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Name: MCMI Sample Age: 11 Sex: M Referred By: You Interpret Date: 12/30/01 Test Date: 12/30/01 PHONE (800) 588-9412 FAX (608) 756-5840 MILLION MULTIAXIAL CLINICAL INVENTORY - II/III To aid in diagnosis and treatment planning, Mr. Sample was administered the Millon Clinical Multiaxial Inventory - III. The following test findings are based on Mr. Sample's responses to widely used standardized psychological tests. As with all such tests, the validity of test results is limited by Mr. Sample's honesty and self-awareness. The report findings below should be taken as generalized probability statements that are made without benefit of clinical interview or history. Further clinical verification is needed to assist in the interpretation of test findings in light of Mr. Sample's unique history and present circumstances. As psychological tests were designed primarily for diagnosis and treatment planning purposes, the findings below focus on problems, deficits and pathology and may de-emphasize Mr. Sample's strengths. Because of this, use without collaboration, other than for the clinical screening purposes for which they were intended, may be misleading. This is a CONFIDENTIAL REPORT meant for qualified Mental Health, Correctional and Substance Abuse professionals. While feedback of test findings to clients is highly encouraged and should be an integral part of therapy and treatment planning, clients should not be given copies of this report as they may misunderstand report contents and their tentative nature. VALIDITY OF TEST RESULTS Mr. Sample appeared to have read the tests and did not respond randomly. He was normally disclosive in answering questions and sharing thoughts and feelings. Testing appears to be valid with Mr. Sample neither significantly minimizing nor exaggerating his symptoms and problems. INTELLECTUAL FUNCTIONING Mr. Sample is not reflective or thoughtful which can limit insight and judgment. He does not try to understand the world in cognitive, rational ways. Due to a lack of self-confidence, Mr. Sample may be indecisive and have problems with decision-making. Due to level of depression, Mr. Sample's rate of thought may be slow to the point of cognitive inefficiency. Mr. Sample does not report significant obsessive ruminations and worries. Schizotypal features were not present. Thinking is goal-directed and logical without signs of mental confusion. EMOTIONAL FUNCTIONING Severe Dysthymic character features exist, as Mr. Sample is a pessimistic individual who looks for the worst in situations. Chronic psychological signs of depression such as lack of pleasure, negativism and feelings of helpless and hopelessness are probable. He is very pessimistic and makes many negative self-statements. In testing, Mr. Sample reports moderate levels of depression that may be of clinical significance. Many subjective feelings of sadness and dejection exist with Mr. Sample feeling hopeless, helpless, and discouraged. Moderate levels of anxiety are reported with Mr. Sample being prone to situational stress. He is often apprehensive, easily frightened, "on edge," and unable to relax due to exaggerating dangers. Reported levels of current anger are said to be average. Mr. Sample describes his present level of anger as being well modulated. Mr. Sample has few guards against his feelings once they are evoked and experiences them directly, as Mr. Sample appears to lack the defenses necessary to blunt the impact of anxiety, depression, and anger. This may lead to rapid mood shifts. Impulse control appears adequate with him generally being deliberate. Mr. Sample has the ability to think and plan before acting, though at times he may choose not to do so, especially under stress. Underlying personality patterns may reduce impulse control under stress or in certain select situations. Mr. Sample's reported energy level is within the Normal range. ALCOHOL AND DRUG USE MCMI findings do not show indications of substance abuse. This should be clinically verified as people who are in denial of their chemical dependency, as well as individuals without such problems, may score similarly in testing. SOMATIC FUNCTIONING Mild levels of current somatic concerns on a wide variety of physical problems are reported which may indicate a degree of over concern about his physical condition. Average levels of generalized somatic concerns are reported. A strong tendency for psychosomatic problems to develop under stress exists. These symptoms