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Rheumatology Advance Access originally published online on May 28, 2009
Rheumatology 2009 48(8):872-875; doi:10.1093/rheumatology/kep133
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© The Author 2009. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

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The challenging adolescent

Janet E. McDonagh1 and Miriam Kaufman2

1School of Health and Population Sciences, University of Birmingham, Birmingham, UK and 2Division of Adolescent Medicine, The Hospital for Sick Children, Toronto, Canada.

Correspondence to: Janet E. McDonagh, Institute of Child Health, Birmingham Children's Hospital NHS Trust, Steelhouse Lane, Birmingham B4 6NH UK. E-mail: j.e.mcdonagh{at}bham.ac.uk


  Abstract

Adolescents are medically, developmentally and psychologically distinct from children and adults. Although we all have patients in this age group who are communicative, adherent and capable, many of us have been faced with young people who are difficult to work with, for a variety of reasons. The aim of this article is to consider which young people are most challenging to rheumatology professionals, why they appear challenging and to offer some practical solutions to addressing such behaviours in clinical rheumatology practice.

KEY WORDS: Adolescent rheumatology, Chronic illness, Adolescent health, Health services, Adolescent development

Submitted 21 July 2008; revised version accepted 22 April 2009.
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