Review Question - QID 216728

A 16-year-old boy is brought to his pediatrician by his mother for behavioral issues. She begins by explaining that they moved to a new home 4 months ago requiring him to switch schools. She states that since starting at his new school, he has "not been acting right." He spends the majority of his time in his bedroom with the door locked, often lying in bed and watching television. When he comes out of his room, he is irritable and argumentative. He has been skipping his weekly soccer games because he "is tired and would rather relax." Last week, his mother got a phone call from his math teacher stating that he would often fall asleep in class and that he was at risk of having to repeat the course next year due to falling grades. Upon questioning with his mother outside the room, the patient states "sometimes, I wish I wasn't around," but then reports having no plan or will to act on these thoughts. He is started on fluoxetine. At his 1 week follow-up appointment, which of the following is this patient most likely to be experiencing?