Dr. M.J. Bazos, MD,
Patient Handout
16 Year Old
Frequently Asked Questions
HOW DO I PREVENT MY CHILD FROM USING
DRUGS?
Discuss with your adolescent the
dangers of drug use and abuse, but most of all teach by example.Even if you
don’t consider alcohol to be a drug, it is. Discuss with your child the
difference between social drinking and
addiction.
HOW DO I DEAL WITH MY
ADOLESCENT’S DAILY BEHAVIOR CHANGES AND
MOODS?
Accept them as being completely
normal and just a part of adolescence. Physiologically, behavior changes and
mood swings are due to fluctuations in hormone levels - this fact explains them
but does not make them any easier to cope with. Be patient and supportive - they
will pass.
HOW CAN I REACH MY
ADOLESCENT?
Be available to him when he
is in need of someone to talk to and/or a shoulder to cry on. Be open and honest
but most important, listen and be supportive and loving, not dictatorial and
judgmental.
HOW OFTEN SHOULD MY
DAUGHTER PERFORM A BREAST EXAM?
Your
daughter should perform a breast exam monthly at the same time of
month.
HOW OFTEN SHOULD MY DAUGHTER
HAVE A PELVIC EXAM?
Your daughter
should have a pelvic exam prior to starting on any oral contraceptive
medications and anytime she is experiencing difficulty with her periods or is
having vaginal discharge or pain.
HOW DO I KNOW IF MY SON OR DAUGHTER
IS DEPRESSED AND IF SO, WHAT CAN BE DONE FOR HIMOR
HER?
Your son or daughter may often
demonstrate behaviors which suggest they are depressed. It is often difficult to
differentiate normal adolescent behavior from depression. Typical behaviors seen
in adolescents when observed together as a whole can imply depression. These
behaviors when expressed individually do not by themselves indicate depression.
Behaviors to be aware of include: poor sleep, excessive sleep (sleep
disturbances), avoidance of socializing with usual peer group, alcohol use, drug
use, smoking or tobacco use, paint or solvent inhalation, changes in dress or
accessories, changes in hair style or jewelry wear, inability to make eye
contact, low or quiet voice, speech which is flat or without inflections in
tone, sudden onset of promiscuity or dangerous sexual behavior, sudden interest
in weapons, unusual outbursts of anger or physical assault, changes in appetite,
confrontations with police or other officials, sudden sadness about unusual
events. If 3 or more of the above behaviors are occurring together, this may
indicate depression. Your doctor can help you evaluate and, if necessary, treat
or refer your child for help.
HOW CAN I
PREVENT SEXUALLY TRANSMITTED DISEASES AND UNWANTED
PREGNANCY?
Sexually transmitted
diseases and pregnancy are best prevented by avoiding sexual activity. Limiting
sexual partners in a lifetime to one, or less than three, may also assist in
preventing sexually transmitted diseases. If you are sexually active, condoms in
addition to another form of birth control, such
as
spermacidal foam or DepoProvera, will
help avoid venereal disease and pregnancy. Condoms, even when used correctly,
may still fail to protect against herpes, gonorrhea, chlamydia, venereal warts,
syphilis, hepatitis B or HIV especially if you have multiple sex partners or
very frequent sexual activity. Rectal intercourse has been shown to be a major
cause of colon cancer in women. If you are female and sexually active, you
should have a pelvic exam and start contraceptives to avoid pregnancy. If you
get a sexually transmitted disease through a virus (herpes, hepatitis B,
venereal warts, HIV) you will have that disease your entire life and will likely
spread it to your future husband or wife. You may even give a sexually
transmitted disease to your children through
birth.
DOES MY ADOLESCENT SLEEP TOO
MUCH?
Adolescents sleep a varied number
of hours and will often sleep more than 8 hours (even 10 to 12 hours) when
growing. We recommend a minimum of 8 to 10 hours a day. Often children with a
busy study activity or sports schedule will cheat their night time sleep and nap
for 1 to 4 hours during the day. If a child sleeps more than 10 hours
consistently, depression may be a
cause.
IS IT TRUE THAT CHILDREN NEED
MORE SLEEP WHEN THEY ARE GOING THROUGH A GROWTH
SPURT?
Yes.
WHEN
DO I RETURN FOR MY NEXT HEALTH SUPERVISION
VISIT?
In two years, at 18 years of age
you should have your next health supervision visit.