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Question: Ten year-old Jessie has been irritable and easily annoyed for over a year now. She often "talks back" to adults or is generally disrespectful. Her parents feel like she is constantly "testing boundaries" by blatantly breaking rules, such as staying up past her bedtime or going to friends' houses without permission. Over the past year at school, Jessie has been sent to detention at least every other week for arguing with teachers, picking fights with other students, stealing from classmates, and destroying property that is not hers. Her grades have also declined considerably in the past year but she blames her teacher, complaining "she gives me a hard time because she hates me." She has been truant from school multiple times each quarter.
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