CASE STUDY Demetrius was a 16-year-old Greek-American male who was admitted to the adolescent inpatient unit following by a car accident. With a history of major depression, school absences, and declining grades; his depression began at the onset of puberty. The car accident was caused by he was not paying attention on the road while kept looking at his nose and acne in the rearview mirror and lost control of his car on the freeway. He had no friends and preferred to stay at home with his parents. He had never dated, avoided school functions, did not participate in sports, and believed that others laugh at his nose. Demetrius was six feet tall, lanky and thin; had a full head of curly brown hair, a large nose and severe acne. While on the