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An adolescent girl is having extreme difficulty coping with stress and the demands of school. Penny has many fears of failing, of not being liked by other students, and of being seen as "different,' and she suffers from headaches and physical tenseness. She says she would like to lead a "normal life" and be able to go to school and function adequately. She is afraid that unless she can deal with these stresses, she will "go crazy."

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