Adolescent Medicine And Confidentiality Practice Test

A 14-year-old girl mentions during a well visit that she has been feeling sad because of mean comments other students are posting about her on social media. She is having trouble sleeping and is avoiding school. Which of the following is the most appropriate initial piece of advice from the physician?

A 17-year-old male is diagnosed with moderate major depressive disorder and agrees to start psychotherapy. He refuses medication but is willing to see a therapist. He explicitly asks the physician not to tell his parents about the diagnosis, stating, "They think therapy is for weak people." He does not endorse any suicidal or homicidal ideation. What is the physician's best course of action?