{"id":4254,"date":"2025-09-08T19:00:09","date_gmt":"2025-09-08T17:00:09","guid":{"rendered":"https:\/\/www.pezz.ch\/?page_id=4254"},"modified":"2026-04-21T13:09:59","modified_gmt":"2026-04-21T11:09:59","slug":"pubertaet","status":"publish","type":"page","link":"https:\/\/www.pezz.ch\/en\/fuer-familien\/pubertaet\/","title":{"rendered":"Puberty"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"wachstum-kopfbild\" data-brz-id=\"b3fnQC14Esqn_b3fnQC14Esqn\" class=\"brz-section brz-css-d-section brz-css-1f83gud\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1621c5u\" data-brz-custom-id=\"qoG5ae_wAadX\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-image\"><\/div>\n<div class=\"brz-bg-shape brz-bg-shape__bottom\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-512aie\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-a27hrd brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-ca8s4d\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"pubertaet\" data-brz-id=\"maJrR08rmmPm_maJrR08rmmPm\" class=\"brz-section brz-css-d-section brz-css-3ot191\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1c57w38\" data-brz-custom-id=\"lKyW62t5peXD\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1lxpcgm\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x9wm2m brz-wrapper\">\n<div class=\"brz-wp__breadcrumbs brz-css-d-wpbreadcrumbs brz-css-9mhvvs\" data-brz-custom-id=\"iutYG5RKXixD\">\n<div style=\"min-height:20px\"><\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-x16he brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-b84v8j\" data-brz-custom-id=\"cWErFpXtvq9C\">\n<div data-brz-translate-text=\"1\">\n<h1 class=\"brz-tp-lg-heading1 brz-css-m7t8m\" data-generated-css=\"brz-css-l7cd1\" data-uniq-id=\"rG0n4\"><span class=\"brz-cp-color8\">PUBERTY<\/span><\/h1>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-14dyr4a\" data-brz-custom-id=\"jbleIjB1CETP\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-11dqza0\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-10dx9lr\" data-brz-custom-id=\"htTa2EJZ1aLx\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1vdwi8g\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-minjo4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1n6mhal\" data-brz-custom-id=\"tXh7EMaC5TrE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-earmG\" data-uniq-id=\"u1FA8\" data-generated-css=\"brz-css-mM6bk\"><span class=\"brz-cp-color8 brz-underline-true\">PROBLEMS AT SCHOOL?<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-npyent brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-6cu5mb\" data-brz-custom-id=\"zIgbSlOgp8bO\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-heading3 brz-css-jmfGf\" data-generated-css=\"brz-css-cwk0Y\" data-uniq-id=\"rxc46\"><span class=\"brz-underline-true brz-cp-color8\">STOPPED EATING?<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-6xgsys brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-6qxu0x\" data-brz-custom-id=\"vhP9f1BzkIO0\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-ma1Q4\" data-uniq-id=\"q3ZvO\" data-generated-css=\"brz-css-qSEXp\"><span class=\"brz-cp-color8 brz-underline-true\">PREVENT \/ MANAGE CRISES<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-js1w2p\" data-brz-custom-id=\"ysQ4jv8v9ctD\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1b9d4b1\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-12ruvhx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-12t7ykr\" data-brz-custom-id=\"mxHZShrsM_lf\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-heading3 brz-css-btUGc\" data-generated-css=\"brz-css-x9clc\" data-uniq-id=\"vUJPB\"><span class=\"brz-underline-true brz-cp-color8\">THE NEED FOR A SPECIALIZED ADOLESCENT MEDICINE<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"hUKoWN3LecCd_hUKoWN3LecCd\" class=\"brz-section brz-css-d-section brz-css-jqtyab\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-biavtk\" data-brz-custom-id=\"ygh0oqcbo5Zx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-70w27b\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-11xm797\" data-brz-custom-id=\"mp6TLvguFRdw\">\n<div class=\"brz-row brz-css-d-row-container brz-css-r-row-container brz-css-h7q1m5\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-k3s5ym\" data-brz-custom-id=\"yWELJLN0bxpt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-f0j33e\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1rhca07\" data-brz-custom-id=\"chdRZ9g5S6tc\">\n<div class=\"brz-row brz-row--inner brz-css-d-row-container brz-css-r-row-container brz-css-15rix20\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1g4zqxs\" data-brz-custom-id=\"mVKhGkyJy63n\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-5zbpx9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-13rca07 brz-wrapper menu-tab-left\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-18iv1hu\" data-brz-duration=\"300\" data-brz-custom-id=\"hjUKLzyJ022p\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MENU TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-rpalnr brz-wrapper\">\n<div class=\"brz-menu__container brz-css-d-menu-menu-container brz-css-arrl3b\" data-brz-menu-accessible=\"true\" data-brz-custom-id=\"uEYnzgGedIDG\">\n<nav data-mods=\"%7B%22desktop%22%3A%22horizontal%22%2C%22tablet%22%3A%22horizontal%22%2C%22mobile%22%3A%22horizontal%22%7D\" class=\"brz-menu brz-menu__preview brz-css-d-menu-menu brz-css-1uddhhf\">\n<ul class=\"brz-menu__ul\" data-menu-items-active=\"\">\n<li data-menu-item-id=\"866e82e6484b9133bf847be0c6655542\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/pubertaet\/#wachstum\" title=\"\"><span class=\"brz-span\">Growth during puberty<\/span><\/a><\/li>\n<li data-menu-item-id=\"240204a2eda7c444a23fba96bc3e15be\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/pubertaet\/#pubertaetsentwicklung\" title=\"\"><span class=\"brz-span\">Pubertal development<\/span><\/a><\/li>\n<li data-menu-item-id=\"072f1eb8172a94f0f5f8e8abeff4e2d8\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/pubertaet\/#wann-abklaeren\" title=\"\"><span class=\"brz-span\">When to investigate<\/span><\/a><\/li>\n<li data-menu-item-id=\"30c61e70e78e0482c0df97cef7c965b2\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/pubertaet\/#magersucht\" title=\"\"><span class=\"brz-span\">Anorexia<\/span><\/a><\/li>\n<li data-menu-item-id=\"10a4e9b933ffb3097b0d5e4fa04d5bba\" class=\"brz-menu__item menu-item menu-item-type-custom menu-item-object-custom\"><a class=\"brz-a\" target=\"\" href=\"\/en\/fuer-familien\/pubertaet\/#jugendmedizin\" title=\"\"><span class=\"brz-span\">Adolescent medicine<\/span><\/a><\/li>\n<\/ul>\n<\/nav>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-y7xw1g\" data-brz-custom-id=\"pCW_Wy_YEorm\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-6dhsqp\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-r-wrapper brz-css-cw6e12 brz-wrapper\">\n<div class=\"brz-spacer brz-css-d-spacer brz-css-1yegn4y\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"wachstum\" data-brz-id=\"g5Yx_UqHqSOi_g5Yx_UqHqSOi\" class=\"brz-section brz-css-d-section brz-css-11ibbda\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-llpjfe\" data-brz-custom-id=\"qdQ_li9mLMdg\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1r3ahs8\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-5oyjr0 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-q90xgfo593eq-parent brz-css-egwqkq\" data-brz-custom-id=\"q90xGFo593eQ\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-wachstum-in-der-pubertat-01.webp\" loading=\"lazy\" title=\"Arzt misst Patientin\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"wachstum-info\" data-brz-id=\"ptBZHMP893dH_ptBZHMP893dH\" class=\"brz-section brz-css-d-section brz-css-1mbyy8v\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-q7exi0\" data-brz-custom-id=\"hdgasdDGFPFc\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-17uhcwc\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-147d410 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jt7vdv\" data-brz-custom-id=\"ctwd2p_GnY9r\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-mb-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-sbA7E\" data-uniq-id=\"pwb0Y\" data-generated-css=\"brz-css-hMOAr\"><span class=\"brz-cp-color8\">GROWTH DURING PUBERTY<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-1qd146w\" data-brz-custom-id=\"kCYmLmVL3EA2\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1spljy3\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-47xa7k\" data-brz-custom-id=\"tthFVqUervjt\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1xc3rzw\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1nw26dn brz-wrapper book-tab\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-17sshgz\" data-brz-duration=\"300\" data-brz-custom-id=\"vIa_XICSAqWx\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">BUCH TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19dfmwn brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-sqpjee\" data-brz-custom-id=\"nmeEDOg3PoXL\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zEIXt translation-block\" data-uniq-id=\"oQiJB\" data-generated-css=\"brz-css-wyfkS\">The PEZZ Growth Atlas is also available as a book from PEZZ Publishing.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-11qx9l2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1xui47g\" data-brz-custom-id=\"kU3FBMcUbzxf\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-30 brz-css-trk5Y\" data-uniq-id=\"eiEq1\" data-generated-css=\"brz-css-g5rlq\"><span class=\"brz-cp-color8 brz-underline-true\">WHEN BODY AND MIND ARE CHANGING<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4srxjq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-473wzv\" data-brz-custom-id=\"d1cRxVvG7Och\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-tbg4P\" data-generated-css=\"brz-css-wBdnk\" data-uniq-id=\"lM1Zq\"><span class=\"brz-cp-color8\">Pubertal development usually begins in girls between 9 and 13 years of age and in boys between 11 and 15 years. However, it can also start earlier or later, be too early or too late, or not occur at all. In some adolescents, medical evaluations and, if necessary, treatment may be required.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-exkyh\" data-brz-custom-id=\"mXiLoYaUsJeH\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-is2kn9\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1xk1vof brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bd1rj8\" data-brz-custom-id=\"fF5Eh6In6MV1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hPDqh\" data-uniq-id=\"oVBqA\" data-generated-css=\"brz-css-sK2vK\"><span class=\"brz-cp-color8\">Puberty involves biological, psychological, and social changes, which are often experienced as stressful or crisis-like. Psychosomatic complaints are also common. At the Pediatric Endocrinology Center Zurich, uncertainties that may arise during pubertal and adolescent development are addressed and reduced through professional counseling. This helps adolescents manage crises and ensures that psychosomatic complaints are treated effectively.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-eGLMT\" data-uniq-id=\"aMD16\" data-generated-css=\"brz-css-hS4fC\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-soKTt\" data-uniq-id=\"awSCY\" data-generated-css=\"brz-css-uepvC\"><span class=\"brz-cp-color8\">Emotional well-being and the associated psychosocial development are significantly influenced by short stature or by early or late onset of puberty. This, in turn, can lead to changes in social behavior and academic performance. At our center, young patients are, if needed, also counseled by psychologists specialized in pubertal issues. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-1y1ldj9\" data-brz-custom-id=\"hrqkOdYXSHDo\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"e5ORVdmXAbQ0\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-18ruv3v\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"pubertaetsentwicklung\" data-brz-id=\"y3Aa4p7i4XpN_y3Aa4p7i4XpN\" class=\"brz-section brz-css-d-section brz-css-1vkiwce\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-14vxbiz\" data-brz-custom-id=\"nz7F2FXCNVTV\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1x78jr4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19k5nps brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-lyufx1rfphvp-parent brz-css-s6y8fe\" data-brz-custom-id=\"lyufX1RfPhvP\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-pubertatsentwicklung-01.webp\" loading=\"lazy\" title=\"Modell eines Zebras schaut aus dem Fenster\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"pubertaetsentwicklung-info\" data-brz-id=\"mDhi9Lt8jLEu_mDhi9Lt8jLEu\" class=\"brz-section brz-css-d-section brz-css-1ffxel3\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-4v7r61\" data-brz-custom-id=\"zjPYVwajjwjm\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1bqg77v\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7pqe0f brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-9lhcns\" data-brz-custom-id=\"foCv6sV7vd1g\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-mb-lg-0 brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-tiWFW\" data-uniq-id=\"i4KKC\" data-generated-css=\"brz-css-hsRTY\"><span class=\"brz-cp-color8\">PUBERTAL DEVELOPMENT<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-skg8lg\" data-brz-custom-id=\"d3WAfhsmFEFa\">\n<div class=\"brz-row brz-css-d-row-container brz-css-163thml\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1u0fjh8\" data-brz-custom-id=\"taNBfTTVkOWz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1qr12tz\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-o31zhz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-yrxnvs\" data-brz-custom-id=\"tEVjLhB02vM4\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-mt-lg-0 brz-css-dbKZv\" data-generated-css=\"brz-css-ynGS6\" data-uniq-id=\"iHlNe\"><span class=\"brz-underline-true brz-cp-color8\">IN GIRLS<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1x2tlco brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3a5msi\" data-brz-custom-id=\"zDj1Buv2dRPR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-byiNq\" data-generated-css=\"brz-css-mL_Hj\" data-uniq-id=\"s0hWx\"><span class=\"brz-cp-color8\">In girls, pubertal development typically begins around the age of 11 with breast development, the growth of pubic hair, and an acceleration of growth. The first menstrual period usually occurs around age 13. By age 15, growth is generally complete, and fertile cycles become more regular, reflected in a consistent menstrual cycle.