Confidential Psychological Evaluation

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Confidential Psychological Evaluation
Name:
Laura Croft
Date of Birth:
December 2, 1975
Date of Interview:
September 21, 2001
Chronolgical Age:
25 years, 9 months, 19 days
Race/Gender:
Caucasian/Female
Examiner’s Name:
Ima Clinician
Date of Report:
September 25, 2001
Reason for Referral
The purpose of this assessment was to obtain background information for Ms. Croft.
Behavioral Observations:
Ms. Croft appeared at the interview on time. She willingly accompanied the examiner to the testing room.
She was dressed casually in sweatpants and sweatshirt, and her hygiene appeared to be appropriate. She
demonstrated good posture, appeared to be in good health, and showed no difficulties with ambulation. Ms.
Croft was of average height and weight. She was oriented to person, place, time, and purpose, and had good
eye contact throughout the evaluation. English is her primary language and she is right-handed. She spoke
with normal volume, rate of speech, and voice tone. There were no signs of incoherence, blocking,
circumstantiality, or loosening of associations. Rapport was easily established, and Ms. Croft appeared
eager during the evaluation, approaching each task with relish. Her thought content was logical and was
consistent with the topic of discussion. There were no indications of hallucinations or delusions. Her
attention span was excellent and she had a pleasant and friendly mood. She answered the questions that
were asked of her spontaneously and elaborated when appropriate. While she appeared to be very
motivated during the testing and appeared to give full effort on all tests, she also knew her limits and was
not shy about saying that she could not complete a problem. Therefore, it appears that this evaluation is a
valid indicator of Ms. Croft’s background. The information she presented appears to be mostly reliable.
Background Information
Emotional/Psychological History. Ms. Croft reported that she is typically in a happy mood. She stated that
she is proud of herself and her accomplishments, as she has adjusted well to becoming a wife, mother, and
college student. When asked how a friend would describe her, Ms. Croft replied, “hard-working, reliable,
and optimistic.”
Ms. Croft stated that she has never received therapy or been hospitalized and reported no history of abuse.
Upon direct questioning, Ms. Croft denied any current or past suicidal ideation.
Ms. Croft reported no family history of mental illness. However, she indicated that her biological father
suffers from alcoholism. She stated that he began to abuse alcohol when he returned from the Vietnam
War. Ms. Croft denies that her family has any other history of substance abuse problems.
Alcohol and Drug Use. Ms. Croft stated that she began using alcohol in high school. She stated that, during
this time, she drank heavily, consuming at least seven drinks each night of the weekend. Ms. Croft reported
that, in addition to drinking, she also began smoking both cigarettes and marijuana during high school. She
stated that she was from a very small, rural town and using alcohol and drugs was her main source of
entertainment. However, Ms. Croft reported that her lifestyle changed when she married at age 20. She
indicated that she no longer smokes or uses drugs and she drinks alcohol only once a year, on the Fourth of
July. Ms. Croft, however, indicated that she uses caffeine on a daily basis, as she reported that she drinks a
cup of coffee each morning.
Ms. Croft revealed a family history of alcohol addiction. She reported that her father is an alcoholic. She
stated that he drinks to the point of drunkenness every day.
Family History. Ms. Croft reported that she currently lives with her husband and her three-year-old
daughter in an apartment in Bowling Green, KY. Ms. Croft stated that she has been happily married since

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