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MCMI®-III Millon® Clinical Multiaxial Inventory-III Profile Report Theodore Millon, PhD, DSc ID Number: Age: Gender: Setting: Race: Marital Status: Da...
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MCMI®-III Millon® Clinical Multiaxial Inventory-III Profile Report Theodore Millon, PhD, DSc ID Number: Age: Gender: Setting: Race: Marital Status: Date Assessed:

12345 34 Female Outpatient Never Hospitalized Hispanic First Marriage 11/11/2014

E L P

M A S

Copyright © 1994, 2005, 2009 DICANDRIEN, Inc. All rights reserved. Pearson, the PSI logo, and PsychCorp are trademarks in the U.S. and/or other countries of Pearson Education, Inc., or its affiliate(s). MCMI and Millon are registered trademarks of DICANDRIEN, Inc. TRADE SECRET INFORMATION Not for release under HIPAA or other data disclosure laws that exempt trade secrets from disclosure. [ 7.3 / RE1 / QG1 ]

9588

MCMI®-III Profile Report 11/11/2014, Page 2

ID: 12345

INTERPRETIVE CONSIDERATIONS MCMI-III 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-III for nonclinical purposes may have inaccurate reports. The MCMI-III 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. The report should not be shown to patients or their relatives. The client is a 34-year-old married Hispanic female with 13 years of education. She is currently being seen as an outpatient, and she reports that she has recently experienced problems that involve illness or fatigue and low self-confidence. These self-reported difficulties, which have occurred in the last one to four weeks, may take the form of an Axis I disorder.

E L P

The BR scores reported for this individual have been modified to account for the psychic tension indicated by the elevation on Scale A (Anxiety).

M A S

MCMI®-III Profile Report 11/11/2014, Page 3

ID: 12345

MILLON CLINICAL MULTIAXIAL INVENTORY - III CONFIDENTIAL INFORMATION FOR PROFESSIONAL USE ONLY INVALIDITY (SCALE V) = 0 INCONSISTENCY (SCALE W) = 5 3 ** - * 2A 7 8B 2B 1 6A + 4 " 8A 5 6B ' ' // - ** - * // PERSONALITY CODE: SYNDROME CODE: A ** - * // - ** CC * // DEMOGRAPHIC CODE: 12345/ON/F/34/H/F/13/IL/SC/30030/2/------/ SCORE

CATEGORY

PROFILE OF BR SCORES

DIAGNOSTIC SCALES

RAW

BR

X

87

53

DISCLOSURE

Y

13

59

DESIRABILITY

Z

13

61

DEBASEMENT

1

5

60

SCHIZOID

2A

8

69

2B

8

67

3

15

89

4

11

44

5

5

25

6A

5

60

6B

2

24

7

20

69

8A

3

30

8B

7

69

SEVERE

S

3

58

PERSONALITY

C

3

33

PATHOLOGY

P

0

0

A

12

91

ANXIETY

H

7

66

SOMATOFORM

N

2

24

BIPOLAR: MANIC

D

6

62

DYSTHYMIA

B

3

60

ALCOHOL DEPENDENCE

T

4

63

DRUG DEPENDENCE

R

3

45

POST-TRAUMATIC STRESS

SEVERE

SS

5

62

THOUGHT DISORDER

CLINICAL

CC

7

75

MAJOR DEPRESSION

SYNDROMES

PP

0

0

0

60

75

85

115

MODIFYING INDICES

CLINICAL PERSONALITY PATTERNS

E L P

AVOIDANT DEPRESSIVE

DEPENDENT

M A S

HISTRIONIC

NARCISSISTIC ANTISOCIAL SADISTIC

COMPULSIVE NEGATIVISTIC MASOCHISTIC SCHIZOTYPAL BORDERLINE PARANOID

CLINICAL SYNDROMES

DELUSIONAL DISORDER

MCMI®-III Profile Report 11/11/2014, Page 4

ID: 12345

NOTEWORTHY RESPONSES The client answered the following statements in the direction noted in parentheses. These items suggest specific problem areas that the clinician may wish to investigate. Health Preoccupation 1. Item Content Omitted (True) 4. Item Content Omitted (True) 74. Item Content Omitted (True) 75. Item Content Omitted (True) 107. Item Content Omitted (True)

ITEMS NOT SHOWN

Interpersonal Alienation 27. Item Content Omitted (True) 99. Item Content Omitted (True) Emotional Dyscontrol 34. Item Content Omitted (True) 124. Item Content Omitted (True)

Eating Disorder No items endorsed.

E L P

M A S

Self-Destructive Potential 24. Item Content Omitted (True) Childhood Abuse No items endorsed.

Special Note: The content of the test items is included in the actual reports. To protect the integrity of the test, the item content does not appear in this sample report.

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.

MCMI®-III Profile Report 11/11/2014, Page 5

ID: 12345

ITEM RESPONSES 1: 11: 21: 31: 41: 51: 61: 71: 81: 91: 101: 111: 121: 131: 141: 151: 161: 171:

1 2 1 2 1 2 1 2 2 2 2 2 2 2 2 2 2 2

2: 12: 22: 32: 42: 52: 62: 72: 82: 92: 102: 112: 122: 132: 142: 152: 162: 172:

1 2 2 2 2 2 2 2 1 2 2 2 2 2 2 2 2 1

3: 13: 23: 33: 43: 53: 63: 73: 83: 93: 103: 113: 123: 133: 143: 153: 163: 173:

2 2 2 2 2 2 2 1 2 2 2 2 2 1 2 2 2 2

4: 14: 24: 34: 44: 54: 64: 74: 84: 94: 104: 114: 124: 134: 144: 154: 164: 174:

1 2 1 1 2 2 2 1 1 2 2 1 1 2 2 2 2 2

5: 15: 25: 35: 45: 55: 65: 75: 85: 95: 105: 115: 125: 135: 145: 155: 165: 175:

2 1 1 1 1 2 2 1 2 2 2 2 2 1 2 2 2 2

6: 16: 26: 36: 46: 56: 66: 76: 86: 96: 106: 116: 126: 136: 146: 156: 166:

2 1 2 2 2 2 2 1 1 2 2 2 2 1 2 2 2

7: 17: 27: 37: 47: 57: 67: 77: 87: 97: 107: 117: 127: 137: 147: 157: 167:

2 1 1 2 1 2 2 2 2 1 1 2 2 2 1 2 2

8: 18: 28: 38: 48: 58: 68: 78: 88: 98: 108: 118: 128: 138: 148: 158: 168:

2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2

9: 19: 29: 39: 49: 59: 69: 79: 89: 99: 109: 119: 129: 139: 149: 159: 169:

M A S

E L P

2 2 1 2 2 2 2 2 2 1 2 2 2 2 2 2 1

10: 20: 30: 40: 50: 60: 70: 80: 90: 100: 110: 120: 130: 140: 150: 160: 170:

2 2 2 1 2 2 1 1 2 2 2 2 2 2 2 2 1

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