A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is…

Question

A 15-year-old girl is brought to the general practice by her mother because her grades have fallen and she is tired all the time. The mother answers most of the questions, including those addressed to her daughter, and volunteers that there is "nothing going on at home". The girl looks at the floor and gives one-word replies. She has had no weight loss, her periods are regular and light, and physical examination is normal. Which one of the following should be done next?

Accepted Answer

Ask the mother to leave and continue alone

Answer

Arrange a full blood count and iron studies

Answer

Ask the mother about recent family stresses

Answer

Refer to a child and adolescent mental health service

Answer

Screen for depression with a rating scale

More from Psychiatry