<p>It is hard to know if S’s low grades are caused by 1) depression, 2) weaker study skills that are improving or 3) adolescence. It is probably a combination. H and I want to protect him from serious problems due to depression, but S needs to develop stronger study skills and to mature as well. S has an appointment with his MD to double check on his depression medication. S will see a dermatologist for his acne. S has taken steps to enroll in a local CC.</p>