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The concern regarding confidentiality is crucial when it comes to assessing adolescents. This demographic often harbors fears that their personal information may not remain private. Adolescents are in a stage of life where they seek independence and autonomy, and having sensitive information disclosed can result in significant anxiety about how it might affect their relationships with peers, family, or authority figures.

This concern can manifest as defensiveness during assessments, as adolescents may feel they need to protect their privacy aggressively. They may worry that revealing too much could lead to consequences they are not ready to face, such as parental involvement or judgment from others. Therefore, the way healthcare providers communicate the importance of confidentiality and the measures in place to protect their information plays an essential role in facilitating a trusting relationship and obtaining accurate and meaningful assessments.