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Name: ZR Rod Cr
Age: 23
Gender: Female
Setting: Other
Education: Bachelor's degree or more
Race: Hispanic
Marital Status: Cohabiting
Date Assessed: 05/02/2018
REPORT SUMMARY
MCMI-IV reports are normed on patients who were in the early phases of assessment or psychotherapy for
emotional discomfort or social difficulties. Respondents who do not fit this normative population or who have
inappropriately taken the MCMI-IV for nonclinical purposes may have inaccurate reports. The MCMI-IV report
cannot be considered definitive. It should be evaluated in conjunction with additional clinical data. The report
should be evaluated by a mental health clinician trained in the use of psychological tests.
Interpretive Considerations
The patient is a 23-year-old single Hispanic female with a bachelor's degree or more. She reports that she has
recently experienced a problem that involves her marriage or family. The self-reported difficulties presented in this
report, which have occured for an undetermined period of time, may take the form of a clinical syndrome disorder.
Unless this patient is a well-functioning adult who is facing minor life stressors, her responses suggest an effort to
present a socially acceptable front and resistance to admitting personal shortcomings. The interpretive narrative is
probably reasonably valid but may fail to represent certain features of her disorders or character.
Profile Severity
On the basis of the test data (assuming denial is not present), it may be reasonable to assume that patient is
exhibiting psychological dysfunction of mild to moderate severity. The text of the following interpretive report may
need to be modulated slightly downward given this probable level of severity.
Possible Diagnoses
She appears to fit the following personality disorder classifications best: Unspecified Personality Disorder
(Turbulent) Disorder, with Histrionic Personality Type, Narcissistic Personality Type, and Compulsive Personality
Style.
The major complaints expressed by the patient's MCMI-IV responses do not take the form of distinct clinical
syndrome symptoms.
Therapeutic Considerations
This person generally presents as energetic, ambitious, and often exudes a contagious optimism. At times
appearing larger-than-life with a seemingly endless exuberance, she tends to attract others into endeavors and
exciting relationships. This individual may, however, suppress or otherwise disregard healthy limits and
boundaries, thereby creating distress and exhaustion in herself and others. When distressed, she will attempt to
mask her frustration with a typical air of ebullience but, when depleted, may become clinically depressed.
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AASchd 1 4 29 34
SRAvoid 2A 0 3 0
DFMelan 2B 0 3 0
DADepn 3 2 19 20
SPHistr 4A 21 96 85
EETurbu 4B 25 99 100
CENarc 5 15 95 83
ADAntis 6A 4 51 62
ADSadis 6B 4 47 60
RCComp 7 16 58 65
DRNegat 8A 2 21 20
AAMasoc 8B 0 4 0
Severe Personality Pathology
ESSchizoph S 3 33 36
UBCycloph C 0 6 0
MPParaph P 1 24 15
SPHistr 4A
Expressively Dramatic 4A.1 5 92 80
Interpersonally Attention-Seeking 4A.2 9 88 80
Temperamentally Fickle 4A.3 12 98 85
CENarc 5
Interpersonally Exploitive 5.1 5 84 75
Cognitively Expansive 5.2 10 98 100
Admirable Self-Image 5.3 3 83 75
2A Avoidant 7 Compulsive
2A.1 Interpersonally Aversive 1 14 20 7.1 Expressively Disciplined 8 96 85
2A.2 Alienated Self-Image 0 8 0 7.2 Cognitively Constricted 0 2 0
2A.3 Vexatious Content 0 12 0 7.3 Reliable Self-Image 7 52 68
2B Melancholic 8A Negativistic
2B.1 Cognitively Fatalistic 0 6 0 8A.1 Expressively Embittered 1 34 60
2B.2 Worthless Self-Image 0 16 0 8A.2 Discontented Self-Image 0 7 0
2B.3 Temperamentally Woeful 0 9 0 8A.3 Temperamentally Irritable 1 36 60
3 Dependent 8B Masochistic
3.1 Expressively Puerile 0 8 0 8B.1 Undeserving Self-Image 0 9 0
3.2 Interpersonally Submissive 1 33 60 8B.2 Inverted Architecture 1 35 30
3.3 Inept Self-Image 0 7 0 8B.3 Temperamentally Dysphoric 0 3 0
4A Histrionic S Schizotypal
4A.1 Expressively Dramatic 5 92 80 S.1 Cognitively Circumstantial 0 9 0
4A.2 Interpersonally Attention-Seeking 9 88 80 S.2 Estranged Self-Image 1 29 30
4A.3 Temperamentally Fickle 12 98 85 S.3 Chaotic Content 2 60 63
4B Turbulent C Borderline
4B.1 Expressively Impetuous 8 97 100 C.1 Uncertain Self-Image 0 14 0
4B.2 Interpersonally High-Spirited 8 95 85 C.2 Split Architecture 0 13 0
4B.3 Exalted Self-Image 8 96 85 C.3 Temperamentally Labile 0 13 0
5 Narcissistic P Paranoid
5.1 Interpersonally Exploitive 5 84 75 P.1 Expressively Defensive 1 28 30
5.2 Cognitively Expansive 10 98 100 P.2 Cognitively Mistrustful 0 14 0
5.3 Admirable Self-Image 3 83 75 P.3 Projection Dynamics 2 60 65
6A Antisocial
6A.1 Interpersonally Irresponsible 4 77 70
6A.2 Autonomous Self-Image 0 8 0
6A.3 Acting-Out Dynamics 0 13 0
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RESPONSE TENDENCIES
Unless this patient is a well-functioning adult who is facing minor life stressors, her responses suggest an effort to
present a socially acceptable appearance or a resistance to admitting personal shortcomings. Inclined to view
psychological problems as a sign of emotional or moral weakness, the patient may protectively deny any
unseemly traits or symptoms. This probably reflects either a broad-based concern about being appraised
unfavorably by others or an active suspicion of the arcane motives of psychological inquiry. An interpretation
based on standard interpretive procedures is likely to be reasonably valid but may fail to represent certain
features of either the patient's current disorders or her character.
