An 18 year old student complains of lack of interest in studies for last 6 months. He has frequent quarrels with his parents and has frequent headaches. The most appropriate clinical approach would be to:
A. Leave him as normal adolescent problem
B. Rule out depression
C. Rule out migraine
D. Rule out an oppositional defiant disorder
Correct answer : B. Rule out depression
The given features are not something that may be considered as normal adolescent problem. Also the headache described here cannot be classified under migraine. Oppositional defiant disorder often presents at a younger age. Hence it is necessary to rule out depression.