ee feeani/eeis Name: 99000 Page 1 (/PT-2) Referred by: David angelich, Psy.D. Subscales Date Tested: 02/24/14 2-D and Subscales 6-Pa and Subscales RAW OT Rw OT D (full_ scale) 23 6h Pa (£ull scale} 19 83 Dl Subjective depression 12 64 Pai Persecutory ideas 5 70 D2 Indecision-retardation 7 59 Pa2 Poignant sensitivity 5 68 D3 Health pessimism 2 43 Fa3 Moral righteousness = 8 «65 D4 ental dullness 2 48 DS Brooding, loss of hope 4 62 3-my and subscales 8-Sc and Subscales RAY OT RW OT By (full scale) ww 43 Sc (full scale) 16 58 Hyl Denies social anxiety 1 34 Scl Social alienation 8 72 Hy? Need for affection 3 59 Sc? Emotional alienation 2 59 Hy3 Laseitude - malaise 2 43 Sc3 Bgo defect, cognitive 2 54 By4 Somatic complaints 243 Sc4 Ego defect, conative 3 55 HyS Inhibits aggression 255 Sc5 Defective inhibition 0 40 Scé Sensorimotor dissociation 1 46 4-Pd and Subscales 9-Ma and Subscales BAYT Rw OT Pa (€ull scale) 25 69 Ma (full scale) 3036 Pai Family discord 2 65 Mal Opportunism 2 50 Pd2 Authority problems 4 83 Ma2 Psychonotor Bo3 Social disinhibition 2 39 acceleration 1 28 Pd4 Social alienation ea 7 Ma3 Imperturbability 10035 PdS Self-alienation 5 58 Mad Ego inflation 4 56 S-Mf and subscales 0-Si and Subscales PART RAW OT ME (full scale) 3874 Si (full scale) a 72 GM Gender masculine 3646 Sil Shyness and GF Gender feminine 3187 self-consciousness 1168 Si2 Social avoidance 8 72 Si3 Alienation - self and others 5 50Meewseatso ae Nane: 99000 Referred by: Date Tested: 02/24/14 major Clinical variables RAW ES Ego strength 34 MAC-R Potential alcoholism 20 SAF Teen drugs/alcohol 6 ARS 6 Mt College maladjustment 21 N-P Neurotic-psychotic profile balance Interpersonal Style Variables AW ER-S Ego resiliency 15 BC-S Ego control 12 ORIG Need novelty 27 INT Abstract interests 51 Do Need for autonomy 19. Dy Need reassurances 13 Pr Intolerance 12 Re Value rigidity 20 Et _Bthnocentrism 13 St Status mobility 16 R-S Repression- sensitization 37 Ibp Low back pain 6 0-H Overcontrolled hostility as Ho cynical hostility 25 Ba Good teamworker a7 Distress-Ccontrol RAW A Level of distress = 13 R Emotional constriction 1s Ca Caudality-distress 10 Cm Control-facade 20 So-r Life as desirable 20 Th-r Tired housewife 1 Wb-r Worried breadwinner 8 PK PTSD 4 me BAAR ea ee eee 48 au 6 50 39 aa 56 2 se 56 37 50 4 44 52 37 62 5B 54 35 58 48 28 50 40 60 David Angelich, Psy.D. eomneswhe Page 2 (M™MPI-2) subscales Validity & Stability RAW OT VRIN Response inconsister 3 42 TRIN T-P inconsistency 11 6sT P-back Rare anevers - back 3 55 Pp) Psychiatric infrequency 1 48 5 Superlative self-presentation 2348 Ds Overemphasize-fake sick 14 57 Mp Consciously fake good 9845 Sd Consciously fake good 91145 Ss SRS identification 5953 Response Bias Scale 4 48 Re Retest -consistency 2757 Ic‘ Retest-item change 22 54 Tc Retest-score change 4 52 Content scales RANT HEA Health concerns 4 ae DEP Depression 7 56 PAM © Pamily problens 2063 ASP Antisocial practices 5 44 ANG Anger 3 43 CYN © Cynicism 8 47 ANK = Anxiety 8 55 OBS Obsessivenes: 5 50 FRS Fears - phobias 3 48 BIZ Bizarre mentation a 57 LSE Low self-esteem 2 48 TPR Type A 6 44 SOD Social disconfort 2. a WRK Work interference 6 48 TRT Negative treatment indicators 9 52 PSY-5 Personality Psychopathology Scales Ry OT AGGR Aggressiveness 9 53 PSYC Psychoticism 8 66 DISC Disconstraint 1258 EGE Negative Bnotionality/Neuroticien 7 46 INTR Introversion ‘Low Positive Buotionality 23ee 03/09/2015 17:42 FAX 310 670 7907 1M 6100 Me EU Te 6z © poppe 0a 0 &. St St a oo gb OL OT pr Zr. €2 tT € STOTS Te Tt va 6 “oe "e es Ga ey dn TL 9€ aS SS 8b BP GS 6Y LO 95 aS9 ZY 5 3 2 L & = usTieedeasalectli peevetigh feat pees Rear nt om Oe Fan aE SST SE So easy nmyzymey aera enipn Season aera Su soeaon see RS ovals Ps on v0 ‘Aypien reawowerddng wom snowy 1QeeA 40fRN “a-kea “wotrebuy praed rund St /60/E0 Posteo 1 wt /bz/zo Powel ed —Gawek tz vowonpa——“SrBurs sims HEN 09 94 00066 OWN AUPIEA 6TIE/SLBE-Z¥10G49 AejUyOW AaluseyD “pt pu ABMEYIEH "ty ONES wi2-Mojuenu Ayjevosed OBBYCHINY BOSOLUIY OL no IdWiN eg ts gen 20p09 Z-1dIN ete03/09/2015 17:41 FAX 310 670 7907 ee Name: 99000 Date: 02/24/14 MMPI-2 CRITICAL ITEMS Only the items shown in boldface were answered in the critical direction. Distress and Depression 2S. 1am easily awakened by neies. (True) 24, El pte posses me at mes. (Trae) 73. 1am certainly lacking self-confidence. (eve) 130, | certainly feel useless at times. True) 140. Most rights | ge to sleep without thoughts or ideas ‘bothering me. (iss) 148. ery ees. (True) 165. My mamory seems to be at right. Fatsed 170. Lam ata of lsing my ming. (Te! 180, There t something wrong with my mind. (True 233, Ihave diffcuty in sorting todo things. (True) 298, |cannet keep try mind en one thing. (True) 301. 