Review Question - QID 109079

A 16-year-old female is brought to the primary care clinic by her mother. The mother is concerned about her daughter’s grades, which have been recently slipping. Per the mother, the patient usually earns a mix of As and Bs in her classes, but this past semester she has been getting Cs and a few Ds. Her mother is also frustrated because she feels like her daughter is acting out more and “hanging out with some no-good friends.” Upon questioning the patient with her mother in the room, the patient does not say much and makes no eye contact. The mother is asked to leave the room and the patient is questioned again about any stressors. After rapport is established, the patient breaks down and tearfully admits to trying various drugs in order to “fit in with her friends.” She says that she knows the drugs “are not good for me” but has been very stressed out about telling her friends she’s not interested. Detailed questioning reveals that the patient has been using alcohol, cocaine, and marijuana 2-3 times per week. The patient becomes agitated at the end of the interview and pleads for you to not tell her mother. She says that she knows they’re illegal but is very afraid of what her parents would say. What is the best action in response to the adolescent’s request?