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How s her general health?
Does she eats well?
she is in good heath, she eats like a teenager, sometimes picky and somtimes multipul plates of food
she is about 5'4 and weighs about109
Okay.Is her skin color is pinkish?
she is fair and has pink undertones
she has been taking a tricyclen and birtcontrol for some bad acne
Does she looks depress or she is participating in family activites normally?
she is been withdrawn because of she has been getting in to lots of trouble for not following directions and her grades
Okay thanks for your input.
and its her first year in high school
Any change in her weight in last few weeks?
not at all
she is normaly very petite and slender
First of all make sure she is not under any kind of peer pressure or bullying.Because more than any physical ailment 'bullying'is the causative agent of depression in teens of this age group.Tiredness and excessive sleepiness are two main symptoms of depression.Secondly,she must get herself examined by her primary care physician .She must be investigated for any hormonal ,hepatic or any blood deficiency cause which is underlying these symptoms.
she has been concerned with friends who are "Cutting"
So ,it might be some peer pressure .Try to ask her in private as she might be trying to hide her emotions .
This is kind of 'hide'which teens adopt when some thing is bothering them.
My good wishes.