Young people with learning difficulties are often supported by their parents to appointments more than other young people their age.  I always try to have some time alone with them, to give them the opportunity to ask questions they may not want to in front of their parents. We use questions cards to prompt them to choose the things they want to talk about.  These include personal or ‘embarrassing’ topics.  This shows them that it’s ok to ask and that other young people have also asked these questions.