1. Review the case of Shelly.

The case of Shelly...

Shelly's sixth-grade teacher expressed concern about progressively declining grades. Shelly was involved in a car accident during fifth grade in which she suffered a concussion along with a broken arm and leg. Due to the extent of her injuries and the extensive pain she experienced, Shelly missed several weeks of school and had to repeat the fifth grade. Shelly was assessed 3 months ago and the psychological assessment revealed intellectual functioning to be in the average range, with academic functioning at a mid-fifth grade level in all areas. Shelly did not qualify for any academic assistance because the discrepancy between intellectual and academic scores was not significant. However, academic concerns have continued to escalate, and Shelly is becoming more and more vocal about disliking school. There are frequent concerns about stomachaches, and there is often refusal to eat lunch. In the past 4 months, Shelly has been absent for 15 days and tardy on another 12 occasions. The school is requesting further assessment to clarify the nature of Shelly's problems. During the recent follow-up assessment, Shelly completed a number of self-report scales (depression, anxiety, personality), and scores indicate clinically significant elevations for all internalizing scales, including depression, somatization (physical symptoms with no discernible physical cause), and anxiety (Adapted from Wilmshurst, 2011, p. 7).

1. Complete the following tasks:

• • Develop a problem list of the most pressing issue(s) to be addressed.
  • Develop a list of 15 questions that you would ask if you were the clinician assigned to this case in order to better understand what caused the problem and why it is persisting. Your questions should target potential biological, psychological, and sociocultural causes.
  • Assuming that you obtained answers to the questions you developed (you have some flexibility here in terms of generating "mock" information that was obtained), develop a 1-2 page case formulation that explains the development and persistence of Shelly's
  • problems.

Lesson 2 Case Formulation: Shelly Complete the following tasks. Name Develop a Problem List 1. 15 Questions to Ask if You're the Clinician 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Case Formulation