A nurse is talking with a 13-year-old female client who is having her annual health-screening visit. Which of the following comments by the client should concern the nurse?

"My parents treat me like a baby sometimes."

"There's a pimple on my face, and I worry that everyone will notice it."

"I start taking ibuprofen a few days before my period starts."

"None of the kids at my school like me, and I don't like them either."