Man Wai, a 15-year-old Chinese immigrant, is afraid that her boyfriend will hurt her. He yells at her a lot in English, a language that she is still learning. He sometimes threatens violence by putting his hands up to hit her in the face. Her parents do not allow her to date, so she has kept her relationship secret. Her family also does not have health insurance, so she only visits doctors in emergencies. Lately, all she wants to do is spend the day in bed and her friends are growing concerned. What barriers exist that make it difficult for Man Wai to seek help? Check all that apply.

She has not told her parents about her relationship.
She does not have many friends.
She does not understand English fluently.
Her sleeping habits have changed dramatically.
Her family does not have health insurance, so she does not see a doctor regularly.