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Original Question

please paraphrase the following to avoid AI patterns and to get reply between 150 and 200 words: You presented a well-structured assessment and care plan. One important factor that could further enhance your evaluation of adolescent depression is screening for Adverse Childhood Experiences (ACEs). Research has shown that ACEs—including abuse, neglect, and household dysfunction—are significantly associated with both the prevalence and severity of depressive symptoms in adolescents. In a 2023 study conducted among Ethiopian adolescents, 50.7% reported experiencing at least one ACE, and those with more than three ACEs had a 62.3% prevalence of depression (PHQ-9A >10). This suggests a strong dose-response relationship between ACEs and depression. Importantly, exposure to ACEs can result in chronic activation of the stress response system, leading to long-term neurochemical changes that affect mood regulation and cognitive function. Integrating ACE screening into your initial psychosocial assessment may uncover underlying contributors to Abby’s symptoms and support a more trauma-informed approach to her care.

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