A client has been given the diagnosis of bulimia. An appropriate medication used in the treatment of bulimia is which of the following?

D. Peer relationships are critically important during adolescence. Positive peer relationships can provide emotional support, a sense of belonging, and opportunities for socialization and development of social skills. On the other hand, negative peer relationships, such as bullying, social exclusion, or conflicts with peers, can contribute to feelings of loneliness, rejection, and depression.

A. While positive communication between teachers and teenagers can contribute to academic success and emotional support, it is not typically listed as a primary factor directly related to depression in adolescence. Issues related to academics and school performance may indirectly affect depression, but direct communication with teachers is less likely to be a significant factor compared to other options.

B. Effective communication between parents and teenagers plays a crucial role in adolescent development. Supportive and open communication can help adolescents feel understood, validated, and supported, which can have a protective effect against depression. Conversely, poor communication or conflict within the family environment can contribute to feelings of isolation, distress, and ultimately depression.

C. Academic stress, performance pressure, and difficulties in school can significantly impact an adolescent's mental health. High expectations, bullying, academic failure, or feeling overwhelmed by schoolwork can contribute to feelings of inadequacy, low self-esteem, and depression in adolescents.

D. Body image disturbance is a fundamental issue in anorexia nervosa. Adolescents with anorexia often have a distorted perception of their body size and shape, seeing themselves as overweight even when significantly underweight. This distorted body image drives their obsessive behaviors around food restriction and excessive exercise in an attempt to achieve an unrealistic and unhealthy body image.

A. While adolescents with anorexia may exhibit behaviors related to food restriction, excessive exercise, or other rituals, the core issue goes beyond simply adhering to appropriate behavior. Anorexia nervosa is driven by deep-seated fears, anxieties, and perceptions related to body image and weight.

B. Control is a central issue in anorexia nervosa. Adolescents often use strict control over food intake and exercise as a way to manage overwhelming feelings of anxiety, fear, and uncertainty. By controlling their food intake and weight, individuals with anorexia may seek to regain a sense of mastery and control over their lives amidst other stressors.

C. Anxiety is a common comorbidity in individuals with anorexia nervosa, but it is not the primary issue. Anxiety often stems from fears related to weight gain, body image dissatisfaction, and the perceived loss of control. Anxiety exacerbates the obsessive thoughts and behaviors around food and weight seen in anorexia nervosa.