Paediatricsmiddle twist
You are the resident in a paediatric outpatient clinic. A 15-year-old boy attends for review of his asthma, which is well controlled. At the start you explained to him and his mother that you would see him on his own for part of the visit and that what he told you would stay between the two of you unless someone was at risk. Alone, he tells you he smokes cannabis with friends on Saturdays. He does not drive, is attending school, denies low mood or self-harm, and asks you not to tell his mother. Afterwards she stops you in the corridor and asks what he said. Which one of the following is the most appropriate response?