Assisting the parent of a child with asthma.

The parents of an asthmatic child are frequently faced with complex decisions that have to take into account the child's asthma as well as more general developmental needs. At times these parents may feel overwhelmed and doubt their ability to make reasonable decisions. If there is discomfort with some aspect of the treatment plan, the parents may remain silent. Denial, minimization, anger, withdrawal and noncompliance may occur. This paper offers suggestions for practicing pediatricians in regard to helping parents cope more effectively with childhood asthma. Specific issues dealt with are discipline, school issues, athletic participation, maintenance of the child's peer relationships, avoiding parental conflict, the use of support systems, behavioral aspects of medical management, and when to refer for psychiatric consultation.