Answer: The Older school age children and adolescents, as well as young adults with Down syndrome with better language and communication and cognitive skills presenting with increased vulnerability to: Depression, social withdrawal, diminished interests and coping skills. Generalized anxiety. Obsessive compulsive behaviors.
Explanation:
The statement is once a year for women over 40 as they're more likely to develop breast cancer. Also it's once a year for all women over 18 with a family history of breast cancer as it is very rare to develop breast cancer as a child.