A teenager is experiencing a sense of omnipotentsii, he overestimates himself and underestimates the upcoming difficulties and dangers. For example, at this age is stated more accidents related to sports and leisure. Understanding of the profession are becoming more realistic and practical. And finally, create your own world of values, the transcendent whole personality of the individual regions. On this basis, determined by the ability to compromise and accept restrictions. The collapse of the children's personality and hence a crisis of identity should be building more or less stable personal identity. PSYCHOSOMATIC MANIFESTATIONS Teen In clinical practice in a variety of symptoms, which becomes a teenager, looked through the unconscious mental states and excitation voltage are expressed in physical correlates, that is a teenager - because he can not articulate a different - somatiziruet their problems. This concerns, above all, the konversiopodobnyh complaints as something similar tension headaches, stomach complaints, vague abdominal pain, diffuse pain in the lower abdomen, discharge from the genitals. We, the physicians should be aware that questions about physical changes that are of concern to the teenager, not clothed in words, but rather a physical symptom. The body becomes the podium, a stage on which staged tension, conflicts, unresolved issues. RECORD CONVERSATION with teenagers conversation with the patient begins in the waiting room, which is of great importance for the adolescent. Imagine a classic waiting room pediatrician: airplanes from the ceiling, plush toys in the corner of the sofa, cubes are scattered on the floor, the atmosphere makes the presence of a teenager out of place. The waiting room should therefore be arranged so that ready lay magazines and books specifically for teenagers such as magazines «Bravo», pamphlets on contraceptives, the dangers of drugs and others. In this case, the patient receives a non-verbal information that such topics are accepted for discussion. The first conversation on the possibility should not be performed in an office, where surveys are conducted, and a doctor should not like the interviewer to sit at his desk, as it will be perceived by adolescents as an additional barrier. Interference, such as, for example, phone calls, should possibly be eliminated, since the conversation should not be interrupted once again. Then the doctor must inform adolescents about their personality, their functions and methods. If you intend to conduct physical examination, the teenager should be allowed to undress in a secure environment - a place for dressing. The physician must indicate on the possibility that parents may attend the examination. And, finally, is of great importance and personal physician behavior: he must show an interest, to have time for it to be soft and sensitive. Catalog call greeting handshake, to give a sense of equality.
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