By Russell Viner
The well-known ABC sequence, as serialised within the BMJ
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Extra resources for ABC of Adolescence
If depression is present, cognitive behaviour therapy is an effective treatment in adolescents. The selective serotonin reuptake inhibitor fluoxetine (Prozac) is effective in this age group. However, in view of the risk of further self harm by overdose, it is wise to limit supplies of this drug and get other family members to handle it, at least initially. If school problems, particularly bullying, are prominent, liaison with the school is important. Further help may be provided by a school counsellor.
A BMI lower than the ≤ 2nd centile indicates serious underweight and should be a trigger for referral. An eating disorder should also be considered if an adolescent fails to attain or maintain a healthy weight, height, or stage of sexual maturity for age. Once the patient has been weighed and their height measured, a few key questions (how much would you like to weigh? how do you feel about your weight? )—asked in a non-judgmental manner—can be helpful in deciding whether further assessment is needed.
It must be distinguished from a mere dislike of school that is related to issues such as a new teacher, a difficult examination, the class bully, lack of confidence, or having to undress for a gym class. The phobic adolescent shows an irrational fear of school and may show marked anxiety symptoms when in or near the school. com on 13 January 2009 Clinical review Learning disabilities Learning disability encompasses disorders that affect the way individuals with normal or above normal intelligence receive, store, organise, retrieve, and use information.
ABC of Adolescence by Russell Viner