Answer:
I think its blaming oneself.
Explanation:
Because he doesn't seem to be affecting others so why would it be A. It could be B. I feel like its C because it mentions how he feels unworthy and incompetent and he is blaming himself for not being able to handle the stress. Its not D because it doesn't show signs of him saying that he wants or is going to give up, and if he were to give up then why is there no context clues.
The answer is D . Hope this helps !