Summary
Summary
Thoughts are ideas, attitudes or perception about things. They are creative and
have energy. Basically, if you can imagine something, you can make it happen.
Think about art work, furniture, inventions, etc. These all started with an idea or
concept.
Feelings are emotions such as happy, sad, mad, frustrated, surprised, anxious, etc.
They can be experienced in varying degrees of intensity and usually have a physical
sensation attached. For instance, people will describe anxiety as having butterflies in
their stomach. If someone is angry they may feel tightness in their chest. Feelings
are something we all experience and it is important that they be expressed. And,
there is no such thing as a “bad” feeling. Feelings are needed because they serve a
purpose.
Behaviors are simply the actions we take. We choose how we are going to
behave. Behavior can be classified as right or wrong, healthy or unhealthy,
appropriate or inappropriate.
The Connection
Our thoughts create our feelings and our feelings drive our behavior. Let’s take a
simple example. If I like being outside near water and enjoy swimming, the thought
of going to a pool makes me feel happy. These thoughts and feelings are going to
lead me to plan activities that include swimming.
Developmental Task
Girls: mid-late
puberty and end of Emotional
growth spurt; Abstract thinking, but separation from
menarche; self still seen as “bullet parents; strong
development of proof”; growing verbal peer identification;
Mid- female body shape abilities; identification increased health
adolescence with fat deposition of law with morality; risk (smoking,
Boys: mid-puberty, start of fervent alcohol, etc);
spermarche and ideology (religious, heterosexual peer
nocturnal emissions; political) interest; early
voice breaks; start of vocational plans
growth spurt
of difference between
law and morality; intimate
increased impulse relationships;
control; further development of
muscle bulk and
development of vocational
body hair
personal identify; capability and
further development or financial
rejection of religious independence
and political ideology
Taller than peers but may end up Short stature but later should achieve
Biological
short normal height; osteoporosis
Delay in puberty
• Poor nutrition
• Chronic illness
• Eating disorder
Early puberty
• Obesity (girls)
• Benign normal variants of pubertal timing : isolated the larche (early breast
development), premature adrenarche (early pubic hair development)
• See young people by themselves as well as with their parents. Do not exclude parents
completely, but make it clear that the adolescent is the centre of the consultation. Do this
routinely as a way of respecting their healthcare rights
• Be yourself. Don't try to be cool or hip—young people want you to be their doctor, not
their friend
• Try to communicate and explain concepts in a manner appropriate to their development.
For young adolescents, use only “here and now” concrete examples and avoid abstract
concepts (“if...then”) discussions
• If appropriate, take a full adolescent psychosocial history (the HEADSS protocol is helpful
for this—see next box)
HEADSS protocol
A—Activities including sports (also particularly note friendships and social relationships,
especially close friendships)
S—Sex (information on intimate relationships and sexual risk behaviours may be important
in both acute and chronic illnesses in adolescents)
S—Sleep
Parents
Siblings
Friends
Teachers
Community leaders
provide network connections and linkages among other parts of the community.
T h e y i n s p i r e a d o l e s c e n t s t o g e t i n v o l v e d w i t h c o m m u n i t y services
through outreach programs, social activities, and volunteer works.
T h e y m o d e l i n n o v a t i o n t o h e l p i m p r o v e t h e c o m m u n i t y whom
they serve.
E f f e c t i v e l e a d e r s s e t i n s p i r a t i o n t o o t h e r s b y s e t t i n g a good
example by following the policies that they try to implement.
U s i n g t h e i r c h a r i s m a , t h e y t e n d t o p e r s u a d e o t h e r s t o follow
them; thus, they can generate many programs to address the needs of the people.
A d o l e s c e n t s l i k e y o u c a n l e a r n f r o m t h e i r accomplishments and
may get inspired to become servant-leaders in the future.