Joe was referred following ongoing struggles with anxiety, difficulties in emotional expression, and challenges in social interactions at school.

Meryl lived in a chaotic, volatile, and unpredictable home environment with a threat of physical violence and the presence of alcohol and drugs.

Sara appeared happy and smart at school and around her parents, but during the assessment, she tearfully confessed to self-harming as a way to cope with overwhelming emotions. This revelation deeply shocked her mother.