can be used for secondary gain. When confronted on this, Mr. Sample may become hostile and feel persecuted. A moderate tendency for conversion symptoms to develop exists. Even though Mr. Sample displays tendencies to somatize, current high levels of stresses and/or stress proneness can cause legitimate stress-related somatic problems to develop including cardiovascular and gastric symptoms. INTERPERSONAL FUNCTIONING Mr. Sample can be very demanding and manipulative. Mr. Sample may unconsciously manipulate others through physical symptoms and may avoid negative issues out of fear of rejection. While a strong need for social involvement is likely, most relationships are kept shallow. Mr. Sample is neither overly introverted nor extroverted. Social withdrawal secondary to Mr. Sample's depression may occur as he may have lost interest in daily activities and have low energy. Mr. Sample may at times display a limited sense of empathy. Mr. Sample tends to be optimistic and positive about people. Mr. Sample described himself as having very high needs for attention. He desires attention to the point where he may act out to gain attention. His needs for attention may be difficult for Mr. Sample to fill. Extreme needs for love and affection exist where Mr. Sample does almost anything to receive love. Such needs may be extremely difficult to fill resulting in a high level of frustration. Codependent relationships are probable. Mr. Sample prefers to be dominant, but can also follow others. Mr. Sample voices an extreme need to be dependent on others. Codependency issues are paramount. Mr. Sample does not feel he is different from others. Average levels of interpersonal suspiciousness were described. Mr. Sample is overly trusting and may not be suspicious enough of others and so may easily be taken advantage of by dependent or predatory individuals. Mr. Sample is not self-righteous and moralistic. He usually does not expect others to meet his expectations. Mr. Sample's relationships tend to be stable. He has little difficulty maintaining long-term relationships. SELF IMAGE Mr. Sample has moderate difficulty maintaining a stable sense of identity and often feels unsure about what he wants from life. Mr. Sample at times lacks an internal compass and so has difficulty knowing what he wants to do. This can lead to ambivalence, anxiety and inconsistent behavior. Mr. Sample feels an average ability to cope with his problems without withdrawing into fantasy. Mr. Sample views himself as being above average. PERSONALITY FUNCTIONING Strong Self-Defeating patterns are evident in testing with Mr. Sample likely to exhibit a pattern of self-sabotage and failure. In addition to the above, Mr. Sample reported other significant basic personality patterns. Mr. Sample's personality tests indicate moderate to severe character pathology. The personality problems described below are likely to be a contributing factor to other psychological problems as they probably interfere with Mr. Sample's ability to function productively. Mr. Sample's testing indicates significant Dependent, Histrionic, and Narcissistic features that are likely to effect daily functioning. Of these, Dependent features are predominant and should be emphasized in the description given below. Mr. Sample presents a grandiose front to cover underlying insecurity. Mr. Sample's exaggerated sense of self-importance and uniqueness is easily deflated by failure and imperfection. He does not pursue his own needs out of fear of failure and feelings of entitlement. Instead Mr. Sample attempts to manipulate others into meeting his needs out of underlying fear that he cannot care for himself. A long history of erratic relationships is likely as Mr. Sample largely considers himself above social rules and sees relationships entirely in terms of what others can offer him. Because Mr. Sample longs for love and is afraid of being hurt or betrayed, he tries to manipulatively control people and situations. A flirtatious, sexually provocative stance is used to seek help, not sexual gratification and exaggerated help-seeking behaviors are likely. Procrastination and lack of effort result from Mr. Sample's underlying fear that he will not live up to his unrealistic self-image. Mr. Sample's thought patterns are impressionistic and scattered; therefore, he does not easily learn from experience. Mr. Sample's repressive style causes him to not be reflective and to lack in cognitive sharpness. His responses are based more on feelings than on rational