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-w3p33o\" data-brz-custom-id=\"sw0TaS3PZC1h\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1ye80c4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-77f9az brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13v1oxj\" data-brz-custom-id=\"nBcpl3T7xXt5\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-lCZxC\" data-uniq-id=\"mMnyW\" data-generated-css=\"brz-css-pLX8j\"><span class=\"brz-cp-color8 brz-underline-true\">IN BOYS<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-dhomav brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1a0a2s8\" data-brz-custom-id=\"ch_v2aTWDjCw\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-zX4rK\" data-generated-css=\"brz-css-dBs8v\" data-uniq-id=\"gLk7t\"><span class=\"brz-cp-color8\">In boys, puberty typically begins around age 13 (about 2 years later than in girls) with enlargement of the testes and the growth of pubic hair. Between ages 14 and 15, puberty reaches its peak: growth velocity is maximal, the voice breaks, and the first ejaculation occurs. By age 17, growth and pubertal development are generally complete.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-1dk204k\" data-brz-custom-id=\"grCAd5ZSmsZa\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"a9tGo0udpctp\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-1gj2o4e\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"wann-abklaeren\" data-brz-id=\"fpJwrww1bavf_fpJwrww1bavf\" class=\"brz-section brz-css-d-section brz-css-te5rhg\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-12qx4ct\" data-brz-custom-id=\"qr3T02yZdHal\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-15b8x5i\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1xdzijh brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-exc4jkqwc6v_-parent brz-css-ucu6v5\" data-brz-custom-id=\"exc4JKqWc6V_\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-sprechstunde-01.webp\" loading=\"lazy\" title=\"Arzt spricht mit Patienten\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"aDC3aTwLqIRz_aDC3aTwLqIRz\" class=\"brz-section brz-css-d-section brz-css-z0nm9u\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-rri07z\" data-brz-custom-id=\"iqaeSGvA75KB\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-vamske\">\n<div class=\"brz-row__container brz-css-d-row-row brz-css-wzj75u\" data-brz-custom-id=\"lMwi1bg84hux\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1378ib9\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-16fwxjc\" data-brz-custom-id=\"nU7qGplaQ6MF\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1u5znfc\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1r4f2n5 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1jf2tqd\" data-brz-custom-id=\"fqArnfctuTOy\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-tp-lg-heading2 brz-css-rlxMf\" data-generated-css=\"brz-css-s9Ukf\" data-uniq-id=\"n2nWG\"><span class=\"brz-cp-color8\">WHEN SHOULD FURTHER EVALUATION BE DONE?<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qzjbbp brz-wrapper book-tab\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1inqbuy\" data-brz-duration=\"300\" data-brz-custom-id=\"k0C1qebNTRgO\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">BUCH TAB<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1iknkg2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1w2tew7\" data-brz-custom-id=\"ncHD3ctD_5DC\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-n57Pc\" data-uniq-id=\"m18ij\" data-generated-css=\"brz-css-zyBFx\"><span class=\"brz-cp-color8\">In the article <\/span><a class=\"link--upload brz-cp-color1\" href=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/Zu-frueh-zu-spaet-Normvarianten-und-Pathologien-der-Pubertaetsentwicklung.pdf\" data-brz-link-type=\"upload\">Normvarianten und Pathologien der Pubert\u00e4tsaentwicklung<\/a><span class=\"brz-cp-color8\"> Dr. med. Claudia Katschnig explains that identifying disorders requires solid expertise.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1afa70n brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1lvpp7y\" data-brz-custom-id=\"xDg9_PwarHUZ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-tYWrQ\" data-uniq-id=\"icvNl\" data-generated-css=\"brz-css-shhgB\"><span class=\"brz-cp-color8\">You can also read the <\/span><a class=\"link--upload brz-cp-color1\" href=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/beobachter_20181123_038.pdf\" data-brz-link-type=\"upload\">article in Beobachter<\/a><span class=\"brz-cp-color8\"> from the 23rd of November 2018<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14fe19l brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ljcz8h\" data-brz-custom-id=\"lo9WkPpZw6kd\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-15 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-lg-heading3 brz-css-iiAUz\" data-uniq-id=\"la8qT\" data-generated-css=\"brz-css-wxBep\"><span class=\"brz-cp-color8 brz-underline-true\">TOO EARLY, TOO LATE?<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1fd9wrp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1alxoo8\" data-brz-custom-id=\"i1MteCHsVBHM\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-mWc0l\" data-uniq-id=\"xtIzO\" data-generated-css=\"brz-css-fHxyD\"><span class=\"brz-cp-color8\">Early onset of puberty that may require medical evaluation and possibly treatment is defined as the start of pubertal development before the age of 8 in girls and before the age of 10 in boys. Puberty is considered delayed in girls if there are no signs of breast development by the age of 13, or if the first menstrual period has not occurred by the age of 15.\n\nIn boys, the first signs of puberty are often more subtle. However, if no visible pubertal development has started by the age of 16, a medical assessment is recommended.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-l0jtdl brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1dg5qsw\" data-brz-custom-id=\"zusY34LkTyQ0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-iy46A\" data-uniq-id=\"kQ_Q9\" data-generated-css=\"brz-css-kFN09\"><span class=\"brz-cp-color8\">Boys in particular who develop later than their peers often struggle with the delay, as they may still look childlike at the age of 15 and are therefore frequently teased. It is important to know that for so-called late developers there are simple treatment options that can help accelerate delayed pubertal development and, consequently, growth.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mo8qe9 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1rtmcue\" data-brz-duration=\"300\" data-brz-custom-id=\"nKvYt_j1unyp\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-a7hg12 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-13cr4i9\" data-brz-custom-id=\"eDdiRmn4ydPQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nhev3\" data-generated-css=\"brz-css-mUiBz\" data-uniq-id=\"lOBNY\"><span class=\"brz-cp-color8\">Regardless of issues relating to growth and physical changes, the psychological development that occurs during adolescence presents a major obstacle for young people and their parents. In such cases, specialist psychological guidance and counselling can often be very helpful.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"magersucht\" class=\"brz-columns brz-css-d-column-column brz-css-1wgkvzj\" data-brz-custom-id=\"mwAxnbbRKcXU\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-enmwu\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-n8wax1 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-iqzy0o\" data-brz-custom-id=\"rDlRE00bsf2Y\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-tp-lg-heading2 brz-css-xjq8m\" data-uniq-id=\"xya_e\" data-generated-css=\"brz-css-mxvDi\"><span class=\"brz-cp-color8\">ANOREXIA<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-tci85t brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1h9l3j9\" data-brz-custom-id=\"xn45Ixwe3AF9\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-qvZw8\" data-uniq-id=\"bTMXD\" data-generated-css=\"brz-css-o3LYa\"><span class=\"brz-cp-color8\">During puberty, both the body and the mind undergo significant changes. Anorexia reflects the complex and often troubled relationship between body and mind. We also have extensive experience in the care of patients with anorexia.\n\nThe primary goal of treatment is to help patients return to a minimum healthy weight as quickly as possible without the need for hospitalisation and to prevent serious complications.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-eh8f9t\" data-brz-custom-id=\"wYopQgF9FPV7\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"ztwtMSKy_qCg\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-meeous\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"jugendmedizin\" data-brz-id=\"tNV7yiyxitiS_tNV7yiyxitiS\" class=\"brz-section brz-css-d-section brz-css-16y9i5k\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-1qblj7e\" data-brz-custom-id=\"eKQqtNPVbrd2\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-kjr4sj\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1flvzo3 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-c1vcvq4bkz6x-parent brz-css-1i01749\" data-brz-custom-id=\"c1vCVq4bkZ6X\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-jugendmedizin-in-der-praxis-01.webp\" loading=\"lazy\" title=\"Arzt spricht einf\u00fchlsam mit sienem Patienten\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"jugendmedizin-info\" data-brz-id=\"m57sk6VHZwG__m57sk6VHZwG_\" class=\"brz-section brz-css-d-section brz-css-i4j6hn\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-bxtc43\" data-brz-custom-id=\"mmB2NnpvvxYx\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-11cyozb\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-169v3jj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1in33az\" data-brz-custom-id=\"ktg4Nqyxoq8d\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-vv34h\" data-generated-css=\"brz-css-iGDxE\" data-uniq-id=\"eKvwU\"><span class=\"brz-cp-color8\">THE NEED FOR A SPECIALIZED ADOLESCENT MEDICINE<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-xbx2u9\" data-brz-custom-id=\"df0RlPZcq1EV\">\n<div class=\"brz-row brz-css-d-row-container brz-css-cfbbr4\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-oophbc\" data-brz-custom-id=\"eUYgCDlwPoPz\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-emrn9n\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qre2pl brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-mqlvgy\" data-brz-custom-id=\"dB5X7qPWlgOE\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-wEJ6u\" data-uniq-id=\"xcy0q\" data-generated-css=\"brz-css-uN4mq\"><span class=\"brz-cp-color8 brz-underline-true\">ADOLESCENTS ARE NEITHER BIG CHILDREN NOR SMALL ADULTS.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-14vkf1w brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1mwcr0c\" data-brz-custom-id=\"lsc7uKChUGV4\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-vSU5G\" data-generated-css=\"brz-css-nLXrZ\" data-uniq-id=\"e5P0H\"><span class=\"brz-cp-color8\">They have their own specific needs. Marketing strategists in the clothing industry recognized this long ago and generate substantial revenues with products specifically targeted at adolescents.\n\nHowever, adolescents also have distinct needs when it comes to medical care, which differ from those of children and adults. In Switzerland, with only a few exceptions, there are no specialized practices or institutions dedicated to this age group.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qa4zwg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-gcjcov\" data-brz-custom-id=\"zAppxPHltqHt\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-rFukQ\" data-generated-css=\"brz-css-jvOAm\" data-uniq-id=\"wsN7u\"><span class=\"brz-cp-color8\">WHY HAVE ADOLESCENTS SUDDENLY BECOME SO IMPORTANT?<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-jyl570 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bt9gds\" data-brz-custom-id=\"tnRUeGcp3BAQ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-wE6HI\" data-generated-css=\"brz-css-i9Csx\" data-uniq-id=\"yk3sR\"><span class=\"brz-cp-color8\">The group of adolescents has grown significantly in recent years. Two opposing developments are responsible for this: sexual maturity occurs increasingly earlier, while the period of education and training has become progressively longer.\n\nAt the beginning of the 20th century, in many professions such as factory work or farming, the onset of sexual maturity marked both the beginning and the completion of the transition into the adult working world. Most occupations at that time primarily required people to have their full physical strength available. This strength, however, already approaches its peak at the time of sexual maturity. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-tn1xpa brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-dvr1ys\" data-brz-duration=\"300\" data-brz-custom-id=\"wYaKA0sIXjNP\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-k7xcxb brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-4qc77q\" data-brz-custom-id=\"mUUnCrfM2lWn\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-fkUN9\" data-generated-css=\"brz-css-oCESO\" data-uniq-id=\"oKtfg\"><span class=\"brz-cp-color8\">Today, sexual maturity occurs significantly earlier, while full integration into a profession as an adult comes increasingly later. Hardly any apprentice achieves full professional recognition before the age of 20. This phenomenon is even more pronounced among university students.