The 1990s in medicine have been characterized by the development of various
clinical guidelines to assist in the diagnosis, classification, and manage
ment of common disorders. Among the most frequent presenting complaints of
adolescent patients are asthma, headaches, and fatigue. In an era of manage
d care and brief clinical encounters, application of standardized guideline
s, modified appropriately for adolescents, is likely to improve clinical ou
tcomes, including patient and parent satisfaction. In each of these disorde
rs, engaging the adolescent patient as a partner in planning and implementi
ng management is crucial to success.