Some recent clinic and population-based studies suggest that severe short stature is not associated with significant behavioral and psychological problems, however collectively studies on this topic are variable and frequently contradictory. In light of these contradictory sources, it is important to recognize that there may be some children for whom growth failure is disabling. Many of such children can respond to counseling and support, but there may be occasions in which therapy can be recommended.

Resiliency can be defined as a pattern of positive adaptation in the context of past or present adversity with resiliency in childhood defined as typical development in the face of adverse circumstances that propel others to deleterious outcomes. Several strategies for promoting resilience in short stature patients and their families include 1) conducting a comprehensive psychosocial assessment; 2) recommending psychological strategies to directly address predictable social challenges associated with short stature; 3) discouraging the expectation that taller stature is associated with improvement in quality of life and; 4) discussing treatment efficacy in terms of the degree of certainty and magnitude of effects.

Recognizing time constraints in clinical settings, these approaches can be carried out across multiple visits. Being aware of, honoring, and addressing factors the parent and patient use in making their treatment decisions has the potential to promote resiliency in patients and families. This approach to clinical care can serve to promote resiliency in clinicians as well.

最近的一些临床研究和基于人群的研究表明，严重的身材矮小与重大的行为和心理问题无关，但是，关于该主题的集体研究是多变的，并且经常是矛盾的。鉴于这些相互矛盾的原因，重要的是要认识到可能有些儿童的成长失败是致残的。许多这样的孩子可以对咨询和支持做出反应，但是在某些情况下，可以推荐治疗。

复原力可以定义为在过去或现在的逆境中积极适应的模式，而童年时期的复原力则定义为面对不利于他人的有害情况的典型发展。促进矮身材患者及其家人恢复能力的几种策略包括：1）进行全面的社会心理评估；2）提出心理策略，以直接解决与身材矮小相关的可预测的社会挑战；3）阻止人们期望更高的身材与生活质量的改善有关；以及 4）根据确定性和影响程度讨论治疗效果。

认识到临床环境中的时间限制，可以在多次就诊中实施这些方法。意识到，尊重和解决父母和患者在做出治疗决定时使用的因素，有可能增强患者和家庭的适应能力。这种临床护理方法也可用于提高临床医生的适应能力。