At the same time, it is important that parents not feel left out of the loop. One can ask teenagers what information they would like to have shared with their parents and bring the parents in for this discussion. One can also discuss things from the parents’ point of view -find out what their concerns are, address these without breaking confidentiality and provide them with anticipatory guidance about the teen years.
There are many clinical situations in which it is clear that parental involvement is helpful. Yet teens may have unrealistic fears about the consequences of revealing a situation to their parents. A doctor may have confidential information about the parents that leads the doctor to believe that the outcome will be different than the adolescent expects. Work with the teen to help him or her come to an understanding of the importance of sharing information with his or her parents. For example, role playing can help the teen decide the best way to discuss an issue with his or her parents. The adolescent can bring one or both parents to the office to discuss the situation in a safe environment. A doctor’s initial assurances of confidentiality and a discussion about disclosure will make it easier for the patient to trust the doctor’s judgment about revealing information during joint sessions. cheap alesse -> http://birthcontroltab.com/buy-alesse-online.html
A confidential relationship will encourage meaningful patient/physician interaction, while helping the adolescent move along the developmental path to adulthood.