Treating the adolescent: the initial meeting

In this article, we have tried to point out ways in which the initial interview can be facilitated, and in which it can be made to be both a pleasant and informative experience for the adolescent patients, and a productive and enjoyable encounter for the practitioner. The major areas include appropriate attitudes of personnel and the physical environment in which the patient is seen; the way in which a physician can introduce him- or herself to the family; methods of obtaining information from adolescent patients; differences of which one should be aware when interviewing adolescent patients at different developmental levels; and ways in which to establish rapport and to approach especially sensitive issues. Techniques to reduce anxiety in the physical examination and how to conclude the encounter are also reviewed. By using some of the techniques discussed for the initial encounter, and by incorporating those into his or her own style, the ability to care for adolescent patients can be enhance so that the physician can enjoy and, therefore, be willing to address effectively the health needs of adolescent patients.