\n\nA clear example can be seen among aspiring physicians: a young doctor is only recognized as fully competent and, therefore, as an adult, upon reaching the position of senior physician or opening their own practice\u2014often not until well after the age of 30.\n\nThe period of adolescence, that is, the time of change and transition, therefore lasts much longer. As a result, the overall group of adolescents has also grown larger.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-3pt7ak brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-w2glc4\" data-brz-custom-id=\"jsP4mNTdZ9zR\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-izLHJ\" data-generated-css=\"brz-css-zAl2f\" data-uniq-id=\"zFg8z\"><span class=\"brz-cp-color8\">CHANGE AS A CENTRAL PRINCIPLE OF ADOLESCENCE AND THE BIO-PSYCHO-SOCIAL APPROACH<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1jgzr1q brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17sfip0\" data-brz-custom-id=\"gfAkE28nVpsd\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-g5Xh_\" data-uniq-id=\"ekxnx\" data-generated-css=\"brz-css-syrla\"><span class=\"brz-cp-color8\">Die Ver\u00e4nderung bestimmt die Adoleszenz und ist das zentrale Prinzip dieses Lebensabschnittes, welcher mit dem Einsetzen der k\u00f6rperlichen Pubert\u00e4tsentwicklung beginnt und im Idealfall mit der endg\u00fcltigen Abl\u00f6sung vom Elternhaus und der vollen Integration in die Erwachsenenwelt endet. Die Adoleszenz umfasst also die Gesamtheit aller Anpassungsversuche an die neuen, ver\u00e4nderten inneren und \u00e4usseren Zust\u00e4nde, welche im Rahmen der k\u00f6rperlichen Pubert\u00e4tsentwicklung eingetreten sind. Ich ben\u00fctze den Begriff &#8222;bio-psycho-sozial&#8220; zur Definition der verschiedenen Ebenen, auf welchen Ver\u00e4nderungen stattfinden. Dabei steht &#8222;bio&#8220; f\u00fcr die k\u00f6rperliche Ebene, &#8222;psycho&#8220; f\u00fcr die innerpsychische und &#8222;sozial&#8220; f\u00fcr die Beziehungen zum sozialen Umfeld. &#8222;Biopsychosozial&#8220; definiert aber nicht nur drei Ebenen, sondern impliziert auch die wechselseitige Beeinflussung und Abh\u00e4ngigkeit der drei Ebenen untereinander. In diesem Sinne ist die getrennte Betrachtung der drei Ebenen k\u00fcnstlich und eigentlich nur aus didaktischen Gr\u00fcnden zul\u00e4ssig.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qb8usx brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-13ab6l4\" data-brz-duration=\"300\" data-brz-custom-id=\"oUMMTJuLT1qD\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-163rvai brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-f05ub1\" data-brz-custom-id=\"zx6nGaUBFC5e\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-w_rbu\" data-uniq-id=\"vueg0\" data-generated-css=\"brz-css-tIyXC\"><strong class=\"brz-bold-true brz-cp-color8\">2.1. THE BIOLOGICAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-395szn brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-gspa3e\" data-brz-custom-id=\"x2L1MKLfUEFs\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dpX7P\" data-generated-css=\"brz-css-kxQBo\" data-uniq-id=\"xqnPm\"><span class=\"brz-cp-color8\">Die Ver\u00e4nderungen auf der k\u00f6rperlichen Ebene sind un\u00fcbersehbar, sie werden \u00fcblicherweise unter dem Begriff &#8222;Pubert\u00e4tsentwicklung&#8220; subsumiert und sind die Folge des Anstiegs der Sexualhormone.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1maai13 brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-ipwv4ln6dqmm-parent brz-css-1873ov6\" data-brz-custom-id=\"iPwv4ln6DQMm\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/jugendmedizin-2-1b.webp\" loading=\"lazy\" title=\"Jugendmedizin - biologische Ebene\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1w1qkvk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-22am39\" data-brz-custom-id=\"gBdrOWlN6rsV\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aOefH\" data-uniq-id=\"hnWe9\" data-generated-css=\"brz-css-yFHoy\"><span class=\"brz-cp-color8\">Figure 1 shows the physical changes of an average girl or young woman photographically. Between the ages of 3 and 11, the body remains largely unchanged except for growth in size. Between 11 and 15, the body undergoes fundamental changes in addition to growth.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-w_RqZ\" data-uniq-id=\"hnWe9\" data-generated-css=\"brz-css-yFHoy\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-kcvl0\" data-uniq-id=\"hnWe9\" data-generated-css=\"brz-css-yFHoy\"><span class=\"brz-cp-color8\">Pubertal development in girls begins with breast development, the appearance of pubic hair, and a growth spurt, typically around the age of 11. Menarche usually occurs at about 13 years, and by age 15 growth is complete and regular fertile cycles become established.\n\nIn boys, puberty generally begins around age 13 with testicular enlargement and the appearance of pubic hair. Between ages 14 and 15, the pubertal growth spurt reaches its peak, the voice breaks, and the first ejaculation occurs. By age 17, growth and pubertal development are complete.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-19a8vkt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1p26bmb\" data-brz-custom-id=\"oWpqbswFHdUX\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-m75YS\" data-generated-css=\"brz-css-gXXoJ\" data-uniq-id=\"eZC5j\"><strong class=\"brz-cp-color8 brz-bold-true\">2.2. THE PSYCHOLOGICAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1it2wq1 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ghsqlb\" data-brz-custom-id=\"diZtc8ozsiXc\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-oOipP\" data-generated-css=\"brz-css-jf3t8\" data-uniq-id=\"lKLHK\"><span class=\"brz-cp-color8\">Die innerpsychische Ebene wird gepr\u00e4gt durch das Auftreten neuer, bisher unbekannter Gef\u00fchle, welche wohl einerseits ihren Ursprung in der ver\u00e4nderten hormonellen Situation (pubert\u00e4tsbedingter Anstieg der Sexualhormone) und andererseits aus der grundlegenden Ver\u00e4nderung der k\u00f6rperlichen Erscheinung ziehen. Die k\u00f6rperlichen Ver\u00e4nderungen werden prim\u00e4r als fremd erlebt (&#8222;es geschieht mit mir&#8220;) und m\u00fcssen in der Folge erst in ein neues inneres Bild von sich selbst (&#8222;wie man glaubt zu sein&#8220;, Selbstbild) integriert werden. Diese Ver\u00e4nderung des K\u00f6rpers wird wohl selbst wahrgenommen, aber auch \u00fcber die Reaktion der Umwelt perzipiert. Dabei denke ich an ver\u00e4nderte Reaktionen der Gleichaltrigen als auch an jene von Erwachsenen, Beziehungspersonen und Fremde (Wie ver\u00e4ndert sich doch die Aufmerksamkeit der Erwachsenen einer 13-j\u00e4hrigen puberalen jungen Frau gegen\u00fcber im Vergleich zum 2 Jahre j\u00fcngeren pr\u00e4puberalen 11-j\u00e4hrigen M\u00e4dchen).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-l3t61e brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-kpnqcou2zpgf-parent brz-css-jltvnq\" data-brz-custom-id=\"kpNQCOU2ZPGF\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/jugendmedizin-2-2.webp\" loading=\"lazy\" title=\"Jugendmedizin - psychische Ebene\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qga4js brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-hy8n1z\" data-brz-custom-id=\"tdF5qFoPb_nm\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dMbfc\" data-generated-css=\"brz-css-srPQM\" data-uniq-id=\"eb77X\"><span class=\"brz-cp-color8\">Abb. 2 zeigt einen Ausschnitt aus Abb. 1. Innert 4 Jahren wird aus einem kindlichen K\u00f6rper der einer erwachsenen Frau. Die Einheit, welche \u00fcber lange Jahre zwischen dem kindlichen K\u00f6rper und der kindlichen Seele bestand (in der Entwicklungspsychologie als Latenzphase bezeichnet), muss auf einer neuen, zuerst jugendlichen, dann erwachsenen Ebene neu geschaffen werden. Das neue &#8222;Erscheinungsbild&#8220; muss in ein neues inneres Selbstbild integriert werden. Ziel all dieser Anstrengungen ist es, dem erwachsenen K\u00f6rper ein entsprechendes neues, gereiftes und erwachsenes Selbstbild zu geben. Als Beispiel eines entgleisten Selbstbildes sei die Anorexie mit der f\u00fcr dieses Krankheitsbild typischen K\u00f6rperentfremdung angef\u00fchrt.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-p0ckh1 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8hbn0v\" data-brz-custom-id=\"oCYywbhsm73c\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-fPac_\" data-uniq-id=\"z6DGe\" data-generated-css=\"brz-css-mbXs2\"><strong class=\"brz-bold-true brz-cp-color8\">2.3. THE SOCIAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-60p6ew brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1emsbvt\" data-brz-custom-id=\"rMvU1VPicG5f\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aWaqi\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><span class=\"brz-cp-color8\">Changes in the physical and intrapsychic domains are accompanied by changes in relationships with the social environment, where a new sense of autonomy must be established. The path to developing this autonomy typically and necessarily involves a phase in which dependence on the family of origin is gradually replaced by a new dependence on peer groups.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dxXnG\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uShtr\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><span class=\"brz-cp-color8\">With the onset of physical puberty, adolescents begin moving out of the family and into groups of peers and like-minded individuals. Integration into these peer groups is essential for the transition out of the family to succeed. This process, in turn, is unavoidable if a child is to grow into an adult capable of independent thought and responsible action.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uj3vV\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dUVx4\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><span class=\"brz-cp-color8\">Die sozialen Regeln dieser Gleichaltrigen Gruppen (von der Schulklasse, Jugendgruppe, Pfadigruppe bis hin zu Punks und Skinheads) unterscheiden sich grundlegend von denjenigen Erwachsener. In all diesen unter sich so verschiedenen Gruppen Jugendlicher ist Konformit\u00e4t mit den andern Gruppenmitgliedern die zentrale Eigenschaft, von der die Aufnahme in die Gruppe abh\u00e4ngt. Die k\u00f6rperliche Reife ist von zentraler Wichtigkeit f\u00fcr die Hierarchiebildung. Rothaarige, Adip\u00f6se und Kleinw\u00fcchsige, um nur einige Beispiele zu nennen, beginnen in diesem Alter deshalb vermehrt unter ihrer &#8222;Unkonformit\u00e4t&#8220; zu leiden. Dasselbe gilt auch f\u00fcr exzessiv Grosse. Das Bed\u00fcrfnis nach Konformit\u00e4t und Uniformit\u00e4t zeigt sich selbstverst\u00e4ndlich auch in der Art und Weise, sich zu kleiden. Konformit\u00e4t und Uniformit\u00e4t erlauben es, in die Gruppe einzutauchen und darin zu verschwinden (wie ehemals in der Familie). Das extrem uniformierend wirkende, identische Outfit bestimmter Jugendgruppen (Punks, Teddys, Skinheads etc.) bekommt aber noch eine weitere Bedeutung. In dieser Lebensphase gr\u00f6sster Ver\u00e4nderungen setzt die Uniformierung ein \u00e4usseres Gegenzeichen und signalisiert: Wir sind alle gleich, es gibt keine Unterschiede, nichts ver\u00e4ndert sich.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rZxfB\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-nn8rF\" data-generated-css=\"brz-css-vODYp\" data-uniq-id=\"tGTTt\"><span class=\"brz-cp-color8\">F\u00fcr uns \u00c4rzte ist es etwas erstaunlich zu vernehmen, dass die k\u00f6rperliche Reife auch in diesem Alter weniger \u00fcber K\u00f6rperformen, sondern haupts\u00e4chlich \u00fcber die K\u00f6rpergr\u00f6sse abgesch\u00e4tzt wird, obwohl diese Tatsache durch Studien recht gut belegt ist. Wir \u00c4rzte sind es gewohnt, unsere Patienten in teilweise ausgezogenem Zustand zu untersuchen, und bekommen damit augenf\u00e4llige Informationen \u00fcber den Entwicklungszustand unserer Patienten. Ausserhalb des Untersuchungszimmers sind diese Informationen nicht so einfach zug\u00e4nglich und das altersgem\u00e4sse Bed\u00fcrfnis der Jugendlichen nach Konformit\u00e4t bewirkt, dass diese sich altersgem\u00e4ss einkleiden. Sie sch\u00fctzen sich in den Gleichaltrigen Gruppen, indem sie mit dem entsprechenden Outfit ein gewisses &#8222;Reifersein&#8220; vort\u00e4uschen. Somatisch t\u00e4tige \u00c4rzte haben eine Tendenz, den k\u00f6rperlichen Ausdruck durch die Kleidung in seiner Wichtigkeit zu untersch\u00e4tzen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-4h3pj8\" data-brz-custom-id=\"jXdcuGQEMV8l\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-8ai2n4\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-z1nemq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-48qpgi\" data-brz-custom-id=\"kQ4P_1lSyZUE\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-tXfNG\" data-uniq-id=\"tWmft\" data-generated-css=\"brz-css-brqcb\"><span class=\"brz-cp-color8\">NEEDS FOR ADOLESCENT-ORIENTED MEDICINE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vsgcj7 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-knm9k9\" data-brz-custom-id=\"nWgXQU_wYXES\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ukhAC\" data-generated-css=\"brz-css-oA58Y\" data-uniq-id=\"dUugl\"><span class=\"brz-cp-color8\">Auch hier ben\u00fctze ich gerne den Begriff &#8222;bio-psycho-sozial&#8220; als Leitfaden, resp. als Inhaltsverzeichnis.