Siu, an eight year old girl, lives in Chinatown with her family who speak predominantly Cantonese at home.
During a regular check-up, Siu's mother reports that Siu is having difficulties in school and gets nervous about tests.
Siu's mother also notes that Siu is very shy and does not spend much time with friends.
During this visit, Siu appears distressed and hides when addressed directly by the pediatrician.
To further assess these issues, the pediatrician schedules a follow-up appointment in one week and asks Siu's mother to bring in a report card and to complete the PSC-17, a shortened version of the PSC-35 with subscales for internalizing, attention and externalizing problems.
Due to a positive internalizing score and history, the pediatrician suspects an anxiety problem.
While discussing the scores, the pediatrician learns that the family has experienced several recent stressors-on 9/11 Siu's family lost some friends and Siu's mother lost her job.
The pediatrician also uses the PSC-17 scores to focus her assessment and administers the Vanderbilt Assessment Scale (Parent and Teacher versions) to further examine the borderline attention score.