analysis as he lives in a world of emotional reactions and conflicts. He construes situations as he wants rather than as they are and looks for magical solutions based on intuition without thinking through possible consequences. Mr. Sample accepts only positive feelings out of fear that negative emotions will cause rejection. However, underlying depression, anxiety, and anger coexist since Mr. Sample often believes that he "got a raw deal from life." Repressed negative feelings can build until he overreacts dramatically to minor problems with little awareness. When repression fails, Mr. Sample's exaggerated and changeable feelings can lead to acting out. Issues of separation or abandonment especially trigger emotional reactions. Maladaptive behavior is most likely based on Mr. Sample's sense of entitlement, underlying emotional conflicts, unmet dependency needs, and/or following others into maladaptive activity. DIAGNOSTIC CONSIDERATIONS RULE OUT AXIS I Dysthymia Adjustment Disorder with Mixed Emotional Features Major Depression, Moderate AXIS II Self-Defeating Personality Disorder Personality Disorder NOS with Dependent, Histrionic, and Narcissistic features TREATMENT CONSIDERATIONS Based on Mr. Sample's self-report, the following corrective treatment approaches are recommended. Care should be taken to ensure that these suggestions match Mr. Sample's clinical presentation and history. If test invalidity indicators have been raised (see validity section), these recommendations may not reflect Mr. Sample's true clinical needs. DUE TO SIGNIFICANT LEVELS OF DEPRESSION REPORTED IN TESTING, CLINICAL INVESTIGATION OF POSSIBLE SUICIDAL IDEATION SHOULD OCCUR WITH NECESSARY INTERVENTIONS TAKEN. PSYCHIATRIC REFERRAL FOR EVALUATION FOR PSYCHOTROPIC MEDICATIONS IS WARRANTED INCLUDING MEDICATION FOR: DEPRESSION, ANXIETY, Due to his level of dependency, rebelliousness, and/or need for attention, Mr. Sample is most likely to respond to peer feedback. Use of praise and positive reinforcement is particularly useful as Mr. Sample is more likely to change his behaviors in order to receive praise than he would be to avoid punishment. Unless negative feedback is couched in carefrontational ways, Mr. Sample will ignore and discount it as criticism. As Mr. Sample blames others for his problems, therapists should encourage him to be responsible and accountable for his actions and not allow him to fall into Victimstance. Significant environmental support and external structure are vital because Mr. Sample needs external restraints to deter maladaptive behavior. Liaison between Mr. Sample's probation/parole officer, family, SAMPLE sponsor, caregivers, therapists and/or employer is essential. Insight-oriented technique may help Mr. Sample understand and deal with troubling Family of Origin issues as much maladaptive behavior is in part based on emotional conflicts rooted in his past. Insight-oriented techniques should be used to help him resolve underlying emotional conflicts and habitual self-defeating behavior patterns. Self-defeating patterns evident in testing must be addressed in therapy since Mr. Sample is likely to sabotage therapeutic efforts. Mr. Sample's Dysthymic victim stance should be addressed in therapy through use of Cognitive Behavioral techniques. He needs to gain insight on how this worldview creates a self-fulfilling prophecy Mr. Sample reports significant anxiety and could profit from Stress Management procedures as his anxiety may interfere with his ability to learn and/or may contribute to maladaptive activity and AODA use. A Social Learning component is suggested since Mr. Sample must learn positive, prosocial skills to replace current maladaptive patterns. Mr. Sample now relies on maladaptive tactics to meet his needs with him having few alternative prosocial coping skills. Referral for education, volunteer work, job training, etc. should occur once Mr. Sample develops the social and cognitive skills necessary to be successful. As it is likely that Mr. Sample follows peers into maladaptive behavior, he must be empowered to independence. Development of a positive peer group is essential. Variables: MILLON CLINICAL MULTIAXIAL INVENTORY: V - 0 DISCLS - 45 DESIRE - 64 DBASE - 22 SCH - 48 AVD - 57 DEPSIV - 72 DEPND - 87 HIS - 73 NAR - 69 ANT - 34 AGR - 54 OBSV - 22 PAG - 68 SDEF - 102 SCHTYP - 53 BRDL - 65 PARA - 21 ANXTY - 75 SOM - 67 MANIC - 54 DEPR - 78 ALCH - 54 DRUG - 32 PTSD - 66 TGHTDIS - 55 MAJDEP - 65 DEL |
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