3 Months Of Persistent in Medicine / Internal Medicine — 16yo Child | Psychiatry | SMLE Q#18041
SMLE Question #18041
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-PSY-DEP-1
Last updated: February 2026
A 16-year-old girl is brought to a primary care clinic for 3 months of persistent low mood, irritability, and loss of interest in school activities. She spends hours daily on social media and frequently compares her appearance and lifestyle to peers online, worsening her self-esteem. She denies suicidal ideation, substance use, and manic symptoms. Physical examination is unremarkable. She remains socially functional, but her academic performance has started to decline. Which of the following is the most appropriate first-line psychotherapy for her condition?
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