Adolescent medicine is a medical subspecialty that deals primarily with the care and treatment of patients who are in the adolescent stage of development. This period typically starts between the ages of nine to 11 for females and 11 to 14 for males.  Considered as a primary care subspecialty, adolescent medicine integrates various iatrical aspects including dermatology, endocrinology, gynecology, nutrition, psychology and sports medicine. It is likewise an integral component of internal medicine, family practice, pediatrics, and youth health.

Medical practitioners who delve in the practice of adolescent medicine often address issues and disorders with a high prevalence during adolescence. These include the following:

§ Precocious puberty

§ Birth control

§ Substance abuse

§ Acne vulgaris

§ Unintended pregnancy

§ STDs or sexually transmitted diseases

§ Eating disorders such as anorexia and bulimia

§ Menstrual disorders like amenorrhea, dysfunctional uterine bleeding and dysmenorrhea

§ Mental illnesses, particularly anxiety disorders, personality disorders, bipolar disorder, major depression, suicidal ideation and certain types of schizophrenia

Healthcare providers who deal with adolescents normally take a holistic approach as they try to gather information relevant to the patient’s well-being. The approach closely resembles the biophysical model which is epitomized in the HEADSS assessment. It is a screening acronym for adolescent patients and stands for Home, Education, Activities, Drugs, Sex, and Suicidality.

Aside from a comprehensive medical history, adolescents ought to undergo a thorough physical examination as well as a mental health status exam at least once a year. The physical exam should include sexually transmitted infections (STI) testing, a neurological assessment, and a reproductive system exam. In addition, developmental progression should be documented on an annual basis, and endocrinological tests should be considered especially among patients who fail to develop in a normal manner.

Young women must be properly educated on how to examine their breast for signs of breast cancer, and young men should know how to examine their penis and testicles for STDs and cancer. Laboratory tests, including a CBC to screen for anemia, and a fasting lipid profile or a spot cholesterol check to screen for hyperlipidemia should be undertaken at least once during the adolescent period.

For those who are sexually active, especially patients who are living in areas of high prevalence, screening tests for STDs should be done, including rapid plasma reagin (RPR) or venereal disease research laboratory (VDRL) test for syphilis, screening for HIV, chlamydia and gonorrhea. Females who are sexually active must have a pelvic exam, including a Pap smear to screen for cervical cancer.

In terms of immunizations, the following are deemed imperative: a meningitis vaccination, a tetanus vaccination or booster shot, the Gardasil vaccine against HPV particularly for sexually active young women, and an annual influenza inoculation.

Today’s teenagers have been stereotyped as adventurous and harebrained individuals.  They are generally fond of experimenting with things until they get in touch with drugs, sex, guns, alcohol among others. According to the federal Centers for Disease Control and Prevention figures, 16,000 young adults die each year from unintentional injuries and accidents.  The most common justification for teenagers’ care-free attitude is that their brains just aren’t developed enough to know better. However, recent research shows that in some cases the fact is just the opposite, the brain matures not too slowly but perhaps, too quickly.

According to a psychiatrist, an adolescent who engages in more dangerous activities have white-matter pathways that seem to be more mature than those of risk-averse youths.  White-matter is the brain’s wiring, the neutral pathways that connect the various gray-matter regions of the cerebrum that are independent of one another.  Having a mature white-matter is necessary because it allows faster brain processing speed.  Nerve impulses also travel faster in mature white-matter. Experiments also reveal that the more mature the look of the brain, the more adventurous the teenager tended to be.
Another possible explanation is that some teenagers whose brains develop more rapidly than others become uncomfortable and a little confused owing to the gap between their biological capabilities and the social norms they must follow as kids. Precocious development of these neural tracts may make some adolescents more susceptible to engage in behaviors that society considers too adult in nature for their chronological age. It is also a common notion that teens make dumb decisions because their brains are immature. In other words, having a more mature brain may actually motivate some teens to try out new and potentially harmful experiences.
For now, these theories are mere speculation, and the researchers concede that the interaction of white and gray matter is so complex that hard conclusions remain elusive. The results of the study are relatively bare and by no means conclusive. The human brain is so intricate in nature, and one has to consider the fact that there are other factors that come into play such as the environment and certain genetic predispositions that are equally complex to study.

Just recently, CNN reported a heart-breaking news about a Berkeley teen who was convicted in the murder of his father. The victim was raising three kids on his own when one of them, for reasons unknown, murdered him with a gunshot to the head.  The judge handling the case found the 16-year-old teen guilty of first-degree murder with an enhancement for using a gun in the death of his 40-year-old father.

When the teen was sentenced, the judge could have him locked up in the California Division of Juvenile Justice until he reaches the age of 25. He could also face a variety of other sentences, including being placed on probation and sent home, being sent to a group home or placed in minimum security reform centers. Regardless of what happens, a life was lost and the life of the teenager and those of his siblings are put in jeopardy with the uneventful passing of their father who is supposed to guide them in today’s chaotic environment.

Teen violence is increasingly becoming one of the most serious problems of modern society. It is a curse not only for the victim but for his/her family and the entire society as well. It is also responsible for thousands of deaths every year around the world.  This kind of violence alienates the victim from his/her family, friends and loved ones. Teenagers who engage in violence, generally try to keep themselves away from everyone. Psychologists explain that they do so for the sake of getting away from social embarrassment. Teen abuse lawyers advocate that the victim must get proper legal support at such delicate phase of her/his life.

Young adults are complicated, inquisitive, and filled with potential. Once left unchecked, they can blow up in a million pieces, causing problems resulting to irreparable damage or even death. This is precisely the reason why parents are endowed with the moral obligation to guide their teens during this crucial stage in their lives.

Oftentimes teenagers find their peer groups to be more significant to them than their parents. This being the case, it is as if parents are handling over the life of their teen to the type of group he/she may belong to. With this change come different expectations. This is why friends are such a key developmental and influential factor in the teenage years. Many teens who get involved in gangs are simply trying to live out their new group’s expectations rather than their parents’. Adolescents are all on an equal plane when it comes to violent behavior. Regardless of background, almost all adolescents become significantly more violent after puberty and it drops off again somewhere in their mid-20s.