Teens and asthma

Testing limits and feeling invincible are fairly normal parts of teenage years that can be trying for parents. For kids with asthma, this often means seeing if they can do without their asthma medications. Some teens may feel frustrated with or tied down by the medication routine. Others may want to prove to themselves, their parents or their friends that they can make their own decisions – including not taking their medications.

Let your child know that not wanting to take asthma medications is normal, as is feeling frustrated, angry or denying that you have a disease. Be understanding, but make it clear that you expect your son or daughter to take care of his or her asthma. Set the ground rules and explain your position just as you would for any other situation, such as how late he or she can stay out at night. If the problem persists, here are several strategies to try.  

• Talk to your doctor. Ask your son's or daughter’s doctor to talk with your child about the need for good asthma control. Talk over the phone with the doctor to explain the situation before your teen’s appointment.
• Use consequences. If your son's or daughter’s asthma is getting out of control, impose “logical consequences.” For example, she will not be allowed to go on summer tour with the marching band if she continues to ignore her asthma action plan. Or he will not be allowed to continue his part-time job if he continues to miss classes because he will not carry his inhaler. Determine ahead of time what the consequences will be.
• Find an asthma support group. Living with a chronic condition can be frustrating for a young person. A support group with other teens who have asthma may help your son or daughter with some of the emotional issues of asthma. Your doctor or the American Lung Association may have information about support groups in your area.
• Do not nag. It will only make matters worse. With time, most teens eventually return to taking care of their asthma.