I vividly recall a moment from over a decade ago, during my early days at a new job. In an elevator, a well-intentioned pediatrician posed a question that lingered with me: "Why would my patient need you if they have me?" In that instant, I realized that it's not always clear even for the primary care provider when it's time for an Adolescent Medicine Specialist.
Below, are some instances where I recommend considering a referral to my care:
Eating Disorders:
Early intervention is key! If you're concerned that your patient is developing symptoms suggestive of an eating disorder, involving an Adolescent Medicine Specialist can help.
Patients struggling with a known eating disorder.
Second opinion on treatment approaches.
Complex and Chronic Illnesses:
Patients grappling with complex medical issues could benefit from the coordination and support offered by an adolescent medicine specialist.
Undiagnosed conditions causing symptoms like fatigue, headaches, or dizziness are common conditions that adolescent medicine specialists treat.
Substance Use:
Your patient needs a doctor to take a primary role in medically managing their substance use. I often work together with other experienced providers, including substance use psychiatrists and therapists to create a team approach to care.
Menstrual Management:
Tailored management strategies are essential for adolescents experiencing heavy, painful, or irregular menstrual periods.
Sexual or Gender Identity:
Your patient is navigating sexual or gender identity complexities and would benefit from additional support, resources, and collaboration.
Transition to College and Adulthood:
Adolescents nearing the end of their pediatric care journey but needing additional support and resources to transition smoothly into college and adulthood.
Collaborative Care:
Sometimes, despite the best efforts of primary care providers, there are instances where patients may not be responding to treatment as expected, or their condition may be complex and require a specialized approach. Referring the patient to an adolescent medicine specialist can provide invaluable expertise and support.
