Counsel the adolescent who uses steroids — OSCE

Candidate brief

You have eight minutes to counsel a fifteen-year-old boy and his father after the disclosure of anabolic-androgenic steroid use. Counsel the boy alone first, then build a shared plan with the father. Use a structured, honest, empathic approach that acknowledges the effort and the body-image pressure, explains the harm in plain language, addresses the father's wish to stop today and the boy's fear of losing his gains, and builds a slow, supported plan with a mental-health safety net. ^[6]