Debi is a 15-year-old girl who is currently being treated for depression. Her parents have been very proactive and

involved in her care, and Debi has achieved remission 2 months after beginning treatment with a combination of pharmacotherapy and cognitive behavioral therapy. While counseling Debi’s parents about important issues in management, the PMHNP advises that:

A. There is a > 50% likelihood that Debi’s younger sibling will develop depressive symptoms

B. The mean length of major depressive episode in adolescents is 4 months

C. 20 to 40% of adolescents who have major depressive disorder will develop bipolar I within 5 years

D. Adolescent-onset depression typically needs long-term pharmacologic management to prevent relapse

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