a
case: personal,
family,
developmental
profile, academic
There are some
missing
information,
insufficiencies
and
inconsistencies
are fairly
noticeable but
the correct
Several
information
are missing,
insufficient
and
inconsistent
The
information
mislead in the

10. (if applicable),
medical (if
applicable), and
other significant
events that
happened related
to the case.
information
may still lead
to understand
the case
understanding
of the case
Physical and
Behavioral
Observation
and Testing
Behavior
Adequately
identified and
recorded
significant
samples of odd
behaviors
relevant to the
case. errors of
over-
simplification and
over-
pathologizing
were completely
avoided
There minor
inadequacy in
the recorded
samples of odd
behaviors and
the colled data
were either
oversimplified
and over-
pathologized.
Data may be
difficult to help
in the
understanding
of the case.
Samples of
behavior
collected and
recorded are
inadequate
and
insufficient;
these were
also
oversimplified
or overly
pathologized.
Data may not
help in the
understanding
of the case.
Test Results
and
Interpretation
Integration of test
results and
interpretation
from various tests
was observed.
Free from errors
in clinical
interpretation
Comparable with
the behavioral
observation
Errors are
fairly
observable.
Neither
comparable
nor not
comparable
with the
behavioral
observation.
There is lack
of integration;
errors in
clinical
interpretation
are obvious.
Incomparable
with the
behavioral
observation.
Summary of
Formulation
Consistent with
case background,
behavioral
observation and
tests results and
interpretation.
Information from
mentioned
sources were
integrated and
briefly written.
The summary
Inconsistencies
with the
sources of
information are
fairly
noticeable and
hardly could
lead to the
diagnostic
impression.
There are
major
inconsistencie
s with the
sources of
information.
Lack of
integration
was very
evident.

11. clearly leads to
the diagnostic
impression
Diagnostic
Impression
Consistent with
the sources of
information.
Appropriately and
correctly
supported by
DSM-5
With major
inconsistencies
and application
of DSM-5
criteria is just
arbitrary.
Inconsistent
with the
sources of
information;
incorrect and
inappropriate
application of
DSM-5
criteria
Recommendati
on
The
recommendation
addresses the
issues presented
based on the
diagnostic
criteria. The
proposed
intervention was
explained with
adequate and
clear theoretical
support
There are
issues and
areas of
concerned that
has/have not
been addressed
The proposed
intervention
was explained
but there were
not adequately
supported
The
recommendati
on cannot
address or far
from
addressing the
issues.
Justification is
just arbitrary
TOTAL: /90