School-Related Anxiety in an Adolescent Male: A Case Study of a
13-Year-Old / i human 6 Billy Johnson CASE STUDY Billy Johnson
13 yo “I hate school” With his mother Observations ● Fidgeting ●
Warm, dry skin Last Visit One year ago, b illy was seen for his well
check.
Opening / Chief Complaint
Provider: “Hi Billy, can you tell me why you came in today?”
Billy: “I hate school.”
Provider: “What do you mean when you say you hate school?”
Billy: “I just don’t like going. It makes me stressed.”
History of Present Illness (HPI)
Provider: “When did you start feeling this way?”
Billy: “A few months ago… maybe this whole school year.”
Provider: “Is it getting better, worse, or staying the same?”
Billy: “It’s getting worse.”
Provider: “What happens on school mornings?”
Billy: “I feel nervous and don’t want to get out of bed.”
Provider: “Do you feel sick before school?”
Billy: “Sometimes my stomach hurts.”
Provider: “Do those feelings go away when you stay home?”
Billy: “Yeah, mostly.”
School Performance
, Provider: “How are your grades this year?”
Billy: “They’re worse than last year.”
Provider: “Which subjects are hardest for you?”
Billy: “Math and English.”
Provider: “Do you have trouble paying attention in class?”
Billy: “Yeah, I get distracted a lot.”
Provider: “Do teachers say anything about your behavior?”
Billy: “They say I don’t sit still.”
Peer Relationships / Bullying
Provider: “Do you have friends at school?”
Billy: “A few, but not in all my classes.”
Provider: “Has anyone been mean to you or picked on you?”
Billy: “Some kids make fun of me when I answer questions.”
Provider: “How does that make you feel?”
Billy: “Embarrassed. I don’t like talking in class anymore.”
Emotional / Mental Health Screening
Provider: “Do you feel nervous or worried a lot?”
Billy: “Mostly at school.”
Provider: “Do you ever feel sad or hopeless?”
Billy: “Not really sad… just stressed.”
Provider: “Do you ever feel like you don’t want to do things you used
to enjoy?”
Billy: “I still like video games and hanging out at home.”
13-Year-Old / i human 6 Billy Johnson CASE STUDY Billy Johnson
13 yo “I hate school” With his mother Observations ● Fidgeting ●
Warm, dry skin Last Visit One year ago, b illy was seen for his well
check.
Opening / Chief Complaint
Provider: “Hi Billy, can you tell me why you came in today?”
Billy: “I hate school.”
Provider: “What do you mean when you say you hate school?”
Billy: “I just don’t like going. It makes me stressed.”
History of Present Illness (HPI)
Provider: “When did you start feeling this way?”
Billy: “A few months ago… maybe this whole school year.”
Provider: “Is it getting better, worse, or staying the same?”
Billy: “It’s getting worse.”
Provider: “What happens on school mornings?”
Billy: “I feel nervous and don’t want to get out of bed.”
Provider: “Do you feel sick before school?”
Billy: “Sometimes my stomach hurts.”
Provider: “Do those feelings go away when you stay home?”
Billy: “Yeah, mostly.”
School Performance
, Provider: “How are your grades this year?”
Billy: “They’re worse than last year.”
Provider: “Which subjects are hardest for you?”
Billy: “Math and English.”
Provider: “Do you have trouble paying attention in class?”
Billy: “Yeah, I get distracted a lot.”
Provider: “Do teachers say anything about your behavior?”
Billy: “They say I don’t sit still.”
Peer Relationships / Bullying
Provider: “Do you have friends at school?”
Billy: “A few, but not in all my classes.”
Provider: “Has anyone been mean to you or picked on you?”
Billy: “Some kids make fun of me when I answer questions.”
Provider: “How does that make you feel?”
Billy: “Embarrassed. I don’t like talking in class anymore.”
Emotional / Mental Health Screening
Provider: “Do you feel nervous or worried a lot?”
Billy: “Mostly at school.”
Provider: “Do you ever feel sad or hopeless?”
Billy: “Not really sad… just stressed.”
Provider: “Do you ever feel like you don’t want to do things you used
to enjoy?”
Billy: “I still like video games and hanging out at home.”
