Stressors and concerns in teen asthma

Adolescence is a time of increased stress because of intellectual, physical, and sexual maturity culminating in a desire for autonomy. Chronic asthma is perceived as a burden handicapping autonomy. This is apparent in the impairment of athletic and social activity. Furthermore, there is the requirement for inhaled medications that are perceived as hampering crucial peer identification. Nonadherence is epidemic, best resolved by empathetic rapport with the adolescent, family, and peer group while maintaining the status of a culturally and ethnically sensitive professional respected by the adolescent. The adept provider negotiates treatment plans in consultation with the adolescent with mutual respect. Treatment needs to be simple; once or twice per day, with a clear action plan acknowledging when to call the provider.