Christy was referred to the school social worker due to high absenteeism. When the social worker made a home visit, Christy’s mother stated that her daughter’s absences resulted from Christy’s frequent complaints of feeling sick to her stomach. The mother disclosed that Christy had been involved in a bicycle accident more than two years ago, resulting in a separation of her cartilage from the ribcage when her chest hit the handle bars. Due to this painful condition, Christy missed more than a month of school and subsequently had to repeat the third grade.

Christy’s mother enrolled her in a private school for that year. Christy re-enrolled at her home school this year; however, her friends are all in the next grade level. Since the accident, Christy often complains of not feeling well. She is very thin, and her teacher has noticed that her lunch is often left on her plate, barely touched. At home, Christy is often irritable and moody. She doesn’t seem to have much interest in doing anything. The family is under considerable financial strain and lived with extended family until recently. Christy has had to share a bedroom with her younger sister, who is in the same grade as Christy. They do not get along.

Last week, after a brutal argument with her sister, Christy ran out of the house crying and saying she was going to kill herself. Her mother wondered if she was doing this just to get attention, because she did not believe that someone as young as Christy could actually be depressed.She was hoping Christy would just get over it.

Describe the symptoms that you identified related to anxiety, depression, and mood related disorders


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