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Adolescent Neurology

^* Department of Paediatric Neurology and
Department of Neurology, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK; E-mail: SmithPE{at}cardiff.ac.uk

EXTRACT

INTRODUCTION

Adolescence, Erikson’s fifth stage of man (Erikson 1965), is the phase of identity and role confusion. Teenage angst was epitomised by Adrian Mole whose analysis of his physical changes, acne, relationships, self-identity and growing independence in society, repeatedly clashed with his legal position as a child (Townsend 1982). Normal adolescence itself presents major challenges, but teenagers’ problems are greatly exacerbated by the additional burden of a neurological disorder. Their clinical care falls between paediatric and adult services, and their special problems can go unrecognized. Adult neurologists may see teenagers presenting either with new problems, or passed on from paediatric care with chronic conditions. Clinicians taking over teenagers’ care must not only assess their neurological condition, but also appreciate the influence of evolving physical, emotional, educational and social needs on their predicament.

TRANSITION

The recent UK National Service Framework for Children, Young People and Maternity Services, identified arrangements for transition ...

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