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Helping families learn to communicate about fair limits for teens

Although I generally see my adolescent patients in private, we always begin the annual health maintenance visit with the parents present. I use this time to address aspects of the history that call for parental input. As a part of that exercise, I always ask both parties if there is anything they would like to talk about. Sometimes I am asked to arbitrate differences of opinion about freedom and responsibility. Are there guidelines for these situations?

Parents and teens communicate best when they remember not only to respect the challenges of adolescence, but also to enjoy its satisfactions. When tensions are apparent, the pediatrician can sometimes help everyone feel more comfortable by reviewing the developmental changes that occur during these years and how those changes affect relationships.