Clinical Vignette Maria (not an actual individual), an 11-year-old female from Honduras, was seen at a psychology clinic in the South Texas-Mexico border. She was referred by a government shelter that houses newly arrived immigrant minors. Maria was an only child, born and raised in an intact family environment in Honduras. She attained a fifth-grade […]
Clinical Vignette—Isaiah Isaiah, a 13-year-old boy, is referred for mental health services after a child protective services (CPS) investigation substantiated emotional neglect and identified intimate partner violence (IPV) in the home. He lives with his biological mother, Sandra, and Sandra’s partner of three years, Joseph. Sandra and Joseph have two children who also live with […]
Case Vignette Maddy is a 14-year-old White cis-gender girl who is currently in grade 10 and living with her mother. You meet her and her mom today for the first time in your office. Three weeks ago, she was discharged from her first hospital admission, which occurred because she had been self-harming by cutting her […]
Vignette “We just don’t get it,” Brianna’s mother exclaimed in an exasperated voice. “How is it that she did well in elementary school with some basic support but cannot seem to achieve at a similar level in middle school?” Brianna was a sixth grade White, cis-gendered female student referred for an independent, comprehensive psychoeducational evaluation […]
Vignette A 13-year-old male patient in 7th grade at a public middle school informs you (a licensed psychologist) during a routine session that he witnessed a male peer, Kyle (age 11), bringing a handgun to school recently. Your patient showed you video evidence of the allegation, which he took with his own phone. He also […]
Dr. McCabe reviews the legal, ethical, developmental, clinical, and cultural considerations for involving minors in decision-making, including relevant science in adolescent decision-making, risk-taking, and brain development.
Clinical Vignette Eva is a 21-year-old transgender individual, assigned as male at birth, who has been hospitalized at your facility after a suicide attempt. You have been assigned to provide psychological input for her discharge plan. She reports using alcohol since middle school to manage social anxiety and feelings of alienation. In college, she self-identified […]
Clinical Vignette Alyssa, a single mother living in a rural setting, arrives requesting help with her two daughters (ages 5 and 8). Both children reportedly experience nightmares, anxiety attacks, frequent temper tantrums, and significant difficulties regulating their emotions. These symptoms have impaired their ability to sleep, complete their schoolwork, and complete age-appropriate household tasks. Alyssa […]
Vignettes Jessica is White and enjoying a movie with her 6-year-old niece and her niece’s best friend. She is excited to see that a Latina actress is playing Cinderella. She is surprised, however, when Cinderella appears on the screen and her niece exclaims “Cinderella’s not Mexican!” Jessica is even more surprised to see her niece’s […]
Clinical Vignette Kayla, a 13-year-old girl with type 1 diabetes (T1D), was referred for outpatient psychological services because of concerns about depressed mood and lack of engagement in diabetes self-care. In your interview with her, she stated that she “doesn’t care” about her health, and expressed frustration and anger about her parent’s “nagging” about diabetes. […]