Question: Medical History: None
Visited a Doctor: No
Medications Tried: None

Myself XXXXX, Assistant Professor at University and my brother a consultant settled in Australia. The problem is with my younger sister, XXXXX, aged 18. She is very shy, introvert, has very low self confidence, performs poorly in study, has become big addict of television. Hates meeting or facing people, has no friends, neither goes out for playing, if forced to go to a party sits quietly at one place, eats her meal and comes back. She remains silent whole day, hardly utters 5-10 words in whole day. Seems gloomy and lost.

She is 10 years younger to me and 12 years younger to my brother. I once asked her if she has any personal problem or if anyone is troubling her in the school. She said no to all this, then I asked her the reason for such behavior, she said she remains conscious about her teeth, she has uneven disfigured teeth and each times she laughs she keeps her hand over her mouth. I told her this is not a big issue, we will get that treated. I am confused if this is the only reason behind all her symptoms or something else. She also told me that she hates when family members compare her with us or family cousins and want her to score as they do. I think we too treat her as if she can’t do anything. Whenever any guests come to our house, she is a matter of discussions like, kitna tv dekhti hai, bahar kyu nahi jati, aur bachho ko dekho, padhti nahi hai, fail ho jayegi, party me XXXXXXX XXXXXXX dost bana. But yes she is over pampered and everyone loves her a lot except for this constant nagging. She used to be ok till 8th class (although she never was extrovert or expressive, but was happy in her own world) but these changes came from 9th class onwards. We changed her school and shifted her to DAV school which had a good number of students. We are planning to send her to boarding college. I am worried how she’ll cope up outside. What if her insecurity worsened her life and career? Kindly help.