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1dq8k1j brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1tyuldh\" data-brz-custom-id=\"lSa6JNuUdIz0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-lNXbH\" data-uniq-id=\"lS85G\" data-generated-css=\"brz-css-tVvFu\"><strong class=\"brz-bold-true brz-cp-color8\">3.1. THE BIOLOGICAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-18sj4kv brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-voonb7\" data-brz-custom-id=\"hOgEyAdzn04k\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bedkh\" data-uniq-id=\"fqGmP\" data-generated-css=\"brz-css-oAuZj\"><span class=\"brz-cp-color8\">Being knowledgeable and competent about the physical changes of puberty, and being able to judge what is still normal at each age, seems essential. A physician must therefore be able to answer questions such as:\n\nIs my height normal? How tall will I be as an adult? Could treatment make me taller?\n\nAre all my organs normal and functioning properly?\n\nAre my breasts too small? Are they still developing, will they grow more?\n\nIs my penis normal, not too short for my age, will it continue to develop?\n\nI have developed breasts; am I still a \u201creal\u201d man? Could it be cancer?\n\nIs my physical development truly delayed? Will it still progress, or should I be concerned? Could it be medically accelerated?\n\nIs my body hair normal?\n\nI have not had my period yet, or my period is absent; should I worry?\n\nI am afraid of AIDS, pregnancy, etc.\n\nMany questions arise from the situation of change. What was normal yesterday may be different today. This requires ongoing engagement with the changes in one\u2019s body, the shifting concept of what is normal, and ideals of how a male or female body should look.\n\nKnowing the uncertainty adolescents feel about their physical changes and the many questions that arise also carries the risk of providing reassurance too quickly, potentially overlooking medically relevant findings (e.g., hypogonadism versus delayed puberty). A physician should be able to distinguish normal from pathological features at every age. This requires solid medical training and experience with adolescents.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-af3ixk brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-k35223\" data-brz-duration=\"300\" data-brz-custom-id=\"qfnRRfjCZHlt\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qzwgg6 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-tyu0y1\" data-brz-custom-id=\"fHgEVshWMqOk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-t7jvx\" data-uniq-id=\"m7g53\" data-generated-css=\"brz-css-rQZ7s\"><span class=\"brz-cp-color8\">The example of secondary amenorrhea in young women illustrates well how complex differential diagnosis can be in adolescents, involving multiple levels. A missed period at this age may be physiological, reflecting an immature and irregular cycle. This instability can be exacerbated by psychological or physical stress. In some cases, the first bleeding may not even have been menarche, i.e., not of uterine origin. Therefore, the patient\u2019s overall maturation status must be assessed and bone age determined.\n\nAmenorrhea can be the first symptom of anorexia and often occurs before weight loss. It can also result from anorexia and sometimes persist for years even after normal weight is achieved. Any type of chronic illness can lead to amenorrhea. It may also be caused by pregnancy or hormonal disorders, particularly dysfunctions of the thyroid, ovaries, adrenal glands, pituitary, or hypothalamus.\n\nIt is, of course, not possible to formally exclude all these differential diagnoses, as many complex and poorly understood diagnostic procedures at this age can themselves provoke anxiety and potentially have harmful effects. This example clearly demonstrates that the problems for which adolescents consult a physician are quite different from those of other age groups.\n\nIn addition to the problem areas listed above in question form, adolescents frequently present with eating disorders such as anorexia nervosa, obesity, and bulimia.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-dzVFi\" data-uniq-id=\"w4cGU\" data-generated-css=\"brz-css-pDfU2\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1cuagvk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-k3kw9i\" data-brz-custom-id=\"mnG9RdjC5fUV\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-fprCL\" data-generated-css=\"brz-css-sIqda\" data-uniq-id=\"zuoKh\"><strong class=\"brz-cp-color8 brz-bold-true\">3.2. THE PSYCHOLOGICAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ghjdu7 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17e9gw5\" data-brz-custom-id=\"yY7o2zkFIbAW\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-kcAcH\" data-uniq-id=\"wF0PI\" data-generated-css=\"brz-css-ujsV2\"><span class=\"brz-cp-color8\">Im psychischen Bereich geht es v.a. darum, dem Jugendlichen zu helfen, die vor\u00fcbergehende Desintegration von K\u00f6rper und Seele zu \u00fcberwinden und den ver\u00e4nderten, neuen K\u00f6rper in ein neues und gefestigtes Selbstbild zu \u00fcberf\u00fchren. Dies f\u00fchrt in diesem Alter zu einem besonders ausgepr\u00e4gten Bed\u00fcrfnis nach einer ganzheitlichen Medizin. Denn eine Medizin, welche in somatische und psychische Medizin aufteilt und aufgeteilt ist, erschwert dem Jugendlichen diese Integration. Vor allem psychosomatische Krankheiten des Jugendlichen haben ihren Ursprung in dieser Desintegration. Alle, die mit Jugendlichen arbeiten, sind h\u00e4ufiger psychotherapeutisch t\u00e4tig, als sie dies manchmal wahrhaben wollen. Jugendliche k\u00f6nnen ja nur im \u00e4ussersten Notfall dazu bewegt werden, einen Psychiater oder Psychologen aufzusuchen (&#8222;ich spinne doch nicht&#8220;). Der Weg zum somatisch definierten Arzt und \u00fcber ein somatisches Symptom ist f\u00fcr sie einfacher.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1t9ukhy brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1wa15rm\" data-brz-duration=\"300\" data-brz-custom-id=\"rvePBlPDifzW\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1tm13ko brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1rtnvn0\" data-brz-custom-id=\"sTIIe6AfWeGT\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-w7Tpr\" data-uniq-id=\"aEvwX\" data-generated-css=\"brz-css-rtq0C\"><span class=\"brz-cp-color8\">Einige spezielle Eigenschaften wie Ehrlichkeit und Transparenz, sowie Flexibili\u00e4t und Disponibilit\u00e4t erleichtern den Kontakt und die Beziehung mit dem Adoleszenten. Man sollte bereit sein, von ihm zu lernen und offen genug sein, sich selbst in Frage zu stellen und eigene Positionen zu \u00fcberdenken. Oft dienen wir als Modell. Manchmal spielen wir die Rolle der Mutter oder des Vaters, vor allem wenn einer der beiden physisch und\/oder psychisch abwesend ist oder als sehr schwach erlebt wird. Wir k\u00f6nnen diese Rollen nicht real ersetzen, wir k\u00f6nnen uns aber zur Verf\u00fcgung halten, um wie eine Dia-Leinwand jenes Bild abzubilden, welches man auf uns projiziert. Auf Grund der spezifischen Anforderungen ergeben sich auch im psychischen Bereich recht hohe Anspr\u00fcche an den behandelnden Arzt. Psychologisch- psychotherapeutische Aspekte kommen in der medizinischen Ausbildung oft zu kurz. Wenn man mit Adoleszenten arbeiten will, muss man sich auch hier die n\u00f6tige Kompetenz aneignen. Die Weiterbildung in Form von Balint-Gruppen stellt dabei ein absolutes Minimum dar. F\u00fcr eine therapeutische Arbeit mit Kindern und Jugendlichen unter dem Titel &#8222;ganzheitlich&#8220; oder &#8222;psychosomatisch&#8220; scheint eine Weiterbildung in Familientherapie sinnvoll, um die verschiedenen Systeme (Familie, Schule etc.) zu verstehen und wenn n\u00f6tig kompetent eingreifen zu k\u00f6nnen. Im Weiteren halte ich eine eigene therapeutische Erfahrung f\u00fcr unumg\u00e4nglich. Es ist auch f\u00fcr einen praktizierenden Arzt m\u00f6glich, eine solche Ausbildung zu erlangen. Es gibt verschiedene gut qualifizierte Institute, im Rahmen derer man eine solche Ausbildung neben der t\u00e4glichen Arbeit in der Praxis erlangen kann. Dabei findet eine solche Weiterbildung h\u00e4ufig mindestens teilweise in Form von Supervisionsstunden statt. Dies erlaubt von Anfang an, in der Praxis psychotherapeutisch zu arbeiten.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1x4i1xy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1aed13q\" data-brz-custom-id=\"wKehHoaEVVYD\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-xH1OR\" data-uniq-id=\"azEt8\" data-generated-css=\"brz-css-bgBy0\"><strong class=\"brz-bold-true brz-cp-color8\">3.3. THE SOCIAL LEVEL<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1dlpuz brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-70vbg0\" data-brz-custom-id=\"fiMkQK4ftNNX\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bnPhZ\" data-uniq-id=\"juhEP\" data-generated-css=\"brz-css-rkGgf\"><span class=\"brz-cp-color8\">Regarding the adolescent\u2019s social environment, there are primarily two expectations for the physician. First, the physician should understand the rules to which adolescents are exposed and subject within their peer groups. Second, the physician should be able to support the adolescent in the pursuit of autonomy.\n\nIn cases of family or school conflicts, it can be helpful and appropriate to conduct family meetings or meetings with the parents alone. However, supporting the adolescent\u2019s autonomy is often less a matter of teaching and more a matter of direct demonstration through the physician\u2013patient relationship in the here and now. The physician helps the adolescent develop autonomy by allowing them to reduce their dependence on the physician. This can serve as a model for reducing dependence on their parents.\n\nPhysicians should enjoy explaining and, in this way, help the adolescent take ownership of their body and understand its functions. For example, in the past, diabetologists required patients to call the doctor for every change in blood or urine sugar, who then instructed them on how to adjust insulin doses. Today, fortunately, most patients learn to manage their lifelong condition themselves and adjust insulin doses independently according to their needs. The former approach kept patients dependent, while the latter allows patients to act autonomously and responsibly.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-j8jpcv brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1acaibm\" data-brz-custom-id=\"s_ZXzRipJskq\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-mt-lg-20 brz-css-nrRro\" data-uniq-id=\"yBozT\" data-generated-css=\"brz-css-ziUfI\"><span class=\"brz-cp-color8\">04. SUMMARY<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1grrfx3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-6y60nw\" data-brz-custom-id=\"mtUu_5B4cY9C\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-uCpsR\" data-uniq-id=\"x0yWe\" data-generated-css=\"brz-css-vDtuh\"><span class=\"brz-cp-color8\">Adolescents represent a distinct and increasingly large patient group. The central principle of puberty and adolescence is change, which requires continuous engagement with a constantly shifting sense of normality. Changes occur on the physical, intrapsychic, and psychosocial levels.\n\nThis situation of ongoing change demands specific knowledge and skills from physicians. These skills are derived in part from pediatrics, endocrinology, andrology, gynecology, as well as psychology and psychiatry. Specialized adolescent physicians are therefore needed. Such specialists are not only essential for working directly with adolescents but also to share their expertise and experience in the training of students and colleagues.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-hpDcO\" data-uniq-id=\"x0yWe\" data-generated-css=\"brz-css-vDtuh\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-wSHtI\" data-uniq-id=\"x0yWe\" data-generated-css=\"brz-css-vDtuh\"><span class=\"brz-cp-color8\">Prof. Dr. Urs Eiholzer<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-10g5z2u\" data-brz-custom-id=\"zcDSUNOGNFiZ\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"yTYsqywOe3Ph\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-m65a0r\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"jugendmedizin-in-der-praxis\" data-brz-id=\"gOu8BtNLxLOf_gOu8BtNLxLOf\" class=\"brz-section brz-css-d-section brz-css-1vsx2wu\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-193sysf\" data-brz-custom-id=\"f12YCinOPpJt\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-eq0a3a\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-icxpej brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-ez4uugzvazpi-parent brz-css-gsk0oc\" data-brz-custom-id=\"eZ4uuGZvaZpi\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-notwendigkeit-jugendmedizin-01.webp\" loading=\"lazy\" title=\"Arzt h\u00f6rt Herzschlag mit Stethoskop ab. Patient sitzt auf der Liege\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"jugendmedizin-in-der-praxis-info\" data-brz-id=\"lz71QDfP3vRc_lz71QDfP3vRc\" class=\"brz-section brz-css-d-section brz-css-1fnvcxy\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-8hwvfz\" data-brz-custom-id=\"a4pDzIESKqsQ\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-3rvjsl\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1q0g3dq brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-30v9ef\" data-brz-custom-id=\"v5_0hGchHpkF\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-xs-left brz-ff-qKYqBgi9lfgW brz-ft-upload brz-fs-lg-70 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1 brz-vfw-lg-600 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mb-lg-0 brz-mb-sm-0 brz-mb-xs-0 brz-tp-lg-heading2 brz-text-lg-left brz-css-n67zx\" data-generated-css=\"brz-css-tsFYa\" data-uniq-id=\"wDBRJ\"><span class=\"brz-cp-color8\">ADOLESCENT MEDICINE IN THE PRACTICE<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-euwj91\" data-brz-custom-id=\"h1AHlgVHjm7X\">\n<div class=\"brz-row brz-css-d-row-container brz-css-1u604vi\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-1ov7ahn\" data-brz-custom-id=\"s7C2XraF95B7\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1oti3la\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mht1wy brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-h6d7t\" data-brz-custom-id=\"mAmcSOlVZBa9\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-mt-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_4 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-28 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-sm-heading3 brz-tp-lg-heading3 brz-css-ko7I1\" data-generated-css=\"brz-css-cr6y0\" data-uniq-id=\"bA1ce\"><span class=\"brz-underline-true brz-cp-color8\">F\u00dcR EIN &#8218;GL\u00dcCKLICHES&#8216; HERANWACHSEN<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-8qel4i brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-3mtwij\" data-brz-custom-id=\"t9DPmu1px8t0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-tfe3Y\" data-generated-css=\"brz-css-dk6z9\" data-uniq-id=\"w_QEj\"><span class=\"brz-cp-color8\">In my professional experience, I quickly realized that current medical care practices do not adequately address the needs of adolescent patients. However, I believe that responding to adolescents and their physical and emotional development is essential for a \u201chappy\u201d upbringing.