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Scenario
Joycelyn Maria (age 15, cisgender, African American and Mexican American, monolingual English-speaking): Joycelyn was referred for a psychological evaluation due to reports of a sudden drop in her grades (from all A's to Cs and Ds). Her maternal grandmother (Maria), who lived with the family, recently died subsequent to a stroke. Joycelyn refuses to allow the family to remove her grandmother's belonging and insists on sleeping in her grandmother's bed to feel her close. Prior to her grandmother's death, Joycelyn had an active social life at school and volunteered at her church in the youth ministry. Her weight is within normal limits for her age and height, but she has lost fifteen pounds due to diminished appetite. A maternal aunt calls her "flaca" ("skinny").
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