Behavioral Medicine: A Guide for Clinical Practice, 5e >Adolescents

Mitchell D. Feldman, John F. Christensen, Jason M. Satterfield, Ryan Laponis+

Table 13-1.Interview suggestions.

1. Ensure doctor–patient confidentiality. Do not inquire about health-related behaviors in front of parents.
2. Use the HEADSS format to organize the interview.
3. Assess the patient’s cognitive and developmental level through interactive dialogue.
4. Initiate discussions about behavior and offer anticipatory guidance that is culturally and developmentally appropriate.
5. Listen actively to patients’ opinions and perspective.
6. Be familiar with and refer to local resources for cases of domestic violence, runaways, and substance abuse.
7. Include patients in discussing and making all diagnostic and therapeutic decisions.
8. Review the behavioral stages of development with parents. Emphasize the importance of instilling confidence and building self-esteem in their children.
9. Reinforce good behavior. Congratulate teenagers who do not use drugs and who are not sexually active.
10. Address all teenagers with respect, and be nonjudgmental about their behaviors and traits.

Date of download: 12/27/22 from AccessMedicine: accessmedicine.mhmedical.com, Copyright © McGraw Hill. All rights reserved.