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My period has been missing for 254 days. My mother doesn't want to take me to the doctor. She thinks that natural remedies will help. I'm 16. What do I do?

I will go even further . Not to alarm you, but while menstration (periods) in the first year after you start them can be erractic, after that they should be rather regular. The number one reason for missing periods is pregnancy. Yes, it has been longer than that, but you could have missed four months, then who knows. It would help to have more info. Are you sexually active? Do you use birth control? If so, what kind.You do have rights over your body and your health. You can go to any physician, and I recommend that you do. It would be confidential unless they needed to intervene in some way. However, if they felt it was expedient, they could ask one of your guardians, parents, to give consent. If they don’t, my sense is they would involve social services. If only to get permission. Of course, the best course would be for the provider to reach the parent and to have them come down. The mere fact that their daughter were that worried should go a long way.She could also ask a friend to talk to their parents confidentially. One things as adults, adults tend to know the options better than teenagers.YOU NEED HEALTHCARE. At the very least, walk right into an emergency room and tell them your story. They can’t turn you away. They know the laws. And, they should work to resolve it.Meanwhile get a pregnancy test from the drug store. If you have been sexually active with or without birth control over the past six to nine months.I wanted to add some information for you as I am very concerned about your health and well-being. The following is based on Maine state law and is directly edited by my attorney as I see this type of thing about four times per year. I will highlight important sections as not all of it will apply. Certainly, you are not talking about becoming emancipated, but attaining healthcare as a minor is a lot a like. Also, the word “incompetent” in the law is not calling you imcompetent, it is just a legal term for this statute.1) If a 16 year old were emancipated by court order would she be able to come to office appointments by herself without parental permission? Yes.2) If a 16 year old is not yet emancipated by court order, is she able to come to the appointment by herself without parental permission? Answer: No, unless: (i) she is a pregnant minor contemplating whether to continue or terminate a pregnancy, in which case she is authorized to receive information and counseling concerning public and private agencies available to provide birth control information and services, or (ii) she is a minor who may be treated as an adult on the basis that she has been living separately from her parents or legal guardian for at least 60 days and is independent of parental support.3) If the 16 year old is able to come to the appointment, is she authorized to start birth control without parental authorization? Answer: No, unless she is a minor who may be treated as an adult. In this case, only if: (i) she is emancipated by court order (which doesn’t appear to be the case), or (ii) she is a minor who may be treated as an adult on the basis that she has been living separately from her parents or legal guardian for at least 60 days and is independent of parental support.Keep in mind, that if you were to show up at my office, my staff would hopefully pick up on the fact that you were a minor. I would then note that I could not treat you without consent of a guardian (parent if that is the case). But, that does NOT mean I would say to you, “I can’t treat you. Bye.” I would then be faced with a medical situation that I would deem requires some type of intervention. Whether that means speaking with your parents or hopefully having them come to the office, I would like do that. My number one concern would be that you left and were lost to follow-up. At that point, I would feel completely responsible for your health and well-being. While a minor is considered unable to make prudent decisions for their healthcare, they are also by the same token, considered not to know when the lack of healthcare is not safe. One good thing about a solo physician is he or she will know the family. I would know your mom and how she would deal with this issue.BackgroundIn Maine, the person legally authorized to provide consent to treat a minor varies according to the minor’s legal status, the type of treatment or health care service being provided to the minor, and, in certain circumstances, the age of the minor. A minor is defined as any person less than 18 years of age.Generally, minors are presumed to be legally incompetent to provide informed consent for medical treatment or health care services. Accordingly, unless otherwise indicated, informed consent must be obtained from the minor’s parent or guardian.However, there are exceptions to the general consent rule for minors. Some minors have the same rights as adult patients to consent to medical treatment. Other minors have a limited right to consent to specific medical and mental health treatment services, depending on the type of care rendered, the circumstances in which care is provided, and, in some instances, upon the age of the minor. In all cases, the authority of the minor to consent is predicated upon the treating healthcare provider’s determination that the minor possesses decisional capacity to provide informed consent to treatment.1. Minors Who May Be Treated as Adults: The following minors are legally authorized to provide consent to all health care services:a. Minors who have been living separately from their parents or legal guardians for at least 60 days and are independent of parental support.b. Minors who are or have been legally married.c. Minors who are or who have been members of the U.S. Armed Forces.d. Minors who have been emancipated by court order.e. Minors who are residing in a correctional facility pursuant to a conviction as an adult.A treating healthcare provider should request appropriate documentation of the above circumstances (e.g. marriage license, Armed Service ID, emancipation order, etc.) prior to providing treatment to the minor.2. Minors Authorized to Provide Consent Under Certain Circumstances: A minor is authorized to consent to the following healthcare services:a. Treatment for Alcohol Abuseb. Treatment for Drug Abusec. Treatment for Emotional or Psychological Problemsd. Spiritual Treatmente. Organ Donationf. Sexual Assault Forensic Examinationg. Birth Control Information: A pregnant minor contemplating whether to continue or terminate a pregnancy is authorized to receive information and counseling concerning public and private agencies available to provide birth control information and services.h. Family Planning Services: The following minors are authorized to provide consent to receive family planning services:(i) Minors who are parents;(ii) Minors who are married;(iii) Minors who have the consent of their parent or legal guardian to receive family planning services; and(iv) Minors who, in the professional judgment of a physician, may suffer probable health hazards if family planning services are not provided.Family planning services include: ·Counseling with trained personnel regarding family planning, contraceptive procedures and the treatment of infertility;·Distribution of literature relating to family planning, contraceptive procedures and the treatment of infertility; and·Referral of patients to physicians or health agencies for consultation, examination, tests, medical treatment and prescription for the purposes of family planning, contraceptive procedures and treatment of infertility and provision of contraceptive procedures and supplies.i. Minors Who are Parents: A minor who is a parent is generally entitled to provide consent to health care services on behalf of his or her child in the absence of a guardianship, custody order, or other limitation on the minor’s parental rights, even though the minor may lack the authority to consent to the same healthcare services on behalf of his- or herself.A minor authorized to consent to a specific type of medical treatment or health care service is also authorized to refuse that same treatment or service.A minor who consents on his or her own behalf to healthcare services is responsible for the costs of such services, unless the minor’s parent or guardian has expressly agreed to assume full or partial responsibility.First, cost would not be an issue. As a minor, you would not likely be held responsible for cost, and hospitals would work with you anyway. For me, I would never turn away a patient for healthcare costs.Just like anything, things are not written in stone. If a minor shows up in an emergency room for an ear infection, they will not be treated without consent. But, if they show up with a major concussion, etc., they will receive a Cat Scan of the brain, because the physician will deem it emergent. He/She will try to get hold of your mother or father or other guardian, but they won’t wait longer than five to ten minutes.Keep in mind the following: The decision of whether or not you can give consent as a minor and be treated by a healthcare provider, is completely up to the provider. If I see an 11 yo walk in with a cold, I will not treat (although I would likely call social services to find out why an 11 yo is by himself. But, if I feel that by not treating you, your health is at risk, I can treat you, and if there is any legal recourse, it will be on me.The very fact that in your question you state 254 days and not a year reveals the level of concern you have. As a 16 yo, I am very proud of you for coming on Quora with this question. Ultimately, you are the one who has to advocate for yourself. I should say, knowing only half the story, that your mother THINKS she is doing the right thing. I would start with your FP or your pediatrician. You can always call them confidentially and see what they say. If you parents have any questions, let me know, and I will give you my phone number so I can help.Good luck. Please comment back if you need more info.