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1g192hb brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1u4558l\" data-brz-custom-id=\"eAXmEHf9y3Xk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ow52i\" data-uniq-id=\"ivXC6\" data-generated-css=\"brz-css-wqFcr\"><span class=\"brz-cp-color8\">01. ADOLESCENT MEDICINE AND DISEASE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-170tcq8 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1phwqex\" data-brz-custom-id=\"k1X66VFQlMzF\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mj2_f\" data-generated-css=\"brz-css-gumKX\" data-uniq-id=\"feaeE\"><span class=\"brz-cp-color8\">&#8222;Jugendliche sind nicht krank&#8220;, wurde mir vor 10 Jahren vom p\u00e4diatrischen Establishment entgegnet, als ich von meinem Interesse f\u00fcr Adoleszentenmedizin und meinen \u00dcberlegungen zur medizinischen Versorgung der Jugendlichen erz\u00e4hlte. Der Satz &#8222;Jugendliche sind nicht krank&#8220; ist dann wahr, wenn man von einem sehr engen Krankheitsbegriff ausgeht. Wie ausgepr\u00e4gt muss die Akne sein, damit man von krank sprechen kann? Ist die Pubert\u00e4tsgyn\u00e4komastie eine Krankheit?<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-xjg6pa brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-ahntci\" data-brz-duration=\"300\" data-brz-custom-id=\"ssXaZhS7K2vP\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-5davwg brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1nfj89s\" data-brz-custom-id=\"nhSIc21pSd4S\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-eap7z\" data-generated-css=\"brz-css-kR2CX\" data-uniq-id=\"s6rLQ\"><span class=\"brz-cp-color8\">Is the fact that one suffers from it a disease? What about delayed menarche, irregular menstrual cycles, or the fear of not developing normally, or that one\u2019s genitals are too small or too curved? Is the desire for personal counseling about contraception a disease?\n\nAdolescents\u2019 \u201cillness\u201d often lies in their distress. Young people are frequently worried, and in a way that affects both their well-being and their ability to function. This distress usually stems from the constant changes adolescents face in their daily lives. Profound transformations occur on three levels, commonly described as biological, psychological, and social.\n\nMany questions arise from these biological changes. What was normal and familiar yesterday may feel different today. This requires an ongoing process of adapting to change and to a shifting sense of what is \u201cnormal\u201d in one\u2019s own body. On a physical level, adolescents repeatedly ask themselves: are the changes they notice normal or abnormal (for example, increased body hair or a lack of pubertal development when peers have already begun puberty)? The body, which is evolving toward its adult form, is constantly measured against internalized ideals of what a \u201cperfect\u201d female or male body should look like.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ra1ycg brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-b2aejwqj6mn9-parent brz-css-1h2l589\" data-brz-custom-id=\"b2AEJWqJ6Mn9\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/jugendmedizin-2-1b.webp\" loading=\"lazy\" title=\"Jugendmedizin - biologische Ebene\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1hxikxu brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-fum35e\" data-brz-custom-id=\"pBYpOybs0Bwp\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-eKynI\" data-generated-css=\"brz-css-f_gf6\" data-uniq-id=\"i6sb2\"><span class=\"brz-cp-color8\">On the intrapsychic level, there is often a relentless confrontation between the growing awareness of one\u2019s own limitations and shortcomings and imagined ideals: body shape, proportions, height, breast size, penis size, as well as educational opportunities, future social status, athletic abilities, and more. Feelings of sadness, and sometimes even despair, arise when these idealized images have to be let go.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-15zwr2g brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-ght3rvrcgn8s-parent brz-css-1xn0ire\" data-brz-custom-id=\"ghT3rVrCgN8s\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/09\/jugendmedizin-1-1.webp\" loading=\"lazy\" title=\"Die Jugendlichen und die Krankheit\"><\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-28gybi brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-oeecki\" data-brz-custom-id=\"leKxq5e9Qu6i\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jow3R\" data-uniq-id=\"g2B_k\" data-generated-css=\"brz-css-yHOh1\"><span class=\"brz-cp-color8\">On the social level, the focus is on developing autonomy, as well as on acceptance and integration into peer groups and like-minded communities (moving away from the family and toward peer groups).<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tZs4D\" data-uniq-id=\"g2B_k\" data-generated-css=\"brz-css-yHOh1\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yF7N7\" data-uniq-id=\"g2B_k\" data-generated-css=\"brz-css-yHOh1\"><span class=\"brz-cp-color8\">In the treatment of adolescents, the focus is often primarily on psychosocial aspects, even when a somatic complaint appears to be the main reason for consulting a doctor. Physical symptoms are chosen, first, because adolescents often lack the experience to recognize psychosocial problems as such; second, because the body is an important means of expression for children and adolescents; and third, out of fear of not being taken seriously by a physician if they do not present a physical complaint.\n\nOnly adults tend to say that they feel unwell or depressed. Adolescents, by contrast, often communicate the underlying issue only in subtle ways. A physician can understand these cues only if they are familiar with the somatic, intrapsychic, and social processes of maturation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mzbn77 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1i420le\" data-brz-custom-id=\"rLAyIPgNpy9t\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-sXp2J\" data-generated-css=\"brz-css-zppHD\" data-uniq-id=\"eSp2q\"><span class=\"brz-cp-color8\">02. PEDIATRICS AND ADOLESCENT MEDICINE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-7ftz6g brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17mzhnl\" data-brz-custom-id=\"fYihXOVNeCm1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-n6XfY\" data-uniq-id=\"l54vm\" data-generated-css=\"brz-css-qFoK0\"><span class=\"brz-cp-color8\">It is very important to us that adolescent medicine remains an integral part of pediatrics. But why are pediatricians particularly well qualified to care for adolescents?<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yB2mt\" data-uniq-id=\"l54vm\" data-generated-css=\"brz-css-qFoK0\"><span class=\"brz-cp-color8\">First, pediatricians have usually known their patients since early childhood. A relationship is therefore already established and does not need to be painstakingly built from scratch. However, adolescents will continue to see their pediatrician only if the physician has learned to adapt the relational approach to the child\u2019s or adolescent\u2019s age and developmental stage. Pediatricians generally also have the trust of the parents.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-2bk8x2 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-17lhc18\" data-brz-duration=\"300\" data-brz-custom-id=\"wZovZFKaHonG\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-d3hf8p brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1r84wto\" data-brz-custom-id=\"d0aDaLvP3_7W\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-tYTJe\" data-generated-css=\"brz-css-q09hH\" data-uniq-id=\"dmlRL\"><span class=\"brz-cp-color8\">This is especially important during the years of separation, because it is difficult for parents to relinquish control over their adolescent\u2019s relationships. They manage it better if they know that their son or daughter can always turn to someone in difficult situations who also has their trust. It should be noted, however, that adolescents must be able to rely at all times on their physician\u2019s confidentiality, even with regard to their parents.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-w1sFf\" data-generated-css=\"brz-css-eBiqX\" data-uniq-id=\"lja8D\"><span class=\"brz-cp-color8\"> <\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-fofyh\" data-generated-css=\"brz-css-qlkwB\" data-uniq-id=\"jJ7qG\"><span class=\"brz-cp-color8\">Zu welchem Arzt sollen die Jugendlichen sonst hingehen? Jugendliche passen oft schlecht in die Praxen von &#8218;Erwachsenen-\u00c4rzten&#8216; (Internisten, Allgemeinpraktiker, Gyn\u00e4kologen). Sie haben noch nicht gelernt, sich ad\u00e4quat, also erwachsen, zu benehmen und sich in der Erwachsenenwelt wohl zu f\u00fchlen. Adoleszente brauchen vor allem eines, und das ist Zeit. Sie brauchen Zeit, um sich wohl zu f\u00fchlen. Sie brauchen Zeit, um ihr Anliegen \u00fcberhaupt ins Bewusstsein zu bekommen und formulieren zu k\u00f6nnen. Manchmal wird dieses nicht im ersten Gespr\u00e4ch klar. Jugendliche brauchen oft vor allem Erkl\u00e4rungen, nicht unbedingt Abkl\u00e4rungen. Aus diesen und anderen Gr\u00fcnden werden sie in Erwachsenen-Praxen leicht zum St\u00f6rfaktor, und es ergibt sich f\u00fcr den behandelnden Arzt die doppelte Versuchung, sich, statt dem Jugendlichen, seinen Eltern zuzuwenden. F\u00fcr den P\u00e4diater lohnt es sich, hier zu investieren, weil sein Arbeitstag spannender, farbiger und facettenreicher wird und weil hier ein grosser Markt existiert.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-3soq55 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1pyuk1b\" data-brz-custom-id=\"vPEkugV5Pzs9\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-kjBNf\" data-generated-css=\"brz-css-zsp4u\" data-uniq-id=\"pnVCE\"><span class=\"brz-cp-color8\">03. THE EDUCATION CHALLENGE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vzryvj brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-11pw2ts\" data-brz-custom-id=\"gF18lu7g8fJ1\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lQaPA\" data-generated-css=\"brz-css-kmHtk\" data-uniq-id=\"sTaak\"><span class=\"brz-cp-color8\">Es ist nicht ausreichend den Titel &#8218;Spezialarzt f\u00fcr Kinder und Jugendliche&#8216; zu f\u00fchren oder in einem Leitbild darauf hinzuweisen, dass man sich bis \u00fcber das 15., resp. 17. Altersjahr hinaus zust\u00e4ndig f\u00fchlt, ohne sich gleichzeitig \u00fcber die notwendige Kompetenz ausweisen zu k\u00f6nnen. In der p\u00e4diatrischen Aus- und Weiterbildung wird darauf zu wenig Wert gelegt und es gibt zu wenig M\u00f6glichkeiten, sich die notwendige Kompetenz anzueignen. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-10fkd1u brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1vv3cu3\" data-brz-duration=\"300\" data-brz-custom-id=\"kRP283_vp3UG\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1cn987r brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-bjtvbg\" data-brz-custom-id=\"e5z5e_9fsrDz\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lrWPd\" data-generated-css=\"brz-css-f_rJK\" data-uniq-id=\"eR_QX\"><span class=\"brz-cp-color8\">Ein Leitbild ohne die entsprechende Aus-, Weiter- und Fortbildungsm\u00f6glichkeiten ist unglaubw\u00fcrdig. Private Initiativen werden von den Institutionen zu oft als Konkurrenz empfunden. In Bezug auf die Adoleszentenmedizin muss sich das Leitbild aber weitere grundlegende Kritik gefallen lassen. Der Satz &#8218;Bei Jugendlichen stehen Gespr\u00e4che \u00fcber Sexualverhalten und Suchtprobleme im Vordergrund&#8216; stimmt mit der jahrelangen Erfahrung unserer Praxisgemeinschaft nicht \u00fcberein.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-uey23\" data-brz-custom-id=\"uwlJppZFcSlE\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-vrh7lk\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-mpfslx brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-zu7z2s\" data-brz-custom-id=\"vtk38g0x5lOz\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ermIM\" data-uniq-id=\"nT4yN\" data-generated-css=\"brz-css-pWsYG\"><span class=\"brz-cp-color8\">04. THE FUTURE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vfixqm brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-8daw82\" data-brz-custom-id=\"tJm2EGN7lbgy\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-y5rqy\" data-generated-css=\"brz-css-vkQUL\" data-uniq-id=\"rtSg0\"><span class=\"brz-cp-color8\">Some dark clouds are gathering on the horizon for adolescent medicine. Various health insurance models with restricted choice of physicians are likely to make it more difficult for adolescents to access a competent medical partner who meets their needs and makes them feel understood and taken seriously. The motivation of a physician working within such a model to refer patients is, by definition, not very high. Moreover, as noted at the outset, an adolescent\u2019s \u201cillness\u201d is often perceived only as worry or uncertainty and seems, with remarks like \u201cIt\u2019ll work out\u201d or \u201cDon\u2019t take it so seriously,\u201d to be relatively easily \u201ctreated.