If the role of cultural factors in maternal mental health, including the impact on stress, help-seeking behaviors, and coping styles are huge 'red flags' to a counselor when it comes to identifying key aspects in 12 year olds serious behavioral problems, should this raise questions of genetics for the counselor? Should the counselor also refer child to a child clinical psychologist? This counselor is required to make a diagnosis, what should the counselor's diagnosis be for the child and why? (need peer reviewed references).