Recently a family of three came to the clinic. The mother was lying helplessly in front of the consultation table, whispering about her daughter’s condition, and the daughter was impatiently standing behind her mother. The father stood behind the mother and daughter and kept saying to me, “Mom is worried about her daughter’s inability to grow taller, is she really unable to grow taller?” A month ago, my 9-year-old daughter had her period. My mother was so upset that she took her daughter to the hospital for a checkup. After ultrasound, MRI, bone age test and blood test, she was diagnosed with “idiopathic central precocious puberty”. The doctor regrettably said to the mother, “Why did you come so late? If you don’t treat it in time, you may not be able to grow taller in the future, so it is recommended that you get an injection and medication immediately.” The mother who loved her daughter so much could not accept such a diagnosis, and visited endocrinologists in all major hospitals in Shanghai with her daughter, and came to our clinic today. After hearing our unanimous diagnosis, the mother walked out of the clinic with no expression on her face. I couldn’t bear to see this scene, so I chased her out and invited her to my office alone. It turned out that “precocious puberty” was like a loud thunderclap that scared the mother. The mother couldn’t figure out how her daughter, who is only 9 years old, 149 cm tall and weighing 33.6 kg, could be sexually precocious when her height and weight are still normal. She is very well-behaved and even mature. She is very happy to have such a daughter because she doesn’t have to worry too much about her child, and she behaves perfectly in front of her family, teachers and little friends. The excellent daughter has always been the pride of her mother. However, the doctor’s diagnosis – “she is late, she can’t grow taller” was like a heavy hammer that kept hitting her heart, and she kept looking up information about “precocious puberty” on the Internet every day, deeply blaming herself for not taking good care of her daughter. The mother of the child, who is not a good caretaker of her daughter, hates herself with her fingernails whenever she thinks of not taking care of her daughter, as if this can ease her apologies to her daughter, and can only sleep for an hour or so every night. The mother is employed in a state-owned unit, as a department leader, usually a very strong woman. But since learning that her daughter suffers from “precocious puberty”, the original confident, strong woman type of mother increasingly inferior, so inferior that she does not know what to cook for her daughter to eat, and does not know how to communicate with her daughter, her daughter also began to hate such a mother. My husband understands that she loves her daughter, so he can only accompany her and her daughter to see doctors at major hospitals in turn. In just a month or so after getting the diagnosis, Mom lost more than 10 pounds at once. The mother also told me that during this time, she had many bad thoughts and even had thoughts of self-harm. After listening to this mom’s account, I was glad that I invited this mom to my office. This mother had depressive tendencies triggered by an acute stressful event, which would be very dangerous if not treated with aggressive medication and would be a fatal blow to the family if it unfortunately happened. After almost an hour of psychological counseling, the mom slowly relaxed and gave the child’s father’s phone number. Through communication with the child’s father, she was helped to make an appointment to see a psychological outpatient specialist at a tertiary care hospital. A few days ago the mom called me to report the good news, saying that she was now sleeping much better, and her husband had taken time off to accompany her to take a break and relax, and was grateful for my attention to her, because at that time all their attention was on their daughter, and they never thought they would have a problem. This incident also touched me a lot myself, as a pediatrician, practicing medicine for more than twenty years, it seems that I also used to focus my attention on the child and seldom pay attention to the parents. I remember that before the plane takes off, the safety education always says that you should put on the oxygen mask first, and then help your child to put it on. I think the reason is the same: if you pay attention to the parents first, they can take better care of their children, especially because dwarfism and precocious puberty are chronic diseases that need long-term treatment. If the parents do not receive timely guidance and treatment, it will also affect the final effect of the child’s treatment.