Case Study: Sabrina

Name: Sabrina Robinson

Clinician: Darcy Young

Informant: Joanne Robinson

Gender: Female

Agency: Community Counseling Clinic

Relationship: Biological Mother

Age: 12

Date of Assessment: 05/28/2007

Birth Date: 04/10/1995S

abrina, age 12, was brought to an outpatient counseling center by her biological mother, Joanne Robinson. Ms. Robinson reported concern about Sabrina's problems in school and her mood at home. Sabrina is in the sixth grade and is performing poorly academically; her most recent progress report showed Ds in social studies, math, and science, and a C in language arts. Ms. Robinson stated that Sabrina has difficulty concentrating on her schoolwork and frequently does not finish her homework. She is often tired, taking a nap every day after school. Sabrina is well behaved at home, she has few if any behavior problems in school, and she has never been reprimanded or held after school for detention. Ms. Robinson reported that Sabrina has no friends at school, but she has two close friends who attend their church. Sabrina sees her friends less than once a week. At home, Ms. Robinson reported that Sabrina has a few chores (e.g., making her bed and putting away dishes). She reported that Sabrina enjoys playing games on her computer and reading.Ms. Robinson completed the CBCL/6-18. Below are the profile scores of Sabrina's CBCL/6-18.CBCL/6-18 Competence Scale for Girls 12-18

CBCL/6-18 Competence Scale for Girls 12-18

Activites Social school Total Competence

Total score 7.0 4.0 2.5 Total Score 13.5

T Score 34 30 29 T. Score 27

Percentile 6 2 2 Percentile 1

Activities: 3 hobbies/activities (computer games, reading, dolls)2 chores (e.g., making her bed, putting away dishes)

2 chores (e.g., making her bed, putting away dishes)

Social: No clubs or teams

2 friends Contact with friends less than one time weekly

School :Below average to average school grades

Repeated third grade

The values for the syndrome scales for girls 12 to 18 are as listed in the following table. Scores above 71 are clinical. Scores below 66 are normal.

Scale Total scale T score Percentile

Anxious, slash, depressed 3 52 58

Withdrawn, slash, depressed 10 78 Greater than 97

Somatic complaints 6 68 97

Social problems 8 69 97

Thought problems 2 56 73

Attention problems 16 87 Greater than 97

Rule breaking behavior 0 50 Less than or equal to 50

Aggressive behavior 0 50 Less than or equal to 50

Perfectionist

Feels worthless

Self- conscious

Prefers being alone

Won't talk

Secretive

Lacks energy

Sad

Withdrawn

Feels dizzy

Tired

Aches or pains

Headaches

Nausea

Stomach aches

Lonely

Accident prone

Gets teased

Clumsy

Prefers younger kids

Hoarding

Sleep problems

Acts young for age

Fails to finish things

Can't concentrate

Confused

Daydreams

Poor schoolwork

Inattentive

Stares blankly

Internalizing Problems Externalizing Problems Total Problems

Total Score 19 0 51

T Score 68 34 66

Percentile 97 6 95

Other Problems

Overeats

Overweight

Thumb Sucking

Affective Anxiety Somatic Attention Oppositional Conduct

Problems problems Problems Hyperactive Defiant Problem

Total Score 9 0 4 6 0 0

T score 73 50 66 63 50 50

Percentile > 97 < 50 95 90 <50 <50

Worthless

Underactive

Sleep problems

Tired sad

Worthless

Aches

Headaches

Stomach

Aches

Fails to finish things

Can't concentrate

Inattentive

Questions

1. Identify and interpret the scores for each of the CBCL/6-18 scales that fall in the clinical range (refer to the table on p. 590 of your textbook to review the cutoff scores for normal, borderline clinical, and clinical ranges). Use the following example as a format for your answers:

Withdrawn/Depressed scale: On the Withdrawn/Depressed scale, Sabrina obtained a standard score of 70 (which is greater than the 97th percentile). This indicates that she is functioning in the clinical range. This suggests that that she is experiencing significant psychological symptoms, such as lacking energy, sadness, and withdrawal. She prefers to be alone, won't open up and talk, and is secretive.

COMPETENCE SCALES

Competence Scales Social: Click to add your response.

Competence Scale School: Click to add your response.

Total Competence Scale: Click to add your response.

SYNDROME SCALES

Withdrawn/Depressed: Click to add your response.

Attention Problems: Click to add your response.

Somatic Complaints: Click to add your response.

Social Problems: Click to add your response.

INTERNALIZING/EXTERNALIZING/TOTAL PROBLEM SCALES

Internalizing: Click to add your response.

Total Problems Scale: Click to add your response.

DSM SCALES

Affective Problems: Click to add your response.

Somatic Complaints Scale: Click to add your response.

1. Are the CBCL/6-18 results consistent with Sabrina's background information? Explain.

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1. Overall, what do the CBCL/6-18 results tell you about Sabrina? Explain.

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1. What inferences can you make about Sabrina based on the background information and her scores on the CBCL/6-18? Explain.

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1. What recommendations would you have for Sabrina and her mother?

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