Could anyone give me some practical suggestions to help make the office visit more productive and rewarding?

You’re welcome.

Thanks for your reply.

•Initially welcome the adolescent with a simple gesture such as a hand-shake or in some way acknowledging them first. This clearly defines who is the patient. It introduces, non-verbally, the importance of collaboration in resolving the issue or problem that prompted the visit. It also highlights and empowers the teenager or young adult.
• Each young person that you see will be unique in their own way although sharing a developmental process with others of the same age. It is important to show respect for each person and his or her life experience. This may be quite challenging at times, particularly when their look or behaviour at the time of the visit is so different than yours at that same age.