1 feel anxiety about something or someone almost all che time. (TRUE) Suicidal Thoughts ‘71. These days | fod it herd not to ge up Rape ot amounting to something. True) 75. Lusualy fee! thet ie ie worthale. (Flos) 160. Someumes fost 20 if mast inure ster myself or commons aes. (evel 245-1 brood a great deal. (TRUE) 234, Ibeeve lam a condemned person. (Tul 246. Ibeleve my sins are unpardonable. (True) 303, Most of the time [wish | ware dead. (True) 4454. The furure seems nopeless to me. rue) 506. nave receny considered kling rnyself. (Truel 520. Latey | heve thought e lot about kling myself. Crs 1524, No one knows i but | have tie to kil myself roe) Ideas of Reference, Persecution, and Delusions “42. Hf people hed not hed Cin for me, I would have ‘been much more successful. (Truc) 99. Somecne hee iin for me. (Tree) 138. Ibeleve fam being plotted against. (Tue! 146. [believe Iam being folowed. (Truel 162. Somecne has been tying to poison me. (True) 1228. There ae persons who are tying to steal my thoughts and idess. (True) 314, Ihave no enemies who realy wish to harm me. aise) 333. People say insulting and voigar things about me. (TRUE) 296, Somecne hat control over my mind. Tre) 361. Someene has been tving to influence my mind. True) 488, Sometimes | am sure that other people can tell what lam thinking. Cruel Peculiar Experience: and Hallucinations 32. 1 have had very peculiar and strange experiences. ‘CTRUE) (60. When | am with people, | am bethered by hearing ‘very queer things. (True) 196. | see things or animals or pecple around me that ‘others do not see. (rue 198. Totten hear voices without knowing where they ‘come trom. (Troe) 1298. Pecubt oders come tome ot tines. Trus) 211. | often feel ae # tinge were not rel. [Fras] 316. U have strange and peculiar thoughts. (TRUE) 2310.1 hear svange things when | am alene. (rue) 355. Atone or more times in my ife | felt wat semeone ea aking me de ngs by renting me nie) ‘Aggressive Impulses 7. Attimes | feel ike emashing things. Trua) 85. Atimas I have 2 strong urge to do something harm or shocking. (True) 136, Attmes | fee lke picking a fist fight with ‘somecne. (True) 213.1 get mad easly and then get overt soon. True) ‘389. | gm often said to be hothesded. (rue) Authority Problems and Poor Control 35, Sometimes when | was young I stole things. (True) ‘50. have often fad to take orders from someone who ‘did not know as much as I did. (TRUE) ‘84. | was suspended from school one or more times for ‘beg behavior. (True? 10. 1n sofoo! | was sometimes sent 10 the principal fer osing or shopting something, Cran) 266. T have never been in trouble with the Inw. (FALSE) ‘Sexual Difficulties 12. My sex life is satistactory. (FALSE) ‘34. have never Deon in trouble because of my sex Lbehewor. Fale) 62.1 have often wished I ware a gi. for you are 1 get have never Been sorry that | am 2 git. Male: Truel Female: alge) 121, have never indulged in any unusual sex practices. (FALSE) 168.1 am worried about sex. (True)03/09/2015 17:42 FAX 310 670 7907 — Name: 99000 Date: 02/24/14 MMPI-2 CRITICAL ITEMS ‘Only the items shown in boldface were answered in the critical direction, Alcohol and Drugs 108, have hed periods in which | cared on ectivtios withewt knowing later what | hed boon doing. (True) 1220, Ihave hed bank pall in wich my activites were interupted and 1did nat know what was going on ‘sound me. (True) 24. fave used aloha excenvey. (TRUE) ‘487. | have enjoyed using marijuana. ) ‘489, I have 2 drug or alcohol problem. (True! S511. Once @ week or more | get nigh or drurk. True! 1827. Aer 2 Ded dey, | usually need a few cinks 10 relax. tery. False) 125, Ibelove that my heme fe ie ss pleasant 25 that of ‘most people Lurow. (alse) 190. My people treat me more ike a child then @ ‘orownp. (True! family 2: compared to other homes. (TRUE) 207. My reais ae nary ae sympeti with me, iG 288. My parenis and family find more fauit with me that ‘they should. (TRUE) Somatic Concerns 2. thave a good eppetite. (False! 10. lam about ao able to work ae | ever wae. (ales) 18. lam outed by attacks of nausea and vorting. Cr 47. Lam almost never bothered by pains over the ‘heart or in my chest. (False) 101. Often | feel a5 i there were @ tight band about ‘my head. (Tre) 111, Ihave a great cea! ot stomach wouble. True) 141, Dunng the past few years | have been well most ‘of te ine. False) 164, leatdom or naver have izzy epalle. False) 175. font waak all over much of th time. Troe! 176. !nave very ew headaches. (False) 224. lave few or no pains. (Fase)