No adjustments were made to the BR scores of this individual to account for any undesirable response
tendencies.
PERSONALITY PATTERNS
The following paragraphs refer to those enduring and pervasive personality traits that underlie this woman's
emotional, cognitive, and interpersonal difficulties. Rather than focus on the largely transitory symptoms that
make up clinical syndromes, this section concentrates on her more habitual and maladaptive methods of relating,
behaving, thinking, and feeling.
This profile is obtained by two groups of individuals. The clinician reading this report must assess which group is
applicable on the basis of the patient's biographical and current information. The first group includes essentially
well-functioning, generally adaptive individuals with no major personality disturbances. However, they may
currently be undergoing psychosocial stressors and therefore may exhibit troublesome symptoms that are largely
situational and transient in nature. In general, these individuals are energetic, optimistic, and quite capable of
developing synergetic relationships. On occasion, however, they may become frustrated by circumstances
outside of their control and may react to what appears to them to be unusual, adversarial situations. Many will
attempt to downplay any distressing emotions and will deny troublesome relationships with others, especially in
their family or personal lives.
The second group of people who show the pattern of scores obtained in this report, and the one in which this
woman appears to fall, do show evidence of significant personality dysfunctions. Individuals attaining these
scores tend to create difficult interpersonal relationships and unrealistic expectations for themselves.
The MCMI-IV profile of this woman reflects a passion for unusually challenging endeavors and goal-directed
behaviors which most others tend to find intolerable. She is frequently able to coax others into doing things they
would not otherwise do and, often, she is successful in exciting their own wish fulfillment in the process. Any
uncertainty this woman may possess, whether by social doubt, feelings of inefficacy, or reality testing against
insurmountable challenges, is generally relegated to suppressed unawareness. Relationships tend to mirror an
illusion of high-spirited optimism and vibrant energy, but with some tenuousness that she does not easily
acknowledge.
While this woman is adept at winning over the favor of others, relatively few of her relationships are long-lasting.
Those who have endured longer, and perhaps more involved, interactions with her may become drained by her
seemingly unending enthusiasm. As others show waning interest, she may become even more absorbed by and
concerned with their continued support and commitment. If rejection becomes imminent, her energy level may
waver from excited exuberance to edgy irritability, and her buried self-doubt and uncertainty may surface. In the
wake of rejection, she may withdraw from the situation entirely and reframe the encounter to invoke positive
attention to herself, declare her steadfastness to goals or principles, and/or proclaim her innocence.
This woman may be unwilling to self-examine her role in difficult situations of prolonged distress and she may
react externally by behaving erratically. Driven to deny life's more tedious realities, including realistic limit setting
and accountability for less-than-perfect outcomes, she may seek out novel experiences and continue grasping for
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opportunities, possibly to the point of exhaustion. Fatigue in cases such as this may precipitate syndrome-based
depression.
Most notable is her forceful and driven energy level. Emotionally excitable and intensely zealous, she is as prone
to present with a high degree of animation as she is to evince hot-headedness. Unrestrained and rash, she is
often restless and indefatigable. Her tirelessness does not necessarily result in effective achievements, however,
and may turn to turbulence; she may become socially obdurate, inappropriate, and potentially caustic and
assaultive.
