She worked with the counselor on anxiety issues (unrelated to any of this) and seemed to make significant progress. That was actually the one area where we saw results. According to the counselor, anxiety was not nearly severe enough to call for meds. However, school was much more under control last year.

There appear to be some social issues operating here. DD is on the borderlines between a more popular crowd and a nerdier crowd. I know where I want her, but she doesn't know, of course.

I find it hard to understand WHY DD is doing this and if it is condition-related or a more intentional choice. She seems unable to understand this herself. She offers some reasons from each column.