Although the DSM-IV-TR lists specific criteria for the diagnosis of depression, the experience of depression may manifest itself differently in adolescents and younger adults. Which of the following symptoms would be consistent with the experience of depression in an adolescent?

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Adolescents experiencing depression may exhibit a range of behaviors that differ from typical adult symptoms. These can include a preoccupation with nihilistic themes, academic issues like missed classes, oppositional behaviors such as belligerence and defiance, and substance abuse, all of which can be manifestations of their struggle with depression.

Although the DSM-IV-TR Lists Specific Criteria for the Diagnosis of Depression