Also salient is her preoccupation with minor fantasies of success, beauty, or love, and a somewhat undisciplined
imagination that takes liberties with objective reality to assert and reinforce her boastful self-image. She places
few limits on her fantasies or rationalizations, and her imagination is left to run free of the constraints of reality or
the views of others. She is cognitively inclined to exaggerate her power, to freely transform failures into
successes, and to construct lengthy and intricate rationalizations. Moreover, she is quick to deprecate those who
refuse to accept or enhance her superior self-image.
Also worthy of attention is her rapidly-shifting, shallow emotions. She is as easily vivacious, animated, and
enthusiastic as she is impetuous, angered, or bored. Her temperament can be described as possessing a high
level of energy and activation, as well as a low threshold for autonomic reactivity. She tends to be highly
emotionally responsive, with positive and negative affect coming forth with unusual ease and variation.
Also noteworthy is her social buoyancy and her unremitting animated interpersonal manner. She regularly
attempts to engage others with her infectious enthusiasm and ability to dispel tension. Usually exuberant, she
may become intrusive, persistently overbearing, and needlessly insistent when under duress or otherwise
particularly enthusiastic.
Also noteworthy is her tendency to see herself as an inspiring dynamic force. Reflecting on her personal
qualities, she perceives herself as an ambitious, tireless, and enterprising individual whose ever-present energy
activates and galvanizes others. Moreover, she has illusions of invincibility, believing she can undertake and
accomplish more than is possibly realistic.
Early treatment efforts are likely to produce optimal results if they are oriented toward modifying these personality
features.
CLINICAL SYNDROMES
No distinctive clinical syndromes appear in this woman's MCMI-IV diagnostic picture (other than the general
personality characteristics described previously). If denial tendencies are present, she may be covering up
significant symptoms.
NOTEWORTHY RESPONSES
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The patient answered the following statements in the direction noted in parentheses. These items suggest
specific problem areas that the clinician may wish to investigate.
Emotional Dyscontrol
27. There are many times when, for no reason, I feel very cheerful and full of excitement. (True)
Eating Disorder
69. I go on eating binges a couple of times a week. (True)
Vengefully Prone
167. I often find that I've been treated unfairly. (True)
Adult ADHD
108. People sometimes get annoyed with me because they say I talk too much or too fast for them. (True)
Autism Spectrum
119. My emotions don't seem to be as strong as other people's. (True)
165. Some people say I'm a strange or odd person. (True)
Before each disorder name, ICD-9-CM codes are provided, followed by ICD-10-CM codes in parentheses.
Clinical Syndromes
The major complaints expressed by the patient do not take the form of distinct or isolated symptoms but rather
appear to reflect pervasive difficulties.
Personality Disorders
The following personality prototypes correspond to the most probable DSM-5 diagnoses that characterize this
patient.
Course: The major personality features described previously reflect long-term or chronic traits that are likely to
have persisted for several years prior to the present assessment.
TREATMENT GUIDE
The following guide to treatment planning is oriented toward issues and techniques of a short-term character,
focusing on matters that might call for immediate attention, followed by time-limited procedures designed to
reduce the likelihood of repeated relapses. Once this patient's more pressing or acute difficulties are adequately
stabilized, attention should be directed toward goals that would aid in preventing a recurrence of problems,
focusing on circumscribed issues and employing delimited methods such as those discussed in the following
paragraphs.
Likely to have initiated therapy at the behest of a significant other, professional demand, or family member, this
woman's immediate experience of being subjected to questioning of a personal nature is likely to draw out
well-seasoned defenses. In particular, this woman may use her considerable appeal and charisma to effectively
smooth over even the most direct accusations of problem creation. This is a well-oiled defense that catches even
experienced therapists off guard and, where possible, should be managed by noting it as it occurs and exploring it
nonjudgmentally in its immediate context. A firm but empathic response is essential to understanding how this
woman uses these defenses in other personal or professional situations.
Effective and focused goals that hold this woman's initial interest can often be achieved by allowing her to focus a
modicum of attention on herself. Further, by strategically encouraging discussions of her past achievements, the
therapist may empower her to build up her depleted self-esteem. Doing so may prompt her to become an active
partner in restoring a more balanced sense of self-confidence by recalling and elaborating on her attributes and
competencies; that is, she can work with the therapist to adjust her relationship with these events from a more
exaggerated meaning to one that is directed at establishing a more humble but honest self-esteem. If comfort and
regained confidence are major circumscribed goals, they may often be achieved in only a few therapeutic
sessions. However, if deeper and more ingrained tendencies are at issue, their modification will likely call for more
protracted, but still clearly focused, cognitive and interpersonal treatment approaches. These should be
augmented, where possible, by involvement of family and/or other involved participants.
