I had a young person who did not want to talk to anyone or leave his room, but just by introducing myself in a different way we went for his first trip off the ward in weeks.  I said “I am a nurse like all the rest of the nurses on the ward but I have a special interest in young people. And today I don’t want to talk about your health but I want to speak with you about you.  I purposefully didn’t read your notes because I am not interested in your condition, I am interested in you.”