For Kai, a set of tests similar to Eden’s was used. However, because there were no concerns about academic problems, the cognitive and attentional measures were not administered. To better understand the presence and extent of specific anxiety symptoms in Kai’s clinical presentation, the Screen for Child Anxiety Related Disorders was included. Because emotional difficulties were especially problematic along with social adjustment, some projective techniques were used during the assessment. The Rorschach and the TAT provided additional ways to understand Kai’s subjective experience of the world around them. In completing the self-report measures of emotional functioning, Kai denied most of the obvious symptoms of depression and anxiety, with the exception of anxiety related to being physically ill. Projective data (e.g., repeated sad and discouraging themes in Kai’s TAT stories), however, suggested depressed mood, relative developmental immaturity, and a poor sense of self-efficacy. Kai’s parents independently completed the CBCL. There were striking consistencies in their reports, wit h highly signif icant elevations on the three internalizing scales reflecting symptoms of social withdrawal, anxiety, and depression.