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Case Formulation Presenting Problem Anxiety and overwhelm tied to academic decline and family pressure, Difficulty organizing and completing schoolwork. Predisposing High family expectations. Limited coping skills. Adolescent developmental stress. Precipitating Rapid buildup of missing assignments, Increased parental pressure and fear of consequences. Perpetuating Avoidance of tasks maintains backlog. Ongoing family tension. Weak organization/time- management skills. Protective Factors Engaged and motivated in therapy. Supportive family involvement, Access to school resources. Strong potential to improve academically