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Revista Portuguesa de Medicina Geral e Familiar

Print version ISSN 2182-5173

Abstract

MAGALHAES, Ana Rita et al. Ambivalence(s) of adolescence and the role of the family physician: a case report. Rev Port Med Geral Fam [online]. 2020, vol.36, n.2, pp.175-180. ISSN 2182-5173.  https://doi.org/10.32385/rpmgf.v36i2.12418.

Introduction: The family physician (FF) besides being able to address the most prevalent problems of adolescence, should also promote the active and responsible participation of the adolescence in health matters, based on their individualized intervention and confidentiality. The awareness of sexual orientation in the case of homosexuality usually arises during adolescence and it might involve a period of confusion and doubt. Discrimination and associated stereotypes still mark a lot of those who are confronted with their sexual orientation. Case report: Male, 16 years, presented to the consult after some concern of his mother for isolation, sadness, and fear of serious psychological problems with her child. During the well known HEEADSSS acronym assessment, the question arises about his own sexuality admitting to being homosexual, with innumerable fears, ambivalences, and shame about this, that have led him to move away from the family, group of friends and colleagues. Doubts about the future in school and profession also leave him worried and feeling alone in a world he does not identify himself with. Active listening and confidentiality, the demystification of some themes and availability for consultations, as well as referral to psychologists are part of the joint plan, which is maintained, with frank improvement. Commentary: Doubts about sexual orientation can be devastating in the teenage years, conditioning isolation, self-blame, and shame. The FF occupies a privileged position in the early detection and clarification of issues related to sexuality, thus allowing a healthy growth, physical, psychological and socially.

Keywords : Patient-centered clinical method; Sexual orientation; Adolescence.

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