The module deals with effective counselling skills required by health workers while working with adolescent girls and their families. The module discusses menstruation and physical and psychological changes experienced by adolescent girls. It is also explained that discussion on menstruation is often considered a taboo in families and communities. In such a situation the role of health worker becomes critical in helping the adolescent girls. The health workers while counselling the adolescent girls must keep in mind that: • Menstruation is a sensitive subject and girls may not open up on their own and their families may not approve of discussions on menstruation. Therefore, the health workers should create awareness among families and communities on the subject before discussing it with girls. • To understand adolescent girls and their problems, health workers should be sympathetic to them • While discussing adolescent views, problems and reactions on the subject t