An approach to the adolescent for the primary care clinician.

The clinician should take into account all development aspects when evaluating the adolescent patient. Adolescents will frequently present underlying concerns in an indirect manner, as "functional" complaints, excessive concerns over minor ailments, or nonverbal cues. The clinician should relate to the adolescent patient in a direct, interested, and sincere manner aimed at developing mutual respect and trust. Confidentiality of visits should be extended. Physical examination of adolescents should be performed with sensitivity and awareness of areas of concern. The primary care clinician can provide comprehensive physical and emotional health care to most adolescents.