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HR has “2 lot of ‘es everyone to be in the same page. is re She like ae ere ogel antl and generally manages her oxoess energy energy, she's very fidgety and talks a lot” physical exercise First, “she hides a i ns for MEE encompassed several areas. First, —_. sana Weauent ve individuals or other resources to lot’ ofher distress and frequently does not access supporti manage distress, Secons, ll previously reported that she was frightened of doctors, and) ; set, NII told Mr. “freaked out" during a physician visit in December, becoming visibly u =: “something happened in the past’ with a doctor but would not elaborate. Third, told Mr, that her relationship with her former foster parents was “weird” and Ported that she was made to run in high het iJe the foster parents watched, prompting concem, Finally. Wr ee interactions with age peers as “social Fetardation,” noting that she has “a lot of imaginary games” and “she's a little awkward, it's hard for her to make friends with other kids, She’s nalve to things like jokes and sarcasm. It's like she lived in a bubble.” She has also reported bullying by peers. & Caregiver Ms. Nicosia provides childcare for| lin her home before and after school and also frequently on weekend days if Mr. is working. When [EE first arrived at Ms. Nicosia's home, she “threw fits” and was “not used to a schedule but she adapted quickly.” uses alarms to remind her of different parts of her morning routine (e.g., an alarm to start watching for the bus) and gets herself ready for school. After school, she completes her homework on the bus and spends her free time doing artwork and watching educational programs. Her behavior is “usually pretty good, she’s learning to communicate her feelings. It's a huge step forward for her. i is sometimes upset when she gets home from schoo! if she has had conflict with a peer, “she's peeved, but she snaps out of it eventually.” This peer conflict has been reported to the school and IEEE is “mal ogress’ in interacting more positively with other students. Ms, Nicosia characterized co “bubbly, likes attention, pretty normal. She's shy in crowds and it's a lot of stimutation for her. She's getting better but she’s not there yet.” Ms. Nicosia has never scenery angry or very sad; “she can calm down but she needs help to do it. It helps when people are honest and upfront.” Ms. Nicosia noted that after visits with her mother, appears “angry and upset. Her mom wants her to look bipolar so she annoys her on purpose to get a meltdown." Other than ths situation, Ms. Nicosia had no concerns about BE: bohavicr Jinical Consultation with Jason Jszacson, Cli 1 isor i a cligical supervisor at the Sacramento Children’s Home, The evaluator was not we sears primary clinician, Glenn Potter, due to his extended bereavement leave so Mr. Isaacson provided information on SEs treatment. an: ‘current a als from Mr. Potter Is Persistent Mood Disorder, Unspectied (F38.4), Her treatment goals Soe ducing CANS item Trauma, managing frustratlon/anger/escalation appropriately, and eecing ils" Mr. Isaacson was not aware of any specific modality that Mr. Potter iran eaten Bm as been doing “really well” and has not exhibited any aggression us