An 18-year-old boy is brought to your clinic by his parents with a referral from his class teacher (your friend). Parents confirm that the boy has never experienced periods of manic conduct. However, they are worried about his decreasing grades and changing behaviour. Initially, it looks to you like the parents are exaggerating the complaints regarding their son . You try talking to the boy. However, he is reluctant to talk and replies vaguely to the questions .
You further notice that the boy does not display any anti-social behaviors such as lying, stealing and cruelty to animals . According to the boy’s father, the boy’s performance has been constantly decreasing since the past six months . Her mother informs you that in these six months, there has been a drastic change in the boy’s behaviour . The mother further states that the boy has become more irresponsible and irritable . He…