Why was my child asked questions about sex, drugs, or sexual orientation?
These questions are part of standard health screenings recommended by the American Academy of Pediatrics (AAP) for all adolescents (typically ages 11–21). They help doctors understand the full picture of a teen’s health — physical, emotional, and social — so we can support them early if concerns arise.
Adolescence is a time of rapid change and exploration. Asking about topics like substance use, sexual activity/orientation, mental health, access to firearms, personal safety, and peer related influences use allows your teen’s provider to give accurate information, prevent problems, and connect them to help if needed.
Is this normal?
Yes. The AAP and many national medical organizations recommend private, confidential time between teens and their healthcare provider. During that time, the provider asks developmentally appropriate questions about school, home, friends, emotions, safety, and sometimes about drugs, alcohol, or sexual health.
This isn’t because we assume your child is engaging in risky behavior — it’s to build trust and keep lines of communication open.
Do I get to see my teen’s answers?
Not automatically. In Maryland, state law gives minors certain rights to confidential health services starting at age 12 or 13, depending on the issue.
If your teen talks about certain topics during their visit — like depression, substance use, or sexual health — that information may be kept private to protect your teen’s trust and encourage honesty.
However, if the provider believes your teen is at risk of serious harm (for example, suicidal thoughts, abuse, or danger to others), we must break confidentiality and involve you right away.
What can my teen consent to on their own in Maryland?
Under Maryland Health–General Code § 20-102 and § 20-104, minors can consent for certain health services without parental permission, including:
- Diagnosis and treatment of STIs (sexually transmitted infections)
- Pregnancy testing and care, including contraception (not sterilization)
- Treatment or advice for substance use (drugs or alcohol)
- Mental health counseling or treatment (if the provider determines the teen is mature enough to consent)
- Medical care related to sexual assault or rape
In these cases, the law allows the provider to decide whether to share information with a parent. Usually, confidentiality is respected unless the teen requests otherwise or there is a safety concern.
Why is private time important during the visit?
Private time with a healthcare provider gives teens a safe space to:
- Ask questions they may not feel comfortable asking parents
- Talk openly about emotions, relationships, or peer pressure
- Get accurate medical information instead of rumors or misinformation
- Build skills to manage their own health responsibly
The AAP strongly encourages doctors to have a part of every adolescent visit be confidential to help teens take ownership of their health as they grow into young adults.
How can I stay involved as a parent?
You play the most important role in your child’s health.
Here are some ways to stay connected:
- Ask your teen what they talked about at the visit and how you can support them.
- Let them know you’re always open to talking — no judgment.
- Encourage regular checkups, even when they seem “too old” for pediatric visits.
- Respect their privacy as they learn to make health decisions, while keeping communication open.