\u201d<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1huilpl brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-zvxpj2\" data-brz-duration=\"300\" data-brz-custom-id=\"oiV0gvO4O0Ht\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-qwdg2a brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-180ah0j\" data-brz-custom-id=\"fCQsmPlaWK63\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-w_Vbe\" data-uniq-id=\"hHX85\" data-generated-css=\"brz-css-eHkOT\"><span class=\"brz-cp-color8\">Aber die Problematik ist damit nur scheinbar gel\u00f6st, die Frage wird einfach nicht mehr gestellt. Auch f\u00fcr die Sucht- und Suizidpr\u00e4vention sind das keine guten Aussichten und schlussendlich teuer gespartes Geld. Ganz allgemein z\u00e4hlen Jugendliche f\u00fcr die Krankenkassen zu den &#8218;guten Risiken&#8216;, weil sie relativ wenig Arztleistungen beziehen. Damit subventionieren aber die Familienv\u00e4ter \u00fcber die Krankenkassenpr\u00e4mien ihrer Kinder und Jugendlichen die medizinische Versorgung der \u00e4lteren Bev\u00f6lkerung. Diese Situation verpflichtet uns jedoch dazu, eine f\u00fcr Jugendliche ad\u00e4quate medizinische Versorgung zu gew\u00e4hrleisten. Das heisst, ihnen neben dem spezialisierten Wissen auch den f\u00fcr sie passenden Rahmen zur Verf\u00fcgung zu stellen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1mw5w35 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1f8vsaz\" data-brz-custom-id=\"xGZDKnxIk8Ox\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-xj54Z\" data-uniq-id=\"mWgiY\" data-generated-css=\"brz-css-d0DEx\"><span class=\"brz-cp-color8\">05. SOME CONCRETE SUGGESTIONS FOR THE PRACTICE<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1g0un6s brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-7tgm4a\" data-brz-custom-id=\"yCFykAaEkyom\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ezUXp\" data-generated-css=\"brz-css-bxQde\" data-uniq-id=\"r_9Uz\"><span class=\"brz-cp-color8\">Doctors often define the scope of their practice through its appearance, particularly through the design of the waiting room. In many pediatric practices, the waiting room resembles a children's playroom, making it clear that adolescents may feel out of place. It is therefore advisable, for example, to create separate areas in the waiting room for different age groups and to put away or set up toys before adolescent clinic hours. This brings us to the next point: different age groups should be scheduled in fixed time blocks, resulting in dedicated clinic sessions for infants, older children, and adolescents.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1tj45qt brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1kgtd3i\" data-brz-duration=\"300\" data-brz-custom-id=\"vrkGGHJyJUHv\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ewbabe brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-124tq88\" data-brz-custom-id=\"zn3M6fO4ce47\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yBIHv\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><span class=\"brz-cp-color8\">Infants and toddlers can easily be scheduled in the morning. Specific afternoons can be reserved for school-aged children, and other afternoons or early evening hours for adolescents. Pediatric practices should also keep buffer slots available for emergencies so that adolescent consultations are not disrupted by crying babies and toddlers.\n\nSuch a system has the added benefit of minimizing waiting times for patients. It not only signals to adolescents that they are respected as equal partners whose time is valued, but the use of dedicated time blocks for different age groups offers another important advantage: communication styles vary significantly depending on the patient\u2019s age.\n\nWith infants, the consultation takes place exclusively with the mother or father. As the child grows older, the focus of the conversation increasingly shifts toward the child rather than the accompanying parents. Constantly adjusting this level of communication between patients can be very challenging.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-urzgp\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-wITRl\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><span class=\"brz-cp-color8\">With adolescents aged 12\u201313 and older, it is advisable, whenever possible, to speak with them first on their own, that is, without their parents present. This conveys a clear message: you are my patient and my conversation partner\u2014not your mother or your father. I want to listen to you first and understand what you would like from me.\n\nAt the beginning of the consultation, questions such as the following should be asked: Why are you coming to see me? What would you like from me? What do you expect from me so that you can leave here feeling satisfied?<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aq3vM\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><span class=\"brz-cp-color8\">Es ist wichtig, diese Fragen gleich zu Beginn zu kl\u00e4ren und damit quasi einen Auftrag festzulegen. Einfach ist es, die Anamnese-Erhebung mit einem Gespr\u00e4ch \u00fcber die Schule zu beginnen. Es kann dabei \u00fcber die verschiedenen schulischen F\u00e4higkeiten und \u00fcber die bevorzugten F\u00e4cher gesprochen werden. Eine kurze Unterhaltung \u00fcber die bevorzugten Hobbys gibt dar\u00fcber hinaus Aufschluss \u00fcber die Beziehungen in den Gruppen Gleichaltriger. Ein Jugendlicher etwa, der gern Fussball spielt, hat eine gr\u00f6ssere Chance, in der Gleichaltrigengruppe gut integriert zu sein, als ein Jugendlicher, der es vorzieht, zu Hause zu lesen oder auf dem Computer zu spielen. Im Gespr\u00e4ch \u00fcber Kollegen und Freunde und deren Freiheiten erf\u00e4hrt man viel \u00fcber die Freiheiten und Autonomieentwicklung des Patienten in Bezug auf seine eigene Familie. Hier bestehen immer viele Fragen und Unsicherheiten, deren Formulierung meist schwierig, wenn nicht unm\u00f6glich ist. So bleibt beispielsweise die Frage &#8222;Ist mein Penis normal gross&#8220; oft unausgesprochen und deshalb oft auch unbeantwortet. Bei Knaben und m\u00e4nnlichen Jugendlichen sollte die Hodengr\u00f6sse mit dem Orchidometer gemessen und auch das Glied des Patienten betrachtet werden. Dabei sollte dem Jugendlichen die Normalit\u00e4t der Befunde mitgeteilt und die Pubert\u00e4tsentwicklung im Allgemeinen erkl\u00e4rt werden. Auch bei den M\u00e4dchen und jungen Frauen interessiert der Reifezustand des K\u00f6rpers. Dabei geht es, wenn keine spezielle Fragestellung vorliegt, vor allem um die Reife der Brust und der K\u00f6rperbehaarung. Wichtig zu wissen ist, dass f\u00fcr Befindlichkeit und f\u00fcr die weibliche, resp. f\u00fcr die m\u00e4nnliche Identit\u00e4tsbildung Gr\u00f6sse und Form der Brust, resp. Gr\u00f6sse und Form des Gliedes von \u00e4hnlicher, entscheidender Bedeutung sind.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-mrN5z\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-rKukj\" data-uniq-id=\"jiGhQ\" data-generated-css=\"brz-css-yyjxB\"><span class=\"brz-cp-color8\">A final word on medical confidentiality: adolescent patients should be explicitly informed that medical confidentiality also applies in relation to their parents. No information from the medical history or examination is shared with parents without the adolescent\u2019s explicit consent.\n\nIf parents wish to speak with me about their son or daughter, I usually ask the adolescent whether they would like to be present and represent their own point of view. There may occasionally be exceptions. What is important is that adolescents are not denied the opportunity to make decisions concerning themselves and to take responsibility for their own lives.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-byds6x brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-kt1btw\" data-brz-custom-id=\"jsvSGqHe_ko2\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-qKqqp\" data-generated-css=\"brz-css-bCb5T\" data-uniq-id=\"thoRv\"><span class=\"brz-cp-color8\">06. TWO TYPICAL EXAMPLES<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-inovzh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1tbwrki\" data-brz-custom-id=\"tqExxBpkli3P\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ingyp\" data-generated-css=\"brz-css-dWhJN\" data-uniq-id=\"lQcrh\"><span class=\"brz-cp-color8\">The following two examples are intended to illustrate the complexity of adolescent medicine and, in particular, to highlight how high the demands on the treating physician can sometimes be and how essential well-structured continuing education is.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4ra5i7 brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1ntc03w\" data-brz-duration=\"300\" data-brz-custom-id=\"pp8Mk2tkQpPS\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-h0jzuk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-133ojmo\" data-brz-custom-id=\"nSrGCmnTwEj4\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-lITG1\" data-generated-css=\"brz-css-u2Gem\" data-uniq-id=\"fKk4u\"><span class=\"brz-cp-color8\">Die Frage des Hirsutismus ist ein passendes Beispiel, um die Anspr\u00fcche an den ganzheitlich denkenden Jugendarzt zu illustrieren. Diese St\u00f6rung, die vermehrte K\u00f6rperbehaarung bei der Frau, tritt meistens im Rahmen der Pubert\u00e4tsentwicklung auf. Unabh\u00e4ngig davon, ob die vermehrte K\u00f6rperbehaarung Ausdruck einer Normvariante oder eines pathologischen Geschehens ist, wird sie von der betroffenen jungen Frau als neu eingetreten, und damit als zumindest erkl\u00e4rungsbed\u00fcrftig, wenn nicht als abkl\u00e4rungs- und therapiebed\u00fcrftig empfunden. Der Hirsutismus st\u00f6rt aber nicht nur auf der k\u00f6rperlichen Ebene, er st\u00f6rt auch bei der Integration des neuen K\u00f6rpers in das neue Selbstbild, welches im Jugendalter von einem als ideal und perfekt phantasierten K\u00f6rper gepr\u00e4gt ist. Der perfekte Frauenk\u00f6rper, wie er beispielsweise von den Illustrierten kolportiert wird, ist zurzeit aber praktisch haarlos. Im Weiteren st\u00f6rt der Hirsutismus, weil er als &#8222;Unkonformit\u00e4t&#8220; dem Gruppendruck ausgesetzt ist (&#8222;Du hast ja einen Schnurrbart&#8220;).<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aR_j0\" data-generated-css=\"brz-css-vrUXq\" data-uniq-id=\"wK3Wm\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-bLUM6\" data-generated-css=\"brz-css-pjLKz\" data-uniq-id=\"mn3Ka\"><span class=\"brz-cp-color8\">Physicians who specialize in adolescent care should be able to address these considerations appropriately\u2014that is, in a therapeutic manner\u2014within an explanatory discussion with the patient. However, this alone is not sufficient.\n\nHirsutism may also be a sign of an underlying medical condition (e.g., adrenogenital syndrome, adrenal cortical adenoma, or polycystic ovaries), and such conditions must be reliably ruled out.\n\nEven when hirsutism represents a normal variation, it can be sufficiently distressing to justify medical treatment in addition to cosmetic measures. Here, too, appropriate expertise and clinical knowledge are essential.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-czqTz\" data-generated-css=\"brz-css-do1hK\" data-uniq-id=\"qBj_H\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-b7qpd\" data-generated-css=\"brz-css-prSl5\" data-uniq-id=\"dABdv\"><span class=\"brz-cp-color8\">Another typical example is short stature, which particularly affects adolescent boys around the age of 12 to 13. Being short at this stage of development is often experienced as difficult and distressing. As a result, physicians frequently encounter this issue in this age group.\n\nThe main concern is the emotional burden caused by difficulties in gaining access to peer groups. Short stature conflicts with the need for conformity and is further disadvantageous because being short is often associated with immaturity. Within these peer groups, it is linked to a lower social status and reduced acceptance.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-yLwya\" data-generated-css=\"brz-css-tQYek\" data-uniq-id=\"tItm8\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-a69hx\" data-generated-css=\"brz-css-bW9qs\" data-uniq-id=\"xwgdP\"><span class=\"brz-cp-color8\">Als behandelnde \u00c4rzte sollten wir in der Lage sein, zuerst einmal ein pathologisches Geschehen als Ursache des Kleinwuchses auszuschliessen. Wenn der Kleinwuchs einmal als Normvariante identifiziert ist, stellt sich die Frage nach den zur Verf\u00fcgung stehenden Behandlungsmethoden. Diese reichen von der einfachen Berechnung der voraussichtlichen Erwachsenengr\u00f6sse aufgrund des Handr\u00f6ntgenbildes und der Erkl\u00e4rung des erwarteten Wachstumsmusters (beispielsweise konstitutionelle Verz\u00f6gerung von Wachstum und Pubert\u00e4t) bis hin zu einer Hormonbehandlung (beispielsweise mit niedrig dosiertem Testosteron). <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9e55nk brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1qiny5b\" data-brz-custom-id=\"fYk6Y2yi0YxZ\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-n3taI\" data-generated-css=\"brz-css-tuh6k\" data-uniq-id=\"a_906\"><span class=\"brz-cp-color8\">Understanding the significant emotional burden that can arise from constitutional delay helps to provide effective guidance and counselling to the patient.