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The troubled teenager
Canadian Family Physician Medecin De Famille Canadien
|February 2, 2011
Summary
Family physicians encounter troubled teens with issues like substance abuse, self-harm, and family crises. A recommended approach involves interviewing adolescents alone first, then with adults, to ensure unbiased assessment and effective treatment planning.
Area of Science:
- Adolescent Medicine
- Family Medicine
- Mental Health
Background:
- Teenagers present unique challenges to family physicians, including behavioral issues, crises, and medical anxieties.
- Effective management requires understanding the adolescent's perspective and family dynamics.
Purpose of the Study:
- To outline a structured approach for family physicians evaluating and managing common adolescent problems.
- To emphasize the importance of unbiased assessment and integrated family support.
Main Methods:
- Physician evaluation of adolescents presenting with behavioral, emotional, or crisis-related issues.
- Initial private interviews with the adolescent, followed by joint sessions with adults.
Main Results:
- A structured interview process allows for unbiased assessment of adolescent concerns.
- Involving both the adolescent and family in treatment planning enhances therapeutic outcomes.
Conclusions:
- Family physicians play a crucial role in addressing adolescent mental health and behavioral issues.
- A phased interview approach (adolescent alone, then with family) is recommended for comprehensive care.
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