Posted by teacherjulie @ 8:16 am

I have read a New York Times article about the lack of doctors specializing in adolescents. Here in the Philippines, that is a relatively new field. If I am not mistaken, there is a unit like this at the Philippine General Hospital (PGH) and/or Philippine Children’s Medical Center (PCMC). You can click on the link to read the article, thank you.

That adolescence is a critical stage with the development of children, I agree. I have interpreted in the article that this is a time when these children are “looking for their identity, their niche” and if they successfully go through this stage, they are more or less okay to face bigger and more difficult challenges as they grow older. If however, they have had a difficult passage of rites in this stage, they could either end up in prison or being an underclass, according to the article.

To me these negative outcomes mean having low self-esteem, not being able to know what they want to do enjoy doing, not having the right mindset, behavior and skills to reach their goals. Though really, this is still a time when their goals are still very much so idealistic, at least, they have developed a pattern, a plan on how to somehow achieve these goals. I know this for a fact because I have an adolescent, a tween daughter who will turn 12 come August. Since kindergarten, her “what I want to be when I grow up” dreams have changed half a dozen times. When she wanted to be a vet, we always visited pet shops, we let her take care of the dogs: bathing them and going with them to the vet. When she wanted to be an interior designer like her tito, we let her design houses using the SIMS cd. Now she wants to be a dog breeder. Though my reaction was like “Huh?” I am happy of course that at this stage, she has goals and that she is looking for ways to make herself do her best in ways that will help her achieve what she wants.

But then again, I want to say this this stage is somewhat a little difficult for both the child and the parents. Because adolescent’s body is changing, the physical, emotional, social and mental changes affect the behavior. My daughter has become more assertive, more outspoken, “dictatorial” according to my husband. She makes her wants known but she patiently waits for the gratification of these things that she wants, and for that I am thankful. Her mood changes a lot and has become sensitive but everything is still manageable. To those who have toddlers, preschoolers it is best to be prepared when your children become adolescents. In the meantime, I think I may have to arrange an appointment with an adolescent medicine doctor for my daughter before her 6th grade school year starts. :)

This entry was posted on Saturday, April 28th, 2007 at 8:16 am and is filed under Bits and Pieces, Lessons in Life, My Family, My Thoughts, Parenting. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

28 Apr, 2007 @ 2:59 pm
sassy mom said:

Hi, there Teacher Julie!

Thanks for sharing this, I too have a daughter who’s turning 12 this June.

Her mood swings are a bit of a problem for both of us… though I still manage to talk to her one-on-one to strengthen our relationship.

  • I think its time to bring her to a doctor specializing in adolescent medicine. Not that I know of someone doing that and I am not endorsing a hospital or practitioner. But when I Googled the topic, I came up with a name. You can check it up, a famous multi-specialty clinic that operates in one of the mall chains here in the Philippines. I think going to such kind of doctor especially at this critical period, is better than going to an ob-gyne,  who mostly treat adults. As per the NYTimes article, these doctors understand them and know how to help them (let’s cross our fingers on this one) deal about the changes that are happening with them during this rapid development.

28 Apr, 2007 @ 5:12 pm
KK said:

I didn’t know there was adolescent medicine until I read your post Julie. Boy, I hope that my daughter will NOT be like me when she gets to her teenage years. I was quite a headache to my dad, although I thought I was just having a clean good fun. Now looking back with a parent’s point of view, I felt for my dad.

As early as now, I’m asking my daughter not to become an alien when she gets to that age and she dutifully says she won’t :D . Yeah right.

It takes tons of patience for the parents and also try to remember about their own experience as teenagers to understand what their kids are going through.

You daughter sounds like she has a good head on her shoulders and with a loving guidance from you she’ll turn out alright :) .

  • I don’t remember much about going through a rough stage during my growing-up years because I was a goody-two shoes then. My daughter is still ok, maybe because we just let her express her thoughts and feelings. Of course, there are spats, exchanges between her and us (hubby and I), especially when we feel she goes out of her bounds in “abusing”, meaning being a dictator to her two younger siblings.  Sometimes she feels she misses out on a lot of things because the two younger ones don’t go to school yet and we get to do things together, with her in school. She is still responsible, even waking earlier than I do during schooldays to prepare her hot water bath and to cook rice for lunch. The teacher’s feedback when I got her report card? She is “matapang” and would definitely fight when she feels others are not being fair, to her and to her other classmates.

28 Apr, 2007 @ 10:15 pm
Greymom said:

Thanks for sharing this, Julie. My oldest turns 11 in a few months and I would be on the lookout for the changes.

  • For boys, the changes are more subtle, as I have observed with my students who grew up with me. Pimples, low croaking voice, interest with listening to music, interest in keeping up with the trend in fashion, gaming and insisting on doing things on his own rather than with his family. They ask no I mean, they demand for privacy. My daughter has a journal and she writes in it on a daily basis which I am not supposed to see. Fat chance, she just have it there under her pillows and most of the day she is out in school. Look for these signs.

29 Apr, 2007 @ 8:35 am
rhodora said:

Naku, Julie, wait till she is in high school, what you are experiencing with her now is just the tip of the iceberg, so they say.

My daughter too changed ambitions every year, from doctor to dentist, to teacher, to lawyer. Now that she will start college in June, she finally settled with being a chef and hotelier! Grabeh! Hahaha!

  • Oh no! Hope that wouldn’t be the case. But I have been telling myself that if she is fickle now and shows some mood changes, I wonder what’s in store for us when she is in her teens? Hope everything will be smooth sailing, after I offer a lot of prayers for guidance and a cool head.

29 Apr, 2007 @ 1:55 pm
Cathy said:

Hi Julie, there is an adolescent clinic at The Medical City and you can look for Dr. Emma Llanto who is a good friend and wonderful adolescent MD. There is also another one over the Philippine Children’s Medical Center that is equally good. If you are from the south, Dra. Llanto also holds clinic over at the Asian Hospital. Adolescence is an interesting time and becomes even MORE interesting if you are mid-lifing :) Look out for this topic in one of my future articles for PDI. For now, just go with the flow. We were all once adolescents too :)

  • Thanks Kathy, I would definitely keep that info. Yes, we were all once adolescents but it seems more complicated these days than when we were younger. Or maybe I am at the other side of the relationship now. Thanks for the visit! :)

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