Unlikely to remain enthusiastic and motivated over a more involved therapeutic course, this woman will probably
make light of difficulties unless her life experiences become increasingly discouraging. Should treatment be
continued beyond brief intervention, the therapist's efforts may best be directed toward building greater empathy
and impulse control, toward focusing on here-and-now behavior, and toward helping her learn how to sustain
attachments through more integrated behavior.
Because the precipitant for this woman's treatment is likely situational rather than internal, she is unlikely to have
sought therapy voluntarily. She may be convinced that if she were just left alone, she could work matters out on
her own. However, this conviction can often lead to backsliding and recurrences of her less than
socially-acceptable behavior.
In the unlikely event this woman's treatment is self-motivated, it may be due to upsetting family problems, legal
entanglements, social humiliation, or achievement failures. Given her largely superficial affability and impulsivity,
her complaints are likely to take the form of vague feelings of boredom, restlessness, and discontent. Tendencies
to avoid major problems by wandering from one superficial topic to another may lead to relapses and, hence,
should be monitored carefully. Especially useful will be behavioral and interpersonal interventions that directly
address her impulsive and socially overwhelming actions. Contact with family members may be advisable in that
they may report matters quite differently. She may be hesitant about opening up to a therapeutic authority figure,
and therefore, she may have to be confronted cognitively to be persuaded to take interventions seriously.
Treatment may be best geared to countering her problematic attitudes, eliminating questionable behavior,
reestablishing psychic balance, and strengthening any preexisting socially-acceptable coping patterns.
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In this regard, efforts should be made to counter this woman's characteristic self-indulgence and turbulence that
often evoke condemnation and disparagement from others. Employing cognitive procedures, she can be guided
to see how such actions create self-destructive consequences, and how this adds to her difficulties and her ability
to elicit positive reactions from others. With gains in interpersonal sensitivity, she will be able to assess situations
more objectively and learn how to avoid being rebuffed and misunderstood, thereby enhancing her relationships
with others.
End of Report
NOTE: This and previous pages of this report contain trade secrets and are not to be released in response to
requests under HIPAA (or any other data disclosure law that exempts trade secret information from release).
Further, release in response to litigation discovery demands should be made only in accordance with your
profession's ethical guidelines and under an appropriate protective order.
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ITEM RESPONSES
1: 2 2: 1 3: 2 4: 2 5: 2 6: 2 7: 2 8: 1 9: 1 10: 1
11: 2 12: 2 13: 2 14: 2 15: 1 16: 2 17: 2 18: 2 19: 2 20: 1
21: 2 22: 2 23: 2 24: 2 25: 2 26: 2 27: 1 28: 2 29: 2 30: 1
31: 2 32: 2 33: 2 34: 2 35: 1 36: 2 37: 2 38: 2 39: 2 40: 2
41: 2 42: 2 43: 2 44: 2 45: 2 46: 1 47: 2 48: 1 49: 2 50: 2
51: 2 52: 2 53: 1 54: 1 55: 2 56: 2 57: 2 58: 2 59: 2 60: 2
61: 2 62: 2 63: / 64: 2 65: 2 66: 1 67: 1 68: 2 69: 1 70: 2
71: 2 72: 2 73: 1 74: 2 75: 1 76: 2 77: 2 78: 2 79: 2 80: 2
81: 2 82: 2 83: 1 84: 1 85: 2 86: 2 87: 1 88: 2 89: 2 90: 2
91: 2 92: 2 93: 2 94: 2 95: 2 96: 2 97: 2 98: 2 99: 2 100: 2
101: 2 102: 2 103: 2 104: 2 105: 2 106: 1 107: 2 108: 1 109: 2 110: 2
111: 2 112: 2 113: 2 114: 2 115: 2 116: 2 117: 2 118: 2 119: 1 120: 2
121: 2 122: 2 123: 2 124: 2 125: 2 126: 2 127: 2 128: 2 129: 1 130: 2
131: 2 132: 1 133: 2 134: 2 135: 2 136: 2 137: 2 138: 2 139: 2 140: 2
141: 2 142: 1 143: 2 144: 2 145: 2 146: 2 147: 2 148: 2 149: 2 150: 2
151: 2 152: 2 153: 2 154: 1 155: 1 156: 2 157: 2 158: 1 159: 2 160: 2
161: 2 162: 2 163: 2 164: 2 165: 1 166: 2 167: 1 168: 2 169: 2 170: 2
171: 1 172: 2 173: 1 174: 1 175: 2 176: 2 177: 2 178: 2 179: 2 180: 2
181: 2 182: 2 183: 1 184: 2 185: 1 186: 2 187: 2 188: 1 189: 2 190: 2
191: 2 192: 2 193: 2 194: 2 195: 2