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1h1pzpo brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1if692q\" data-brz-custom-id=\"t1tR6eVvBnjG\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-wxhzB\" data-uniq-id=\"yGbq1\" data-generated-css=\"brz-css-s882D\"><span class=\"brz-cp-color8\">SUMMARY<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1vj4cl4 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ynshxb\" data-brz-custom-id=\"xtPbulBC61N2\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-aiJ7D\" data-uniq-id=\"f2o2p\" data-generated-css=\"brz-css-aimrT\"><span class=\"brz-cp-color8\">Adolescents represent a distinct and growing group of patients. The central principle of puberty and adolescence is change, which requires continuous adaptation to ever-evolving norms. These changes occur on physical, psychological, and psychosocial levels.\n\nThis state of constant change demands specific knowledge and skills from physicians. These are drawn in part from pediatrics, endocrinology, andrology, and gynecology, as well as from psychology and psychiatry. Pediatricians are particularly well suited to care for adolescents. However, they must acquire additional competencies, as current training in pediatrics still tends to focus too heavily on hospital-based needs, where the specific needs of adolescents often receive insufficient attention.\n\nFrom our experience, it is clear that this additional effort is worthwhile for pediatricians, as it makes their work more diverse and multifaceted. It is fascinating to witness how a child develops into a confident adult.<\/span><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-jpjmR\" data-uniq-id=\"f2o2p\" data-generated-css=\"brz-css-aimrT\"><\/p>\n<p class=\"brz-tp-lg-uSRJcAJTJCVu brz-css-ixBm8\" data-uniq-id=\"f2o2p\" data-generated-css=\"brz-css-aimrT\"><span class=\"brz-cp-color8\">Prof. Dr. Urs Eiholzer<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-cloneable brz-css-10d8zjy\" data-brz-custom-id=\"xcBRXEpbQhcE\">\n<div class=\"brz-icon__container\" data-brz-custom-id=\"rm0ZQ8j2mLnE\"><span class=\"brz-icon brz-span brz-css-d-icon-icon brz-css-5l6anc\"><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"adoleszentenmedizin\" data-brz-id=\"fxE0FX5PYuP0_fxE0FX5PYuP0\" class=\"brz-section brz-css-d-section brz-css-hmmlcs\">\n<div class=\"brz-section__content brz-section--fullWidth brz-css-d-sectionitem-bg brz-css-nz2wtz\" data-brz-custom-id=\"rNKyPPtUCsCo\">\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-srf63m\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-a0m53a brz-wrapper\">\n<div class=\"brz-image brz-css-d-image-h8yqebf8kco_-parent brz-css-rqldjd\" data-brz-custom-id=\"h8YQeBf8kCO_\"><img decoding=\"async\" class=\"brz-img\" src=\"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/11\/pezz-adoleszentenmedizin-02.webp\" loading=\"lazy\" title=\"Arzt zeigt seinem Patienten ein Handr\u00f6ntgenbild\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"adoleszentenmedizin-info\" data-brz-id=\"ry6k8jaR6cFy_ry6k8jaR6cFy\" class=\"brz-section brz-css-d-section brz-css-pph4do\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-sectionitem-bg brz-css-1obbmf9\" data-brz-custom-id=\"lcmOzXd2YHWG\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\"><\/div>\n<\/div>\n<div class=\"brz-container brz-css-d-sectionitem-container brz-css-1yze1ne\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1t29so9 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-17ned3r\" data-brz-custom-id=\"wVxvR3S8blEU\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-left brz-tp-lg-heading2 brz-mb-xs-0 brz-mb-sm-0 brz-mb-lg-0 brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-600 brz-lh-lg-1 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-70 brz-ft-upload brz-ff-qKYqBgi9lfgW brz-text-xs-left brz-css-lwjDQ\" data-uniq-id=\"qvgqt\" data-generated-css=\"brz-css-rnYpR\"><span class=\"brz-cp-color8\">ADOLESCENT MEDICINE<\/span><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-row__container brz-css-d-row-row brz-css-2h2fo8\" data-brz-custom-id=\"stvw4laEkn91\">\n<div class=\"brz-row brz-css-d-row-container brz-css-2u6t60\">\n<div class=\"brz-columns brz-css-d-column-column brz-css-yw9se2\" data-brz-custom-id=\"dgazMXnrSlhT\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-1jto1t\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ofu2e3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-i8x8w7\" data-brz-custom-id=\"m6MjTo3yuK7c\">\n<div data-brz-translate-text=\"1\">\n<h3 class=\"brz-tp-lg-heading3 brz-tp-sm-heading3 brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-28 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_4 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-mt-lg-0 brz-css-sEdQ0\" data-uniq-id=\"k544T\" data-generated-css=\"brz-css-tHp_O\"><span class=\"brz-cp-color8 brz-underline-true\">INTERDISCIPLINARY COLLABORATION IS PARTICULARLY IMPORTANT IN ADOLESCENT MEDICINE.<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ryi1zt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1468lbi\" data-brz-custom-id=\"wYpBulrGDACP\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-bM7Qs\" data-generated-css=\"brz-css-tnskC\" data-uniq-id=\"ikM6l\"><span class=\"brz-cp-color8\">In the emerging paradigm shift in pediatrics, adolescent medicine is becoming increasingly important. This raises new questions regarding medical care. Dr. Eberhard Zangger from P\u00c4DIATRIE magazine, spoke with pediatric and adolescent specialist Prof. Dr. med. Urs Eiholzer, who runs a large group practice in Zurich.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"brz-columns brz-css-d-column-column brz-css-14u4dps\" data-brz-custom-id=\"xVckRp58WiYn\">\n<div class=\"brz-column__items brz-css-d-column-bg brz-css-gef1ku\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1w5x0ov brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jmt8rj\" data-brz-custom-id=\"dOvC2toDpZvk\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-paragraph brz-css-ah2A1\" data-uniq-id=\"mAVZw\" data-generated-css=\"brz-css-adF3N\"><span class=\"brz-cp-color8\">INTERVIEW<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-wvzzrh brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1b3lopk\" data-brz-custom-id=\"vLOGO__Fn4qR\">\n<div data-brz-translate-text=\"1\">\n<p data-generated-css=\"brz-css-dBbl4\" data-uniq-id=\"bZtgK\" class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-eF6Hj\"><strong class=\"brz-cp-color8 brz-italic-true brz-bold-true\"><em>PEDIATRICS: Dr. Eiholzer, why do you advocate for comprehensive, interdisciplinary care for young patients?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1tmgzlu brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-18gig8t\" data-brz-custom-id=\"lUxkzgBLkKvu\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-sLbX3\" data-generated-css=\"brz-css-emcsm\" data-uniq-id=\"p7Pv4\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">During my time as a pediatric endocrinologist at the Zurich Children\u2019s Hospital, I realized that a university hospital is rarely the ideal setting for providing comprehensive care to patients. In such large-scale environments, the emotional aspects of illness are often overlooked.\n\nIn many cases, organic diseases in children and adolescents are closely linked to psychological issues. It is also quite common that no organic condition is present at all; for example, some children simply feel that they are too short and suffer because of it. These patients are more likely to require psychological support.\n\nAdolescent medicine must therefore, by necessity, adopt a psychosomatic approach. For me personally, this insight led me to further deepen my training in psychosomatic medicine. After establishing my own practice and once patient numbers allowed, I brought a therapist into the team. Today, this has developed into an interdisciplinary team of six specialists.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-17o2y0v brz-wrapper\">\n<div class=\"brz-accordion brz-css-d-accordion brz-css-1fl3nz0\" data-brz-duration=\"300\" data-brz-custom-id=\"nHyPfbhMbgFB\">\n<div class=\"brz-accordion__item\">\n<div class=\"brz-accordion__nav\" data-brz-collapsible=\"off\">\n<p data-brz-translate-text=\"1\" class=\"brz-accordion__nav-title brz-p brz-text__editor\">MORE<\/p>\n<\/div>\n<div class=\"brz-accordion__content brz-d-xs-flex brz-flex-xs-column\">\n<div class=\"brz-accordion__item-content brz-d-xs-flex brz-flex-xs-column\">\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-3nf6sw brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1c0sa3l\" data-brz-custom-id=\"tr__tgOcI2ur\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-gMK6b\" data-generated-css=\"brz-css-gA0zZ\" data-uniq-id=\"gGT1R\"><strong class=\"brz-cp-color8 brz-italic-true brz-bold-true\"><em>P\u00c4DIATRIE: Ist eine Praxisgemeinschaft mehr als nur die &#8222;geografische Vereinigung&#8220; von Einzelpraxen?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1doei2t brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-cus2q5\" data-brz-custom-id=\"yd4Pt7KZZSiL\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"u7XQ2\" data-generated-css=\"brz-css-sP0nK\" class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-cKcD5\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">: Bei niedergelassenen \u00c4rzten erfolgt die Therapie scheibchenweise: Der Arzt behandelt, der Psychologe behandelt, und andere Spezialisten behandeln auch. Alle sprechen andere Sprachen, denen allzu oft gemeinsam ist, dass der Patient sie nicht versteht. Der Hauptunterschied zwischen einer solchen Vorgehensweise und der Behandlung bei uns in der Praxisgemeinschaft ist ganz einfach die viel effizientere Kommunikation hier. Die kurzen Wege, das, was Sie &#8222;geografische Vereinigung von Praxen&#8220; nennen, bringt letztlich den entscheidenden Vorteil: Mit Hilfe von kurzen und h\u00e4ufigen Gespr\u00e4chen unter den Kollegen zwischen &#8222;T\u00fcr und Angel&#8220; lassen sich viele aufkommende Probleme oft schnell und unkompliziert l\u00f6sen. Beispielsweise stellt sich bei einem M\u00e4dchen, das zu fr\u00fch in die Pubert\u00e4t kommt, die Frage, ob man den Prozess bremsen soll oder nicht. Ein solcher Fall muss zwischen Arzt, Psychologen, Patientin und Familie besprochen werden. Wir k\u00f6nnen das ohne grossen Aufwand tun. Neben der &#8222;geografischen N\u00e4he&#8220; ist auch ganz entscheidend, dass die einzelnen Kollegen \u00fcber m\u00f6glichst breite Kenntnisse verf\u00fcgen, sich also in die Rolle der anderen hineinversetzen k\u00f6nnen, und ein vertrauensvolles Verh\u00e4ltnis zueinander haben. Bei uns schafft die N\u00e4he Respekt f\u00fcr die Arbeit des anderen. So k\u00f6nnen wir unfruchtbare Rivalit\u00e4ten und Auseinandersetzungen vermeiden. Dadurch entsteht eine angenehme Stimmung im Haus, die sich wiederum positiv auf die Patientenbetreuung \u00fcbertr\u00e4gt.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1liak4t brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-m4tjwl\" data-brz-custom-id=\"qIirle5yughg\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-eck7N\" data-uniq-id=\"aTh4y\" data-generated-css=\"brz-css-su_7B\"><strong class=\"brz-bold-true brz-italic-true brz-cp-color8\"><em>PEDIATRICS: Your patients sometimes need to talk about very personal matters. Isn\u2019t it difficult to build trust with several people?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-128s4g0 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1pd47hb\" data-brz-custom-id=\"mnpH_2D57XL5\">\n<div data-brz-translate-text=\"1\">\n<p data-uniq-id=\"gF1g_\" data-generated-css=\"brz-css-zVMSf\" class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-z88ho\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">Of course, it is more difficult for patients to open up to several people. However, when interdisciplinary care is essential\u2014for example, when both physical and psychological aspects of illness are involved\u2014it is easier for patients to confide in specialists working within the same setting.\n\nA major advantage for patients is also the minimal friction between therapists. The physicians and psychologists in this practice do not compete with one another. As a result, referrals between colleagues who work well together are generally successful.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-faiorf brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-53f0wq\" data-brz-custom-id=\"j9nq2AFei8kd\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-v3TaW\" data-uniq-id=\"vteFz\" data-generated-css=\"brz-css-cPsbL\"><strong class=\"brz-bold-true brz-italic-true brz-cp-color8\"><em>PEDIATRICS: How do patients find out about you?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1hj9v80 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1a98v6h\" data-brz-custom-id=\"rx3SpMAhGEw3\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-b1PMM\" data-generated-css=\"brz-css-qKx1l\" data-uniq-id=\"hG5BQ\"><strong class=\"brz-bold-true brz-cp-color8\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">Many children come to us with growth and puberty-related concerns. About two-thirds of our patients are referred to us by physicians outside our practice, including private pediatricians.\n\nIn these cases, the referrals often involve unclear diagnoses or uncertainty as to whether the patient is suffering from a hormonal or psychological issue. In many instances, we are simply required to provide clarification and guidance.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1qmbonp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-vj2n0j\" data-brz-custom-id=\"lxfZVIBI67Km\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-fs6BK\" data-uniq-id=\"lezRv\" data-generated-css=\"brz-css-mPxDc\"><strong class=\"brz-bold-true brz-italic-true brz-cp-color8\"><em>PEDIATRICS: WHAT KIND OF PATIENT POPULATION DO YOU TREAT OVERALL?