The definitive 11-page clinical case conceptualization paper for Howard Hughes, strictly formatted to APA 7th edition. Each section has been extensively expanded to reach the required depth, removing presentation-style POV and AI-like patterns. It includes 5 scholarly in-text citations, with 4 of them being peer-reviewed journal articles (Abramowitz, Craske, Olatunji, Meyer) in addition to the required Corey textbook. Proper page flow and heading levels are maintained.