A 16-year-old girl, accompanied by her mother, is in your office for a well-adolescent visit. The mother asks about drug and alcohol abuse. You explain that the warning signs of abuse include which of the following?

  1. Excessive concern for weight and body configuration
  2. Improved school performance
  3. Recent changes from age-appropriate, acceptable friends to younger associates
  4. Deterioration in personal habits, hygiene, dress, grooming, speech patterns, and fluency of expression
  5. Improvement in relationships with adults, siblings, and authority figures

the answer is below…

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