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-79p0hs brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-ilmdvf\" data-brz-custom-id=\"oNrQ1Dg_hxal\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-dN1YQ\" data-generated-css=\"brz-css-g2yum\" data-uniq-id=\"cvpVI\"><strong class=\"brz-bold-true brz-cp-color8\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">: Viele der Kinder und Jugendlichen haben Schulsorgen und -\u00e4ngste. Bei manchen bestehen Teilleistungsst\u00f6rungen, oder\/und sie werden \u00fcber- oder unterfordert. In den meisten F\u00e4llen beeinflussen bestehende Wachstumsprobleme auch das Aussehen. Die Kinder sind oft zu klein, zu gross, zu dick oder zu d\u00fcnn und haben damit Probleme. Zu uns kommen bettn\u00e4ssende Kinder in der Vorpubert\u00e4t genauso wie Jugendliche, deren Adoleszenz kein Ende findet, weil die Abl\u00f6sung von der Familie nicht gelingt. Es gibt daneben Kinder, die ein k\u00f6rperliches oder Intelligenzbezogenes Handicap haben. Rundumbetreuung bedeutet, dass diese Kinder &#8222;gut abgekl\u00e4rt&#8220; werden, um jedem Einzelnen die f\u00fcr ihn beste Schulklasse, beste Ausbildung und beste Berufswahl zu erm\u00f6glichen. In manchen F\u00e4llen zieht sich die Betreuung \u00fcber Jahrzehnte hin. Bei uns gibt es auch ein psychotherapeutisches Angebot f\u00fcr erwachsene Patienten.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-ny6x14 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1d7x13y\" data-brz-custom-id=\"ha8dv4rBldbC\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-hbtb2\" data-generated-css=\"brz-css-x6UwB\" data-uniq-id=\"oievM\"><strong class=\"brz-cp-color8 brz-italic-true brz-bold-true\"><em>PEDIATRICS: HOW HAS THE COMPOSITION OF THE TEAM CHANGED OVER TIME?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1ebqtll brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-qgabba\" data-brz-custom-id=\"nHiSirmmbpwI\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-xUJSO\" data-generated-css=\"brz-css-sadVz\" data-uniq-id=\"r7ZEJ\"><strong class=\"brz-bold-true brz-cp-color8\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">From the very beginning, we have offered a broad range of services. Our goal was to achieve greater depth in our offerings by bringing in additional specialists. In the meantime, our team has become an internationally recognized research institute for questions related to growth and puberty.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-xzbmrt brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-15x5s7v\" data-brz-custom-id=\"kfmP2rMTzSM0\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-bRNX5\" data-generated-css=\"brz-css-nD4dn\" data-uniq-id=\"nQEpO\"><strong class=\"brz-cp-color8 brz-italic-true brz-bold-true\"><em>PEDIATRICS: WHAT ARE THE IMPLICATIONS OF INTERDISCIPLINARY WORK FOR PATIENT CARE? WHAT CHANGES CONCRETELY COMPARED TO TREATMENT IN A SOLO PRACTICE?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-z2pyud brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-famrpm\" data-brz-custom-id=\"jQNL8csCh7Jd\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-oaq9c\" data-generated-css=\"brz-css-fm83M\" data-uniq-id=\"gf7V9\"><strong class=\"brz-bold-true brz-cp-color8\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">Treatment does not follow a fixed scheme; it varies from case to case. For example, a child with a growth hormone deficiency is short and requires hormonal treatment. At the same time, the question arises of when to enroll the child in school. The teacher may feel that the child should attend a special school. The parents believe the child is bright, and the kindergarten teacher suggests keeping the child in kindergarten for another year.\n\nWith average intelligence, about 50 percent of children who are too small start school a year later than usual. As a result, the child not only faces the disadvantage of being short but is also artificially given the additional disadvantage of not being allowed to prove themselves. This must be avoided at all costs.\n\nIn such cases, we carry out a comprehensive assessment. We want to understand what the child is capable of, how they feel, and how mature they are. Ultimately, the parents then work with the educational authorities to find the best possible solution based on our assessment. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1rkp66x brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-15t6y5f\" data-brz-custom-id=\"hwJCfVjJmqTe\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-nhxQd\" data-generated-css=\"brz-css-iwLXU\" data-uniq-id=\"kKLaL\"><strong class=\"brz-cp-color8 brz-italic-true brz-bold-true\"><em>P\u00c4DIATRIE: Wie stehen eigentlich die Krankenkassen zu der interdisziplin\u00e4ren Arbeit? Ist ein &#8222;Eiholzer-Patient&#8220; nicht doppelt so teuer wie ein Patient, der in einer Einzelpraxis \u00e4rztliche Behandlung sucht?<\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-h0secp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ppqluy\" data-brz-custom-id=\"e093WawByFR8\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-gcTIs\" data-uniq-id=\"bOyn0\" data-generated-css=\"brz-css-velik\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">Over the 15 years since our group practice was established, not a single invoice has been disputed by health insurance providers. This is probably not a bad sign. It is also likely clear to insurers that well-coordinated multidisciplinary care for a patient is more cost-effective than the poorly coordinated process of moving from one specialist to another.\n\nWithin our group practice, each specialist essentially acts as their own employer. This means that each specialist also bills their services independently. Where hierarchies exist, we strive to keep them as flat as possible.\n\nWe have highly qualified psychologists who, ideally, would operate as a self-contained team to the outside world. However, legally, delegated psychotherapy is bound by strict regulations and depends both on medical referrals and on ongoing medical supervision of the patients. This creates certain internal dependencies. For this reason as well, close collaboration between physicians and psychotherapists is essential.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-4mzo9w brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1y6i3kh\" data-brz-custom-id=\"xOcZceDPpeSB\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-uXe2N\" data-uniq-id=\"jqrP4\" data-generated-css=\"brz-css-pZ9Zq\"><strong class=\"brz-bold-true brz-italic-true brz-cp-color8\"><em>PEDIATRICS: HOW IS YOUR GROUP PRACTICE ORGANIZED? ARE YOU NOT MORE OF AN ENTREPRENEUR AND MANAGER THAN A PHYSICIAN? <\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-9yln9m brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1ddly13\" data-brz-custom-id=\"dwss_Gx6GWXi\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-rK5GZ\" data-uniq-id=\"x27_j\" data-generated-css=\"brz-css-lcz4E\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">This is a serious issue. The amount of administrative work involved should not be underestimated. In addition to routine administration, there is also public relations, the planning and delivery of continuing education, setting up and maintaining a website, and similar tasks.\n\nMoreover, in our case, one person bears the majority of the entrepreneurial risk. Financially, our practice is based on a mixed-cost model, which provides us with a solid foundation.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-12qveqp brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-jzx2ii\" data-brz-custom-id=\"kVAxpcFFICfw\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_3 brz-ls-lg-0 brz-fw-lg-500 brz-fss-lg-px brz-fs-lg-17 brz-ft-upload brz-ff-hUOhIoGTmLLs brz-tp-lg-empty brz-css-ott7s\" data-uniq-id=\"qvj6M\" data-generated-css=\"brz-css-g7dmx\"><strong class=\"brz-bold-true brz-italic-true brz-cp-color8\"><em>PEDIATRICS: YOU MENTIONED PUBLIC RELATIONS. IS THIS AN INTEGRAL PART OF YOUR APPROACH? <\/em><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div id=\"\" class=\"brz-css-d-wrapper brz-css-1jc12r2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-richtext brz-css-1km2cd0\" data-brz-custom-id=\"d3Keu8GFkiL5\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-hUOhIoGTmLLs brz-ft-upload brz-fs-lg-17 brz-fss-lg-px brz-fw-lg-500 brz-ls-lg-0 brz-lh-lg-1_3 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-css-cbZYQ\" data-uniq-id=\"kLPfW\" data-generated-css=\"brz-css-jUcT9\"><strong class=\"brz-cp-color8 brz-bold-true\">Eiholzer:<\/strong><span class=\"brz-cp-color8\">We cannot take on more patients than our available capacity allows. That is why we try to share the experience we have gained here with others\u2014both with specialists and with those directly affected, namely patients and their families. For example, we organize workshops and support self-help groups. Ultimately, our goal is to help as many patients and affected families as possible, going beyond our day-to-day clinical work.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section><\/div>\n<p><!-- version:1773924715 --><\/p>","protected":false},"excerpt":{"rendered":"<p>PUBERT\u00c4T PROBLEME IN DER SCHULE? NICHTS MEHR ESSEN? KRISEN VERHINDERN \/ BEW\u00c4LTIGEN DIE NOTWENDIGKEIT EINER SPEZIELLEN JUGENDMEDIZIN MENU TAB Wachstum in der Pubert\u00e4t Pubert\u00e4tsentwicklung Wann abkl\u00e4ren? Magersucht Jugendmedizin WACHSTUM IN DER PUBERT\u00c4T BUCH TAB Den PEZZ-Wachstumsatlas gibt es im PEZZ-Verlag auch als Buch. WENN K\u00d6RPER UND SEELE SICH VER\u00c4NDERN Die Pubert\u00e4tsentwicklung beginnt in aller Regel <a href=\"https:\/\/www.pezz.ch\/en\/fuer-familien\/pubertaet\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Puberty<\/span><\/a><\/p>","protected":false},"author":5,"featured_media":0,"parent":813,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"brizy-blank-template.php","meta":{"iawp_total_views":948,"footnotes":""},"class_list":["post-4254","page","type-page","status-publish","hentry"],"brizy_media":[{"id":706,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2024\/07\/Ups-Fehler404.svg?t=1777636034","name":"Ups-Fehler404.svg","meta":{"brizy_attachment_uid":"wp-765135df340545b2c5be12821b17dc0c.svg","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":1699,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/06\/punkt-rot.webp","name":"punkt-rot.webp","meta":{"brizy_attachment_uid":"wp-59ff7eeef95958e2014af8db136d85ae.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":1879,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/06\/zu-klein-zu-gross-buecher-pezz.webp","name":"zu-klein-zu-gross-buecher-pezz.webp","meta":{"brizy_attachment_uid":"wp-db6dd7c354b0d8606a00f46eac662a6b.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2275,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/2025-pezz-4team-eiholzer-lindadagliorti-319.webp","name":"2025-pezz-4team-eiholzer-lindadagliorti-319.webp","meta":{"brizy_attachment_uid":"wp-14825792e74534556f5090db9c0a5ff8.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2276,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/2025-pezz-4team-noordam-lindadagliorti-372.webp","name":"2025-pezz-4team-noordam-lindadagliorti-372.webp","meta":{"brizy_attachment_uid":"wp-52f337ad39e834857b41f1e93fd4687e.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2685,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-kinderhormonzentrum.webp","name":"pezz-kinderhormonzentrum.webp","meta":{"brizy_attachment_uid":"wp-b9ba32e1ed4cabe138a0d2adb92929af.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2738,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-wachstumsfragen.webp","name":"pezz-wachstumsfragen.webp","meta":{"brizy_attachment_uid":"wp-be6c16ecfa0e46002ab87be045f6072b.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2742,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-pubertaet.webp","name":"pezz-pubertaet.webp","meta":{"brizy_attachment_uid":"wp-3f9cfad1cbe331cf58030ec136a643c9.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2803,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-secondopinion.webp","name":"pezz-secondopinion.webp","meta":{"brizy_attachment_uid":"wp-201517bc81636b4ad935ccfefe91c3b9.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2853,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-hormonstoerungen.webp","name":"pezz-hormonstoerungen.webp","meta":{"brizy_attachment_uid":"wp-1bbc734265dbf73bb9554afa5586cbef.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2854,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-syndrome.webp","name":"pezz-syndrome.webp","meta":{"brizy_attachment_uid":"wp-5254c3e7e8554c087b9e8c15367b59bf.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":2980,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-topbild-familien.webp","name":"pezz-topbild-familien.webp","meta":{"brizy_attachment_uid":"wp-a24ab95bd73d02d255ab94f3f1036367.webp","brizy_post_uid":["c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3121,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/07\/pezz-topbild-daspezz.webp","name":"pezz-topbild-daspezz.webp","meta":{"brizy_attachment_uid":"wp-5f54cee1349255372d0e11da7726eeb4.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3124,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-topbild-instrumente.webp","name":"pezz-topbild-instrumente.webp","meta":{"brizy_attachment_uid":"wp-1de391ad3c54402856a8dd05f5a5b7d8.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3164,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-medien-01.webp","name":"pezz-medien-01.webp","meta":{"brizy_attachment_uid":"wp-5cf99cc38660dc3120aa5c860e0a90eb.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3165,"url":"https:\/\/www.pezz.ch\/wp-content\/uploads\/2025\/08\/pezz-paket-01.webp","name":"pezz-paket-01.webp","meta":{"brizy_attachment_uid":"wp-a928191810c06cf48c5ef59463f7900d.webp","brizy_post_uid":["4a7a5e3bfddd835bce8f05d6ceffddf2","c22bc5dd32e8f25aa92e735451f512d0"]}},{"id":3169,"url":"https:\/\/www.pezz.ch\/wp-content\/u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