Peers in Medicine / Internal Medicine — 15yo Child | Psychiatry | SMLE Q#19736

SMLE Question #19736

Medicine / Internal Medicine Psychiatry

Objective: OBJ-253

Last updated: April 2026
A 15-year-old girl is brought by her mother to a primary care clinic for 6 months of worsening anxiety and low self-esteem. She spends several hours daily on social media and compares her appearance and lifestyle with peers and influencers. She reports excessive worry, negative self-talk, and avoidance of social situations at school. She denies suicidal ideation, self-harm, panic attacks, substance use, or past manic symptoms. She sleeps 6 hours per night due to late-night scrolling but continues attending school. What intervention would benefit her most?

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