Can a 14-year-old be counseled for an addiction without a parent’s consent?

Absolutely not! The parent or legal guardian must sign a consent for treatment of a minor (under 18 years of age)… standard practice.

Is this ethical? My daughter (14) has been going to her friend’s (15) virtual therapy appointments with her. She facetimes her friend on her phone with her friend zooms with her therapist on the computer. Doesn’t the therapist need my consent?

Let’s sort it out.“Ethics” applies only to the therapist, who is required to follow a code. Everybody else involved has to rely on common sense and their best judgment, and not break any laws.If the therapist knew this was going on, it would be highly unethical. A second person in the room, online or in person, is a participant in the therapy. Period. Even if they are only listening, their presence impacts what’s going on, and it’s assumed they will in turn be affected by what’s transpiring. For this to be ethical:The presence of the second person would have to a part of the therapy, and justified in the treatment plan. The role of a second could be client (making it couples counseling of some kind), or therapeutic ally.Either role requires the same level of thoroughly informed consent on the part of the second person, and of course in the case of a minor parental/guardian consent is absolutely required. There would also be additional informed consent concerns about the level of privacy given conditionally to the second participant. This would be especially so given that the intervention seems quite unusual.If the therapist doesn’t know, they should be informed immediately, because this behavior has the potential to compromise or derail the therapy. I confess that if I found out a second person was present during a therapy session without my knowledge I would be very troubled and concerned, because the potential interference would compromise my ability to be true to my first obligation: Making sure the minor client was emotionally safe, and stayed that way, due to my careful monitoring of boundaries and a many other variables. Right now I am coming up with a list of “what ifs?” many of which are unlikely, but are nevertheless scary.PS Some writers have suggested that the second person really wanted therapy herself, and was getting it somehow through osmosis by watching and listening to her friend and her friend’s therapist interact. That’s one of the scary “what ifs?EDIT AND CORRECTION: A reader correctly pointed out that the age of consent for psychotherapy varies from state to state, noting that in one state it’s 12 years old. That’s Colorado, where legislators figured young kids having access to therapy, notably in school settings, outweighed the importance of parental consent. I’ve read the rationales, and they make some sense. But, and it’s a big but, making something legal doesn’t make it ethical. I suspect the vast majority of psychologists in Colorado would require very good reasons indeed before providing psychotherapy for a 12 year old, but realize such reasons exist. Letting a state-licensed private provider make that decision, with all the caveats and limitations in the statute, might make sense. I have to think about that.

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