C. Is the first thing, B. Is second, A. Is third, and D. Is last
The answer can be both increase in self-esteem and increase in aggression. All of the research generally points to increase of self esteem because during puberty self awareness is very prominant which increases self esteem. I would be safe and go with self esteem. I hope this helps.
Speak slowly, clearly, and loudly
Allow extra time for older patients
Be gentle
